-
Fall
from outstretched hand which affects the distal end of
radius. -
This
is a fracture which is similar to Colles' fracture but affects children.
-
It
may be a complete fracture or a greenstick fracture.
-
The
complete fracture may have serious angulation.
-
Inspection:-
Dinner fork deformity
-
Palpation:
impaction and displacement of distal fragment causes the
styloid process of
radius to be placed more superior than normal
-
X-ray
-
Reduction
-
If
greenstick, place in Colles fracture plaster for 3 weeks.
-
If
complete with angulation, then it must be immobilized with above elbow
plaster with the hand in
palmar flexion, and
ulnar deviation and also full
supination. The elbow is placed at 90o for 3-4 weeks. Check for re-angulation
using X ray after a week.
Click for anatomy