Colles Wrist Fracture
Once a fracture is present, the soft tissue also becomes edematous, there can be haemorrhage into the muscles and there is joint dislocation, ruptured tendons, severed nerves and damaged blood vessels and injury of the body organs.
Fractures can categorized as complete fracture when almost the bone was broke into sections. The normal position of the bone is compromised in this type of fracture. On the other hand, an incomplete fracture may include only a portion of the bone has been chipped out or displaced.
General Symptoms of a Fracture
- Unusual motion or abnormal mobility
- Elicit pain response when moved or touched
- Loss of function
- Swelling as well as discoloration of the skin due to lack of circulation
- Deformity in which the fractured area can be compared with the other areas
Colles wrist fracture: When a wrist is extended on its maximum the tendency is to have a breakage on the continuous bone at the end part of the radius. It is common in children as well as in elderly. Kids are prone in Colles fracture as they are fund playing outdoors or even sudden use of the hand to support a heavier weight such as the whole body weight. In the case of adults, since there is a weak bone structure already, the sudden impact or extension on the wrist area can be the cause of Colles fracture for adults.
- An attempt to defend the body from an impact using the arm
- The hands were the first body parts to contact with a hard surface
- Sport’s related injuries such as in rollerblading, skateboarding
- Osteoporosis which is present for adults
Signs and Symptoms:
- A significant deformity on the radial area
- Swelling can be observed on the wrist
- Decreased wrist strength
Management of Fracture:
- Survey the affected area first and inform the patient that the injury can be managed.
- Use reduction or setting the bone by placing the hand and wrist using a splint on its neutral position. The restoration of the fracture fragments into the anatomical position must be done.
- Immobilize the wrist in order to maintain the position for its healing process. Fix the fractured area with bandages as well as splints. However, if internal fixation must be done nails, plates, screws as well as wires are inserted on the fractured area of the radius to the main bone. This is done surgically with the help of an orthopaedic surgeon.
- Elevate the splinted wrist in order to prevent swelling. Placing an ice pack over the affected will also reduce the pain as well slow down the process of swelling.
- Coordinate with rehabilitation of the arm. Getting back to the usual arm activity needs a lot of practice and gradual exposure to the usual forces that the arm is able to shoulder. Exercise the joint above and below the cast at frequent intervals.