Colles' fracture

WELCOME TO MY PRESENTATION

Presented by

Mahashin akond Roll no-(DU)- 778 Regi no-(DU)-314 Final year (BScPT)

IHT ,Dhaka.

Colles’ Fracture

Definition

A Colles’ fracture is a break in the distal part of the radius bone 2.5cm above from the articular surface

Inventor Abraham colles a surgeon, in 1884

IncidenceNot more common fractureBut Frequently occur in young

adultBasically those who are over 40

years.

CausesRoad traffic accidentDirect blowFall from height

Rick FactorsFactors which increase the chance of

fractures are 1.Osteoporosis2.Poor nutrition 3.Condition that increase risk of falling Snow ,Ice, Loss of agility or muscle

strength4.Advancing age5.Post menopause6.Decrease muscle mass.

Mechanism of injury

Fall on an Outstretched hand lead to fracture

Associated injury

Tendon:Rupture of extensor policis longus and peritendinious adhesion of both the flexor and extensor compartments may occur.

Nerves:Nerve injuries include median nerve contusion ,resulting in the development of carpal tunnel syndrom.

TypesOpen fractureClose fractureIntra articular fractureExtra articular fractureComminuted fracture.

Sign & SymptomsSnap or cracking soundMost of the time a person will

know if he have a broken armArea will be tender & swollenObvious deformityDecrease sensation or irritability

to move the limb, which may indicate nerve damage.

DeformityVolar angulations of the apex of

the fractureThe deformity is called “Silver

fork deformity ”or “Dinner fork deformity”

Investigation

Radiological investigation –X-ray

ManagementReduction: –Manipulative

reduction under anesthesia.Immobilization: By Plaster

cast(below elbow),ORIF(open reduction internal fixation),OREF(open reduction external fixation)

Physiotherapy

Main role of physiotherapy is in rehabilitation

Objectives of rehabilitation

Maintain joint range of motionIncrease muscle strengthImprove functional ability

Exercise programme During reduction plaster cast -Uninvolved joint active rang

of motion -Wrist joint passive supination

& pronation -Isometric hand muscle

exercise

continue

After removal the cast -Mobilized the affected

wrist -Start some strengthening

exercise -Start weight bearing

exerciseLater stage Advance exercise ,full

weight bearing exercise

Complication MalunionRupture of extensor pollicis

tendonSudeck’s osteostrophyCarpal tunnel syndromNon union

Prognosis Expected time for healing 6th to

8th weeks until the fracture is stable.

Earlier treatment usually improves the result

Chronic disease such as osteoporosis and diabetes may slow the healing time.

References

Books for Tidy’s physiotherapyAdam’s orthopedicApplies orthopedic

THE END

Thank you Everybody for quite concentration

Any Question please????