Classic Fractures: Colles', Reverse Colles', Snuff Box
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Questions and Answers

What is the typical cause of a Colles' fracture?

  • Twisting injury of the wrist
  • Direct impact on the wrist
  • Falling onto a flexed wrist
  • Falling onto an extended hand (correct)
  • What type of imaging is often used to detect a snuff box fracture?

  • MRI (correct)
  • Ultrasound
  • CT scan
  • Plain x-rays
  • Which fracture results in dorsal and radial displacement of the radius?

  • Colles' fracture (correct)
  • Hairline fracture
  • Reverse Colles' fracture
  • Snuff box fracture
  • In elderly patients, which mechanism commonly leads to a Colles' fracture?

    <p>Fall onto an extended hand</p> Signup and view all the answers

    What is a common clinical finding associated with a Reverse Colles' fracture?

    <p>Deformity and swelling in the distal wrist region</p> Signup and view all the answers

    Which treatment is often recommended for snuff box fractures?

    <p>Thumb splinting</p> Signup and view all the answers

    What is the main reason for follow-up appointments after a fracture?

    <p>To ensure proper healing and alignment</p> Signup and view all the answers

    What indicates a likely need for surgery in a Colles' fracture?

    <p>Displacement or instability of the fracture</p> Signup and view all the answers

    Study Notes

    Classic Fractures

    Colles' Fracture

    • A wrist fracture commonly resulting from a fall on an outstretched hand.
    • Typically affects elderly patients due to the mechanism of injury involving extended wrists.
    • Symptoms include significant swelling and deformity in the distal wrist area.
    • Diagnosis is confirmed through plain x-rays, revealing fractures in the distal radius and ulna.
    • Treatment may involve surgery; however, splinting and immobilization for about four weeks are often sufficient.

    Reverse Colles' Fracture

    • Occurs from a fall on a flexed wrist, differing from Colles' fracture.
    • Typically results from direct impact on the wrist area while in a flexed position.
    • Management mirrors that of Colles' fracture, often requiring splinting or surgery.

    Snuff Box Fracture

    • Involves a fracture of the scaphoid bone caused by a fall on an outstretched hand with wrist dorsiflexion.
    • Pain and tenderness are localized to the anatomical snuff box located on the radial side of the wrist.
    • Standard plain x-rays may not detect the fracture; MRI provides a more accurate diagnosis.
    • Treatment generally includes thumb splinting, with surgery reserved for severe cases.

    General Considerations

    • Follow-up appointments are crucial for monitoring the healing process and ensuring proper alignment of fractured bones.
    • Repeat x-rays may be used to assess recovery and detect any complications.

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    Description

    Test your knowledge on classic fractures, including Colles' fracture, Reverse Colles' fracture, and the Snuff Box fracture. This quiz covers their mechanisms of injury, symptoms, and management. Perfect for medical students and health professionals alike.

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