Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
trauma topic hub

Distal Radius — Colles/Smith/Barton

Colles: extra-articular, dorsal tilt; Smith: extra-articular, volar tilt; Barton: intra-articular rim fracture. Clinical deformities: dinner-fork (Colles), garden-spade (Smith). Stability factors: dorsal comminution, >20° angulation, >5 mm shortening, intra-articular involvement. Treatment: closed reduction/cast vs volar plate fixation. Complications: malunion, CRPS, post-traumatic arthritis.

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Colles: extra-articular, dorsal tilt; Smith: extra-articular, volar tilt; Barton: intra-articular rim fracture. Clinical deformities: dinner-fork (Colles), garden-spade (Smith). Stability factors: dorsal comminution, >20° angulation, >5 mm shortening, intra-articular involvement. Treatment: closed reduction/cast vs volar plate fixation. Complications: malunion, CRPS, post-traumatic arthritis.
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Question 1

What is the primary clinical deformity associated with a Colles' fracture?

Question 2

Which of the following statements about Smith's fracture is correct?

Question 3

In which type of fracture does the distal fragment typically displace volarly?

Question 4

Which factor is NOT considered a stability factor for distal radius fractures?

Question 5

What is the primary treatment for a stable, extra-articular distal radius fracture?

Question 6

Which complication is most commonly associated with distal radius fractures?

Question 7

What characterizes a Barton fracture?

Question 8

Which of the following is the correct definition of the 'dinner fork' deformity?

Question 9

In which type of fracture would you expect to see a 'garden spade' deformity?

Question 10

What is the primary goal in the reduction of a distal radius fracture?