![]() Initially traction must be placed across the fracture, allowing the fracture segments to disimpact. Reduction of the fracture segments requires a period of effective traction, followed by manipulation. 11 These studies highlight the significant role of osteoporosis in the rising incidence of Colles’ fractures. 11 It is hypothesised that 20% of patients suffering from Colles’ fracture will also require hospital admission as part of their initial management. 10 A multicentre study of patients aged 35 years and above reported an annual incidence of 9/10,000 in men and 37/10,000 in women based in the United Kingdom. However, the incidence amongst males prior to menopausal age is almost three times as likely as compared to females. 7– 9 The incidence of general fractures amongst females rises significantly above 50 years of age, almost twice as likely as compared to male. 6 The estimated the life-time risk amongst Caucasian females aged 45–50 years of age is believed to be between 15% and 20%, in comparison to a life-time risk of merely 2–3% in males amongst an average western population. Due to the mechanism of injury, a Colles’ fracture is one of the most common sites for osteoporotic fractures. 5 EpidemiologyĪmongst young adults, Colles’ fractures are sustained following high-impact trauma, however in older adults fractures often result from low-to-moderate impact trauma, such as a fall from a standing height, particularly in females. Extension of the fracture line through the radiocarpal joint, distal radio-ulnar joint and involvement of the ulnar styloid process can also be seen. 3, 4 These features result in a characteristic ‘dinner-fork’ or ‘bayonet’ deformity. Other features include radial shortening and palmar tilt. ![]() 1, 3 A Colles’ fracture occurs as a transverse fracture of the metaphyseal region of the distal radius, approximately 25–40 mm proximal to the radiocarpal joint, and is associated with dorsal displacement and angulation of the distal fragment. He noted that the posterior aspect of the extremity was characterised as deformed, with a depression of the forearm approximately 1.5 in (38 mm) above the distal end of the radius, where the carpus and the base of metacarpus appear to be thrown backward. Colles describes this injury as a ‘fracture proximal to the carpal ends of the radius’. 3 To date, it has been described as a ‘Colles’ fracture. The definitive description of this injury was first accurately described in literature almost 200 years ago, in an article ‘On the fracture of the carpal extremity of the radius’ by Abraham Colles. All subjects Allied Health Cardiology & Cardiovascular Medicine Dentistry Emergency Medicine & Critical Care Endocrinology & Metabolism Environmental Science General Medicine Geriatrics Infectious Diseases Medico-legal Neurology Nursing Nutrition Obstetrics & Gynecology Oncology Orthopaedics & Sports Medicine Otolaryngology Palliative Medicine & Chronic Care Pediatrics Pharmacology & Toxicology Psychiatry & Psychology Public Health Pulmonary & Respiratory Medicine Radiology Research Methods & Evaluation Rheumatology Surgery Tropical Medicine Veterinary Medicine Cell Biology Clinical Biochemistry Environmental Science Life Sciences Neuroscience Pharmacology & Toxicology Biomedical Engineering Engineering & Computing Environmental Engineering Materials Science Anthropology & Archaeology Communication & Media Studies Criminology & Criminal Justice Cultural Studies Economics & Development Education Environmental Studies Ethnic Studies Family Studies Gender Studies Geography Gerontology & Aging Group Studies History Information Science Interpersonal Violence Language & Linguistics Law Management & Organization Studies Marketing & Hospitality Music Peace Studies & Conflict Resolution Philosophy Politics & International Relations Psychoanalysis Psychology & Counseling Public Administration Regional Studies Religion Research Methods & Evaluation Science & Society Studies Social Work & Social Policy Sociology Special Education Urban Studies & Planning BROWSE JOURNALS
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