Smith's fracture - Revision history

Rossdonaldson1: /* Management */

2019-09-18T04:27:28Z

Management

← Older revision		Revision as of 04:27, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Immobilization===
	*[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>		*[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	**Similar to [[Colles' fracture]]		**Similar to [[Colles' fracture]]

2018-03-27T17:06:14Z

Background

← Older revision		Revision as of 17:06, 27 March 2018
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	==Background==		==Background==
			*Also known as a reverse Colles' fracture or Goyrand-Smith's
	*Volar angulated fracture of distal radius ("reverse Colles fracture" or "garden-spade deformity")		*Volar angulated fracture of distal radius ("reverse Colles fracture" or "garden-spade deformity")

2018-03-27T17:05:23Z

← Older revision		Revision as of 17:05, 27 March 2018
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	==See Also==		==See Also==
	*[[Distal radius fractures]]		*[[Distal radius fractures]]

			==External Links==
			*https://radiopaedia.org/articles/smith-fracture

	==References==		==References==
	~~<ref>https://radiopaedia.org/articles/smith-fracture</ref>~~
	<references/>		<references/>

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2018-03-14T18:24:50Z

← Older revision		Revision as of 18:24, 14 March 2018
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	==Evaluation==		==Evaluation==
	*~~X-ray forearm~~/wrist		*Assess distal pulse, motor, and sensation
			*Inspect skin for any signs of open fracture
			*XRay
			**AP/Lateral of wrist and forearm
			*If intraarticular, may need CT for surgical planning

	==Management==		==Management==
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	==Disposition==		==Disposition==
	*Outpatient		*Outpatient with Ortho follow-up

	==Complications==		==Complications==

2018-03-14T18:21:33Z

← Older revision		Revision as of 18:21, 14 March 2018
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	==Background==		==Background==
	*Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity")		*Volar angulated fracture of distal radius ("reverse Colles fracture" or "garden-spade deformity")

	==Clinical Features==		==Clinical Features==
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	==Disposition==		==Disposition==
	*Outpatient		*Outpatient

			==Complications==
			*Malunion can result in chronic garden spade deformity
			**Can also lead to [[Carpal tunnel syndrome]]

	==See Also==		==See Also==
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	==References==		==References==
			<ref>https://radiopaedia.org/articles/smith-fracture</ref>
	<references/>		<references/>

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2017-04-08T03:17:47Z

Management

← Older revision		Revision as of 03:17, 8 April 2017
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	*[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>		*[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	**Similar to [[Colles' fracture]]		**Similar to [[Colles' fracture]]
	*~~typically~~ unstable and requires surgical fixation		*Typically unstable and requires surgical fixation

	==Disposition==		==Disposition==

2017-04-08T03:17:11Z

Management

← Older revision		Revision as of 03:17, 8 April 2017
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	*[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>		*[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	**Similar to [[Colles' fracture]]		**Similar to [[Colles' fracture]]
			*typically unstable and requires surgical fixation

	==Disposition==		==Disposition==

2016-10-16T10:58:12Z

← Older revision		Revision as of 10:58, 16 October 2016
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	==Background==		==Background==
	*Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity")		*Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity")
	*Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist

	==Clinical Features==		==Clinical Features==
			*Mechanism: fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
			*Wrist pain

	==Differential Diagnosis==		==Differential Diagnosis==
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	==References==		==References==
	<references/>		<references/>
	*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.


	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2016-10-16T10:52:40Z

← Older revision		Revision as of 10:52, 16 October 2016
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	*Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist		*Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist

	==~~Imaging~~==		==Clinical Features==
	*Similar but opposite to [[Colles' fracture]]

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Distal radius fracture DDX}}		{{Distal radius fracture DDX}}

			==Evaluation==
			*X-ray forearm/wrist

	==Management==		==Management==
	*Similar to [[Colles' fracture]]		*[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	*~~[[sugar tong splint]] in supination~~		**Similar to [[Colles' fracture]]

			==Disposition==
			*Outpatient

	==See Also==		==See Also==

2016-10-10T14:04:02Z

minor clarification to management

← Older revision		Revision as of 14:04, 10 October 2016
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	==Management==		==Management==
	*Similar to [[Colles' fracture]]		*Similar to [[Colles' fracture]]
	*[[sugar tong splint]]		*[[sugar tong splint]] in supination

	==See Also==		==See Also==
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	==References==		==References==
	<references/>		<references/>

	*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.		*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.


	[[Category:Orthopedics]]		[[Category:Orthopedics]]