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A Barton’s fracture is an intra-articular fracture of the distal radius with dislocation of the Intra-articular component distinguishes this fracture from a Smith’s or a Colles’ fracture. Treatment of this fracture is usually done by open reduction and. 12 abr. dificuldades em realizar pronação e. supinação do antebraço e limitação das. falanges. – Presença de sinais flogísticos: Abraham Colles. Fractures of the distal radius (Colles’ fracture). Fraturas do rádio distal (Fratura de Colles). João Carlos Belloti; João Baptista Gomes dos.

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This article describes radiographic features to check for and possible complications. Among the publications presenting better levels of evidence, four systematic reviews of randomized clinical trials can be highlighted. Most Colles fractures are secondary to a fall on an outstretched hand FOOSH cloles a pronated forearm in dorsiflexion the position one adopts when trying to fraturaa a forward fall.

Cervical fracture Jefferson fracture Hangman’s fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture.

Colles’ fracture – Wikidata

It was shown that there was no statistically significant difference between these two reduction methods. Case 1 Case 1.

In the systematic review “Conservative interventions for treating distal radial fractures in adults”, 2 in which 33 randomized trials analyzed patients, there were descriptions of several studies comparing different conservative treatment methods, consisting of ccolles external splintage plaster of Paris casts, braces and bandages and immobilization above rfatura below elbow, in supination, pronation or neutral positions, with palmar flexion or dorsiflexion.

There were conflicting opinions, without consensus, regarding the following: The most frequent complications were impairment of joint mobility and residual pain. Epidemiology of osteoporosis and osteoporotic fractures. I never use them c. Views and treatment of an important injury of the wrist.


Although fractures of the distal extremity of the radius were first described by Colles intoday there is still no robust scientific evidence to allow a definitive treatment algorithm to be devised. Handoll HH, Madhok R. Cochrane Database Fragura Rev. Thank you for updating your details. Instability of the distal radioulnar joint was the associated injury that was most frequently diagnosed Figure The prediction of instability.

It was concluded that there was not enough evidence to decide which conservative treatment method was more appropriate for each type of fracture of the distal radius. This is because of the complexity of these fractures with regard to patient type, associated lesions, trauma mechanisms and the several classification methods used.

You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. There is also usually impaction with resultant shortening of the radius.

Colles’ fracture Colles fractures. Anaesthesia for fratira distal radial fracture in adults. Conservative interventions for treating distal radial fractures in adults.

Barton’s fracture Frattura palmar Barton’s fracture of the right wrist, as shown on a 3D-rendered CT scan A Barton’s fracture is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint. Closed reduction of colles fractures: Plain films usually suffice, although if there is a concern of intra-articular extension, then CT may be beneficial.

Barton’s fracture

Given the results from the present study and the best evidence from the cratura, we conclude that there is no scientific evidence powerful enough to allow definitive conclusions concerning the main aspects of managing distal radius fractures. Early and late displacement of fractures of distal radius. Fractures and cartilage injuries Sx2— D ICD – Case 5 Case 5.

This cast is known as a Colles cast 4. The objective was to evaluate the main features of treating these fractures, and also the most frequent complications and the prognosis. Most fractures of the distal radius result from low-energy trauma, such as falls from no more than the individual’s own standing height, and their greater incidence among women reflects the loss of bone mass due to osteoporosis and the larger number of falls suffered fatura older women.


Not declared Conflicts of interest: Surgical interventions for treating distal radial fractures in adults. Articles Cases Courses Quiz. Fractures of the distal radius.

Colles’ fracture is one of the most common among older white people. There were no significant differences in complications between conservative and surgical interventions. Infobox medical condition new All stub articles. Views Read Edit View history.

Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture. One of the more popular is the Frykman classification system collea, although it fails to distinguish between Smith and Colles fractures as it is based on AP radiographs Case 2 Case 2. There exist two types of Barton’s dolles — dorsal [1] and palmar, the latter being more common.

Study conducted during the 34 th Brazilian Congress of Orthopedics and Traumatology. The plain radiographic series often comprises an AP and a lateral view; however, rratura is not uncommon for an oblique view to be included. A palmar Frathra fracture of the right wrist, as shown on a 3D-rendered CT scan. In drawing up this questionnaire, we only dealt with Colles’ fractures, i.