Dear all, This ppt contains the cause, types, clinical and radiological features, treatment and complication of Colles' fracture, Barton's fracture and Smith's fracture. I hope this is useful to you. Thank you

1. By :- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Colles’ fracture

2. • Fracture at distal end of radius at its cortico-
cancellous junction (2 cm from the distal
articular surface).
• Displacement is usual.
• Common in in people above forty years of age
especially in women due to postmenopausal
osteoporosis
• FOOSH injury

3. Pathoanatomy
• Fracture line runs transversely at the cortico
cancellous junction.
• Common displacement
• AP view :- Proximal shift, Radial shift, Radial
tilt
• Lateral view :- Proximal shift, Dorsal shift,
Dorsal tilt

4. • Some amount of comminution can happen.
• Some of associated injuries are
– Fracture of styloid process of ulna
– Rupture of ulnar collateral ligament, triangular
cartilage of ulna
– Subluxation of radio ulnar joint due to rupture of
interosseous radio-ulnar ligament

5. Diagnosis
• Pain, swelling deformity at wrist
• Tenderness and irregularity of the lower end
of radius is found
• “Dinner fork deformity”
• Radial styloid process lies at same level or at
higher level then ulnar styloid process
• Important to differentiate from smith and
bartons fracture

7. Treatment
• Undisplace fracture:- immobilization in below
elbow plaster cast
• Displaced :- Closed reduction and
immobilization
• 6 week immobilization
• Chances of redisplacement is higher in
comminuted fracture
• Adult with dominant hand, surgery is
recommended

8. • Percutaneous K wire fixation is done.
• External fixation can also be used in case of
comminuted fracture. Fracture fragments are
kept in distraction so that stretched soft
tissues will keep fragments in alignment
• LCP (Locking compression plate)

10. Complications
1. Stiffness of joints
2. Malunion
3. Subluxation of inferior radio ulnar joint
– Minor degree of displacement is acceptable
– Treatment is ulna head excision
4. Carpal Tunnel Syndrome
– Treatment is decompression of carpal tunnel

11. 5. Sudecks osteodystrophy
– Commonest cause of sudecks dystrophy
– Noticed after removal of plaster cast
– Patient complaints of pain, stiffness and swelling
of the hand.
– Overlying skin appears stretched and glossy
– Treatment is physiotherapy.

12. 6. Rupture of extensor pollices longus tendon
– May be due to blood circulation rupture or due to
friction at sharp edge of malunited fracture

13. By :- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Smith’s fracture

15. • It is reverse of colles’ fracture
• Seen in adult and in elderly patient
• Distal fragment displaces ventrally and tilts
ventrally
• Treatment is closed reduction and plaster cast
immobilization
• Complications are same as colles’ fracture

16. By :- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Barton’s fracture

17. • Intra-articular fracture
• Fracture extends from articular surface of the
radius to either anterior or posterior direction
• Distal fragment gets displaced
• Types :- Volar or Dorsal

18. • Closed manipulation and a plaster cast
• ORIF may required

19. Thank you

20. Please share the video and subscribe my
channel.