This presentation discusses Colles' fracture, which is a fracture of the lower end of the radius that also involves dislocation of the inferior radioulnar joint. The common cause is a fall on an outstretched hand. Clinical features include pain, swelling, and deformities like dorsal angulation or displacement of the distal fragment. Treatment depends on whether the fracture is displaced or undisplaced, and may involve closed reduction, casting, or percutaneous pinning followed by rehabilitation including range of motion and strengthening exercises. Complications can include nonunion, malunion, stiffness, or nerve damage if not treated properly.

1. Welcome to my Presentation
Which is the Part of
Teaching Methodology

2. All about Myself
Faysal Ahammed
BPT 5th Batch(4th year)
Roll: 26
Institute of Health Technology.
Under Faculty of Medicine
University of Dhaka.

3. Celle's Fracture

4. Celle's fracture was first described by Abraham
colle's in the year 1814.
It is a fracture of lower end of radius also
include dislocation of the inferior radioulnar
joint, fracture occur abut 2.5cm above the
carpal extremity of the radius.

5. Causes
 Have osteoporosis, a disease that weakens your bones
Postmenopausal osteoporosis.
Commonest skeletal injury In Elderly.
Have low muscle mass, poor muscle strength, or lack agility (these
conditions make you more likely to fall)
 Walk or do other activities in snow, on ice, or that require a lot of forward
momentum, such as in-line skating and skiing
Have an inadequate intake of calcium or vitamin D
Road Traffic Accident, fall from height.

6. Mechanism
• The common mode of injury is fall on outstretched hands with dorsiflexion
ranging from 40° to 90°(Average)

7. Clinical Feature
• Pain over the affected area.
• Swelling of the joint.
• Deformity- Dinner fork Deformity

8. Other Deformity includes
• Dorsal Angulation of Distal Fragment
• Dorsal Displacement of Distal Fragment
• Radial Deviation of the hand
• Supination
• Proximal Impaction.

9. Styloid Process test
• In general Radial Styloid process is lower than the ulnar styloid process but
in displaced and colle's fracture both will be at same level.

10. Radiograph- X ray of the Wrist.
1.Anterior Posterior view 2. Lateral view

11. Types of Colle's Fracture
• Open fracture: If the bone broke through your skin
• Comminuted fracture: If the bone broke into more than
two pieces
• Intra-articular fracture: If the bone broke inside your
wrist joint
• Extra-articular fracture: If your joint isn’t affected

12. Complications
Early complication includes
Swelling and Pain in the Finger
 Median Nerve compression
 Sundok's Atrophy
Late Complication
 Malunion
 Non union of the ulnar styloid process.
 Rupture of the Extensor pollicislongus.
 Stiffness

13. Treatment
• Undisplaced Fracture- A dorsal Splint for 1-2 days to remove swelling and cast
will be Placed for 4 week to stabilize joining.

14. • Displaced Fracture – Reduction of the fracture under
anesthesia and correct the Bone alignment. Then Dorsal
Plaster Slab is applied.

15. • Comminuted Fracture- Percutaneous K-wire fixation along with Plaster
Immobilization. It then Remove after 5 weeks.

16. Physiotherapy Treatment
• Main role of Physiotherapy is in rehabilitation Stage.
• Objectives of rehabilitation 
Maintain joint range of motion
Increase muscle strength
Improve functional ability

17. Exercise Programme
 During reduction plaster cast –
• Uninvolved joint active rang of motion
• Wrist joint passive supination & pronation
• Isometric hand muscle exercise
Continue After removal the cast
- Mobilized the affected wrist
- Start some strengthening exercise
- Start weight bearing exercise Later stage Advance exercise ,full weight bearing
exercise.

18. Prognosis
• Expected time for healing 6th to 8th weeks until the fracture is stable.
• Earlier treatment usually improves the result .
• Chronic disease such as - Osteoporosis and Diabetes may slow the healing
time.
End

19. Thank you
Everybody for Quite Concentration.

20. Any Questions ?

21. Few Quarry towards you People
 What is the common mode of injury ?
1. Throwing, 2. Fall on outstretched, 3. Weight lifting.
When Physiotherapy is Required ?
1. At Early Stage 2. At Rehabilation Stage 3. Never.