This document outlines the details needed to document a patient case involving a Colles' fracture, including patient information, history, examination findings, injury mechanism, typical presentations, treatments, and potential complications. It describes a Colles' fracture as a break of the distal radius typically caused by a fall on an outstretched hand in elderly osteoporotic women. Key signs include pain, swelling, deformity of the wrist, and dorsal displacement of the radial styloid process. Treatment involves closed or open reduction and casting or plating, with potential complications including joint stiffness, malunion, subluxation, and nerve issues if not properly treated.

2. 1. Patient Particulars-
Name
Age
Gender
Religion
Social Status
Occupation
Residence

3. Chief Complaints- Chronological order according to
duration.
Common complaints-

4. Elaborate chief complaints.
Mode of onset of symptoms- sudden or gradual,
cause of onset (trauma)
Progress of disease
Treatment received or not/ Any need to use aids
Activities of daily living
Negative history

5. Similar complaints in past?
Medical History- DM, HTN, Tb
Surgical History
H/O any previous injury
Drug history, allergy

6. Diet
Appetite
Sleep
Bladder/Bowel habits
Addiction- Smoking, alcohol, drug abuse

7. Medical- DM, HTN, Tb, Thyroid
Orthopaedic- Dupuytren’s contracture, RA, Gout,
bone dysplaia.
MENSTRUAL HISTORY
BIRTH HISTORY

8. Colle’s Fracture

9. Fracture at the distal end of
radius at its cortico-cancellous
junction (about 2cm from the
distal articular surface).
Extra-articular fracture
Commonest fracture above 40
years of age, particularly in
elderly post menopausal
women due to osteoporosis.

10. Mechanism of injury-
Fall on outstretched hand  Wrist in extension 
Colle’s #

11. Distal end of radius articulates
with the carpel bones-
radiocarpal joint, and distal end
of ulna- radioulnar joint.
Normally, the distal articular
surface of radius faces ventrally
and medially.
The tip of radial styloid process
is about 1cm distal to tip of
ulnar styloid.

12. Fracture line runs transversely at the cortico-
cancellous junction.

13. Following displacements are seen
in Colle’s fracture-
1. Impaction of fragments
2. Dorsal displacement
3. Dorsal tilt
4. Lateral displacement
5. Lateral tilt
6. Supination

14. Patient presents with pain, swelling and deformity of
wrist.
On examination- Tenderness and irregularity of lower end
of radius.
Typical 'dinner fork deformity’.
The radial styloid process comes to lie at the same level or
a little higher than the ulnar styloid process.

15. Most displacements can be identified on Xray.
The dorsal tilt is the most characteristic
displacement.
It can be detected by looking at the direction of
distal articular surface of radius on Lateral X-
ray.
A lateral tilt can be detected on AP X-ray.
AP View- Proximal shift, Radial shift, Radial
tilt
Lateral View- Proximal shift, Dorsal shift,

17. For undisplaced fracture- Immobilisation in a below
elbow plaster cast – 6 weeks
For displaced fracture- Manipulative closed reduction
followed by immobilization in Colle’s cast.
Below elbow cast.
Aka Hand Shaking Cast.
Other methods to treat displaced #-
1. CRIP with K wires
2. ORIF with plates

19. 1. Forearm pronated and traction
is given to reduce impaction.
Simultaneous counter traction
given at elbow joint.
2. Palmar flexion to correct
dorsal tilt.
3. Ulnar deviation to correct
radial tilt.
POP application- Cast is always
applied below the elbow to
prevent stiffness at the elbow.

20. 1. Stiffness of joints- Finger stiffness (MC)
2. Malunion- Leading to dinner fork deformity
3. Subluxation of inferior radio-ulnar joint
4. Carpal Tunnel Syndrome- causing median n
compression
5. Sudeck’s osteodystrophy- Noticed after plaster is
removed.
6. Rupture of extensor pollicis longus tendon