Back كسر رسغي Arabic Fractura distal del radi Catalan Distale Radiusfraktur German Fractura distal del radio Spanish شکستگی انتهای زند زبرین Persian שבר בעצם החישור המרוחקת HE Ճաճանչոսկրի դիստալ հատվածի կոտրվածք Armenian 橈骨遠位端骨折 Japanese Håndleddsbrudd NB ଡିସ୍ଟାଲ ରାଡିଅସ ଅସ୍ଥି ଭଗ୍ନ OR
| Distal radius fracture | |
|---|---|
| Other names | Broken wrist[1] |
 | |
| A Colles fracture as seen on X-ray: It is a type of distal radius fracture. | |
| Specialty | Orthopedics, emergency medicine |
| Symptoms | Pain, bruising, and swelling of the wrist[1] |
| Usual onset | Sudden[1] |
| Types | Colles' fracture, Smith's fracture, Barton's fracture, Hutchinson fracture[2] |
| Causes | Trauma[2] |
| Risk factors | Osteoporosis[1] |
| Diagnostic method | Based on symptoms, X-rays[1] |
| Treatment | Casting, surgery[1] |
| Medication | Pain medication, elevation[1] |
| Prognosis | Recovery over 1 to 2 years[1] |
| Frequency | ≈33% of broken bones[2] |
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist.[1] Symptoms include pain, bruising, and rapid-onset swelling.[1] The ulna bone may also be broken.[1]
In younger people, these fractures typically occur during sports or a motor vehicle collision.[2] In older people, the most common cause is falling on an outstretched hand.[2] Specific types include Colles, Smith, Barton, and Chauffeur's fractures.[2] The diagnosis is generally suspected based on symptoms and confirmed with X-rays.[1]
Treatment is with casting for six weeks or surgery.[1] Surgery is generally indicated if the joint surface is broken and does not line up, the radius is overly short, or the joint surface of the radius is tilted more than 10% backwards.[3] Among those who are cast, repeated X-rays are recommended within three weeks to verify that a good position is maintained.[3]
Distal radius fractures are common,[3] and are the most common type of fractures that are seen in children.[4] Distal radius fractures represent between 25% and 50% of all broken bones and occur most commonly in young males and older females.[3][2] A year or two may be required for healing to occur.[1] Most children with a buckle wrist fracture experience a broken wrist for life and do have an increased chance of re-fracturing the same spot or other adverse effects.[4]
- ^ a b c d e f g h i j k l m n "Distal Radius Fractures (Broken Wrist)-OrthoInfo - AAOS". orthoinfo.aaos.org. March 2013. Archived from the original on 2 July 2017. Retrieved 18 October 2017.
- ^ a b c d e f g MacIntyre, Norma J.; Dewan, Neha (April 2016). "Epidemiology of distal radius fractures and factors predicting risk and prognosis". Journal of Hand Therapy. 29 (2): 136–145. doi:10.1016/j.jht.2016.03.003. PMID 27264899.
- ^ a b c d Alluri, RK; Hill, JR; Ghiassi, A (August 2016). "Distal Radius Fractures: Approaches, Indications, and Techniques". The Journal of Hand Surgery. 41 (8): 845–54. doi:10.1016/j.jhsa.2016.05.015. PMID 27342171.
- ^ a b Handoll, Helen HG; Elliott, Joanne; Iheozor-Ejiofor, Zipporah; Hunter, James; Karantana, Alexia (19 December 2018). "Interventions for treating wrist fractures in children". The Cochrane Database of Systematic Reviews. 2018 (12): CD012470. doi:10.1002/14651858.CD012470.pub2. PMC 6516962. PMID 30566764.