a child of age 10 yrs fell from wall with outstrecthed hand (right) , later e compalined of pain and restricted movement, the x ray shown below ,what is the management ?
SMITH&;S FRACTURE (Reverse of Colles&; Fracture) This uncommon fracture is seen in adults and in elderly people. Its impoance lies in differentiating it from the commoner Colles&; fracture which occurs at the same site. It differs from Colles&; fracture in that the distal fragment displaces ventrally and tilts ventrally. Treatment is by closed reduction and plaster cast immobilisation for 6 weeks. Complications are similar to those in Colles&; fracture. Ref: Maheshwari and Mhaskar 9th ed pg 114.
Open reduction and fixation
Plaster cast with forearm in pronation
Closed reduction with below - elbow cast
Above - elbow cast with forearm in supination
Forearm wrist and hand injuries