Management of Smith's fracture is
D i.e. Above elbow cast with forearm in supination Smith fracture is treated by close reduction and immobilization in long arm (above elbow) cast with forearm in supination and wrist in extension (dorsiflexion) Q Smith Fracture / Reverse Colle's Fracture Colle's Fracture / Pouttean's Fracture Definition Fracture of distal third of radius with palmar It is the fracture of lower end of radius (with dislocation of (anterior or ventral) displacement & tilt Q. inferior radio-ulnar joint) that occurs about 2.5 cm (11/2 Hence it is called reverse Colle's fracture inch) above the carpal extremity of radius (at coicocancellous junction Q) Clinical feature * Adult & older people * Patient is usually a postmenopausal (osteoporotic) mode of trauma * Fall on back of hand women Q * Fall on outstretched hand Deformity Garden spade deformity Q Dinner fork Q/ silver fork or spoon shaped deformity Displacement Ventral (anterior or palmar) displacement & * Dorsal displacement & tilt 0 tilt Q * Lateral displacement & tilt Q * Impaction & supination Treatment CR & immobilization in AE cast with * CR & immobilization in Colle's cast (below elbow cast forearm in supination and wrist in extension in 10-20% of palmar flexion & 10-20 of ulnar detion) Q * AE cast in pronation / supination / mid prone position are also applied (according to situation)
Open reduction and fixation
Plaster cast with forearm in pronation
Closed reduction with below-elbow cast
Above-elbow cast with forearm in supination