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13 Cards in this Set
- Front
- Back
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What is the most common etiology of a Colles fx?
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traumatic fall onto an outstretched hand with the wrist in partial dorsiflexion.
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What is the most common fracture of the distal forearm?
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Colles
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What increases the risk of a Colles fx?
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Osteoporosis.
Classically pts are women >70 with osteoporosis |
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What are the PE findings of a Colles fx?
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point tenderness over the distal radius and commonly over the ulnar styloid.
Soft-tissue swelling is present over the radial aspect of the wrist. |
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What should be included in the PE of a Colles fx?
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Radial pulse should be compared with the contralateral wrist, and sensory & motor functions of the hand should be tested.W
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What is a Colles fx?
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involves the head of the radius with dorsal angulation of the distal fx fragment
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What other finding often presents in ~50% of pts with a Colles fx?
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Ulnar styloid fx
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What kind of films should be ordered with a suspected Colles fx?
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AP, oblique and lateral plain films of the distal forearm & wrist
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What view usually shows a fx line with a Colles fx?
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AP
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What will the lateral view show with a Colles fx?
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Dorsal angulation of the distal radius.
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What is an important associated finding that almost always accompanies a fracture?
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Soft-tissue swelling
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What is an intraarticular fx?
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those in which the break crosses into the surface of a joint.
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What other injury always happens with an intraarticular fx?
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Some degree of cartilage damage
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