He succeeded Abraham Colles ( Colles fracture) as Professor of Surgery at Trinity College, Dublin. Named by Robert William Smith (1807-1873) who was a surgeon in Dublin, Ireland. History and etymologyįirst named for Jean-Gaspard-Blaise Goyrand, French physician (1746-1814) 4. More importantly, it also narrows and distorts the entry to the carpal tunnel and can result in carpal tunnel syndrome 1. Malunion, with a residual volar displacement of the distal radius results in a cosmetic deformity, referred to as a garden spade deformity. If the fracture can be reduced but remains unstable, or cannot be reduced then operative fixation ( ORIF) is usually required 1. In most cases, these fractures can be treated with closed reduction and cast application 1. Treatment depends on the type of fracture, stability and ability to successfully reduce the fracture. assess articulation of radio-lunate and radio-scaphoid joint.ensure no carpal malalignment or fractures are present.location (extra-, juxta- or intra-articular). ![]() 1 These fractures have a bimodal age distribution, with young adults and the elderly being the most affected. In addition to reporting the presence of a distal radial fracture with volar angulation a number of features should be sought and commented upon: They are the most common fractures in women in the United States and Northern Europe up to the age of 75 years, with a lifetime risk of 15. In intra-articular fractures (type II) the degree of articular step-off and gap should be assessed, and this may require CT. The fracture line is usually evident, although in undisplaced or mildly impacted fractures it can be difficult to see and subtle cortical breaches/buckling should be sought. In most instances, a plain wrist radiographic series will suffice for diagnosis and characterization. ![]()
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