Download - Colles fracture presentation
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Welcome to my Presentation
Which is the Part of
Teaching Methodology
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All about Myself
Faysal AhammedBPT 5th Batch(4th year)
Roll: 26Institute of Health Technology.
Under Faculty of MedicineUniversity of Dhaka.
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Celle's Fracture
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Celle's fracture was first described by Abraham colle's in the year 1814.
It is a fracture of lower end of radius also include dislocation of the inferior radioulnar joint, fracture occur abut 2.5cm above the carpal extremity of the radius.
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Causes Have osteoporosis, a disease that weakens your bonesPostmenopausal osteoporosis.Commonest skeletal injury In Elderly.Have low muscle mass, poor muscle strength, or lack agility
(these conditions make you more likely to fall) Walk or do other activities in snow, on ice, or that require a
lot of forward momentum, such as in-line skating and skiingHave an inadequate intake of calcium or vitamin DRoad Traffic Accident, fall from height.
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Mechanism• The common mode of injury is fall on outstretched hands
with dorsiflexion ranging from 40° to 90°(Average)
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Clinical Feature• Pain over the affected area.• Swelling of the joint.• Deformity- Dinner fork Deformity
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Other Deformity includes
• Dorsal Angulation of Distal Fragment• Dorsal Displacement of Distal Fragment• Radial Deviation of the hand• Supination• Proximal Impaction.
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Styloid Process test• In general Radial Styloid process is lower than the ulnar
styloid process but in displaced and colle's fracture both will be at same level.
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Radiograph- X ray of the Wrist.
1.Anterior Posterior view 2. Lateral view
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Types of Colle's Fracture
• Open fracture: If the bone broke through your skin• Comminuted fracture: If the bone broke
into more than two pieces• Intra-articular fracture: If the bone broke
inside your wrist joint• Extra-articular fracture: If your joint isn’t
affected
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ComplicationsEarly complication includes
Swelling and Pain in the Finger Median Nerve compression Sundok's Atrophy
Late Complication Malunion Non union of the ulnar styloid process. Rupture of the Extensor pollicislongus. Stiffness
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Treatment• Undisplaced Fracture- A dorsal Splint for 1-2 days to
remove swelling and cast will be Placed for 4 week to stabilize joining.
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• Displaced Fracture – Reduction of the fracture under anesthesia and correct the Bone alignment. Then Dorsal Plaster Slab is applied.
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• Comminuted Fracture- Percutaneous K-wire fixation along with Plaster Immobilization. It then Remove after 5 weeks.
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Physiotherapy Treatment
• Main role of Physiotherapy is in rehabilitation Stage.
• Objectives of rehabilitation Maintain joint range of motion Increase muscle strength Improve functional ability
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Exercise Programme During reduction plaster cast –• Uninvolved joint active rang of motion • Wrist joint passive supination & pronation • Isometric hand muscle exerciseContinue After removal the cast- Mobilized the affected wrist - Start some strengthening exercise - Start weight bearing exercise Later stage Advance exercise ,full weight bearing exercise.
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Prognosis• Expected time for healing 6th to 8th weeks until the
fracture is stable.• Earlier treatment usually improves the result .• Chronic disease such as - Osteoporosis and Diabetes may
slow the healing time.
End
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Thank you Everybody for Quite
Concentration.
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Any Questions ?
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Few Quarry towards you People What is the common mode of injury ? 1. Throwing, 2. Fall on outstretched, 3. Weight lifting.When Physiotherapy is Required ? 1. At Early Stage 2. At Rehabilation Stage 3. Never.