Este artículo revisa la asociación entre el antecedente de una fractura de Colles y la existencia de osteoporosis en mujeres, tanto en la zona de la fractura como. Las fracturas de muñeca se encuentran dentro de las más comúnmente . precisa y contundente que la misma «proclamación de Colles»: «La controver-. Colles fractures are very common extra-articular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. They consist of a fracture.
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Abraham Colles of Dublin and Edimburgh. Fractures of the distal end of the radius.
Fascia de Colles Es la capa profunda de la fascia perineal superficial. Ligamento de Colles E s el ligamento inguinal reflejo. University of Edinburgh Notice the ulnar styloid base fracture, which has not been fixed.
Correction should be fractura de colles if the wrist radiology falls outside the acceptable limits: Indications for each depend fractura de colles a variety of factors such as the patient's age, initial fracture displacement, and metaphyseal and articular alignment, with the ultimate goal to maximize strength and function in the affected upper extremity.
Treatment is often directed to restore normal anatomy to avoid the possibility of malunion, which may cause decreased strength in the hand and wrist.
Variations in immobilization techniques involve the type of cast, position of immobilization, and the length of fractura de colles required in the cast.
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In those who are young and active, if the fracture is not displaced, the patient can be followed up in one week. If the fracture is still undisplaced, cast and splint can be applied for three weeks. If the fracture fractura de colles displaced, then manipulative reduction or surgical stabilisation is required.
Shorter immobilization is associated with better recovery when compared to prolonged immobilization. Therefore, follow up within the first week of fracture is important. Subsequent follow ups at two to three weeks are therefore also important.
Initially, a backslab or a sugar tong splint is applied to allow swelling to expand fractura de colles subsequently a cast is applied.
However, an above-elbow cast may cause long-term rotational contracture. However, neutral and dorsiflex position may not fractura de colles the stability of the fracture.
If the fracture affects the median nerveonly fractura de colles is a reduction indicated. If the post reduction radiology of the wrist is acceptable, then the person can come for follow up at one, two, or three weeks to look for any displacement of fractures during this period.
If the reduction is maintained, then the cast should continue for 4 to 6 weeks. If the fracture is displaced, surgical management fractura de colles the proper treatment.
Therefore, periodic reviews are important to prevent malunion of the displaced fractures. The deformity is then reduced with appropriate closed manipulative fractura de colles on the type of deformity reductionafter which a splint or cast is placed and an X-ray is taken to ensure that the reduction was successful.
The cast is usually maintained for about 6 weeks. Prior studies have shown that the fracture often redisplaces to its original position even in a cast.
In people over 60, functional impairment can last for more than 10 years. In these studies, fractura de colles significant differences in pain scores, grip strength, and range of motion in patients' wrists occurred when comparing conservative nonsurgical approaches with surgical management.
Distal radius fracture
Although the nonsurgical group exhibited greater anatomic misalignment such as radial deviation, and ulnar variance, these changes did not seem to have significant impact fractura de colles overall pain and fractura de colles of life. The choice of operative treatment is often determined by the type of fracture, which can be categorized fractura de colles into three groups: Two newer treatment are fragment-specific fixation and fixed-angle volar plating.
These attempt fixation rigid enough to allow almost immediate mobility, in an effort to minimize stiffness and improve ultimate function; no improved final outcome from early mobilization prior to 6 weeks after surgical fixation has been shown.
The alignment of the DRUJ is also important, as this can be a source of a pain and loss of rotation after final healing and maximum recovery.