section: 1/6 page: 1/3 next

1Preliminary remarks

Fracture assessment

These are fractures of the distal metaphysis with dorsal displacement. These are often referred to as Pouteau or Colles fractures.

If shortening of the radial metaphysis results in relative ulnar overlength, painful ulnar impaction may occur.

Fractures angulated dorsally >25°, associated with osteoporosis, or with dorsal metaphyseal comminution, will prove unstable after closed manipulative reduction, and may require additional support.