12/2/2023 0 Comments Colles fracture rehab protocol![]() The direct and indirect costs of long bone fractures in a working age US population. Write us and precribe Telerehabilitation with ReHand!īonafede M, Espindle D, Bower AG. (2013) described how fractures of the distal radius present functional sensory and motor deficits, which impact on the functional ability of the patient, regardless of the treatment received (Conservative/Surgical or if he received physiotherapy and occupational therapy) and which was maintained for 8 weeks. Sensorimotor disturbance in distal radius fracturesĬhristos et al. Lyngcoln A et al’s 2004 work showed that 50% of short-term improvements in patients after a radial fracture depend directly on exercise adherence itself. In addition, the importance of adherence to treatment for these patients should be stressed. We can conclude that current literature maintains that home exercise programmes produce the same results as face-to-face physiotherapy in people under 60 (Gutierrez-Espinoza H, et al 2017) and without comorbidities (Valdes K et al 2014). Successful recovery from a distal radius fracture depends on an early and individualised exercise programme This fact is especially important for older people, since short periods of restricted function can lead to irreversible losses in their capacities (Zeckey et al 2020). Other studies have shown the need to include these exercise programmes early (Zeckey et al 2020 and Brehmer JL et al 2014) to achieve better effects (up to 3-5 days after surgery), with a progressive increase in difficulty. Link to Gimigiliano F et al (2020) Article As we said before, the Barton volares fractures describe the same case as Smith’s type II.ĭepending on the type of displacement we can distribute the Smith fractures as type I, II and III. The main difference with the Colles’ fracture is the displacement of the fracture itself (volar instead of dorsal). The literature describes it as a fracture of the distal radius with volar (palmar) displacement of the fragment, which may or may not affect the intra-articular level. C) Smith Fracture or Reverse Colles Fracture: In the past they did not have the facility to use x-rays, so the authors were guided by the type of displacement that appeared on the wrist. Originally Barton described it as a subluxation of the wrist derived from a fracture at the level of the radial articular surface.Ī Volar Barton’s fracture can also be classified as a Smith’s fracture Type II, so we should not be surprised to read it both ways. In practice it has been used to describe a variety of distal intra-articular radius fractures, with dorsal or volar displacement of the carpus and fracture fragments, which are often unstable. In this picture you can see in a simple way what this Colles’ fracture consists of:Ĭolles Fracture according to Green´s Operative Hand Surgery 2010 B) Barton Fracture This type of fracture causes the famous “dinner fork” or “bayonet” deformity. “ A distal radius fracture with dorsal comminution, dorsal angulation, dorsal displacement, radial shortening, and an associated fracture of the ulnar styloid” ![]() Specifically in this field of medicine, eponyms continue to be used frequently, such as the following: A) Colles Fracture:Īccording to the prestigious book Green’s Operative Hand Surgery consists of Traditionally, eponyms have been used to represent complex pathological entities and also to give relevance to the person who contributed to determine it (Caldwell RA et al 2018). ReHand in Sensorimotor treatment of wrist fractures.Sensorimotor treatment in wrist fractures.Exercise programmes for wrist fractures must be prescribed.This, together with an exercise program based on the latest evidence about the Sensorimotor System, involving both the central (Nervous System) and peripheral (the wrist) levels, will allow a faster recovery. More importantly, the progressive aging of the population and increased life expectancy may have consequences such as the fact that by 2030, 50% of ALL fractures attended will be distal radius (Maldonado JA et al 2013).įor this reason, correct treatment and multidisciplinary management (Physiotherapy, Occupational Therapy, Surgery, Traumatology, etc.) is key if we want an early return to work to the activities that the patient usually performed before (Bonafede M et al 2013). They represent 25% of all fractures that are attended in the Emergency Department, making it one of the traumatic conditions with the highest health and socio-economic costs associated (Bonafede M et al 2013). Among them, fractures of the distal radius are the most frequent of the entire upper limb in adults younger than 75 years old (Kong L et al 2020). Wrist fractures are a wide range of pathologies that are treated in traumatology and orthopaedic consultants. Distal Radius Fracture | Rehabilitation Evidence-Based
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |