S52.539A Colles fracture of unspecified, radius, initial encounter for closed fracture
S52.539B Colles fracture of unspecified radius, initial encounter for open fracture type I or II
S52.539C Colles fracture of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
PREFERRED PRACTICE PATTERN
A 65-year-old woman tripped on a rug in her home and fell on her outstretched hand with her wrist dorsiflexed (extended). She felt immediate pain in her wrist and has difficulty moving her wrist or hand. She has been postmenopausal for 15 years and has never taken hormone replacement therapy or bisphosphonates. She presented with pain and swelling in her wrist. Her arm had a “dinner fork” deformity. Radiographs showed a distal radius fracture (Colles fracture). There was dorsal angulation seen on the lateral view.2
Any defect in continuity of the distal radius
Displaced (distal radius is moved on either side of the fracture) or nondisplaced (distal radius has not moved)
Closed (skin intact) or open (skin breached)
Diagnosis usually made by clinical examination
May not be fracture, but distal radioulnar subluxation/dislocation, wrist sprain
Pain with weight bearing on involved forearm and hand
Pain with vertical positioning of arm at side
Pain with all movements (passive, active)
Possible Contributing Causes
Mechanisms of injury
MEANS OF CONFIRMATION OR DIAGNOSIS
Colles fracture. The classic dinner-fork deformity is demonstrated in this photograph. The distal forearm is displaced dorsally. (From Knoop KJ, Stack L, Storrow A, Jason Thurman R. The Atlas of Emergency Medicine. 3rd ed. http://www.accessmedicine.com. ...
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