Smith fracture

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This patient slipped on ice and fell onto a flexed wrist.

Patient Data

Age: 35
Gender: Female

Radiographs of wrist

x_ray

There are fractures of the right distal radius and ulna with significant shortening and volar angulation of the distal fracture fragments.

Case Discussion

Sometimes referred to as a reverse Colles fracture, this is an example of the most common type I Smith fracture (extra-articular transverse fracture through the distal radius), accounting for 80-90% of cases. A Smith fracture tends to be more unstable than a Colles fracture.

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