Smith fracture

Case contributed by Dr Jan Frank Gerstenmaier


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

Patient Data

Age: 35
Gender: Female

Radiographs of wrist


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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