Smith fracture

Case contributed by Dr Pir Abdul Ahad Aziz


Fall on to an outstretched hand. He complains of pain in the wrist and limited movements.

Patient Data

Age: 50 years
Gender: Male

X-ray wrist joint AP and lateral views showing a fracture involving the distal radius with volar angulation of the fractured distal fragment, representing a Smith fracture. Widening of the scapholunate interval is also noted. 

Case Discussion

Smith fractures (sometimes called reverse Colles fractures) account for approximately 3% of radius fractures. Smith fractures are fractures of the distal radius with volar angulation of the distal fracture fragment. They frequently occur as a result of a fall on to a flexed wrist or because of a direct blow to the back of the wrist.

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Case information

rID: 42294
Published: 17th Jan 2016
Last edited: 12th Nov 2019
Inclusion in quiz mode: Included

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