Colles’ Fracture Clinical, Radiological Features and Outcome of Conservative Treatment
Geili Karrar, عثمان ادريس
كلية الصيدلة-جامعة الخرطوم · السودان
A total of 211 patients with Colles’ fracture were included in thisstudy for a period of one year from 1st of March 2002 to 1st of March2003. All of them have been seen and managed in Khartoum TeachingHospital. Only 102 of these were available for final assessment.The data was collected after completing a questionnaire containinga detailed history, thorough physical examination and X-rays in posteroanteriorand lateral planes. The aim was to establish a scientific basisfor clinical presentation, radiological features and outcome ofconservative management of these patients.Of 211 patients; males were 39.2% and females were 60.8%. Ofthese females 62.5% were middle aged. The fracture followed a fall onthe outstretched hand in 49.3% of all patients and 68.0% of females.86.6% of these patients were otherwise healthy subjects; with no previousmedical disease. 78.2% of them presented with wrist pain and swellingwith mild or no deformity. Only in few cases the deformity was marked.The fracture was an isolated injury in 84.3%.In lateral X-rays; 69.6% of the fractures were undisplaced or thedisturbance of the volar angles at the distal articular surface of the radiuswas acceptable. In the postero-anterior projections; 85.5% of the radialangles were undisturbed or acceptable, 72.1% of radial heights were not6reduced or acceptable. 71% of these patients were manipulated toimprove the anatomy.All patients were treated by closed manipulation and castimmobilization for 6 weeks. 71.9% of the patients had excellent to goodobjective functional results and 89% of these patients had excellent togood subjective functional results.