Smith fracture

Smith's fracture is a type of fracture which is also known as a reverse Colles' fracture. It is a fracture of the distal radius and is characterized by a volar displacement of the wrist and hand. This fracture is less common than a Colles' fracture.

Causes

Smith's fractures are caused by a direct blow to the dorsal forearm or from falling onto a flexed wrist. This is in contrast to a Colles' fracture, which is caused by falling onto an extended wrist.

Symptoms

The symptoms of a Smith's fracture include pain, swelling, and a visible deformity of the wrist. The wrist and hand may be in a position of unnatural flexion.

Diagnosis

The diagnosis of a Smith's fracture is made by physical examination and confirmed by X-ray. The X-ray will show a fracture of the distal radius with volar displacement.

Treatment

The treatment of a Smith's fracture depends on the severity of the fracture. Non-displaced fractures can be treated with a cast. Displaced fractures may require surgery to realign the bones. After the fracture has healed, physical therapy may be needed to restore function to the wrist.

Prognosis

The prognosis for a Smith's fracture is generally good, with most people regaining full function of their wrist. However, complications can occur, including stiffness, pain, and arthritis.

See also

• Colles' fracture
• Distal radius fracture
• Fracture