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Fractured radius-ulna

The most common fracture of the extreme distal of the radius is the one affecting the Colles bone, usually due to a direct fall on the hand in hyperextension.
The 60-70% of cases of people who suffer from this injury are women facing menopause, being a typical condition for an osteoporotic bone.
The same mechanism of the fall usually determines in young people fractures of the scaphoid, in children “green stick” fractures of the radius.

This is a very painful fracture that causes an evident deformity, that is why you will be prescribed medicines (fans or local anaesthetics), so that you can feel some relief.

The standard radiography together with further oblique projections are enough to reach a precise diagnose. Sometimes it is necessary an electromyography to estimate the possibility of associated neurologic injuries.
After a proper therapy with drugs to contain pain, the treatment aims at reducing the fracture through manipulation or surgery and stabilise it.

Residual deformities are common and, during the immobilisation, also the compartmental syndromes due to a too tight plaster. When the plaster is removed, even if the wrist will still be maintained under protection, you can start the rehabilitation to mobilise shoulder, elbow and fingers. After some days you will also start exercising actively the wrist articulation and the forearm muscles.
Despite of a proper therapeutic process, however, the 20-30% of these fractures will result unstable.

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