a child of age 10 yrs fell from wall with outstrecthed hand (right) , later e compalined of pain and restricted movement, the x ray shown below ,what is the management ?
Correct Answer: Above - elbow cast with forearm in supination
Description: SMITH&;S FRACTURE (Reverse of Colles&; Fracture) This uncommon fracture is seen in adults and in elderly people. Its impoance lies in differentiating it from the commoner Colles&; fracture which occurs at the same site. It differs from Colles&; fracture in that the distal fragment displaces ventrally and tilts ventrally. Treatment is by closed reduction and plaster cast immobilisation for 6 weeks. Complications are similar to those in Colles&; fracture. Ref: Maheshwari and Mhaskar 9th ed pg 114.
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Orthopaedics
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