Which of the following displacement does not occur in Colle’s fracture ?
Now, the options aren't provided, but the correct answer must be the displacement that doesn't happen. Common displacements in Colle's include dorsal angulation, volar angulation (which is less common), and radial or ulnar deviation. Wait, no—Colle's fracture usually has dorsal displacement and angulation. So if the options include volar displacement, that might be the wrong one. Let me think. If the question is about which displacement does not occur, then volar displacement would be the incorrect one because Colle's fractures typically displace dorsally.
Wait, but sometimes there can be a reverse Colle's fracture, which is a volar displacement. But the standard Colle's is dorsal. So if the options include volar displacement, that's the one that doesn't occur in a typical Colle's fracture. Alternatively, maybe ulnar deviation? No, Colle's usually causes radial deviation. So if an option says ulnar displacement doesn't occur, that's correct. Hmm. Need to be precise here.
Let me check the core concept. Colle's fracture is a distal radius fracture with dorsal angulation and radial deviation. The displaced fragment is the distal one. So the correct answer would be the displacement that's opposite of that. So if an option says volar displacement, that's not part of Colle's. Therefore, the clinical pearl is that Colle's is "dinner fork" with dorsal displacement, and the reverse is volar. So the answer is the option that states volar displacement.
**Core Concept**
Colles' fracture is a **distal radius fracture** with **dorsal angulation** and **radial deviation** of the distal fragment, creating a "dinner fork" deformity. It results from a fall on an outstretched hand, causing the distal fragment to displace dorsally and radially.
**Why the Correct Answer is Right**
In Colles' fracture, the **distal radius fragment displaces dorsally** due to the pull of the extensor carpi radialis longus tendon. The **radial styloid process becomes prominent**, and the **ulnar deviation** of the wrist is lost. Volar displacement is inconsistent with Colles' fracture and would instead characterize a **Smith’s fracture** (reverse Colles’).
**Why Each Wrong Option is Incorrect**
**Option A:** *Volar angulation* – Incorrect. Volar angulation occurs in **Smith’s fracture**, not Colles’.
**Option B:** *Dorsal angulation* – Correct. This is the hallmark of Colles’ fracture.
**Option C:** *Radial deviation* – Incorrect. Radial deviation is a defining feature of Colles’ fracture.
**Option D:** *Ulnar deviation* – Incorrect. Ulnar deviation may occur in **B