The complication of Colles’ fracture is
**Core Concept**
Colles' fracture is a distal radius fracture with dorsal displacement, often leading to complications due to proximity to the median nerve and carpal tunnel. Key complications include median nerve compression (carpal tunnel syndrome) and malunion.
**Why the Correct Answer is Right**
Carpal tunnel syndrome is a classic complication of Colles' fracture. Swelling, hematoma, or bony displacement from the fracture increases pressure within the rigid carpal tunnel, compressing the median nerve. This causes numbness, tingling, and weakness in the thumb, index, and middle fingers. Immediate post-fracture assessment for median nerve function is critical.
**Why Each Wrong Option is Incorrect**
**Option A:** *Radial nerve injury* is unlikely as the radial nerve is posterior and less affected by this fracture type.
**Option B:** *Ulnar nerve injury* is rare here; the ulnar nerve lies medial to the wrist and is not directly impacted by Colles' fracture.
**Option C:** *Compartment syndrome* is more common in tibial fractures or forearm fractures with severe swelling, not typically with Colles' fractures.
**Clinical Pearl / High-Yield Fact**
Remember the **"dinner fork" deformity** of Colles' fractures. Always test median nerve function (sensory loss in the thumb-index finger web and motor deficits) post-injury. Early recognition of carpal tunnel syndrome prevents permanent nerve damage.
**Correct Answer: D. Carpal tunnel syndrome**