A Smith's fracture, also known as a reverse Colles' fracture, refers to a specific type of wrist fracture involving the distal radius bone (the larger bone of the forearm on the thumb side) with a different pattern of displacement compared to a typical Colles' fracture.
In a Smith's fracture:
1. Mechanism of injury: It often occurs when there's a forceful impact on the back of the hand with the wrist in a flexed (bent) position. This can happen due to falls or accidents where the person lands on their outstretched hand with the wrist bent backward.
2. Fracture pattern: Unlike a Colles' fracture, where the broken bone tends to displace toward the back of the hand (dorsally), in a Smith's fracture, the fractured end of the radius bone displaces towards the palm side (volarly) of the wrist. This results in a "garden spade" or "bayonet" deformity, where the wrist may appear more prominent or bent in an unusual way.
3. Treatment: Treatment for a Smith's fracture involves immobilization of the wrist, typically with a splint or cast, to allow the bone to heal properly. Depending on the severity of the fracture and the extent of displacement, a healthcare professional may recommend closed reduction (manually aligning the bone) or surgery to realign the bones and stabilize the fracture.
After immobilization or surgical intervention, rehabilitation exercises and physical therapy may be recommended to restore strength, flexibility, and function to the wrist.
As with any fracture, the specific treatment approach for a Smith's fracture depends on various factors, including the severity of the injury, the individual's overall health, and any associated complications. It's essential to consult a healthcare professional for proper evaluation and treatment.
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