1. WELCOME
TO MY
PRESENTATION

2. Presented by
Mahashin akond
Roll no-(DU)- 778
Regi no-(DU)-314
Final year (BScPT)
IHT ,Dhaka.

3. Colles’ Fracture

4. Definition
A Colles’ fracture is a break in the distal
part of the radius bone 2.5cm above
from the articular surface
Inventor Abraham colles a surgeon, in
1884

5. Incidence
 Not more common fracture
 But Frequently occur in young adult
 Basically those who are over 40 years.

6. Causes
 Road traffic accident
 Direct blow
 Fall from height

7. Rick Factors
Factors which increase the chance of
fractures are
1.Osteoporosis
2.Poor nutrition
3.Condition that increase risk of falling
Snow ,Ice, Loss of agility or muscle
strength
4.Advancing age
5.Post menopause
6.Decrease muscle mass.

8. Mechanism of injury
Fall on an Outstretched hand lead to
fracture

9. Associated injury
Tendon:Rupture of extensor policis
longus and peritendinious adhesion of
both the flexor and extensor
compartments may occur.
Nerves:Nerve injuries include median
nerve contusion ,resulting in the
development of carpal tunnel
syndrom.

10. Types
 Open fracture
 Close fracture
 Intra articular fracture
 Extra articular fracture
 Comminuted fracture.

11. Sign & Symptoms
 Snap or cracking sound
 Most of the time a person will know if
he have a broken arm
 Area will be tender & swollen
 Obvious deformity
 Decrease sensation or irritability to
move the limb, which may indicate
nerve damage.

12. Deformity
 Volar angulations of the apex of the
fracture
 The deformity is called “Silver fork
deformity ”or “Dinner fork deformity”

13. Investigation
Radiological investigation –X-ray

14. Management
 Reduction: –Manipulative reduction
under anesthesia.
 Immobilization: By Plaster
cast(below elbow),ORIF(open
reduction internal fixation),OREF(open
reduction external fixation)

15. Physiotherapy
Main role of physiotherapy is in
rehabilitation

16. Objectives of rehabilitation
 Maintain joint range of motion
 Increase muscle strength
 Improve functional ability

17. Exercise programme
 During reduction plaster cast
-Uninvolved joint active rang of
motion
-Wrist joint passive supination &
pronation
-Isometric hand muscle exercise

18. continue
After removal the cast
-Mobilized the affected wrist
-Start some strengthening
exercise
-Start weight bearing exercise
Later stage Advance exercise ,full
weight bearing exercise

19. Complication
 Malunion
 Rupture of extensor pollicis tendon
 Sudeck’s osteostrophy
 Carpal tunnel syndrom
 Non union

20. Prognosis
 Expected time for healing 6th to 8th
weeks until the fracture is stable.
 Earlier treatment usually improves the
result
 Chronic disease such as osteoporosis
and diabetes may slow the healing
time.

21. References
Books for
 Tidy’s physiotherapy
 Adam’s orthopedic
 Applies orthopedic

22. THE END
Thank you Everybody
for quite
concentration

23. Any
Question
please????