![]() In complicated joint injuries, a computed axial tomography scan (CT) will be useful in surgical planning. No additional images are needed unless the fracture involves the joint surface. X-rays will demonstrate the extent of the injury, and comparison views of the opposite wrist will demonstrate normal anatomy for each patient. Evaluation in the orthopaedic office can usually wait until the next day and is usually more efficient than the emergency department unless there is severe deformity or pain. Acetaminophen can be used ease the pain rather than anti-inflammatory medications, which can cause additional bleeding and may slow bone healing in difficult fractures. Initially, the arm should be immobilized, elevated, and ice applied to prevent further injury, limit swelling, and relieve pain. The patient will have pain when turning the wrist up or down or bending or straightening the wrist. Depending on the amount of displacement of the fracture the arm may appear deformed. Pain will be localized to the wrist and is usually accompanied by swelling and bruising. The injury usually results from a fall on the outstretched wrist. This fracture is relatively common and affects all age groups. ![]() Colles' fracture is an eponym generally used to describe fractures of the end of the forearm bones, the radius and the ulna, nearest to the wrist.
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