However, Smith fractures make up approximately 5% of all radial and ulnar fractures combined. Distal radial fractures are the second most common fracture in the elderly. With over 600000 cases annually in the United States alone, distal radial fractures account for more than 16% of all adult fractures and 75% of forearm fractures. The distal radius is the most common fracture site in the upper extremity. More common than initially thought, volar displacement of the distal radius can occur with a fall onto the palm of the hand. On the other hand, Smith fractures commonly occur either as a fall onto a flexed wrist or as a direct blow to the dorsal aspect of the wrist. Colles fractures are frequently associated with a typical FOOSH injury. Etiologyĭistal radial fractures are often the result of a fall on an outstretched hand (FOOSH). The fracture also has the name in some references of reverse Barton fracture, which is an intraarticular fracture with volar displacement of the distal radius fragment. However, this injury was first named for French Physician Jean-Gaspard-Blaise Goyrand (1746-1814) and is commonly known as a Goyrand fracture in French literature. The Smith fracture was named by Irish surgeon Robert William Smith in 1847, who incidentally followed Abraham Colles as Professor of Surgery at Trinity College in Dublin and performed and published Colles’ autopsy.
It is also known as a reverse Colles fracture since the more common Colles fracture features a dorsal displacement of the distal fracture fragment. Describe interprofessional team strategies for improving care coordination and communication to advance and improve outcomes in Smith fracture cases.Ī Smith fracture is an eponym for an extraarticular fracture of the distal radius featuring a volar displacement or angulation of the distal fragment.Outline the treatment and management options available for a Smith fracture.Review the evaluation of a Smith fracture.Identify the etiology of Smith fractures.It also reviews the role of the healthcare team in managing patients with this type of fracture. This activity outlines the definition, evaluation, and management of Smith fractures. However, if heavily angulated or unstable after reduction, open reduction internal fixation (ORIF) is necessary. Reduction and reapproximation are essential and can be accomplished conservatively if not severe with casting. It typically results from a fall on the dorsum of the hand with a flexed wrist. A Smith fracture is a fracture of the distal radius featuring volar displacement or angulation.
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