Diagnóstico y tratamiento de las fracturas de colles

Abstract

INTRODUCTION: Colles' fracture is a distal radius trauma where a dorsal displacement occurs, clinically being observed as a fork dorsum; it occurs in 18% of the majority of upper limb fractures in adults, there are certain controversies regarding the clinical and imaging diagnosis of choice and the effectiveness of orthopedic and surgical treatment. OBJECTIVE: To identify diagnostic methods of colles fracture, through the review of scientific articles for a correct treatment. MATERIAL AND METHODS: A descriptive, retrospective study was carried out by searching scientific articles in databases such as PUBMED, SCIELO, COCHRANE, GOOGLE SCHOLAR from the last 5 years. RESULTS: The clinical diagnosis is based on observing the typical deformity that this type of fracture presents, while the imaging studies used are radiography and, in complex cases, computerized axial tomography (CAT). The treatment in the first instance is closed reduction and immobilization with a cast or according to the specialist's criteria. CONCLUSIONS: through clinical and radiological evaluation, an accurate diagnosis can be reached, if there is diagnostic doubt or complications, CT will be requested, orthopedic management will be with closed reduction and antebrachiopalmar cast immobilization due to the reduction of adverse effects, the surgical approach is reserve for displacement secondary to closed reduction and in developed countries its use as initial treatment has shown greater efficacy.