Distal fracture of the radius - Colles' fracture

Medium urgency
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This is the most common fracture of the arm. The term Colles' fracture is applied generically to mean a distal radius fracture. The most common cause of this type of fracture is a fall onto an outstretched arm. It is characterized by pain, swelling and inability to move the affected wrist (loss of function). Diagnosis is established by taking the medical history and performing a physical examination and it is confirmed by a wrist X-ray. In all cases, analgesic and anti-inflammatory treatment will be administered for pain control. In non-displaced fractures, it is normally sufficient to immobilize the joint with a splint or cast. Complex or displaced fractures often require surgical fixation.
Bibliographic references
  1. David J Petron. Distal radius fractures in adults. UpToDate. Mar 07, 2016.
  2. Gottlieb M, Cosby K. Ultrasound-guided hematoma block for distal radial and ulnar fractures. J Emerg Med 2015; 48:310.
  3. Fathi M, Moezzi M, Abbasi S, et al. Ultrasound-guided hematoma block in distal radial fracture reduction: a randomised clinical trial. Emerg Med J 2015; 32:474.
  4. Sammer DM, Chung KC. Management of the distal radioulnar joint and ulnar styloid fracture. Hand Clin 2012; 28:199.
  5. Matsumoto K, Sumi H, Sumi Y, Shimizu K. Wrist fractures from snowboarding: a prospective study for 3 seasons from 1998 to 2001. Clin J Sport Med 2004; 14:64.
  6. Eiff MP, Hatch RL, Calmbach WL. Carpal fractures. In: Fracture Management for Primary Care, 2nd ed, Saunders, Philadelphia 2003.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Wrist pain


    Deformed wrist angled with the hand


    Inability to rotate the forearm


    Swollen wrist


    Inability to move the wrist

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.
Do not move the affected limb.
Straighten and immobilize the affected limb.