Distal fracture of the radius - Colles' fracture

Medium urgency
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This is a break of the radius at the end closest to the wrist joint. Although it forms the forearm together with the ulna bone, it is involved in the wrist joint and is often referred to as a wrist fracture. It is the most common fracture of the arm, usually occurring in people over 60 years of age with a certain degree of osteoporosis.

It is usually caused by a fall while walking or running, with the weight of the body resting on the outstretched arm.

It manifests with pain, swelling and inability to move the wrist (functional impotence).

The diagnosis is made by reviewing the patient's medical history, performing a physical examination and X-rays of the wrist in different projections. 

In all cases, analgesic and anti-inflammatory treatment is associated with pain control. In non-displaced fractures it will generally be sufficient to immobilise the joint with a splint or cast. Complex fractures or fractures with bone displacement will 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

Consume over-the-counter pain relievers or anti-inflammatories.
Do not move the affected limb.
Straighten and immobilise the affected extremity.