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Colles Fracture

Disease Name: Colles Fracture

Description: It is a fracture of the distal radius. It is characterized by a radial and dorsal

displacement of the distal fragment, and it originates from the outstretched hand's fall (Fujii et al. Commented [G1]: Inserted: ,

9). A radial-ulnar articulations disturbance is also a critical depiction of this disorder. It is

imperative to note that this disease has its prevalence in adults at an advanced age. In this case, it

is worth to point out that it is a common fracture; thus, interventions entail the ability to recognize

it from this viewpoint. Commented [G2]: Inserted: ommon

Commented [G3]: Deleted:typi
Signs and Symptoms: A wrist that is broken causes immediate swelling, bruising, tenderness, and
Commented [G4]: Deleted:al

pain and this wrist may hang in a bent or odd manner.

Etiology: This type of injury is more common in women than it is in males and the situation gets

aggravated in the case there is a family history of osteoporosis (Fujii et al. 11). Reflex sympathetic

dystrophy and degenerative joint disease are also common to this complication.

Incidence: The rate of incidence is about seventy percent of all forearm fractures and women

above sixty-five years are seven times more likely than children between age six and ten as well

as men, to be exposed to this fracture. As such, this predisposition is as a consequence of their

advanced age. It is worth to point out that the human body degenerates with time and it is common

to find incidents of osteoporosis in frail adults. In this case, it is less of an incremental occurrence Commented [G5]: Inserted: A
Commented [G7]: Deleted:a
Commented [G8]: Deleted:place
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to find frail adults with broken bones. In this consideration, a Colles fracture is one of those Commented [G6]: Inserted: C
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conditions they may have.

Diagnosis: CT Scan and Radiographic Imaging (Chung et al. 1869). The latter entails the distal

radial metaphysis' dorsally angulated fracture imaging. Imperatively, imaging is necessary given Commented [G10]: Inserted: d

that it is deployed in this case to ensure that the bones may be seen in their current state. In the

case of a fracture, scanning reveals it, and this is necessary because it effectuates the surgical and

healing process that follows shortly afterward to avoid paralysis. Commented [G11]: Inserted: ,
Commented [G12]: Inserted: y
Treatment: Several options are available for medical treatment and stabilization. These include
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bone substitutes, percutaneous pinning, internal fixation, and external fixation. These fall under Commented [G14]: Deleted:impo
Commented [G15]: Deleted:tant
surgery but percutaneous pinning and immobilization in splint or case are types of conservative

treatment.

Prognosis: It is a possibility to know complications relevant to the disease and they include EPL

tendon tear, secondary osteoarthritis, and dinner fork deformity.

Preventive Measures: The prevention of all distal radius fractures entails the reduction of risk

factors and prevention of osteoporosis. For instance, the prevention of osteoporosis begins with a

DEXA (dual energy x-ray absorptiometry) scan of the femur and vertebral bodies.

Surgical Intervention
Procedure Name: ORIF (Open Reduction Internal Fixation)

Short Description: It is a method used to fix a broken bone by realigning the bone fracture into

the normal position using surgery. Commented [G16]: Inserted: tho

Commented [G17]: Inserted: m
Positioning: Supine
Commented [G18]: Deleted:proc

Draping: Aseptic Commented [G19]: Deleted:ure

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Instruments: They include a bone gauge, rib spreaders, proctoscopes, bone pilers, elevators, bone

curettes, chisels, bone holding retractors, bone holding forceps, and maltes (Chung et al. 1872). Commented [G20]: Inserted: c

Description of Procedure: The procedure needs an orthopedic to perform it. An incision is made

in the area, and the fracture is then realigned before the replacement of the bone gets effectuated.

The hardware gets installed before the closing of the incision with stitches of staples. As healing

continues, plates, screws, and steel rods inserted may be removed, temporary, or permanent. Commented [G21]: Inserted: ,
Commented [G22]: Deleted:to
Drug Name or Drug Group: Aspirin
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Available as: Nitrofix-AS, Mono-A-60, Vasoprin LS, Solosprin, Ismorin, Solosprin (75 mg),

Ecosmin (150 mg), Vasoprin SD, Vasoprin150, and Modlip ASP.

Mechanism of Action: This is an antipyretic and analgesic that is prescribed for fever and pain.

As such, its essence is to decrease what causes inflammation and pain in the body.

Pharmacokinetics: It has a short half-life because it is transformed into salicylate, an active

metabolite, in the liver and this gets distributed into the fluid compartments of the body for

effective action. Commented [G24]: Inserted: effe

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Side Effects: A headache, drowsiness, and heartburn entail less severe side effects. Ringing in the

ears, pain that lasts longer than ten days, fever that lasts for more than three days, severe stomach

pain, and tarry or bloody stool entail serious side effects. Commented [G26]: Inserted: e
Commented [G27]: Inserted: ve
Adverse Reactions: A typical reaction is coughing up vomit or blood that resembles coffee
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grounds.

Contraindications: Pregnancy, kidney disease, liver problems, blood clotting disorder, and

stomach acid are typical examples of contraindications.

Pregnancy Category: D if taken in the third semester in full dose.

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Toxicity: Salicylate toxicity begins with tinnitus, diaphoresis, vomiting, and nausea (Fujii et al.

13). As it progresses, stupor, lethargy, convulsions, hallucinations, delirium, and agitation begin.
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Works Cited

Chung KC, Shauver MJ, Birkmeyer JD. Trends in the United States in the treatment of distal radial

fractures in the elderly. J Bone Joint Surg Am. 2009;91(8):18681873. PDF file.

Fujii K, Henmi T, Kanematsu Y, Mishiro T, Sakai T, Terai T. Fractures of the distal end of radius

in elderly patients: a comparative study of anatomical and functional results. J Orthop Surg

(Hong Kong) 2002;10(1):915. PDF file.