Welcome to my Presentation

Which is the Part of

Teaching Methodology
All about Myself

Faysal Ahammed
BPT 5th Batch(4th year)
Roll: 26
Institute of Health Technology.
Under Faculty of Medicine
University of Dhaka.
Celle's Fracture
Celle's fracture was first described by Abraham
colle's in the year 1814.
It is a fracture of lower end of radius also
include dislocation of the inferior radioulnar
joint, fracture occur abut 2.5cm above the
carpal extremity of the radius.
 Causes
 Have osteoporosis, a disease that weakens your bones
Postmenopausal osteoporosis.
Commonest skeletal injury In Elderly.
Have low muscle mass, poor muscle strength, or lack agility (these
conditions make you more likely to fall)
 Walk or do other activities in snow, on ice, or that require a lot of forward
momentum, such as in-line skating and skiing
Have an inadequate intake of calcium or vitamin D
Road Traffic Accident, fall from height.
 Mechanism
• The common mode of injury is fall on outstretched hands with dorsiflexion
ranging from 40° to 90°(Average)
 Clinical Feature
• Pain over the affected area.
• Swelling of the joint.
• Deformity- Dinner fork Deformity
 Other Deformity includes
• Dorsal Angulation of Distal Fragment
• Dorsal Displacement of Distal Fragment
• Radial Deviation of the hand
• Supination
• Proximal Impaction.
 Styloid Process test
• In general Radial Styloid process is lower than the ulnar styloid process but
in displaced and colle's fracture both will be at same level.
 Radiograph- X ray of the Wrist.
1.Anterior Posterior view 2. Lateral view
 Types of Colle's Fracture
• Open fracture: If the bone broke through your skin
• Comminuted fracture: If the bone broke into more than
two pieces
• Intra-articular fracture: If the bone broke inside your
wrist joint
• Extra-articular fracture: If your joint isn’t affected
 Complications
Early complication includes
Swelling and Pain in the Finger
 Median Nerve compression
 Sundok's Atrophy
Late Complication
 Malunion
 Non union of the ulnar styloid process.
 Rupture of the Extensor pollicislongus.
 Stiffness
 Treatment
• Undisplaced Fracture- A dorsal Splint for 1-2 days to remove swelling and cast
will be Placed for 4 week to stabilize joining.
• Displaced Fracture – Reduction of the fracture under
anesthesia and correct the Bone alignment. Then Dorsal
Plaster Slab is applied.
• Comminuted Fracture- Percutaneous K-wire fixation along with Plaster
Immobilization. It then Remove after 5 weeks.
 Physiotherapy Treatment
• Main role of Physiotherapy is in rehabilitation Stage.

• Objectives of rehabilitation 
Maintain joint range of motion
Increase muscle strength
Improve functional ability
 Exercise Programme
 During reduction plaster cast –
• Uninvolved joint active rang of motion
• Wrist joint passive supination & pronation
• Isometric hand muscle exercise
Continue After removal the cast
- Mobilized the affected wrist
- Start some strengthening exercise
- Start weight bearing exercise Later stage Advance exercise ,full weight bearing
exercise.
 Prognosis
• Expected time for healing 6th to 8th weeks until the fracture is stable.
• Earlier treatment usually improves the result .
• Chronic disease such as - Osteoporosis and Diabetes may slow the healing
time.

End
 Thank you
Everybody for Quite Concentration.
Any Questions ?
 Few Quarry towards you People
 What is the common mode of injury ?
1. Throwing, 2. Fall on outstretched, 3. Weight lifting.
When Physiotherapy is Required ?
1. At Early Stage 2. At Rehabilation Stage 3. Never.