COLLES FRACTURE

• A collie’s fracture is a break in distal end of radius 2.5 cm away from the articular surface
• Complete fracture of the distal radius (typically the last two centimetres) usually accompanied by damage to the ulnar collateral ligament or the ulnar styloid process
• It is the commonest fracture in people above forty years of age, and is particularly common in women because of post-menopausal osteoporosis

• Fall on an outstretched hand
• In younger patients: athletic injury /RTA
• Elderly -Trauma

Risk factors

• Osteoporosis
• Poor muscle strength
• Inadequate intake of calcium or vitamin D

• Pain
• Swelling of the wrist
• Dinner fork deformity (displaced fracture)- Posterior displacement of the distal fragment
• Bruising
• Increased angulation of the distal radius
• Inability to grasp object

On examination-

• Tenderness and irregularity of the lower end of the radius
• The radial styloid process comes to lie at the same level or a little higher than the ulnar styloid process

Complications

• Stiffness of the fingers and mal union are common complications
• complications seen occasionally are – Sudeck's osteo dystrophy, carpal tunnel syndrome, and rupture of the extensor pollicis longus tendon

• Xray – Wrist -AP, Lateral view

• For un-displaced fracture- immobilisation in a below-elbow plaster cast for 6 weeks
• For displaced fracture - manipulative reduction, immobilisation in colles cast, rehabilitation

Ayurvedic Treatment

Internal medicines

• Dhanwanthara Kashaya
• Musthadi marma Kashaya
• Laksha guggulu
• Gandha Taila 

Procedure

• Proper reduction
• Splint bandage
• Murivenna - for external use