The intermediate column (Lunate fossa): is responsible for load transmission from the carpus to the forearm. It acts as a load-bearing strut for wrist ulnar deviation.It works as a buttress for radial translation of the carpus and holds it to length radially for even load distribution across the scaphoid and lunate fossae.It has the attachment of the brachioradialis tendon, long radiolunate ligament, and radioscaphocapitate ligament, which prevents ulnar translation of the carpus. T he radial column ( radial styloid + scaphoid fossa): The distal radius has three columns radial, intermediate and ulnar columns. It has the following articulations scaphoid ( scaphoid fossa), lunate ( lunate fossa), and distal ulna ( ulnar or sigmoid notch). The distal radius bears 80% of the axial load. These distal radius fractures are often caused by falling on an outstretched hand with the wrist in dorsiflexion, causing tension on the volar aspect of the wrist, causing the fracture to extend dorsally. The term Colles fracture is often used eponymously for distal fractures with dorsal angulation. The Colles fracture is defined as a distal radius fracture with dorsal comminution, dorsal angulation, dorsal displacement, radial shortening, and an associated ulnar styloid fracture. Named after Abraham Colles, who first described a distal radius fracture in 1814 at the Royal College of Surgeons in Dublin, the Colles fracture is one of the most common fractures encountered in orthopedic practice representing 17.5 % (one-sixth) of all adult fractures presenting to the emergency department. Describe interprofessional team strategies for improving care coordination and communication to advance Colles fracture management to improve patient outcomes.Review the treatment and management options available for Colles fractures.Outline the appropriate history, physical, and evaluation of a patient with a Colles fracture.Identify the etiology and epidemiology of Colles fractures.This activity outlines the evaluation, treatment, and management of Colles fractures and explains the interprofessional team's role in caring for this condition. Colles fractures require multiple aspects of the healthcare team for each patient to allow for optimal care of each patient. Colles fractures require medical management to ensure proper healing.
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