Treatment
Undisplaced
- Simple slab/splint & sling for 1-2 days (for swelling to subside)
- Followed by Colles’ cast for 4-6 weeks
Displaced
- Reduction under anesthesia (hematoma block, Bier’s block, sometimes G/A)
- Followed by Colles’ cast for 4-6 weeks
If Reduction is Not Acceptable
- ORIF by k-wire, plate & screw or even external fixator
Colles’ Cast
It is a below elbow cast with palmar flexion and ulnar deviation with the following 4 criteria:
- Firm fit at the dorsum
- Firm fit at the volar fracture apex
- Just snuggly fitting at the forearm
- Metacarpophalangeal joints should be free to move