Now that we have an idea as to “what is a Smith’s fracture?”, it’s evident that this is a serious injury requiring proper management over time. So, if you suspect a Smith’s fracture, it’s important to seek medical attention as soon as possible from a suitably qualified doctor, hand therapist, physiotherapist, or occupational therapist. The correct diagnosis and management of a Smiths’ fracture is vital to preventing loss of normal wrist function, which can have serious implications on the functional status of your hand and overall quality of life. It occurs as a result of a fall onto the palm of the hand, trauma that results in a volar (palm) displacement. So, What Is a Smith's Fracture?Ī Smith’s fracture is a fracture at the distal end of the radius bone in the forearm. It is interesting to note that the word chauffeur comes from the French for "someone who warms" the car engine.What is a Smith’s fracture? And what is the difference between a Smith, Colles and Barton fracture? Within this article, we’re going to outline the different types of fractures and what each fracture requires for successful treatment.
#BARTON VS COLLES FRACTURE DRIVER#
It is also known as backfire fracture or lorry driver fracture 1. Its other names derive from the typical occupation of people who sustained this injury due to direct trauma from starting a car with a crank. It was originally named by British surgeon Jonathan Hutchinson (1828-1913). ulnar styloid fracture: equates to a Frykman type IV fractureĪlthough these fractures are often undisplaced, they are relatively unstable and often benefit from percutaneous lag-screw fixation 6.scapholunate dissociation: this is especially true when the fracture line involves the articular surface near the scapholunate interval 7.Although often the fracture is undisplaced 5, depending on how sagittal the fracture orientation is, variable proximal migration of the fracture occurs, with an articular step which comes into contact with the scaphoid 4.Ī number of associated injuries are frequently encountered and may significantly impact on management: The fracture extends proximally in a variable oblique direction (from essentially transverse to almost sagittal) from the distal radial articular surface through the lateral cortex of the distal radius, thus separating the radial styloid from the rest of the radius 4,5. Chauffeur fractures are considered type III fractures. Along with other distal radial fractures, the AP film can also be used to classify these fractures according to the Frykman classification of distal radial fractures. Plain films usually suffice in the assessment of chauffeur fractures. The latter occurs as the scaphoid forcibly impacts upon the radial styloid and can be considered an avulsion fracture with the radiocarpal ligaments remaining attached to the radial styloid 7. The former accounts for its name trying to start an old-fashioned car with a hand crank sometimes resulted in the crank rapidly spinning backward (backfire) out of the driver's grasp and striking the back of the wrist 5.
These injuries are sustained either from direct trauma typically a blow to the back of the wrist or from forced dorsiflexion and abduction.
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