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Surgery Orthopedics 55d252ed

After falling on the pavement, a 72-year-old woman is found to have a fracture of the radius and ulna (Colles' fracture). What is true of this fracture?

A
The fall occurs on the dorsum of the wrist.
B
Open reduction is most commonly indicated.
C
Younger men are generally affected.
D
The distal radial metaphysis is displaced dorsally.
High-Yield Explanation
The distal radial metaphysis is displaced dorsally. This fracture was described by Colles over 150 years ago. The impact is caused by a fall on the flexor surface of the wrist. The distal segment is displaced dorsally. The reverse injury, involving a fall on the extensor surface of the wrist and flexor deformity, is a Smith fracture. Colles fracture occurs more commonly in older women. The styloid of the ulna not the shaft of this bone is fractured.

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