Welcome to my Presentation

Which is the Part of

Teaching Methodology

All about Myself

Faysal AhammedBPT 5th Batch(4th year)

Roll: 26Institute of Health Technology.

Under Faculty of MedicineUniversity of Dhaka.

Celle's Fracture

Celle's fracture was first described by Abraham colle's in the year 1814.

It is a fracture of lower end of radius also include dislocation of the inferior radioulnar joint, fracture occur abut 2.5cm above the carpal extremity of the radius.

Causes Have osteoporosis, a disease that weakens your bonesPostmenopausal osteoporosis.Commonest skeletal injury In Elderly.Have low muscle mass, poor muscle strength, or lack agility

(these conditions make you more likely to fall) Walk or do other activities in snow, on ice, or that require a

lot of forward momentum, such as in-line skating and skiingHave an inadequate intake of calcium or vitamin DRoad Traffic Accident, fall from height.

Mechanism• The common mode of injury is fall on outstretched hands

with dorsiflexion ranging from 40° to 90°(Average)

Clinical Feature• Pain over the affected area.• Swelling of the joint.• Deformity- Dinner fork Deformity

Other Deformity includes

• Dorsal Angulation of Distal Fragment• Dorsal Displacement of Distal Fragment• Radial Deviation of the hand• Supination• Proximal Impaction.

Styloid Process test• In general Radial Styloid process is lower than the ulnar

styloid process but in displaced and colle's fracture both will be at same level.

Radiograph- X ray of the Wrist.

1.Anterior Posterior view 2. Lateral view

Types of Colle's Fracture

• Open fracture: If the bone broke through your skin• Comminuted fracture: If the bone broke

into more than two pieces• Intra-articular fracture: If the bone broke

inside your wrist joint• Extra-articular fracture: If your joint isn’t

affected

ComplicationsEarly complication includes

Swelling and Pain in the Finger Median Nerve compression Sundok's Atrophy

Late Complication Malunion Non union of the ulnar styloid process. Rupture of the Extensor pollicislongus. Stiffness

Treatment• Undisplaced Fracture- A dorsal Splint for 1-2 days to

remove swelling and cast will be Placed for 4 week to stabilize joining.

• Displaced Fracture – Reduction of the fracture under anesthesia and correct the Bone alignment. Then Dorsal Plaster Slab is applied.

• Comminuted Fracture- Percutaneous K-wire fixation along with Plaster Immobilization. It then Remove after 5 weeks.

Physiotherapy Treatment

•  Main role of Physiotherapy is in rehabilitation Stage.

• Objectives of rehabilitation Maintain joint range of motion Increase muscle strength Improve functional ability

Exercise Programme During reduction plaster cast –• Uninvolved joint active rang of motion • Wrist joint passive supination & pronation • Isometric hand muscle exerciseContinue After removal the cast- Mobilized the affected wrist - Start some strengthening exercise - Start weight bearing exercise Later stage Advance exercise ,full weight bearing exercise.

Prognosis• Expected time for healing 6th to 8th weeks until the

fracture is stable.• Earlier treatment usually improves the result .• Chronic disease such as - Osteoporosis and Diabetes may

slow the healing time.

End

Thank you Everybody for Quite

Concentration.

Any Questions ?

Few Quarry towards you People What is the common mode of injury ? 1. Throwing, 2. Fall on outstretched, 3. Weight lifting.When Physiotherapy is Required ? 1. At Early Stage 2. At Rehabilation Stage 3. Never.