Smith's fracture

A Smith's fracture, is a fracture of the distal radius.

Smith's fracture
Other namesReverse Colles' fracture, Goyrand-Smith's
Smith's fracture
SpecialtyOrthopedics

Although it can also be caused by a direct blow to the dorsal forearm or by a fall with the wrist flexed, the most common mechanism of injury for Smith's fracture occurs in a palmar fall with the wrist joint slightly dorsiflexed. Smith's fractures are less common than Colles' fractures.

The distal fracture fragment is displaced volarly (ventrally), as opposed to a Colles' fracture which the fragment is displaced dorsally. Depending on the severity of the impact, there may be one or many fragments and it may or may not involve the articular surface of the wrist joint.

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