![]() ![]() When the client replies, 'No.', the healthcare provider (HCP) recommends that her primary provider conduct the screening after she returns home. She received care at a local emergency care center, where asked if she has ever been screened for osteoporosis. After it has healed, physical therapy is required for either a closed or open fracture. The client sustains a Colles fracture while on a hiking vacation in the mountains. An open Colles' fracture, in which the bone protrudes through the skin, requires immediate (within 8 hours) surgery. A cast may also be used if so, it is left in place for approximately 6 weeks. People with osteoporosis or thinning of the bones are at particularly high-risk for wrist fractures. ![]() During surgery, the bones are aligned, and then held in place with plates or screws, metal pins, an external stabilizer or a combination thereof. A Colles fracture - or distal radius fracture - is often called a broken wrist. Surgery is required when the Colles' fracture cannot be repaired by placing the wrist in a cast alone. The cast is usually removed within 6 weeks, and physical therapy to strengthen the wrist prescribed. In both cases, a splint is worn for a few days until swelling goes away at that point, a plaster cast is put on. If the bones are out of alignment, they will need to be reset, either by a doctor's moving the broken bones by hand or during surgery. If the bones are in good alignment, a plaster cast may suffice. ![]() Colles fractures are one of the most common wrist. As a sign of osteoporosis, either medical management or referral for an osteoporosis evaluation is warranted. As a fracture of fragility, relatively minor trauma such as a fall from a standing position causes the fracture. Osteoporosis is a predictor of subsequent fragility fractures, especially in women older than 50 years old. The Colles’ fracture typically occurs in patients over 60 years old due to osteoporosis. Treatment of a Colles' Fractureĭepending on the severity of the Colles' fracture, treatment varies. Osteoporosis associated with aging increases the risk of these fractures in elderly individuals and also increases the risk in women, who are more commonly affected by osteoporosis. To diagnose a Colles' fracture, a physical examination is performed and X-rays taken to see the severity and exact location of the break.
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