Smith's fracture

Background

• Volar angulated fx ("reverse Colles fracture" or "garden-spade deformity")
• Occurs due to fall or direct blow to dorsum of hand/wrist

Imaging

• Similar but opposite to Colles' fracture

Differential Diagnosis

Distal radius fractures

• Colles' fracture
• Smith's fracture
• Barton's fracture
• Radial styloid fracture
• Distal radioulnar joint disruption

Distal radius fracture eponyms

Eponyms	Description
Barton's	Fracture-dislocation of radiocarpal joint (with intra-articular fracture involving the volar or dorsal lip)
Chauffer's	Fracture of radial styloid
Colles'	Dorsally displaced, extra-articular fracture
Die-punch	Depressed fracture of the lunate fossa (articular surface)
Smith's	Volar displaced, extra-articular fracture

Management

• Similar to Colles' fracture
• sugar tong splint

See Also

• Distal radius fractures

Source

• Tintinalli