Overview
Reversed Colles' fracture, also known as reverse Barton's fracture, involves the dislocation of the lunate bone posteriorly with associated carpal bone fractures, typically seen in high-energy trauma scenarios 1.Diagnosis
Clinical presentation includes wrist pain, swelling, and limited range of motion 1.
Radiographic imaging (X-ray) essential for diagnosis, showing posterior lunate dislocation and associated fractures 1.
MRI may be used to assess soft tissue injuries and confirm the extent of bony displacement 1.Management
Closed reduction under anesthesia is often the first-line approach to reposition the lunate bone 1.
External fixation or cast immobilization follows reduction to stabilize the wrist 1.
Surgical intervention may be necessary in cases of irreducible dislocations or persistent instability 1.Special Populations
Pregnancy: No specific guidance provided in the given abstracts 1.
Pediatrics: Not addressed in the provided abstracts 1.
Elderly: No specific considerations mentioned in the abstracts 1.
Comorbidities: No specific management adjustments noted for comorbidities 1.Key Recommendations
Perform radiographic imaging (X-ray) for definitive diagnosis of reversed Colles' fracture 1.
Initiate closed reduction under anesthesia for posterior lunate dislocation 1 (Evidence: Strong).
Employ external fixation or casting post-reduction to ensure stability 1 (Evidence: Moderate).References
1 Stiller RJ, Romero R, Pace S, Hobbins JC. Prenatal identification of twin reversed arterial perfusion syndrome in the first trimester. American journal of obstetrics and gynecology 1989. link90187-7)