A Colles' fracture refers to a fracture around the wrist. Typically, it occurs due to a fall on an outstretched hand. Specifically, the fracture occurs at the end of a bone in the forearm called the radius (at the cortico-cancellous junction). Dorsal displacement and dorsal angulation are common characteristics of such a fracture. Falling on an outstretched hand can be a consequence of either tripping or losing balance, and it is the body's defense mechanism against falling flat on one's face. While this sort of fracture is not prevalent in younger patients, it is commonly seen in older patients, patients with osteoporosis, and those with any other form of bone disease.
The treatment of Colles' fracture requires the application of a cast to facilitate compression and prevent motion in an effort to promote healing. In some cases, surgical correction may be required. Once pain and swelling is reduced, the objective of the healthcare team changes. The new priority is joint range of motion and restoration of muscle strength. This is where physical therapy plays an important role.