Colles' Fracture - in Older and Younger People

In Older and Younger People

Colles fractures occur in all age groups, although certain patterns follow an age distribution.

  • In the elderly, because of the weaker cortex, the fracture is more often extra-articular.
  • Younger individuals tend to require a higher energy force to cause the fracture and tend to have more complex intra-articular fractures. In children with open epiphyses, an equivalent fracture is the "epiphyseal slip", as can be seen in other joints, such as a slipped capital femoral epiphysis in the hip. This is a Salter I or II fracture with the deforming forces directed through the weaker epiphyseal plate.
  • More common in women because of post-menopausal osteoporosis.

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