Understanding Colles’ Fracture: A Common Wrist Injury By Dr. Kashyap Solanki – Orthopaedic Surgeon, Andheri East, Mumbai

A Colles’ fracture is one of the most common types of wrist fractures, especially among older adults. It typically occurs when a person falls on an outstretched hand, causing the distal radius (the larger forearm bone) to break near the wrist joint.

What Exactly Is a Colles’ Fracture(Wrist Fracture)?

• It involves a fracture of the distal radius with the broken fragment angling upward (dorsally).

• Often described as a “dinner fork” deformity due to the shape the wrist takes after the injury.

Common Causes

• Fall on an outstretched hand (FOOSH)

• Osteoporosis or low bone density in older adults

• Sports injuries or accidents in younger individuals

Symptoms to Watch For

• Sudden pain in the wrist after a fall

• Swelling and bruising

• Deformity or abnormal bend in the wrist

• Difficulty moving the wrist or fingers

• Tenderness over the distal radius

Diagnosis

• X-ray is the gold standard to confirm the fracture and evaluate displacement.

• In complex cases, a CT scan may be recommended.

Treatment Options

🔹 Non-Surgical (Conservative)

• Closed reduction (manual realignment)

• Plaster or fiberglass cast immobilization for 4–6 weeks

• Best suited for non-displaced or minimally displaced fractures

🔹 Surgical

• Required for displaced, unstable, or comminuted fractures

• Options include:

  • Internal fixation with plates and screws

  • External fixation in complex or open fractures

Recovery & Rehabilitation

• Pain relief and swelling management in early days

• After cast/surgery: wrist physiotherapy is essential

• Most patients regain good function in 8–12 weeks

• Full strength may take a few months, depending on age and fracture severity

When to See an Orthopaedic Surgeon?

If you’ve suffered a wrist injury and notice swelling, pain, or deformity, don’t ignore it. Early treatment of Colles’ fractures prevents long-term complications like wrist stiffness, malunion, or arthritis.

Need expert care?

Book an appointment with Dr. Kashyap Solanki, wrist fracture specialist in Andheri East, Mumbai.Prompt treatment, proper alignment, and rehabilitation are key to full recovery.

About Dr. Kashyap Solanki

Orthopaedic Surgeon – Andheri East, Mumbai

Dr. Kashyap Solanki specializes in hip and knee replacement, robotic-assisted knee surgery, and joint preservation procedures like HTO, arthroscopy, and ligament reconstruction. He is also known for performing complex revision joint replacements and managing challenging upper and lower limb fractures. With a focus on precision and patient-centered care, Dr. Solanki helps restore mobility and improve quality of life through advanced orthopaedic solutions.