Smith’s fracture

● Fall onto the dorsum of the hand or due to a direct blow.
● Patient presents with a swollen tender wrist with associated deformity.
● Often described as a reverse Colles’ fracture.
● AP and lateral views recommended as may appear similar to Colles’ fracture if an AP view alone is examined.
● Transverse fracture through the distal radial metaphysis with associated
volar angulation and volar shift.
● Look for median nerve symptoms.