hey cool is fracture first I urge you to subscribe to my channel there are more than 120 videos on my channel which is so cool today we'll talk about coolest fracture with a mnemonic let's see of course you know that this bone is the radius and this is the ulna coolest fracture is the fracture of the distal radius distal here not here due to fall an outstretched hand in which is dorsally flexed ie in dorsiflexion like this ok if the hand was like this this is ventral flexion if the fall occurred on the ventually flexed hand ok that's an entirely different condition called Smith fracture ok but this is coolies dorsiflexion cool led said of coli's remember cool led distal radius found the outstretched hand its dorsal reflex occurs in the elderly why they have weak bones osteoporosis what will happen when I follow my outstretched hand in this condition dorsally displaced dorsally angulated radius like this ok on physical exam you will see deformed dinner fork like hand with tenderness over the distal forearm everything is d distal tenderness how to treat colette sorry cool is fracture closed reduction and cast when it's it is table when it's stable closed reduction and cast if unstable you have two options you can do closed reduction with percutaneous pinning okay or you can do open reduction with internal fixation but usually closed reduction will suffice please note that if the ulna is involved we use a long arm cast so the ulna is displaced we use long long cast if the ulna is stable short cast is fine okay so alma displaced long are all not stable short arm cast which makes sense also you can remember stable starts with an S short cast starts with an S but anyways this is colles fracture that co-led or the d mnemonic thank you for watching please subscribe like me on Facebook follow me on Twitter and enjoy the rest of the day good luck and by the way this is the shape of the dinner fork that's why we call it dinner fork deformity goodbye