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March 14, 1936

REVERSE COLLES FRACTURE: RATIONAL TREATMENT

JAMA. 1936;106(11):939-940. doi:10.1001/jama.1936.02770110055027

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Abstract

To the Editor:—  During the past year there have been several articles in The Journal regarding the reverse Colles, or Smith, fracture. Webb and Sheinfeld (June 29, 1935, p. 2324) reviewed the literature and presented a case of their own in which open reduction was required. They stated that they had been unable to find a report of a successful closed reduction and thus concluded that all fractures of this type should be regarded as cases for primary operation. Raymer (Dec. 28, 1935, p. 2150) presented a case of Smith fracture which was treated successfully by closed reduction. His conclusion was that this method should be tried in all reverse Colles fractures and that operation should not be resorted to until several attempts at manipulation have proved unsuccessful. In the same issue Bettman and Tannenbaum (p. 2151) presented a reverse Colles fracture treated by closed manipulation and stated that they

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