<prompt> Management of Smiths fracture isOpen reduction and fixationPlaster cast with forearm in pronationClosed reduction with below-elbow castAbove-elbow cast with forearm in supination  <response>: D i.e. Above elbow cast with forearm in supination Smith fracture is treated by close reduction and immobilization in long arm above elbow cast with forearm in supination and wrist in extension dorsiflexion Q Smith Fracture Reverse Colles Fracture Colles Fracture Poutteans Fracture Definition Fracture of distal third of radius with palmar It is the fracture of lower end of radius with dislocation of anterior or ventral displacement tilt Q. inferior radio-ulnar joint that occurs about 2.5 cm 112 Hence it is called reverse Colles fracture inch above the carpal extremity of radius at coicocancellous junction Q Clinical feature Adult older people Patient is usually a postmenopausal osteoporotic mode of trauma Fall on back of hand women Q Fall on outstretched hand Deformity Garden spade deformity Q Dinner fork Q silver fork or spoon shaped deformity Displacement Ventral anterior or palmar displacement Dorsal displacement tilt 0 tilt Q Lateral displacement tilt Q Impaction supination Treatment CR immobilization in AE cast with CR immobilization in Colles cast below elbow cast forearm in supination and wrist in extension in 10-20 of palmar flexion 10-20 of ulnar detion Q AE cast in pronation supination mid prone position are also applied according to situation 