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Le Fort fracture bilateral horizontal fracture of the maxilla. Le Fort fractures are classified as follows: Le Fort I fracture, a horizontal segmented fracture of the alveolar process of the maxilla, in which the teeth are usually contained in the detached portion of the bone. Le Fort II fracture, unilateral or bilateral fracture of the maxilla, in which the body of the maxilla is separated from the facial skeleton and the separated portion is pyramidal in shape; the fracture may extend through the body of the maxilla down the midline of the hard palate, through the floor of the orbit, and into the nasal cavity. Le Fort III fracture, a fracture in which the entire maxilla and one or more facial bones are completely separated from the craniofacial skeleton; such fractures are almost always accompanied by multiple fractures of the facial bones. A transverse fracture of the distal radial metaphysis with displacement of the hand posteriorly and outward, causing the characteristic “dinner fork” deformity during radiographical evaluation. Contaminant trauma to the ulnar styloid process and the triangular fibrocartilage complex may also occur. Patient care A history of the injury is obtained, and the patient is assessed for pain, swelling, mobility, and any deformity of the distal forearm.

The areas above and below the fracture site are inspected for color changes and palpated for pulses, temperature, and the presence of sensation. The extremity is temporarily immobilized with a splint, and cold is applied according to protocol to reduce pain and limit swelling.

The patient is scheduled for radiography, all procedures are explained, and noninvasive pain relief measures are instituted to reduce discomfort. The nurse or orthopedic technician assists with closed reduction and casting if carried out in the emergency department or refers the patient to an orthopedic surgeon for treatment and follow-up care.

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See also: Colles' fracture A common fracture of the forearm bones at the wrist, usually caused by a fall on to the outstretched hand. The break results in a typical ‘dinner-fork’ deformity with the bones of the wrist forced backwards.

Treatment consists in reducing the fracture by strong traction on the hand under anaesthesia and enclosing in a cast. (Abraham Colles, 1773–1843, Irish surgeon).

Colles' fracture a break at the lower end of the radius following a fall on the outstretched hand. The backward displacement of the hand produces the 'dinner fork' deformity. A common fracture in older women and associated with osteoporosis (first described by Abraham Colles, an 18th-century Irish surgeon). Want to thank TFD for its existence?, add a link to this page, or visit. Link to this page: Colles' fracture.