This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Forearm wrist and hand injuries, Subject name: Orthopaedics
[{'content': 'a child of age 10 yrs fell from wall with outstrecthed hand (right) , later e compalined of pain and restricted movement, the x ray shown below ,what is the management ? \nSelect and explain. \nA. Open reduction and fixation, B. Plaster cast with forearm in pronation, C. Closed reduction with below - elbow cast, D. Above - elbow cast with forearm in supination', 'role': 'user'}, {'content': 'Answer: D \nExplanation: SMITH&;S FRACTURE (Reverse of Colles&; Fracture) This uncommon fracture is seen in adults and in elderly people. Its impoance lies in differentiating it from the commoner Colles&; fracture which occurs at the same site. It differs from Colles&; fracture in that the distal fragment displaces ventrally and tilts ventrally. Treatment is by closed reduction and plaster cast immobilisation for 6 weeks. Complications are similar to those in Colles&; fracture. Ref: Maheshwari and Mhaskar 9th ed pg 114.', 'role': 'assistant'}]