Introduction. In 26-43 % of fractures of the bones of upper extremities secondary displacement of fragments occurs in the plaster bandage. It is probable that osteopathic treatment of patients with bone injuries of upper extremities promotes more rapid recovery of impaired functions of the damaged structure preventing possible complications and disability and improving patients' quality of life. That is why it is viable to study the infl uence of osteopathic correction on the healing process of the Colles’ fracture with displacement of bone fragments.Goal of research - to evaluate the effect of osteopathic treatment on the process of adhesion of Colles’ fracture with the displacement of fragments.Materials and methods. 40 patients took part in the research. 20 of them formed the main group. The other 20 formed the control group. An osteopathic examination of patients was performed and somatic dysfunctions were found. The visual analogue scale of pain was used. In order to evaluate the terms of adhesion, an X-ray diagnostic method was used.Results. Osteopathic diagnostics showed that somatic dysfunctions of the left or right wrist were dominant in patients admitted to the trauma bay with Colles’ fracture. Patients of the main group showed a faster normalization of the microcirculation, which meant that negative consequences of edema were less likely to appear.Conclusion. The study of the effect of osteopathic treatment of fractures of distal metaepiphysis of radial bone should be continued. The focus should be on the development and use of new diagnostic methods, which can prove the positive effect of osteopathic treatment on the terms of adhesion of the radial bone.

Colles’ fracture (fracture of the radius in typical place) makes 15-25 % of all the fractures and is more frequent in elderly patients. Use of osteopathic techniques in rehabilitation of this kind of patients permits to achieve better rehabilitation of the extremity function in a short time.

Introduction. One of the serious complications after limb injuries is the development of Sudeck-Turner syndrome (refl ex sympathetic dystrophy). Various methods of conservative treatment are used: drug therapy, physiotherapy, exercise therapy, blockade, and finally with prolonged and unsuccessful conservative therapy, various types of surgical techniques. However the severity and duration of the disease, the treatment low efficiency, the unpredictability of the pathological process outcome forces traumatologists looking for new treatment methods. Osteopathic correction could be one of these methods.The goal of research — to substantiate the use of osteopathic correction methods in patients with Sudeck syndrome.Materials and methods. 11 patients suffering from post-traumatic pain syndrome were examined and treated for complications of distal forearm fractures. 5 patients were included in the control group and received treatment according to standard methods. 6 patientswere included in the main group and received osteopathic correction. Dynamics of patients′ condition changes was evaluated by the photographic method, X-ray of the wrist joint in 2 projections, assessment of carpal muscle strength on 6-point scale, the assessment of wrist strength by dynamometrical carpal dynamometer. The osteopathic status of patients was also assessed at the beginning and at the end of treatment. Statistical analysis was performed using nonparametric statistics.Results. It was found that osteopathic correction of the patients suffering withSudeck syndrome reduces the treatment time for this patients′category. The study showed that the treatment period is reduced by an average of 35 days. In addition, in patients receiving osteopathic correction, the function of the damaged limb is restored to a fuller extent: only in 33% of cases there was a limitation of motion range (compared with 100 % in the control group), there was no edema (compared with 60 % in the control group), the carpal force increased by 66 % (48 % — the control group), in 50 % of the patients the carpal force was fully restored.Conclusion. The conducted research allowed comparing the possibilities of traumatological rehabilitation treatment of thepatients suffering withSudeck syndrome, and the treatment using osteopathic methods of examination and correction. The obtained results allow to recommend osteopathic correction in the complex of measures for the treatment of Sudeck syndrome.

The use of osteopathic correction of somatic disfunction in the complex treatment of the clubfoot according to the Ponseti method permits to achieve the complete correction of the deformity, and perfect long-term results which consist in the reduction the number of recidives and redressements during the treatment. The time of wearing plaster casts also reduces.