Introduction: Augmented external fixation and Open reduction with volar locking plate are two frequently used modalities in the management of intraarticular fractures of distal end radius. However, there is still controversy regarding the optimal surgical modality. The present study was performed to compare the functional and radiological outcomes of augmented external fixation (AEF) versus volar plate fixation (VPF) in the management of patients with intraarticular fractures of distal end of radius. This prospective study was done between December 2019 Materials and Methods: and December 2021. This study included 40 patients with intraarticular fractures of distal end of radius. All patients fulfilling inclusion criteria were randomly allocated into two groups. Group A was treated with an AEF and Group B with VPF. Functional assessment was done by measuring the wrist range of motion, hand grip strength and Mayo Wrist Score. The radiographic parameters included radial height, radial inclination, and volar tilt. Follow-up was done at 6 weeks, 3 months, and 6 months post-operatively. In our study at all follow-ups, the VPF group had a significa Results: ntly better Mayo wrist score and wrist flexion, wrist extension, forearm supination and pronation compared to the AEF group (p < 0.05). There were no significant differences in terms of hand grip strength and postoperative radiologic parameters (p > 0.05). VPF is a better surgical option as compared to AEF based on our short-term functional outcome Conclusion: in the management of patients with intraarticular fractures of the distal end of radius, on account of better wrist flexion and extension, forearm rotation and Mayo wrist scores, and fewer complication rates.

Background: Frozen shoulder or adhesive capsulitis (AC) is a common musculoskeletal disease which imposes significant morbidity and affects the quality of life. The present study was done to compare the effectiveness of the suprascapular nerve block (SSNB) under ultrasound guidance and hydrodistension in the management of AC. Materials and Methods: This prospective randomized control study was conducted in 60 patients visiting the Department of Orthopaedic Surgery, BARC Hospital, Mumbai, with AC not improving with physiotherapy. Patients were divided into Group A (n = 30) who received SSNB under ultrasound guidance in addition to physiotherapy and Group B (n = 30) who underwent hydrodistension of shoulder in addition to physiotherapy. Values for the ROM, Quick DASH score, and visual analog scale (VAS) score were obtained for each patient at the baseline and at 4, 8, and 12 weeks. Results: Female preponderance was observed in both the groups and overall 22% werediabetics. The difference in improvement in flexion, abduction, external rotation, and internal rotation from baseline to 12 weeks, 4 to 8 weeks, 4 to 12 weeks, and 8 to 12 weeks was higher in hydrodistension group as compared to SSNB group (p < 0.05). The decrease in the VAS and Quick DASH scores from baseline to 12 weeks was higher in hydrodistension group as compared to SSNB group (p < 0.05). Conclusion: Both SSNB and hydrodistension are useful in the management of AC. However, hydrodistension displayed better outcome as compared to SSNB in improving the functional outcome of patients.