Acute pain in different parts of the body viz., head and neck, trunk, upper and lower limbs tend to be perceived differently. A randomized double-blinded placebo-controlled study was conducted on 232 healthy participants with acute musculoskeletal pain. The participants were randomized in a 1:1 ratio to receive a single dose of 1000 mg of Curcuma longa and Boswellia serrata extract formulation (CBF, Rhuleave-K) or placebo. The participants were categorized according to the location of the pain- head and neck, upper limb, lower limb, trunk, and general body following exercise. Pain intensity was analyzed using a numerical rating scale (NRS) at intervals of 30 minutes up to 6 hours. NRS was taken at rest, on movement and applying pressure on the affected part. The perceptible pain relief (PPR) and meaningful pain relief (PPR) was assessed using the double stopwatch method. In the CBF group, the pain intensity in the head and neck region had a 100% reduction at rest, on movement and pressure (p=0.02) and in generalized body pain, 100% at rest and movement and 97% reduction on applying pressure (p=0.06). Pain in the upper limb, trunk, and lower limb respectively showed a significant reduction of 99%, 97%, and 97% (p<0.001) in the CBF group at rest, on movement and pressure whereas the placebo group showed negligent change. The PPR and MPR obtained at head and neck (40, 160 min), upper limb (52, 167 min), trunk (75, 216 min), lower limb (74, 175 min), and generalized body pain (75, 240 min) in CBF group were significantly faster than the placebo group (p<0.001). CBF can be recommended as a fast-acting alternative to current therapies for acute musculoskeletal pain affecting head and neck, upper and lower limbs, trunk, and general body pain.

BACKGROUNDThe aim of the study is to review the functional and radiological results of patients after coracoclavicular ligament reconstruction using a semitendinosus tendon graft for type-III acromioclavicular dislocation. MATERIALS AND METHODSNine patients aged 21 to 50 (mean, 35) years with Rockwood Type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous semitendinosus tendon grafts. Patients were either active in sports or heavy manual workers. Assessments on shoulder function (using the Constant Score), wound size, pain (using Visual Analogue Scale), and reduction (using radiographs of both acromioclavicular joints) were made. RESULTSThe mean follow-up period was 18 (range, 12-24) months; the mean time to return to work or sports was 16 (range, 12-20) weeks. The mean constant score was 94 (range, 90-98). The mean donor-site scar size was 4 cm and the mean pain score was 0. No major complication or donor-site morbidity was noted. There was one wound dehiscence. CONCLUSIONCoracoclavicular ligament reconstruction using an autogenous semitendinosus tendon graft was safe in physically active patients having type-III acromioclavicular dislocation.HOW TO CITE THIS ARTICLE: Kare, SK, Murali Krishna CV, Sudheer T, et al. Coracoclavicular ligament reconstruction using a semitendinosus tendon graft with polyester suture no. 5 (ethibond) for type-iii acromioclavicular dislocation.

BACKGROUNDFracture of the distal radius ('broken wrist') is a common clinical problem. It can be treated conservatively usually involving wrist immobilisation in a plaster cast or surgically. A key method of surgical fixation is external fixation. MATERIALS AND METHODSA prospective study was carried out on 66 patients admitted between June 2014 to May 2016 for evaluation of conservative and surgical management of distal radius fractures. RESULTSExcellent, fair or good result was noticed in around 85% of cases managed conservatively and in above 90% of cases managed by external fixator. CONCLUSIONThere is some evidence to support the use of external fixation for dorsally displaced fractures of the distal radius in adults. Though, there is insufficient evidence to confirm a better functional outcome, external fixation reduces redisplacement gives improved anatomical results and most of the excess surgically-related complications are minor.