Radiological and functional outcome in extra-articular fractures of lower end radius treated conservatively with respect to its position of immobilization

Rajan, Sunil; Jain, Sandhya; Ray, Anna; Bhargava, Pradeep

doi:10.4103/0019-5413.40258

Cited by 19 publications

(41 citation statements)

References 18 publications

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“…We found that individual movements of supination, pronation, ulnar and radial deviation as well as total range of movements are satisfactory when the wrist is immobilized in dorsiflexion, the fact that has equally being concluded by earlier studies. 6,7 Further, recovery of grip strength and subjective assessment of pain, disability and limitation of the movements were also encouraging.…”

Section: Discussionmentioning

confidence: 91%

“…7 Also the wrist in extension is the optimal position for hand function and rehabilitation of the fingers. 6 In this study we compared the functional and radiological results of extra-articular Colles type of distal radius fractures treated conservatively with wrist immobilized in dorsiflexion. We found that individual movements of supination, pronation, ulnar and radial deviation as well as total range of movements are satisfactory when the wrist is immobilized in dorsiflexion, the fact that has equally being concluded by earlier studies.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Plaster immobilization in slight dorsiflexion of wrist has been found to give better radiological and functional results in such cases. 6,7 The present study was undertaken with an aim to determine the effectiveness of immobilization of wrist in dorsiflexion in maintaining the position of displaced extra articular distal radius fractures (Colles type) after successful closed reduction with the objective to assess the functional outcomes associated with it.…”

Section: Introductionmentioning

confidence: 99%

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Immobilisation of extra-articular distal radius fractures (Colles type) in dorsiflexion. The functional and anatomical outcome

Baruah

Islam

Haque

2015

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Immobilisation of extra-articular distal radius fractures (Colles type) in dorsiflexion. The functional and anatomical outcome

Baruah

Islam

Haque

2015

Journal of Clinical Orthopaedics and Trauma

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“…The time of casting and the length of the cast are two causes that impact the incidence of complications. Prolonged immobilization may lead to joint contracture, muscle atrophy and weakness, disuse osteopenia and possibly functional hardship that affect the patient's function (26). Edmonds et al compared the duration of immobilization that is required for good align-ment of the fracture line in the short cast with the long cast (27).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of MGAP and GAP Trauma Scores to Predict Prognosis of Multiple-trauma Patients

Rahmani¹,

Bakhtavar²,

Vahdati³

et al. 2016

Trauma Mon

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Background: Distal radius fracture is among the most common fractures of the long bones that are seen in all age groups. Treatment of these fractures in simple cases with displacement or intra-articular fractures is immobilizatgion, and if the fracture has dislocation, surgery may be required. Objectives: The aim of the study is a comparison of treatment efficacy and satisfaction in the methods of a long cast and thumb Spica cast in the patients with distal radius fractures without displacement. Methods: This study is a randomized clinical trial with a non blinded parallel design. Eighty patients with distal radius fractures without displacement were randomly assigned to long cast and thumb Spica cast groups. Patients were randomly using a random number table assigned to one of two long cast and thumb Spica cast methods. Both groups were examined at weeks 4 and 5 and after six weeks plaster was opened and after one week they were evaluated by DASH questionnaire. Performance (limitation of motion, grip strength) and patients' satisfaction was assessed in the two groups. Results: The mean age of patients was 49.87 ± 13.81 years. There were no significant differences between two groups regarding age (P = 0.84). In thumb Spica group 60% and in the long cast group 55% were male. There was no significant difference in sex distribution between treatment groups. The DASH scores in all subjects were 11.68 ± 5.53. Average total DASH score in thumb Spica cast group was 7.19 ± 6.80 and in the long cast was 16.02 ± 6.23. The mean of total DASH score in thumb Spica cast group was significantly higher than long cast group that presented better performance (limitation of motion, grip strength) in thumb Spica cast group respect to long cast group (P < 0.001). Satisfaction was similar between two groups (P = 0.40). Conclusions: Regarding better performance and treatment, thumb Spica cast is recommended as the preferred treatment for distal radius fractures without displacement.

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“…26,27 The acute palmar flexed position of the wrist during the postoperative immobilization period was blamed as the main reason for stiffness. 28 Some surgeons advocate treatment by manipulation and plaster immobilization. 29 Many recommend operative intervention as the only methods to obtain anatomical reduction, and some have proposed that the best functional result will only be achieved by obtaining as near an anatomical radiographic result as possible.…”

Section: Introductionmentioning

confidence: 99%

Distal End Radius Fracture Treated by Extra Focal Percutaneous Pinning and Closed Reduction and Plaster Application

Agrawal¹,

Golhar²,

Yadav³

2014

jemds

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BACKGROUND: Distal radius fracture is one of the most common fractures. Acute distal radius fracture results in pain, tenderness, swelling and potential deformity. Patients may be faced with substantial morbidity if fracture healing is delayed. The recovery period for distal radius fracture can be substantial and the impact of the method of fixation on activities and daily living can be significant. The majority of osteoporotic fractures in old age occur as the result of a fall, while the majority of injuries in the younger patients are secondary to motor vehicle accidents and sports. The Purpose of this study was to assess the functional outcome of stable distal end radius fractures treated by extra focal percutaneous pinning versus closed reduction and plaster application. METHOD: A comparative randomized study of functional outcome of Distal End Radius fracture treated by extra focal percutaneous pinning and closed reduction and plaster application of 12 months duration and comprised of 50 subjects 25 from each group, who were evaluated on second week, sixth week & after six months. The functional outcome of both groups was assessed at end of 6 months from the initiation of the treatment as per patient rated wrist evaluation criteria. Stable types of distal end radius fractures were taken into consideration for this study. RESULTS: Patients who were treated by extra focal percutaneous pinning had no better functional outcome than the patients who were treated by closed reduction and plaster application the average scores for both the groups that is closed reduction and cast was127.28 at the end of two weeks, 74.68 at the end of six weeks and 26.68 at the end of six months. As for the group treated by closed reduction and percutaneous pinning and slab application was 103.52 at the end of second week, 69.80 at the end of six weeks and 23.64 at the end of six months. CONCLUSION: Both methods are equally effective method in treatment of Stable distal end radius fractures as functional outcome is nearly same.

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Radiological and functional outcome in extra-articular fractures of lower end radius treated conservatively with respect to its position of immobilization

Cited by 19 publications

References 18 publications

Immobilisation of extra-articular distal radius fractures (Colles type) in dorsiflexion. The functional and anatomical outcome

Immobilisation of extra-articular distal radius fractures (Colles type) in dorsiflexion. The functional and anatomical outcome

Evaluation of MGAP and GAP Trauma Scores to Predict Prognosis of Multiple-trauma Patients

Distal End Radius Fracture Treated by Extra Focal Percutaneous Pinning and Closed Reduction and Plaster Application

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