Is buddy taping as effective as plaster immobilization to manage adult boxer's fractures?

This prospective, multi-centred, randomized trial examined outcomes of 3- and 12-month follow-ups of 159 elderly participants aged more than 75 years with isolated distal radial fractures, treated by anterior locking plate or closed reduction and cast immobilization. The primary outcome was the patient-rated wrist evaluation (PRWE) score. The PRWE score at 12 months was not significantly different between the two groups; however, the radiological outcomes and complications rates were worse in the casting group. Level of evidence: III

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Minimally angulated pediatric wrist fractures: Is immobilization without manipulation enough?

CJEM ◽

10.1017/s1481803500014676 ◽

2007 ◽

Vol 9 (01) ◽

pp. 9-15 ◽

Cited By ~ 27

Author(s):

Khalid Al-Ansari ◽

Andrew Howard ◽

Brian Seeto ◽

Solina Yoo ◽

Salma Zaki ◽

...

Keyword(s):

Distal Radius ◽

Sagittal Plane ◽

Normal Function ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Post Injury ◽

Radiographic Findings ◽

Fractures In Children ◽

Plaster Immobilization

ABSTRACT Background: Emergency department (ED) manipulation of complete minimally angulated distal radius fractures in children may not be necessary, due to the excellent remodeling potential of these fractures. Objectives: The primary objective of this study was to determine the proportion of minimally angulated distal radius fractures managed in the ED with plaster immobilization that subsequently required manipulation. Our secondary objective was to document, at follow-up, changes in angulation for each wrist fracture. Methods: This retrospective cohort study reviewed consecutive records of all children with bi-cortical minimally angulated (≤15° of angulation in the sagittal plane and ≤0.5 cm of displacement) distal metaphyseal radius fractures, alone or in combination with distal ulnar fracture. Details of treatment, radiographic findings, and clinical outcomes during the subsequent orthopedic follow up were recorded. Results: Of 124 patients included in the analysis, none required manipulation after their ED visit. All but 14 (11.3%) fractures were angulated ≤20° within the follow-up period. Two (1.6%) fractures that were initially angulated ≤15° progressed to 30°–35°, but remodeled within 2 years to nearly perfect anatomic alignment. By 6 weeks post-injury, no patients had clinically apparent deformity and all had normal function. Conclusions: Minimally angulated fractures of the distal metaphyseal radius managed in plaster immobilization without reduction in the ED are unlikely to require future surgical intervention.

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A prospective study of distal radius fracture management by close reduction, percutaneous Kirschner wire fixation and plaster immobilization

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20171898 ◽

2017 ◽

Vol 3 (3) ◽

pp. 537

Author(s):

Abhishek Chattopadhyay ◽

Upal Banerjee ◽

Prashant Kumar Sinha ◽

Subarna Misra ◽

Ananya Chattopadhyay ◽

...

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Excellent Result ◽

Kirschner Wire ◽

Radius Fracture ◽

Invasive Technique ◽

Fair Result ◽

Kirschner Wire Fixation ◽

Wire Fixation ◽

Plaster Immobilization

Background: Distal radius fracture is one of the most common fractures. It may be sustained due to low-energy trauma or high-energy trauma. Objectives: To compare the clinical effectiveness of Kirschner wire fixation with and plaster immobilization for patients with fracture of the distal radius.Methods: Interventions Kirschner wire fixation: wires are passed through the skin over the dorsal aspect of the distal radius and into the bone to hold the fracture in the correct anatomical position. About 79 patients with Distal Radial Fractures presented to MGM Medical College and LSK Hospital, Kishanganj between November 2012 and June 2014 were included in the study.Results: The majority were men (60.4%). Majority of the patients (69.8%) sustained the injury due to fall. The side of involvement was nearly equal and that there was no predominance of the either sides. In our study, according to AO classification, 31 cases were of Type A, 17 were of Type B and 5 were of Type C. The Anatomical evaluation by Sarmiento’s Criteria showed 33 patients with excellent result, 15 patients with good result and 5 with a fair result. At final follow-up by ‘The Gartland and Werley criteria for functional outcome’ 37 patients had excellent result, 13 had good result, 2 had fair result and 1 had a poor result. Conclusions: This study demonstrates that percutaneous Kirschner wire pinning is a minimally invasive technique that provides an effective means of maintaining the anatomical fracture reduction. It does not required highly skilled personnel or sophisticated tools for application. It is a suitable method for fixation of displaced Colles fracture with minimal intra-articular involvement. The technique involves a minimal procedure that provides anatomic reduction, fracture fixation, and maintenance of reduction with an adequate method of immobilization.

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Primary External Fixation Versus Plaster Immobilization of the Intra-Articular Unstable Distal Radial Fracture in the Elderly

Aktuelle Traumatologie ◽

10.1055/s-2004-815749 ◽

2004 ◽

Vol 34 (2) ◽

pp. 64-70 ◽

Cited By ~ 8

Author(s):

J. H. Hegeman ◽

J. Oskam ◽

J. van der Palen ◽

H. J. ten Duis ◽

P. A. M. Vierhout

Keyword(s):

External Fixation ◽

The Elderly ◽

Distal Radial Fracture ◽

Radial Fracture ◽

Plaster Immobilization

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Bone and joint injuries of the wrist and forearm

10.1093/med/9780198757689.003.0004 ◽

2018 ◽

Author(s):

Zaf Naqui ◽

David Warwick

Keyword(s):

Forearm Rotation ◽

Non Union ◽

Stable Function ◽

Ligament Rupture ◽

Anatomic Reduction ◽

Complex Reconstruction ◽

Displaced Fracture ◽

Carpal Ligaments ◽

Plaster Immobilization

The forearm is a complex quadrilateral structure linked by the proximal and distal radioulnar joints, ligaments, which include the interosseous membrane and triangular cartilage, and several obliquely orientated muscles. A displaced fracture or ligament rupture within this forearm is likely to involve other structures. Treatment requires anatomic recovery of stable function. The ulnar corner can sustain fractures or ligament ruptures which affect stable, pain-free, congruous forearm rotation. The distal radius may fracture after high- or low-energy trauma; anatomic reduction may not be essential in all; inaccuracy may lead to loss of rotation and ulnocarpal abutment but long-term arthritis is unusual. Children’s fractures are managed with consideration of remodeling potential. The scaphoid is vulnerable to non-union; plaster immobilization, early percutaneous fixation, and later bone-grafting all have roles. Salvage for osteoarthritic non-union may reduce pain but compromises function. Rupture of the carpal ligaments may cause substantial disruption and require complex reconstruction.

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Volar Plate Fixation Versus Plaster Immobilization in Acceptably Reduced Extra-Articular Distal Radial Fractures

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.18.00693 ◽

2019 ◽

Vol 101 (9) ◽

pp. 787-796 ◽

Cited By ~ 9

Author(s):

Marjolein A.M. Mulders ◽

Monique M.J. Walenkamp ◽

Susan van Dieren ◽

J. Carel Goslings ◽

Niels W.L. Schep

Keyword(s):

Plate Fixation ◽

Volar Plate ◽

Distal Radial Fractures ◽

Volar Plate Fixation ◽

Plaster Immobilization

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Early CT for suspected occult scaphoid fractures

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193411428993 ◽

2011 ◽

Vol 37 (5) ◽

pp. 447-451 ◽

Cited By ~ 8

Author(s):

J. D. Stevenson ◽

D. Morley ◽

S. Srivastava ◽

C. Willard ◽

I. G. Bhoora

Keyword(s):

Computed Tomography ◽

Pain Syndrome ◽

Ct Scans ◽

Therapeutic Decision ◽

Working Population ◽

Radius Fractures ◽

Scaphoid Fractures ◽

Occult Fractures ◽

Therapeutic Decision Making ◽

Plaster Immobilization

In this study, the use of computed tomography (CT) early in the management of suspected occult scaphoid fractures was evaluated. We retrospectively reviewed the notes and radiology of patients who had scaphoid CT scans over the preceding 3 years. Eighty-four patients that had CT scans within 14 days from injury were identified. Of the CT scans, 64% ( n = 54) excluded a fracture and these patients were promptly mobilized. No patients returned with any complications from this management. Overall, 36% of CT scans were abnormal ( n = 30), 7% revealed occult scaphoid fractures, 18% revealed occult carpal fractures of the triquetrum, capitate, and lunate, respectively, and 5% revealed distal radius fractures. All patients diagnosed with fractures were successfully managed with plaster immobilization and there was one case of complex regional pain syndrome. Early CT alters therapeutic decision making in suspected occult fractures preventing unnecessary immobilization in a working population without increase in cost.

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Treatment of Metatarsalgia by Sliding Distal Metatarsal Osteotomy

Foot & Ankle ◽

10.1177/107110078800900102 ◽

1988 ◽

Vol 9 (1) ◽

pp. 2-6 ◽

Cited By ~ 34

Author(s):

Ian G. Winson ◽

John Rawlinson ◽

Nigel S. Broughton

Keyword(s):

Scoring System ◽

Consecutive Series ◽

Metatarsal Osteotomy ◽

Foot Pressure ◽

Persistent Symptoms ◽

Distal Metatarsal Osteotomy ◽

The Mean ◽

Plaster Immobilization ◽

Symptoms And Signs

A consecutive series of 113 patients who had distal sliding metatarsal osteotomy performed between 1976 and 1983 at Winford Orthopaedic Hospital were reviewed. All patients originally had symptoms and signs of pressure metatarsalgia. A total of 124 feet in 94 patients were available for assessment. Review was performed using a symptomatic scoring system, clinical examination, AP and lateral standing radiographs, and walking foot pressure studies obtained from a Harris-Beath mat. The mean follow-up period was 3 years and 4 months (range nine to 102 months). Symptomatically, 58 feet (47%) were rated as good, 43 (34%) as fair, and 23 (19%) as poor. Eighteen feet (14%) had required revision procedures prior to the time of review because of persistent symptoms. Persistent tender prominence of one or more metatarsal heads associated with plantar callosities was seen in 49 feet (40%). Results were significantly worse in patients older than 65 years of age, when first and fifth metatarsal osteotomies were performed, and when plaster immobilization was used postoperatively.

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