The study was done at outpatient department at Department of Orthopaedics, Government Thiruvarur Medical College Hospital, from July 2017 to April 2019. After reduction Below elbow slab will be applied. In second pressure method, the examiner holds the pronated forearm of the patient proximal to the Fracture site with his both hands and gives milking pressure at the Fracture site proximodistally with his one hand thumb, while the patients hand is freely hanging in flexed position.Surgeon checks the reduction by comparing the levels of styloid processes of ulna and radius and gives ulnar deviation and palmar flexion to maintain the reduction and applies Below elbow plaster slab. Both surgeon and assistant give traction in opposite direction leading to distraction of Fracture site, resulting in reduction of displacement. Assistant holds the elbow of the diseased patient standing opposite to the surgeon. Traction and counter-traction method is first method in which surgeon holds the thumb of fractured patient with his right hand and index, mid and ring fingers of the patient with his left hand.Usually two methods are used to reduce Colles Fracture. In routine Orthopaedic practice, the deformity needs to be corrected to prevent complications. If the deformity remains uncorrected, the result will be constant wrist pain, tendon dysfunction and attrition. It gives raise to typical dinner fork deformity. Explained by Sir Abraham Colles during 1814, it occurs in the corticocancellous junction of distal end of radius. Our aim of doing this study is to 1compare the occurrence of CRPS in two groups of displaced Colles Fracture, one by traction method and another by pressure method 2 to look for Nerve conduction abnormality in NCS amongst the CRPS individuals.Ĭolles Fracture and reduction methods: Colles Fracture is one of the common fractures of elderly. Our study is aimed at correlating the CRPS and Nerve injury caused by traction for reducing the Colles fracture. CRPS associated with Nerve injury is well explained by another author. In case of displaced Colles Fracture, the correlation between the amount of displacement and subsequent correction and increased chances of occurrence of CRPS also well studied. The correlation between the occurrences of CRPS in Fracture distal of radius (Colles Fracture) is well proven. Increased sensitivity to tactile stimuli, swelling, sudomotor abnormality, impairment of motor function are the usual components of CRPS. Complex Regional pain syndrome is a disabling condition commonly occurs after fractures, surgeries and in some cases spontaneously. Silas Weir Mitchell, the father of American Neurology gave the first detaile d description of CRPS in 1864. Keywords: Colles fracture, CRPS, Traction method, Nerve conduction test.Įarly documentation of Complex Regional pain syndrome (CRPS) dates back from Ambrose Pare’s report describing persistent pain and contracture during 16th century. Conclusion: Pre reduction edema should be taken into consideration before advocating traction method In traction method the occurrence is more (n=4)compared to pressure method (n=1). Aim of Study: To correlate occurrence of Complex regional pain syndrome and 2 different reduction methods for fracture Distal end of radius Materials and Methods: 100 patients of fracture Distal end of Radius are reduced alternatively with Traction method and pressure method (50 cases each)and they were followed for CRPS Results: Totally 5 cases were gone for CRPS. We made a study at our institution to correlate the management method and occurrence of Complex regional pain syndrome. This causes a disability in society even in hospital managed cases. 1,2 Associate Professor, Department of Orthopaedics, Government Thiruvarur Medical College, Thiruvarur, Tamil Nadu, INDIA.Įmail: Background: Fracture Distal end of Radius is more common fracture that may lead onto malunion in many cases and stiffness of some cases.
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