This paper is only available as a PDF. To read, Please Download here.
Abstract
Thirty elderly patients with moderately displaced Colles' fractures were randomly
assigned to manipulation under Bier's block or plaster immobilization alone. Moderately
displaced was defined as 10° to 30° of dorsal angulation and less than 5 mm of radial
shortening compared with the uninjured side. The groups were well matched for age,
sex, fracture type and displacement; immobilization time and rehabilitation were standardized.
The outcome measures were: radiological position at union, the functional score of
Gartland and Werley, grip strength, cosmesis and algodystrophy assessment. There was
no detectable difference between the groups in any of the outcome measures. Two-thirds
of the correction of dorsal angulation achieved by manipulation was lost by 5 weeks.
We conclude that up to 30° of dorsal angulation and 5 mm of radial shortening may
be accepted in selected elderly patients.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Evaluation of healed Colles' fractures.J Bone Joint Surg [Am]. 1951; 33A: 895
- The radiological deformity of Colles' fractures.Injury. 1987; 18: 304
- Closed rereduction of axial compression in Colles' fracture is hardly possible.Acta Orthop Scand. 1989; 60: 57
- The value of re-manipulating Colles' fractures.J Bone Joint Surg [Br]. 1986; 68B: 232
- Colles' fracture: a study of end results.JAMA. 1950; 143: 963
- Poor correlation between functional results and radiographic findings in Colles' fracture.J Hand Surg. 1993; 18B: 588
- Mal-union and dysfunction in Colles' fracture.J Hand Surg. 1988; 13B: 292
- Fractures of the distal radius. Intermediate and end results in relation to radiological findings.Clin Orthop Rel Res. 1987; 220: 241
- Colles' fracture: Dose the anatomical result affect the final function?.J Bone Joint Surg [Br]. 1988; 70B: 649
- Editorial.J Hand Surg. 1989; 14B: 137
- Fracture of the distal radius including sequelae-shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function: a clinical and experimental study.Acta Orthop Scand. 1967; 108 (Suppl): 30
- Radiological measurement of radial shortening in Colles' fracture.J Hand Surg [Br]. 1993; 18: 50
- The importance of the ulnar side of the wrist in fractures of the distal end of the radius.Injury. 1976; 7: 263
- Long-term prognosis of displaced Colles' fracture: a 10-year prospective review.Injury. 1992; 23: 529
- Colles' fracture-functional bracing in supination.J Bone Joint Surg [Am]. 1975; 57A: 311
- Grip test: the use of a dynamometer with adjustable handle spacings.J Bone Joint Surg [Am]. 1954; 36A: 820
- Normal grip strength.Acta Orthop Scand. 1979; 50: 255
- Algodystrophy following Colles' fractures.J Hand Surg. 1989; 14B: 161
Article info
Publication history
Accepted:
December 4,
1996
Identification
Copyright
© 1997 Published by Elsevier Inc.
