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PubMed · 2794709

Documentation of the first web space angle.

S Bhattacharya·S D Pandey·R Chandra·G K Singh
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Abstract

We describe a new method of measuring adduction contractures of the thumb by using stent mould casts of the first web, which are sectioned sagittally to give an accurate clinical angle at their cut section. This can be recorded from ink impressions. This method has been used successfully in 65 cases and appears more accurate than other methods.

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Casts, SurgicalContractureHumansThumbJournal Article

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S Bhattacharya, S D Pandey, R Chandra, G K Singh. 1989. Documentation of the first web space angle.. https://doi.org/10.1016/0266-7681_89_90086-7

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PubMed2007

Gap index: a good predictor of failure of plaster cast in distal third radius fractures.

The aim of this study was to assess the usefulness of the cast index and an indigenously developed gap index as measures of poor moulding of plaster. Twenty cases of re-manipulation of distal third radius fractures in children excluding growth plate injuries were compared with a control of 80 patients. A significant difference (<0.001) was observed in the cast index and the gap index of both the groups. The gap index was more sensitive than the cast index in predicting failure. At a level of cast index of more than 0.8 the relative risk of failure is 6.8 as compared with 35 when the sum of the gap index is more than 0.15. The gap index is a better predictor of failure than the cast index. A quick assessment of these indices is a good practice before accepting any plaster following a manipulation of distal radial fractures.

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