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Mal-union and dysfunction in Colles' fracture.

N H Jenkins·W J Mintowt-Czyz
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Abstract

Wrist function was assessed between one and three years after injury in patients who had suffered Colles' fractures. Both the range of wrist flexion and the strength of grip were found to be deficient. The loss of power in gripping was found to correlate with mal-union affecting the coronal and sagittal inclination of the articular surface of the radius.

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Casts, SurgicalColles' FractureFollow-Up StudiesHumansMiddle AgedMovementMuscle ContractionProspective StudiesRadius FracturesTime FactorsWound HealingWristJournal Article

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N H Jenkins, W J Mintowt-Czyz. 1988. Mal-union and dysfunction in Colles' fracture.. https://doi.org/10.1016/0266-7681_88_90090-3

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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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