1/4. Manipulative management of post-colles' fracture weakness and diminished active range of motion.OBJECTIVE: To discuss the management of a patient with wrist weakness and a diminution in active range of motion resulting from colles' fracture. CLINICAL FEATURES: A 58-year-old woman complained of persistent loss of grip strength and mobility in her right wrist. These complaints were from colles' fracture occurring 19 months before initiation of care. Dynamometer and goniometric testing revealed significant loss of grip strength and range of motion compared with the uninvolved, nondominant wrist. INTERVENTION AND OUTCOME: Specific joint manipulation for improvement in mobility and grip strength of the wrist was performed. The patient's right wrist was evaluated for grip strength and active range of motion over a 3-week period, providing a baseline of function before treatment. After 4 visits of baseline measurements, a series of 4 treatments and 4 reevaluations was performed. The patient exhibited a significant increase in grip strength and active range of motion. CONCLUSION: Appropriate intervention of chiropractic manipulation and examination procedures culminated in a successful resolution of this case. When such cases are recognized, appropriate management may occur conservatively with judicious application of joint manipulation and reevaluation procedures.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/4. Early corrective osteotomy for a malunited colles' fracture using volar approach and calcium phosphate bone cement: a case report.We report a case of malunion of the distal radius after a colles' fracture treated with osteotomy using a volar approach combined with calcium phosphate bone cement grafting of the dorsal defect via a drill hole from the volar cortex 6 weeks after the injury. One year and 4 months after surgery range of motion and grip strength were improved and x-rays of the wrist showed complete union of the distal radius with progressive absorption of the calcium phosphate bone cement.- - - - - - - - - - ranking = 0.125keywords = motion (Clic here for more details about this article) |
3/4. Unusual fracture of the distal radius.A case of an unusual variant (Frykman's Type VII) of a colles' fracture is presented. cadaver dissection was utilized to study the distal radioulnar joint. The recommended mechanism of reduction is in supination and ulnar deviation. The final result demonstrated an excellent range of motion in a reasonable period of time.- - - - - - - - - - ranking = 0.125keywords = motion (Clic here for more details about this article) |
4/4. Hydroxyapatite spacer for open reduction of colles' fracture. Case report.A 41-year old woman with a displaced fracture of the distal radius was operated on and a hydroxyapatite spacer inserted into the fracture. Postoperative immobilisation was instituted for only two weeks, followed by active motion. anatomy and function were fully restored. This treatment is similar to that with bone cement, but has practical and biological advantages.- - - - - - - - - - ranking = 0.125keywords = motion (Clic here for more details about this article) |