STUDY OF COMPLICATIONS OF COLLES FRACTURE TO FIND OUT THE TRUE INCIDENCE OF EXTENSOR POLLICIS LONGUS TENDON RUPTURE AND CARPAL TUNNEL SYNDROME IN INDIAN POPULATION

Abstract

P. N. Kulkarni1, Mangesh Rajput2, Kiran Gaonkar3, Nitin Patil4, Nishant Gaonkar5, Ketan Gupta6,Nirav Patel7, Ayush Lal8

Colles?? fracture is confined to adult and usually is seen in women over the age of fifty who have fallen on the outstretched hand. EPL tendon is the most common extensor tendon to rupture after colles?? fracture. To our belief the incidence of median nerve injury and EPL tendon rupture given in literature are much higher than what we see now a days, so with this aim we carried this study to find out the true incidence of CTS and EPL tendon rupture in Indian population.

AIMS AND OBJECTIVES: To study 100 patients with colles?? fracture for true incidence of Extensor Pollicis Longus (EPL) Tendon rupture and Carpal Tunnel Syndrome (CTS) in Indian Population.

MATERIALS AND METHODS: In our study 100 patients with colles fracture were followed up at regural intervals and were evaluated clinically and radiogrphically to rule out complications like EPL tendon rupture and CTS.

OBSERVATION AND RESULTS: In our study, we found 0% incidence of CTS and EPL tendon rupture.

CONCLUSION: Proper division of patients into displaced and un displaced fracture and treatment of displaced fracture being closed reduction and internal fixation with „K?? wires and then cast application in neutral position i.e. supination without flexion at wrist joint and properly advised physiotheraphy after cast removal at one and half month should be advocated.

image