Up to 34% of fractures of the distal radius in children can ‘re-displace’ early after reduction. Main risk factors are initial displacement (bayonet apposition, > 50% translation, and > 30°angulation), isolated distal radius fracture, associated ulna fracture at the same level, inadequate initial closed reduction and poor casting technique. This study was to identify the rate of ‘re-displacement’ following first successful reduction in distal radius fractures. We also assessed the risk factors associated with initial injury and compared the efficacy of the available indices to assess the quality of casting. We performed a case note based radiographic analysis of 90 distal radius fractures treated at our centre from 2005 to 2008. A cohort of 18 patients with re-displacement was compared with 72 patients with maintenance of reduction. Radiological indices were calculated to assess the quality of casting technique. The patient and fracture demographics were compared between the two groups. Statistical analysis was carried out using ANOVA, Fisher's Exact Test and multiple logistic regression analysis.Aim
Materials & Methods
Recently, femoroacetabular impingement has been postulated as an important cause for the development of primary osteoarthritis of the hip. Various studies have shown that primary osteoarthritis of the hip is rare amongst Asians including Indians. We conducted an anthropometric study to evaluate prevalence of abnormal head-neck offset in Indian population and to correlate it with the low prevalence of primary osteoarthritis in Indian population. We retrospectively evaluated three dimensional CT scans of hips conducted as a part of another project done over a period of two years at our institute. An axial image was created parallel to the central axis of the femoral neck and passing through the centre of the femoral head using coronal scout view. This image was then used to calculate Alpha and Beta angles and head-neck offset ratio.Introduction
Material and Methods
