Physiotherapy after rt reverse colle's fracture with ulnar neuropraxia

[SAUMYAJIT DATTA]

• SIR, I AM AN ENT SURGEON OF WEST BENGAL,RT HANDED PERSON.I SUFFERED FROM RT REVERSE COLLE'S FRACTURE WITH DIAPLACEMENT,INTRAARTICULAR ON SECOND JUNE,2011 AS A RESULT OF RTA.CLOSED REDUCTION WAS DONE BY ORTHOPAEDIC COLLEAGUE ON THAT DAY.LATER I DEVELOPED COMPARTMENT SYNDROME,PLASTER WAS CUT AND MADE LOOSE ON SIXTH JUNE.ULNAR NEUROPRAXIA DEVELOPED.LATER FRESH POP CASTE WITH BANDAGE APPLIED ON THIRTEENTH JUNE WITH A CHECK X-RAY AFTER SUBSIDENCE OF OEDEMA. I AM CONTINUING REGULAR FINGER MOVEMENT EXERCISES WITH ELBOW AND SHOULDER JT MOVEMENTS.ULNAR NEUROPRAXIA LITTLE BIT IMPROVED.POP CAST WILL BE REMOVED ON FIFTEENTH JULY. WHAT KIND OF PHYSIOTHERAPY I SHOULD CONTINUE THEN.PL GIVE ME A GOOD ADVICE.I AM VERY MUCH ANXIOUS. DR. SAUMYAJIT DATTA,ENT SURGEON,ALIPURDUAR SD HOSPITAL,ALIPURDUAR,WEST BENGAL,INDIA.M-9614434655.

Similar Threads:

• Physiotherapy after rt reverse colle's fracture with ulnar neuropraxia
• Physiotherapy after rt reverse colle's fracture with ulnar neuropraxia
• ? Neuropraxia (24 year old)
• ulnar styloid fracture...for the 2nd time!
• Question on PNF, chop, reverse chop, lift and reverse lift

[theshoulderguy]

Dear Doctor, surgical fixation is usually the treatment of choice for volar displaced intra-articular fractures of the distal radius. If a good reduction has been attempted then it should be casted into some wrist extension.

If it was me then I would be getting a CT scan of the distal radius and carpus to look for intra-articular extension and any compression or loss of volume of the distal radius as this needs to be fixated to allow proper articulation and loading.

Just to be sure I am not an Orthopaedic surgeon and do not know your complete case but from my experience working closely with Upper Limb Surgeons these are the things I would be double checking.

If all goes well and fracture has united in good radiocarpal joint orientation etc and your surgeon is happy to commence physiotherapy and gentle loading then you want to regain full ROM of the wrist and fingers in all directions with normalisation of grip strength over time.

I would also monitor your neuropraxia for gradual return.

Hope this helps.

Cheers

Luke

[SAUMYAJIT DATTA]

Thanks.kindly enlighten me regarding nature of physiotherapy.

[SAUMYAJIT DATTA]

Thanks sir.neuropraxia is very boring.can you tell me approx time of recovery from it.at present mainly sensory dysfunction in the ulnar one and half territory.motor functions improved almost.regards.