In this study, 56 adult patients of both sexes treated conservatively for Colles' fracture for at least six months, were evaluated both clinically and electrodiagnostically for evidence of CTS.
Those found to have CTS electrodiagnostically were divided into 3 categories on the basis of distal motor latency [DML] in median nerve across wrist. A rate of 28.57% of CTS after conservatively managed Colles' fracture was found in this study. This is much higher than that reported in developed countries. Malunion was present in 93.75% of these patients. Main anatomical derangements responsible for malunion were radial shortening more than 2 mm and dorsal angulations more than 10 degrees. Electrodiagnostic studies were not found to be more sensitive than history and physical examination, but they definitely helped in objective confirmation of diagnosis and in assessing the severity of compression thus guiding in devising management strategies
Zahid Rustam ,Zahid Rustam ,Pervaiz Hasan Khan Niazi ,Mahmood Ahmad ,Mahmood Khan ,Naveed Mumtaz ,
Frequency of carpal tunnel syndrome [CTS]after conservatively managed Colles’ fracture,
Pak. Armed Forces Med. J. 2004;
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