Best Evidence Topics
  • Send this BET as an Email
  • Make a Comment on this BET

Immobilisation Position in the Plaster Cast Management of Colles' Fracture

Three Part Question

In [those patients who have manipulation of a Colles fracture] does [the position of immobilisation of the wrist in a plaster cast] [affect clinical outcome]?

Clinical Scenario

A 63 year old lady presents to the Accident and Emergency department with pain in her right wrist after a fall onto an outstretched hand. She is extremely tender over her distal radius and has poor range of movement. An x-ray of her wrist confirms a diagnosis of Colles fracture. Whilst in the plaster room, the question is raised of which position is best in order to immobilise her wrist in a plaster cast.

Search Strategy

medline 1950 to current, using Dialog Datastar interface
(immobilisation.TI,AB. AND LG=EN AND HUMAN=YES) AND (Colles.TI,AB. AND LG=EN AND HUMAN=YES)

Search Outcome

the search yielded 55 papers of which 4 were relevant