Gap index—A good predictor of failure of plaster cast in distal forearm fractures

Abstract

The efficacy of cryoanalgesia for the control of trigger-point back pain is assessed in this study. Fifty-one consecutive patients who underwent cryolesioning with a cryoprobe in the in the spinal surgery professorial unit of a teaching hospital in the UK in the last 2 years were sent a questionnaire to identify the type and severity of pain they suffered, the underlying diagnosis and the treatments received before the cryoprobe were noted and eventually the results of the latter. Twenty-three out of the 51 patients were found to be suffering from trigger point backpain exclusively.Croprobe analgesia using the age old method of freezing the trigger point resulting in long term neuropraxia was offered to the patients who were suffering unremitting backpain despite several previous attempts to control pain. Results showed that 83% of them benefited from the procedure.An easily reproducible method of locating the trigger points and the results are presented.

Importance of calculating various casting indices in predicting radiological outcomes of paediatric forearm fractures

“…The various casting indices that were measured were Cast index, Padding index, Canterbury index, Gap index and Three-point index. [5][6][7][8] Sequential measurement of these indices are taken at each visit and data tabulated. Each index is described below…”