Prophylactic Corticosteroid Injection in Ulnar Wrist Pain in Distal Radius Fracture

Overview

Journal Indian J Orthop

Publisher Springer Nature

Specialty Orthopedics

Date 2015 Aug 1

PMID 26229158

Citations 1

Authors

Alireza Saied

Afshin Heshmati

Amirreza Sadeghifar

Alia Ayatollahi Mousavi

Fateme Arabnejad

Alireza Pooladsanj

Affiliations

Soon will be listed here.

Abstract

Background: Ulnar sided wrist pain is one of the most common complications of distal radius fractures. The simplest method for decreasing pain for this affliction is corticosteroid injection. The present study was designed to assess the effect of corticosteroid injection in the prevention of ulnar sided wrist pain.

Materials And Methods: In this clinical trial patients with distal radius fractures scheduled for closed reduction and percutaneous pin fixation were divided into control and corticosteroid groups. In the corticosteroid group, the patient received a single betamethasone injection in the dorsoulnar side of the wrist before reduction, while the control group received placebo. The patients were to be followed for at least 6 months.

Results: 82 patients were followed for 6 months. At the end of the 3 months followup the difference between the two groups about the number of individuals without ulnar sided wrist pain was statistically significant (P = 0.038), so that less patients in the control group were painless, while this was not the case in the 6 months followup (P = 0.507), but in the both time frames the mean grip power, visual analog pain score and the disabilities of the arm, shoulder and hand (DASH) score showed statistically significant difference between the two groups, so that the corticosteroid groups demonstrated greater power grip and less scores in pain and DASH (P < 0.05).

Conclusion: Based on the findings of the present study it seems that prophylactic corticosteroid injection will be associated with a decrease in the severity of wrist pain in patients with acute distal radius fractures. With regard to the decrease in the number of painless individuals, it seems that the decrease is not persistent. Overall the need for a study with longer followup is obvious.

Citing Articles

Effect of use of NSAIDs or steroids during the acute phase of pain on the incidence of chronic pain: a systematic review and meta-analysis of randomised trials.

Huo L, Liu G, Deng B, Xu L, Mo Y, Jiang S Inflammopharmacology. 2023; 32(2):1039-1058.

PMID: 38153536 PMC: 11006744. DOI: 10.1007/s10787-023-01405-8.

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