DOI: 10.36347/sjams.2019.v07i03.097

Pages: 1346-1348

Fractures of the distal radius remain a therapeutic challenge in adults because they are the most common fractures of the upper extremity, observed at any age mainly in women over 60 years. The purpose of this study is to evaluate the intra-focal analgesic effects for the closed reduction of a fracture of the distal radius. A prospective study was conducted in 27 patients, of both sexes who had distal radius fracture from January to April 2016. After written informed consent, the reduction of the fracture was performed after injection of lidocaine 2 % at the fracture site. The pain score was compared with EVA before, during and after handling. The time required for the presentation to the emergency department to the reduction and the evacuation of the hospital was also recorded. The mean age 65.1 years, 19 women and 8 men, the reduction of time after admission to the emergency department was on average 2.33 hours, the residual pain during the reduction and containment was average, according to the scale EVA, 2.77. At 3 months of decline, it was obtained "good" or "excellent" functional outcome in 81% of cases according to the functional score Herzberg. No systemic complications or local infection was found.