Periosteal nerve blocks for distal radius and ulna XXXX manipulation-the technique and early results.

@entity1 @entity1337 @entity158 @entity174
BACKGROUND: We present a pilot series of @entity1 with @entity174 manipulated following a proximal periosteal nerve block with local anaesthesia. This is a novel technique which can be utilised in adults and @entity1 and is described herein. METHODS: With a median of 40  years (range 10-81 years), 42 @entity1 (16 @entity1 ) with distal radial and ulnar @entity174 were included. Of these @entity1 , 40 underwent periosteal blocks in the emergency room or @entity174 clinic; 2 were already inpatients. @entity174 were manipulated routinely and immobilised with plaster. Mobile fluoroscopy was not used for @entity1 in the emergency department or @entity174 clinic. RESULTS: Of the 42 @entity1 , 40 @entity1 (95  %) had successful @entity174 manipulation and did not require subsequent treatment. Two @entity1 (5  %) needed subsequent surgery, one for K-wire stabilisation of their @entity174 and the second for volar plate fixation. The procedure was described as painless in 35 (83  %) @entity1 (visual analogue scale/VAS score 0), with 6 (14  %) suffering minimal @entity158 (VAS 1-3). In the 12-16-year age group, 15 @entity1 (94  %) described the manipulation as painless; 1 @entity1 described the procedure as minimally painful. No additional @entity1337 of any kind was given. There were no direct complications from any of the periosteal nerve blocks. CONCLUSIONS: Local anaesthetic periosteal nerve blocks injected proximally to the @entity174 sites are a simple and yet very effective new technique which provide good/excellent @entity1337 and facilitate the reduction of distal radial and ulnar @entity174 .
