The right IJV was imaged using a two-dimensional ultrasound (Sonos 4500[R], Philips, Massachusetts, USA) with a 5 MHz surface transducer before (baseline) and after skin traction
. After marking the presumed puncture site at the junction of the two heads of sternocleidomastoid muscle, the probe was applied perpendicular to the skin without pressure (to prevent right IJV compression and deformation).
In order to assess the placebo effect of traction, we devised a method by which a skin traction
kit could be applied without weight.
The patient later had to wear a lumbosacral corset preparatory to ambulation, to restrict movement in the pelvic area when skin traction
No significant difference in pain was reported after the first night following the hip fracture in a study of 311 patients randomized to skin traction
But many methods have been proposed for the treatment of displaced supracondylar fractures of the humerus in children, such as Closed Reduction and Plaster of Paris slab application, Skin Traction
, Overhead skeletal traction, Open reduction and Internal fixation and Closed Reduction and Percutaneous Pin Fixation.
The femoral shaft fractures were managed in 30 cases by conservative management, skin traction
followed by hip spica application and in 18 cases, operative intervention was done in the form of plating (11 cases), TIN (4 cases) and K-wire fixation (3 cases), (Table 2).
The needle should move freely with skin traction
if the tip is above the tendon; conversely, the needle sticks in place if the tip is within the body of the tendon.
TREATMENT: Skin traction
was applied and IV antibiotics were started.