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“Yesterday is but today’s memory, and tomorrow is today’s dream.”

Khalil Gibran

There are 5 main types of fractures of distal radius: Pouteau-Colles, Goyrand-Smith, Barton’s and reverse Barton’s, and tear of radial styloid.

Orthopedic surgeons tend to proceed to an osteosynthesis, especially if fracture is multi-fragmentary and displaced.

Applying a cast is fully efficient in most cases. If fragments are left displaced, pain continues a long time after healing.

That is why it is of utter importance to reduce the fracture before applying the splint. With anatomical replacement of fragments, pain disappears after 4 weeks.

Surgeons had a tendency not to proceed to a reduction, this especially for the Barton’s fractures, which results in prolongated pain for years.

An axillary block is a fully adequate modality to ensure almost painless reduction and should be aimed at in all cases.

It can be realized with an electrical stimulator or under ultrasonographical guidance.

The musculocutaneous nerve (a terminal branch of the lateral cord) is the most difficult to pinpoint, but can be seen with ultrasound.