The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Aug 2013
Incidence of displacement after nondisplaced distal radial fractures in adults.
It is standard practice to closely monitor distal radial fractures treated nonoperatively to ensure that there is no fracture displacement. Patients are often asked to initially return weekly for radiographs. To our knowledge, nondisplaced distal radial fractures in adults have not been specifically evaluated to determine if this level of vigilance is required. If this subset of fractures is unlikely to displace, the cost, radiation exposure, and inconvenience of weekly office visits could be spared. ⋯ Prognostic level III. See Instructions for authors for a complete description of levels of evidence.
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J Bone Joint Surg Am · Aug 2013
ReviewClinical research fails to support more aggressive management of pediatric upper extremity fractures.
Recent years have seen a trend toward more operative treatment of upper extremity fractures in children. The current study examines clinical research regarding pediatric upper extremity fracture treatment over the past twenty years in an attempt to identify research-based support for the increasingly aggressive treatment of these fractures. ⋯ The majority of research presented at POSNA and AAOS meetings over the past two decades fails to support the trend toward increasingly aggressive treatment of pediatric upper extremity fractures. This dichotomy between clinical research and the direction of clinical treatment must be explored in our efforts to provide evidence-based care of pediatric upper extremity fractures.
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J Bone Joint Surg Am · Aug 2013
Clinical results and functional outcomes of primary and revision spinal deformity surgery in adults.
Few studies have examined the postsurgical functional outcomes of adults with spinal deformities, and even fewer have focused on the functional results and complications among older adults who have undergone primary or revision surgery for spinal deformity. Our goal was to compare patient characteristics, surgical characteristics, duration of hospitalization, radiographic results, complications, and functional outcomes between adults forty years of age or older who had undergone primary surgery for spinal deformity and those who had undergone revision surgery for spinal deformity. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.