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Distal radius fractures in children: Risk factors for redisplacement following closed reduction

Background 21-39% of pediatric distal radius fractures are reported to re-displace after closed reduction Few prospective studies have examined risk factors for redisplacement Purpose of study: Determine rate of redisplacement and identify those risk factors Methods Prospective study from 2/2011-10/2012. Inclusion criteria- CR of displaced distal radius fx under sedation. Exclusion criteria- previous fx at same site or pathologic fx.…

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Long-Term Outcomes Following a Single Corticosteroid Injection for Trigger Finger (JBJS 2015) Wojahn et al.

Wojahn RD, Foeger NC, Gelberman RH, Calfee RP. Long-term outcomes following a single corticosteroid injection for trigger finger. J Bone Joint Surg Am. 2014 Nov 19;96(22):1849-54. doi: 10.2106/JBJS.N.00004. PubMed PMID: 25410501; PubMed Central PMCID: PMC4238395. Background:  Corticosteroid injection (CSI) mainstay of nonoperative treatment of trigger finger. 61%-84% success in short term followup. One prior study demonstrated linear failure in the…

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Assessment of Instability Factors in Adult Distal Radius Fractures – Nesbitt et al (J Hand Surg 2004)

PMID 15576227 Lafontaine factors of instability initial dorsal angulation of greater than 20 degrees dorsal comminution radiocarpal intraarticular involvement associated ulna fractures age greater than 60 This study looked at 50 patients with radiographs at 1 week, 2 weeks, and 4 weeks after reduction Age was found to be a statistically significant predictor of secondary displacement Age was the only…

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Prediction of Instability in Distal Radius Fractures – Mackenney et al (JBJS 2006)

http://www.ncbi.nlm.nih.gov/pubmed/16951109 Prospective collection of data on 4000 distal radial fractures collected at the Edinburgh Orthopaedic Trauma Unit Outcome measures included radiographic measurements at 1 week and 6 weeks Results: Predictors of early and late instability were patient age, metaphyseal comminution, and ulnar variance. Minimally displaced fractures only had a 10% chance of later instability Displaced fractures had 43% chance of…

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Functional Outcomes for Unstable Distal Radial Fractures Treated with Open Reduction and Internal Fixation or Closed Reduction and Percutaneous Fixation – Rozental et al (JBJS 2009)

PubMed extraarticular or simple split intraarticular distal radius fractures ORIF (open reduction and internal fixation) has better functional (DASH) outcomes at 6, 9, and 12 weeks. outcomes were the same at a year  

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