Dec 14 2021
ORIF or Cast Following Acceptable Distal Radius Fracture Reduction?
Spoon Feed
Following an acceptable closed reduction of a displaced intra-articular distal radius fracture, adults treated with volar plate fixation had better patient-reported functional outcomes through 6 months, but not at 1-year follow-up, compared to those treated nonoperatively. 28% of those initially treated non-operatively ultimately received surgery.
Dec 02 2021
Intradermal Sterile Water for Back Pain?
Spoon Feed
For acute non-specific low back pain, intradermal sterile water injection + IV NSAID reduced pain and improved patient satisfaction vs IV NSAID alone.
Sep 22 2021
NSAIDS and Risk of Non-union
Spoon Feed
There was no short-term impact of NSAIDs/COX-2 inhibitors on long-bone fracture healing BUT using NSAIDs >3 weeks was associated with higher rates of non-union or delayed union.
Aug 11 2021
CAM Boot or Cast for Toddler’s Fracture?
Spoon Feed
Children with a toddler’s fracture who were randomized to a CAM boot were easier to care for, walked sooner, and had no difference in fracture healing compared to those in a cast.
May 24 2021
Management of Low-Velocity GSWs to Extremities
Spoon Feed
There is a lack of evidence-based treatment standards for low-velocity gunshot wounds (GSW). This review focuses on the best available evidence for the management of civilian, low velocity GSWs to an extremity.
Mar 04 2021
Should We X-ray Nursemaid’s Elbow?
Spoon Feed
Missed fractures are rare in children who are diagnosed with a nursemaid’s elbow. We can probably use x-ray in these children less often. There are some tips for you below.
Feb 11 2021
Pediatric Torus Fracture – Best Immobilization
Spoon Feed
Torus fractures of the distal radius in children may be treated with a removable splint, simple bandage, or no treatment at all, though parents may not feel as good about the last option.
Jan 29 2021
5th MT Avulsion Fracture – Shoe or Cast?
Spoon Feed
In patients with 5th metatarsal base avulsion fractures, pain at 6 months after treatment with a hard-soled shoe and weight bearing as tolerated was non-inferior to a short-leg cast. Patients treated with hard-soled shoe also had reduced time to return to pre-injury activity.
Dec 22 2020
Counterpoint: NSAIDs for Fractures – More Harm Than Good?
Spoon Feed
NSAID use >72 hours may contribute to delayed long bone fracture healing or nonunion in adults.
Dec 21 2020
Point: NSAIDs for Fractures – More Good than Harm?
Spoon Feed
Short term use of NSAIDs for acute fractures appears safe and is preferable to using opioids. Read the counterpoint to this tomorrow.