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BMC Musculoskelet Disord 2020 Jul 11;21(1):453. Epub 2020 Jul 11.

Department of Orthopaedic Surgery, The Second Affiliated Hospital of Fujian Medical University, No.34, Zhongshanbeilu, Quanzhou, 36200, Fujian, China.

Background: Open reduction and internal fixation is often used for the treatment of distal radius fracture. Opening the pronator quadratus muscle during the process of open reduction and internal fixation is necessary to achieve sufficient exposure. Therefore, knowledge on how to suture the pronator quadratus muscle will be of essence. Read More

JBJS Case Connect 2020 Apr-Jun;10(2):e0247

1Department of Radiology, Mount Sinai West Hospital, New York, New York 2Department of Orthopaedic Surgery, Mount Sinai West Hospital, New York, New York.

Case: A 24-year-old woman presented with traumatic left wrist pain. X-rays were negative for fracture. Computed tomography (CT) showed hemorrhagic fatty effusions within the second and third wrist extensor tendon compartments (the "floating fat" sign) and a tiny cortical defect in the Lister's tubercle. Read More

Emerg Radiol 2020 Aug 8;27(4):361-366. Epub 2020 Jul 8.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, 601 North Caroline Street, JHOC 3254, Baltimore, MD, 21287, USA.

Predictions related to the impact of AI on radiology as a profession run the gamut from AI putting radiologists out of business to having no effect at all. The use of AI appears to show significant promise in ER triage in the present. We briefly discuss the emerging effectiveness of AI in the ER imaging setting by looking at some of the products approved by the FDA and finding their way into "practice. Read More

J Hand Surg Am 2020 Jul 4. Epub 2020 Jul 4.

Department of Orthopedic Surgery, Zealand University Hospital, Køge.

Purpose: To investigate if early mobilization after open reduction internal fixation of distal radius fractures improved the functional outcome. We hypothesized that early mobilization would lead to improved patient-reported outcome. Second, we aimed to assess whether early mobilization increased the risk of postoperative implant loosening or breakage. Read More

Emerg Med J 2020 Jul 3. Epub 2020 Jul 3.

Medical Statistics, RDS SW, University of Exeter Medical School, St Luke's Campus, Exeter, UK.

Background: Colles' type fractures of the distal radius are one of the most commonly manipulated fractures in the ED. Local audit data suggest that a high proportion of these injuries undergo subsequent surgical fixation. If widespread, this could represent a potential burden on patients and the NHS worthy of further research. Read More

Bone 2020 Jun 30:115515. Epub 2020 Jun 30.

Department of Pediatrics, Division of Pediatric Endocrinology/Diabetology and Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA. Electronic address:

Background: Across numerous settings, bone mineral density for age and sex is lower in children/adolescents living with perinatally-acquired HIV (PHIV) compared to uninfected peers. We assessed incidences of any fracture/any long bone fracture, and osteoporosis prevalence in PHIV and HIV-exposed uninfected (PHEU) participants in the Pediatric HIV/AIDS Cohort Study (PHACS).

Methodology: Lifetime history of fracture events from birth up to age 20 years was obtained by chart review and/or interview, including age at fracture, mechanism, and bone(s) fractured. Read More

J Hand Surg Am 2020 Jun 29. Epub 2020 Jun 29.

Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario.

Purpose: The rotational anatomy of the forearm bones is not well defined. This study aims to further the understanding of the torsion of the radius and ulna to better guide treatment.

Methods: Computed tomography images of 98 cadaveric forearms were obtained and 3-dimensional models of the radius and ulna were generated and analyzed. Read More

J Hand Surg Eur Vol 2020 Jul 2:1753193420936591. Epub 2020 Jul 2.

The Hand and Wrist Service, St Mary's Hospital Imperial College Healthcare NHS Trust, London, UK.

Locked anterior plating remains the most common form of surgical fixation for displaced fractures of the distal radius. We hypothesized that delayed surgical fixation later than 2 weeks after injury contributes to poorer patient outcomes for patients with displaced or intra-articular fractures of the distal radius. We conducted a retrospective cohort study of 158 patients who underwent locked anterior plating for an intra-articular or displaced fracture of the distal radius using multiple regression analysis to identify any relationship between patient, injury or treatment factors with the patient-rated wrist and hand evaluation score or finger and wrist stiffness. Read More

Hand (N Y) 2020 Jul 1:1558944720930293. Epub 2020 Jul 1.

University of Ottawa, Ontario, Canada.

Acute wrist trauma with clinical suspicion of a scaphoid fracture, but normal radiographs, is known as a clinical scaphoid fracture. Standard treatment involves immobilization and repeat radiographs in 10 to 14 days. When repeat radiographs are normal but a scaphoid fracture is still clinically suspected, the optimal management in children is unknown. Read More

Bone Joint J 2020 Jul;102-B(7):874-880

Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Adelaide, Australia.

Aims: The aim of this study was to investigate whether intraoperative 3D fluoroscopic imaging outperforms dorsal tangential views in the detection of dorsal cortex screw penetration after volar plating of an intra-articular distal radial fracture, as identified on postoperative CT imaging.

Methods: A total of 165 prospectively enrolled patients who underwent volar plating for an intra-articular distal radial fracture were retrospectively evaluated to study three intraoperative imaging protocols: 1) standard 2D fluoroscopic imaging with anteroposterior (AP) and elevated lateral images (n = 55); 2) 2D fluoroscopic imaging with AP, lateral, and dorsal tangential views images (n = 50); and 3) 3D fluoroscopy (n = 60). Multiplanar reconstructions of postoperative CT scans served as the reference standard. Read More

Hand (N Y) 2020 Jun 29:1558944720922923. Epub 2020 Jun 29.

University of Cincinnati, OH, USA.

This study compares the functional outcomes and complications between operatively and nonoperatively treated distal ulnar head and neck fractures associated with internal fixation of concomitant distal radius fractures. A 7-year retrospective chart review was performed to identify patients with operatively treated distal radius fractures associated with distal ulnar head and neck fractures. Ulnar styloid fractures were excluded. Read More

Osteoporos Int 2020 Jun 27. Epub 2020 Jun 27.

Department of Surgery Orthopaedic Service, Walter Reed National Military Medical Center, Uniformed Services University-Walter Reed, 8901 Rockville Pike, Bethesda, MD, 20889, USA.

Colon cancer screening occurs at younger ages than osteoporosis screening. Bone density measurements using virtual colonoscopy performed for colon cancer screening can provide an early warning sign of patients at potential risk for osteoporosis-related fractures. Earlier identification may improve treatment and potentially fracture prevention. Read More

J Surg Educ 2020 Jun 19. Epub 2020 Jun 19.

Department of Plastic and Reconstructive Surgery, Brown University Alpert Medical School, Lifespan, Providence, Rhode Island.

Objective: To design a low cost ($40), realistic and fluoroscopy-free percutaneous Kirschner wire hand fracture fixation training instrument kit for home-based skill acquisition during the COVID-19 pandemic.

Design: A 3D-printed hand was designed from a computed tomography scan of a healthy hand. These data were used to create replaceable hand and wrist bones and reusable silicone molds for a replica of the soft tissue envelope. Read More

Skeletal Radiol 2020 Jun 18. Epub 2020 Jun 18.

Department of Radiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland.

Objective: To compare fracture detection, image quality, and radiation dose in patients with distal extremity fractures using 3D tomography and computed tomography (CT).

Materials And Methods: IRB approval was obtained including informed consent for this prospective study from June to December 2016. Patients diagnosed with an acute fracture at CT were consecutively scanned on the same day using 3D tomography. Read More

Osteoporos Int 2020 Jun 16. Epub 2020 Jun 16.

Human Population Biology Research Unit, Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Ramat-Aviv, Tel Aviv, Israel.

The relationship between OA and osteoporosis characteristics remains controversial. This study revealed that age-adjusted hand OA is associated with lower hand/arm BMD levels. Wrist fracture occurrence is associated with increased OA hand scores and low arm BMD. Read More

J Orthop Case Rep 2020 ;9(6):70-73

Department of Orthopaedic Surgery, General Hospital of Rethymnon, 17 Trandalidou Street, Rethymnon P.C. 74100, Greece.

Introduction: Open fractures in children are uncommon and usually the result of a high-energy trauma. Open distal radius fractures are even more uncommon. In our clinic, we managed a pediatric open fracture separation of the distal radius due to hyper extension and axial load, with low-energy movement of the wrist. Read More

Toxicol Ind Health 2020 May 16;36(5):371-385. Epub 2020 Jun 16.

Department of Physiology, South Calcutta Girls' College, University of Calcutta, Kolkata, West Bengal, India.

The main aim of this cross-sectional study was to evaluate work-related injuries (WRI) and the self-reported musculoskeletal symptoms among 742 railway track maintainers. The second aim of this study was to investigate the potential factors related to the prevalence of musculoskeletal disorders (MSDs) in track maintainers. This study also tried to do planning and implementing ergonomic intervention programs to improve track maintainer's health. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Jun;52(3):578-581

Department of Trauma Center, Peking University People's Hospital, Beijing 100044, China.

Objective: To study the effects of ulnar styloid and sigmoid notch fractures on postoperative wrist function in patients with distal radius fracture.

Methods: In total, 139 patients treated for distal radius fracture in the Department of Orthopedic Trauma at Peking University People's Hospital from Jan. 2006 to June 2016 were selected for outpatient follow-ups. Read More

BMC Musculoskelet Disord 2020 Jun 15;21(1):381. Epub 2020 Jun 15.

Department of orthopedic, Xiaoshan 1st People's Hospital, Hangzhou, 311200, China.

Background: Among upper limb injuries, carpal bone fractures and dislocation, Essex-Lopresti injury, and the terrible triad injury of the elbow are serious and relatively rare injuries. These injuries require surgical intervention. The surgical method is difficult, and the treatment effect is poor. Read More

J Hand Surg Eur Vol 2020 Jun 15:1753193420930610. Epub 2020 Jun 15.

The Hand and Wrist Service, Imperial College Healthcare NHS Trust, London, UK.

Fracture clinic services are under significant pressures to meet patients' expectations of a high-quality service. The virtual fracture clinic has shown early promise in helping to reduce such pressures. We used the virtual fracture clinic for hand and wrist injuries treated in the orthopaedic fracture clinic and used key quality indicators to measure improvement. Read More

Technol Health Care 2020 Jun 5. Epub 2020 Jun 5.

Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China.

Background: The volar locking plate technique with an L-shaped incision of the PQ muscle through the classic volar Henry approach is a popular method for treating distal radius fractures. Recently we revised and improved this traditional technique by performing mini-invasive surgery.

Objective: The purpose of this study was to evaluate the clinical effects after fixation of distal radius fracture with volar locking palmar plates while preserving the pronator quadratus through minimally invasive approach. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):676-682

Department of Orthopaedics, the 920th Hospital of Joint Logistic Support Force of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To summarize the effectiveness of nitinol memory alloy two foot fixator with autologous cancellous bone grafting in treating old scaphoid fracture and nonunion.

Methods: Between January 2013 and January 2017, 11 patients of old scaphoid fracture and nonunion were treated with nitinol memory alloy two foot fixator and autologous cancellous bone grafting. All patients were male with an average age of 26. Read More

Orthop J Sports Med 2020 May 27;8(5):2325967120919389. Epub 2020 May 27.

Houston Methodist Orthopedics and Sports Medicine, Houston, Texas, USA.

Background: Hamate hook fractures can occur as a result of repetitive contact with the knob of the bat used in the sport of baseball. Hamate hook excision has resulted in excellent outcomes and return to sport (RTS) in elite baseball players. The ideal treatment for hamate stress response before the development of a fracture line is unknown. Read More

Eplasty 2020 11;20:ic9. Epub 2020 May 11.

Division of Orthopedic Hand Surgery, OAA Orthopedic Specialists, Allentown, Pa.

Osteoporos Int 2020 Jun 12. Epub 2020 Jun 12.

Columbia University College of Physicians and Surgeons, New York, NY, USA.

The original version of this article, published on 21 March 2019, unfortunately contains some typos in Figs. 2, 3, 4, and Supplemental Fig. 1. Read More

Epilepsia Open 2020 Jun 14;5(2):240-247. Epub 2020 Apr 14.

Department of Neurology Albert Einstein College of Medicine and Montefiore Medical Center Bronx NY USA.

Objective: A 2007 study performed at Montefiore Medical Center (Bronx, NY) identified high prevalence of reduced bone density in an urban population of patients with epilepsy and suggested that bone mineralization screenings should be regularly performed for these patients. We conducted a long-term follow-up study to determine whether bone mineral density (BMD) loss, osteoporosis, and fractures have been successfully treated or prevented.

Methods: In the current study, patients from the 2007 study who had two dual-energy absorptiometry (DXA) scans performed at least 5 years apart were analyzed. Read More

Injury 2020 May 29. Epub 2020 May 29.

Eighth Department, State Key Laboratory of Trauma, Burns and Combined Injuries, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing 400042, P.R. China. Electronic address:

Purpose: This study aimed to comparatively analyse the epidemiologic characteristics of fractures among inpatients from rural and urban areas.

Methods: This study retrospectively analysed patients with traumatic fractures of the limbs, pelvis and spine treated in our hospital from January 2017 to December 2017. Patients from rural and urban areas were classified into Group A and Group B, respectively. Read More

BMC Musculoskelet Disord 2020 Jun 9;21(1):365. Epub 2020 Jun 9.

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Background: Conservative treatment remains the preferred choice for distal radius fracture in children. However, loss of reduction is problematic, especially in an older child. Crossed Kirschner-wires is widely used to treat distal radius fracture in adolescents. Read More

Hand (N Y) 2020 Jun 10:1558944720930302. Epub 2020 Jun 10.

Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Distal ulna fracture fixation plates commonly cause irritation, necessitating removal, due to the narrow area between the ulna articular cartilage and the extensor carpi ulnaris. This study defines the safe zone for plate application and determines whether wrist position affects risk of impingement. Four different distal ulna anatomic plates (Acumed, Medartis, Skeletal Dynamics, and Synthes) were applied to 12 cadaveric specimens. Read More

J Wrist Surg 2020 Jun 16;9(3):240-243. Epub 2019 Oct 16.

Department of Orthopedics and Traumatology, Tappeiner Hospital, Merano, Italy.

 Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature.  We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively. Read More

J Wrist Surg 2020 Jun 5;9(3):235-239. Epub 2019 Jul 5.

Department of Orthopaedic Surgery, Graduate School of Medicine, Mie University, Tsu City, Japan.

 Fracture and dislocations of the carpometacarpal (CMC) joints except the thumb are relatively rare. Herein, we report the case of a delayed fracture-dislocation of fourth and fifth carpometacarpal joints.  The patient is a 41-year-old, right-handed male. Read More

J Wrist Surg 2020 Jun 6;9(3):225-229. Epub 2020 Mar 6.

Department of Orthopaedic Surgery, Barwon Health, Geelong, Australia.

 The volar scaphoid plate from Medartis (Medartis AG, Austrasse, Basel, Switzerland) is a variable angle titanium locking plate, preformed for the volar aspect of the scaphoid. It does not have compressive capability, and may act as a bridging device. It may provide an advantage over a compression screw where the pathoanatomy is less favorable to such a device with increased rotational stability. Read More

J Wrist Surg 2020 Jun 18;9(3):219-224. Epub 2020 Mar 18.

Department of Orthopaedics and Traumatology, University of Health Sciences Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.

 The aim of this study is to evaluate the frequency of flexor pollicis longus (FPL) tendon rupture and factors leading to this rupture during the follow-up of patients who underwent volar plate fixation because of distal radius fracture.  A total of 109 distal radius fractures of 102 patients treated with volar plate fixation and periodically followed up for at least 1 year between January 2013 and May 2018 were evaluated. Fractures were categorized according to the AO Foundation/Orthopaedic Trauma Association (AO/OTA) Fracture-Dislocation Classification and Soong's grading was used for classifying volar plate position. Read More

J Wrist Surg 2020 Jun 18;9(3):214-218. Epub 2020 Mar 18.

Barwon Health, Deakin University Geelong, Geelong, Australia.

 Volar plating for distal radius fractures has become common. Screw prominence on the dorsal side from long screws can lead to tendon injury. Methods for detecting screws that penetrate the far cortex involve X-ray or ultrasound. Read More

J Wrist Surg 2020 Jun 10;9(3):203-208. Epub 2020 Feb 10.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

 Fractures of the proximal pole of the scaphoid have an increased risk of nonunion due to its tenuous blood supply. The optimal treatment of proximal pole scaphoid nonunions remains controversial.  To review a single surgeon's experience with proximal pole scaphoid nascent nonunions (delayed unions) and nonunions that underwent surgical fixation with a cannulated headless compression screw and local autologous bone graft from the distal radius. Read More

J Wrist Surg 2020 Jun 17;9(3):186-189. Epub 2019 Dec 17.

St. Vincent's Hand Surgery Unit, Victorian Hand Surgery Associates, Fitzroy, Victoria, Australia.

The medial femoral trochlea (MFT) of the knee is a donor site for convex osteochondral vascularized bone that has been used for the salvage of fractures of the proximal pole of the scaphoid. Chronic nonunited fractures of the scaphoid may lead to a sequence of degenerative change often referred to as scaphoid nonunion advance collapse. The vascularized MFT osteochondral graft has been reported as a salvage procedure for fractures of the proximal pole of the scaphoid, in situations where fixation is not an option. Read More

Injury 2020 May 23. Epub 2020 May 23.

Department of Orthopaedics, Kaohsiung Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung City, 813, Taiwan, ROC; Department of Orthopaedics, National Defense Medical Center, 161, Section 6, Minquan E Rd, Neihu District, Taipei City, Taiwan 114 Taipei city, Taiwan Republic of China. Electronic address:

Introduction: Soft tissue swelling after acute fracture surgery is a challenge which may increase wound dehiscence, delay early range of motion, and increase infection rate postoperatively. This study investigates closed incision negative pressure therapy (ciNPT) using wide-range cover over the incision site and the peripheral swelling trauma zone to promote early active motion and to mitigate joint stiffness, bulla formation, and tendon adhesion.

Methods: Twenty-nine patients were enrolled between January 2018 and December 2018. Read More

Cureus 2020 Apr 26;12(4):e7841. Epub 2020 Apr 26.

Orthopaedics, Police General Hospital, Bangkok, THA.

Severely comminuted intraarticular distal radius malunion can significantly affect a patient's quality of life. To date, there is no ideal solution. We propose customized distal radius prosthesis replacement as a treatment option. Read More

J Hand Surg Am 2020 Jul 29;45(7):589-596. Epub 2020 May 29.

Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA. Electronic address:

Purpose: Patient-reported outcome measures are increasingly used to measure patient status, impairments, and disability, but often require lengthy surveys and place a considerable burden on patients. We hypothesized that the Single Assessment Numeric Evaluation (SANE), composed of a single question, would be a valid and responsive instrument to provide a global assessment of hand function.

Methods: The SANE, Patient-Reported Outcomes Measurement Information System-Upper Extremity (PROMIS-UE), and Quick-Disabilities of the Arm, Shoulder, and Hand (QuickDASH) data are routinely collected electronically in our hand and upper-extremity center. Read More

Bone Joint J 2020 Jun;102-B(6):744-748

Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, South Korea.

Aims: The aim of this study was to compare patient-reported outcome measures (PROMs) and the Single Assessment Numerical Evaluation (SANE) score in patients treated with a volar locking plate for a distal radial fracture.

Methods: This study was a retrospective review of a prospective database of 155 patients who underwent internal fixation with a volar locking plate for a distal radial fracture between August 2014 and April 2017. Data which were collected included postoperative PROMs (Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) and Patient-Rated Wrist Evaluation (PRWE)), and SANE scores at one month (n = 153), two months (n = 155), three months (n = 144), six months (n = 128), and one year (n = 73) after operation. Read More

Unfallchirurg 2020 May 30. Epub 2020 May 30.

Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Background: The gold standard in the treatment of scaphoid pseudarthrosis is reduction, interposition of an iliac crest graft and stabilization with a headless bone (Herbert) screw, aiming to reduce the frequently observed humpback deformity. This study correlated the extent of humpback deformity after scaphoid reconstruction to clinical and radiological postoperative parameters.

Material And Methods: Between 2008 and 2010 a total of 56 patients with scaphoid pseudarthrosis were surgically treated. Read More

Int Orthop 2020 Jul 29;44(7):1353-1365. Epub 2020 May 29.

Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Purpose: The purpose of this randomised, controlled, double-blind trial was to evaluate functional outcome during the first year after corrective osteotomy for malunited distal radius fractures, with or without filling the osteotomy void.

Method: Patients were randomised to receive a HydroSet bone substitute or no graft. Cortical contact was maintained and stabilisation of the osteotomy was carried out with a DiPhos R- or RM Plate. Read More

PLoS One 2020 29;15(5):e0232153. Epub 2020 May 29.

Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Background: Distal radius fractures are common fractures and the cornerstone of treatment remains immobilization of the wrist in a cast. At present, there is a scarcity of studies that compare different cast immobilization methods. The objective of the study was therefore to compare volar-flexion and ulnar deviation cast to functional cast position in the treatment of dorsally displaced distal radius fracture among elderly patients. Read More

Ortop Traumatol Rehabil 2020 Apr;22(2):143-149

University Center of Anápolis - UniEVANGÉLICA.

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Read More

Arch Orthop Trauma Surg 2020 Aug 28;140(8):1143-1153. Epub 2020 May 28.

The Central Hospital of Wuhan, Achao Han, 26 Shengli Road, Wuhan, 430014, Hubei, China.

Introduction: This study was a systematic review comparing the clinical outcomes of nonsurgical and surgical management for distal radius fractures.

Materials And Methods: A comprehensive literature search was conducted using multiple databases, including Medline, Embase, and Cochrane. All databases were searched from the earliest records through June 2019 using the following Boolean operators: distal radius fracture, conservative treatment, nonoperative treatment, nonsurgical treatment, surgical treatment, and operative. Read More

BMC Anesthesiol 2020 May 28;20(1):130. Epub 2020 May 28.

Laboratory and Clinical Research Institute for Pain, Department of Anaesthesiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Room 424, Block K, 102, Pokfulam Road, Hong Kong SAR, China.

Background: It is unclear whether regional anesthesia with infraclavicular nerve block or general anesthesia provides better postoperative analgesia after distal radial fracture fixation, especially when combined with regular postoperative analgesic medications. The aim of this study was to compare the postoperative analgesic effects of regional versus general anesthesia.

Methods: In this prospective, observer blinded, randomized controlled trial, 52 patients undergoing distal radial fracture fixation received either general anesthesia (n = 26) or regional anesthesia (infraclavicular nerve block, n = 26). Read More

Am Fam Physician 2020 Jun;101(11):654-664

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Procedural anesthesia is administered by family physicians for a variety of conditions, including neuropathies, fracture reduction, foreign body removals, and complex wound management. A nerve block may be preferred because it provides effective regional anesthesia with less anesthetic. Nerve blocks require a thorough understanding of relevant anatomy, aiding the physician in optimizing the anesthesia effect while minimizing complications. Read More