Orthopedics Archives

Le Genou: Everything you Knee-d to know!

by Julie Ingratta | Nov 10, 2022 | Featured, Grand Round Summaries, Orthopedics, Trauma

The acutely injured knee can often be challenging to assess when there is no associated fracture. Identifying the possible non-bony acute pathology is important to help discern the most appropriate approach to treatment for the patient. Assessment History Mechanism...

$Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK.$

Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK.

by Caitlin Hutchings, Hans Rosenberg, Debra Eagles | Oct 24, 2022 | Journal Club, Orthopedics, Pediatrics

Methodology: 4/5 Usefulness: 4.5/5 Perry DC, et al. Lancet. 2022 Jul 2;400(10345):39-47. Question and Methods: This large, multicentre, pragmatic RCT aimed to show equivalence between treating pediatric buckle fractures of the distal radius with soft bandage versus...

Shouldering the load: Shoulder dislocations in the ED

by Zach MacDonald, Lucy Karp | Dec 9, 2021 | Featured, Grand Round Summaries, Orthopedics, Orthopedics, Radiology, Trauma, Ultrasound

Shoulder dislocations are the most common large joint dislocation encountered by emergency physicians. Given their incidence in the emergency department, managing shoulder dislocations efficiently is key to departmental flow.` Recently, Dowson et al.1 utilized a...

Plaster cast versus functional brace for non-surgical treatment of Achilles tendon rupture (UKSTAR): a multicentre randomised controlled trial and economic evaluation

by Hans Rosenberg | Feb 1, 2021 | Featured, Full Article, Journal Club, Orthopedics

Methodology: 3.5/5 Usefulness: 3.5/5 Costa ML et al. Lancet. 2020 Feb 8;395(10222):441-448. Question and Methods: The UKSTAR trial was a pragmatic, multicenter RCT that compared plaster cast against walking boot for non-operative management of Achilles tendon rupture...

Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A Prospective Cohort

by Hans Rosenberg | Sep 23, 2020 | Featured, Journal Club, Orthopedics, Ultrasound

Methodology: 3/5 Usefulness: 3/5 Secko MA, et al. Ann Emerg Med. 2020 Aug;76(2):119-128. Question and Methods: Attempted to validated the use of a posterior PoCUS approach in diagnosing shoulder dislocations and assessing the adequacy of reduction in the ED...

$Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial$

Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial

by Hans Rosenberg | Dec 2, 2019 | Journal Club, Orthopedics, Orthopedics, Trauma

Methodology: 4/5 Usefulness: 3.5/5 Kortekangas T, et al. BMJ. 2019 Jan 23;364:k5432 Question and Methods: This is a pragmatic, randomized, controlled trial to determine if 3 weeks of immobilization (in cast or orthosis) is non-inferior to usual treatment (6 weeks cast...

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial

by Hans Rosenberg | Jul 22, 2019 | Orthopedics, Orthopedics

Journal Club Summary Pellatt R, et al. Ann Emerg Med. 2019 Mar 7. pii: S0196-0644(19)30059-9. Methodology Score: 3/5 Usefulness Score: 3.5/5 Question and Methods: Randomized control trial of 97 adult emergency department patients comparing buddy taping vs. ulnar...