Journal of orthopaedic trauma
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Randomized Controlled Trial Comparative Study
Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials.
To investigate whether a conventional fracture hematoma block (FHB) or an ultrasound-guided peripheral nerve block has more superior analgesic effect during nonoperative management of distal radius fractures in an emergency department setting. Two peripheral nerve block types were investigated, one at the level of the elbow, or cubital nerve block (CNB), and another an axillary nerve block (ANB). ⋯ Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
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Observational Study
A Practical Analgesia Approach to Fragility Hip Fracture: A Single-Center, Retrospective, Cohort Study on Femoral Nerve Block.
To determine whether an effective opioid-sparing pain control modality is desirable for an aging population. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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To investigate the effect of ulna rotation on the apparent proximal ulna dorsal angulation (PUDA). ⋯ This study demonstrates that small degrees of ulna rotation result in a statistically significant change in the apparent PUDA; however, this may not represent a clinically significant difference. Because of the anatomic variation between patients, it is important to obtain a contralateral film to determine the PUDA for anatomic reduction of the ulna in complex cases. When using a contralateral image, it is important to obtain a true lateral film or consider using 3-dimensional imaging for preoperative planning.