Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Dec 2012
Randomized Controlled Trial Comparative StudyHemiarthroplasty for humeral four-part fractures for patients 65 years and older: a randomized controlled trial.
Four-part fractures of the proximal humerus account for 3% of all humeral fractures and are regarded as the most difficult fractures to treat in the elderly. Various authors recommend nonoperative treatment or hemiarthroplasty, but the literature is unclear regarding which provides better quality of life and function. ⋯ Level I, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Dec 2012
To what degree do shoulder outcome instruments reflect patients' psychologic distress?
Psychologic distress contributes to symptom severity in patients with several musculoskeletal disorders. While numerous shoulder outcome instruments are used it is unclear whether and to what degree psychologic distress contributes to the scores. ⋯ Level II, prognostic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Dec 2012
Comparative StudyDo plain radiographs correlate with CT for imaging of cam-type femoroacetabular impingement?
Three-dimensional imaging (CT and MRI) is the gold standard for detecting femoral head-neck junction malformations in femoroacetabular impingement, yet plain radiographs are used for initial diagnostic evaluation. It is unclear, however, whether the plain radiographs accurately reflect the findings on three-dimensional imaging. ⋯ Level II, diagnostic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Dec 2012
Do concomitant fractures with hip fractures influence complication rate and functional outcome?
Owing to the aging population, the incidence of hip fractures is increasing. While concomitant fractures are not uncommon, it is unclear how they influence subsequent function. ⋯ Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.