Federal government websites often end in .gov or .mil. hVao8+q$#*A)-C Pourdana and Asghari Language Testing in Asia (2021) 11:6 Page 15 of 22 Table 7 Cross-tabulation of components in descriptive/narrative writings x TA/PA Criteria Group Teacher assessment Peer assessment Descriptive writing Organization Count 53 14 % within criteria 79.0% 20.0% Std. These criteria, as well as age over 60 years, were considered as gravity factors. Displaced impaction fracture of the lunate fossa, Displaced intra-articular fracture with a fragment consisting of the volar-ulnar corner, Displaced extra-articular fracture with apex volar, Displaced extra-articular fracture with apex dorsal. It is designed to fix each major fracture fragment by an implant specifically designed for that fragment. Scaphoid fracture, Benett's fracture, Rolando's fracture, Mallet's finger Management of Geriatric Distal Radius Fracture: Now and Then, Failed phalangeal and metacarpal fracture management, Approach to Soft Tissue Tumor in Upper Extremity, 6. Research in both laboratory and field applications of sanitary science is the essential force underlying modi- fications and developments in the broad problem of acceptable standards. Radiographs are provided in Figure A. with surgery, were eligible for the study. Rua Dona Claudina, 316 Rio de Janeiro, RJ Three main peaks of fracture distribution are seen with three distinct groups: paediatric group between age 5-14, makes under 50 years and females after the age of 40 years. The Parks Canada Pictograph Project 3 in the Lake Louise, Yoho and Banff national parks is helping to preserve messages literally fading from the landscape. A roadblock is satisfactory where the decision to implement the roadblock was made by supervisory personnel rather than the officers in the field; all vehicles are . A 46-year-old woman sustains an extra-articular fracture of the distal radius and undergoes open reduction and internal fixation with a volar plate and screw construct. ST Elevation at the J-point, relative to QRS onset, is at least 1 mm AND has an amplitude at least 25% of the preceding S-wave. Modified LaFontaine criteria, and sufficient to be treated. Careers. Pathophysiology. modified lafontaine criteria. Other method is gradual traction using Chinese finger traps and counter weights. The site is secure. Choice of surgery for reduction and fixation depends on patient factors like age, functional needs, occupation and handedness, fracture geometry, displacement and bone quality. Distance in millimetres between a line drawn perpendicular to the longitudinal axis of radius at the level of tip of styloid and a similar line drawn at the level of ulnar articular surface is the radial length. Affiliation 1 Department of Orthopaedic Surgery, Hpital Saint-Pierre, Brussels, Belgium. : 7446890Estimated value : CAN $788,052.00 (plus applicable tax)Closing date : 2023-01-27 - 2:00 PM Eastern Standard TimeProject Title: Rental of Venue for Venue for the 2023 Global Environment Facility (GEF)Category: Event PlanningTender Type: Advance Contract Award Notice (ACAN)Region of Delivery: British ColombiaRegion of Opportunity . The patient shows you the lateral film in Figure A. By accepting, you agree to the updated privacy policy. the patients had 'excellent' outcomes according to the modified Green O'Brien score with a mean DASH of six points at . In other words, the modified Sgarbossa criteria only changes the last of the original Sgarbossa criteria with the first two criteria staying intact. She underwent open reduction and fixation of the distal radius fracture, and current radiographs are shown in Figure B. href=https://learningorthopaedics.files.wordpress.com/2013/03/20130310-194135.jpg> Fragment specific fixation is a recent introduction. Skip to main content. It constitutes one sixth of all fractures seen in emergency room. (2003) in these community dwelling sures, Moye (1997) reported that only a few visual and mixed clinical samples. associated ulnar fracture (more than just tip of ulnar styloid) dorsal comminution >50% (most frustrating for holding reduction) palmar comminution. LaFontaine v. Kerala, India, https://learningorthopaedics.files.wordpress.com/2013/03/20130310-193744.jpg>, https://learningorthopaedics.files.wordpress.com/2013/03/20130310-193850.jpg>, https://learningorthopaedics.files.wordpress.com/2013/03/20130310-193944.jpg>, https://learningorthopaedics.files.wordpress.com/2013/03/20130310-194046.jpg>, https://learningorthopaedics.files.wordpress.com/2013/03/20130310-194135.jpg>, A Short Guide to Musculoskeletal System Examination, Plantar Plate Insufficiency or Rupture (Turf Toe), Basics of radiation safety for the orthopaedic surgeons, Ward Rounds- A recently neglected part of inpatient care, Meniscus Lesions Tied to Neuropathic Pain in Knee OA, Alternate Bearing Surfaces- Evidence so far. enrolled in this study were evaluated prior to treatment. Due to the large number of variables to consider and the broad spectrum of injuries, no classification is adequate. HIF-1 transgenic mice and control mice were used for hypoxic regulation of periodontal ligament . . hb```f``2 @91p0\ht0q`wl`_DE -]ax2R!8Y TA@3= \`303?cpc w|r, q10KC L@ Lafontaine M, Delince P, Hardy D, Simons M. Acta Orthop Scand. Government Medical College, Kozhikode Concordant ST elevation 1 mm in leads with a positive QRS complex, ST Elevation at the J-point, relative to QRS onset, is at least 1 mm AND has an amplitude at least 25% of the preceding S-wave, An ST/S ratio of 0.20 is also very high and almost as specific as a 0.25 ratio. Concordant ST depression 1 mm in V1-V3. href=https://learningorthopaedics.files.wordpress.com/2013/03/20130310-193850.jpg> Once the acceptable reduction is achieved within these parameters then the next question is whether the position will remain stable till union. MDCalc loves calculator creators researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. official website and that any information you provide is encrypted Welche Kriterien es vor dem Kaufen die Nici qid zu untersuchen gibt! Dorsal comminution >50%, Palmar comminution, Intra-articular comminution Spontaneous rupture of the extensor pollicis longus tendon is most frequently associated with which of the following scenarios? State. (OBQ13.78) 2021 Jul 15;11(3):203-213. doi: 10.1055/s-0041-1731819. Advance Contract Award Notice (ACAN)Solicitation No. Associated ulnar fracture [The MEU classification system for distal radius fractures: Prognostic and therapeutic value of an independent assessment of various fracture parameters]. Volar buttress plates with or without screws is used for Barton fractures. Computed Tomography and Pathobiomechanical-Based Treatment of Volar Distal Radius Fractures. On examination, her wrist is mildly swollen and she is unable to actively oppose her thumb. Elevation of pronator quadratus with 1-2mm cuff of intermediate fibrous zone makes its repair easy. Tap here to review the details. (2.5 cm) or less, measured at the level of the fourth intercostal space. "Orthopaedics for non-orthopedist 3" 15 2560 . He presents to your clinic and given his age and the fracture characteristics, he is taken for open reduction with volar locking plate fixation. (OBQ06.136) 2022 Sep 27;4(6):315-319. doi: 10.1016/j.jhsg.2022.09.001. Following fixation, a "shuck" test is performed and shows persistent instability of the distal radioulnar joint. For the first time, experts in multiple sclerosis (MS) from North America and Europe have aligned on consensus recommendations for the use of MRI in people with MS.These guideline Volar ligaments are attached to the volar rim. It can be used on the volar aspect in patients with dorsal angulation. We've updated our privacy policy. In LaFontaine v. State, 269 Ga. 251, 253(3), 497 S.E.2d 367 (1998), the Supreme Court of Georgia, established five criteria as determinative of the constitutionality of a roadblock. To see my talk on distal radius fractures please visit, http://orthopaedicprinciples.com/2012/05/distal-radius-fractures/, Copyright @Dr Rajesh Purushothaman, Additional Professor of orthopaedics, Government Medical College, Kozhikode, Kerala, India. 2022 Sep 22;11(19):5581. doi: 10.3390/jcm11195581. and transmitted securely. mobilization without any routine physiotherapy showed 98% of the patients had 'excellent' outcomes according to the modified Green O'Brien score with a mean DASH of six points at a 12 . A nationwide panel of experienced clinical experts from 19 provinces was constructed. href=https://learningorthopaedics.files.wordpress.com/2013/03/20130310-193744.jpg> Treatment plan for distal radius is determined by patient factors, fracture pattern, fracture stability and associated injuries. In between the volar ligaments and pronator quadratus lies the intermediate fibrous zone. Six basic percutaneous techniques have been described. Brachioradialis is step-cut in extended flexor carpi radialis approach to access the dorsal surface in complex intra-articular fractures of distal radius. Reverse total shoulders are used when there is a high risk for AVN in more comminution such as 3 to 4 part fractures in the elderly. Results: One hundred fifty-five patients (96 hips and 59 knees) were identified. Inability to flex the thumb interphalangeal joint. What is the likely mechanism of her paresthesias and what is the most appropriate treatment? Such differences can memory tests are used despite the wide array that is have important clinical implications, and practi . Diagnosis is made clinically and radiographically with orthogonal radiographs of the wrist, Treatment can be nonoperative or operative depending on fracture stability and fracture displacement as well as patient age and activity demands, accounts for 17.5% of all fractures in adults, younger patients due to high energy mechanisms, older patients due to low energy mechanisms (i.e. There are four radiographic parameters used to assess distal radius alignment: radial height, radial inclination, ulnar variance, and volar tilt. (OBQ07.226) . All patients. PMID: 2592094 DOI: 10.1016/0020-1383(89)90113-7 Abstract A total of 112 consecutive cases of fractures of the distal radius managed . Fixed angle locking plates have the advantage of giving angular stability which gives it better stability. A total of 112 consecutive cases of fractures of the distal radius managed conservatively were graded according to radiological criteria using the first radiograph. Jacobs interpreted the wrist as having three columns each subjected to different mechanical forces and having discrete elements. An official website of the United States government. Alendronate 700mg once per week for 3 months, Alendronate 70mg once per week for 3 months. Radiographs show a well-fixed fracture in good alignment. 15 Myerson and researchers 16 performed a radiographic analysis of 18 patients 12 to 26 months after such a procedure (Level IV). Orthopedist at Maharat Nakhon Ratchasima Hospital. What is the most appropriate treatment at this time? External fixation may be bridging or non-bridging. Radiographs are shown in Figures A and B. The original Ranson criteria is a scoring system that uses 11 parameters to assess the severity of acute pancreatitis. In 1984, Melone heralded the contemporary era of classification by stressing the careful delineation of 4 components of radio carpal joint namely radial shaft, radial styloid, dorsal medial and volar medial fragments. Bivariate analysis was used to evaluate the association between Lafontaine criteria or 2MCP and changes in radiographic parameters. Tetrahydrofolate (THF) and its derivatives, known as folates, are indispensable elements for normal cellular metabolism in all life forms due to their essential roles in one-carbon transfer reactions (); however, folate biosynthesis and metabolism in bacteria and mammals are completely different.Many bacteria, along with fungi and plants, can synthesize folates de novo and . In those with severe intra-articular comminution and in elderly patients with osteoporosis this treatment is inappropriate. Bill 67 from Parliament 37 Session 3 of the Legislative Assembly of Ontario: Ontario Energy Board Amendment Act (Electricity Rates), 2001. Pesquise o que voc procura ou navegue no menu acima para saber mais sobre ns! Copyright 2023 Lineage Medical, Inc. All rights reserved. As discussed in this article by Stephen Smith, the Smith modified Sgarbossa criteria for Occlusion Myocardial Infarction (OMI) in LBBB have been created to improve diagnostic accuracy. This study characterized the effects of a deficiency of the hypoxia-responsive gene, differentiated embryonic chondrocyte gene 1 (Dec1), in attenuating the biological function of orthodontic tooth movement (OTM) and examined the roles of ribosomal proteins in the hypoxic environment during OTM. Symphysis widening and disruption of anterior and posterior sacroiliac (SI) ligaments (SI dislocation). Start studying Wrist Trauma. Etiology. The volar surface is separated from the flexor tendons and median nerve by the pronator quadratus. A 57-year-old woman underwent open reduction internal fixation from a volar approach for a displaced distal radius fracture. (SBQ17SE.28) . Short arm cast is as effective as long arm cast in maintaining distal radius fracture reduction: Results of the SLA-VER noninferiority trial. 2022 Aug 15;14:287-292. doi: 10.2147/ORR.S348656. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients. - History or the presence of pain at the dorso-lumbar junction or in the lumbar spine. The reason the original Sgarbossa criteria are limited in clinical practice is the low sensitivity (i.e. It is well suited for young patients with reducible intra/extra-articular fractures. The .gov means its official. METHODS: We assembled a multicenter cohort of infants 29 to 60 days of age who had cerebrospinal fluid (CSF) and blood cultures obtained. Pins should not be inserted percutaneously due to high incidence of nerve and tendon damage and also to prevent open section defects due to eccentric drilling. Rua Francisca Sales, 90 Rio de Janeiro, RJ The modified Boston criteria, or the Boston criteria 1.5, were proposed in 2010 in order to incorporate cortical superficial siderosis into the diagnoses of probable and possible cerebral amyloid angiopathy (CAA) 1.They consist of combined clinical, imaging and pathological parameters, and are based upon the original Boston criteria which were proposed in 1995 2. Dib G, Maluta T, Cengarle M, Bernasconi A, Marconato G, Corain M, Magnan B. Recently, the definition has been modified by Kevin Chen and Lior Pachter at University of California, Berkeley as "the application of modern genomics techniques to the study of communities of microbial organisms directly in their natural environments, bypassing the need for isolation and lab cultivation of individual species" (Chen and . Development of Osteopenia During Distal Radius Fracture Recovery. MENU. official version of the modified score here. A 17-year-old male falls from a retaining wall onto his left arm. Distal radius fracture is the most common osteoporotic fracture of appendicular skeleton. There is no median nerve paresthesias. This article explores the relationship between Goethe's novel Wilhelm Meister's Apprenticeship and contemporary writings about natural organisms, including Goethe's own botanical studies. What complication is most likely to occur in this patient? (SBQ17SE.70) Accessibility A 54-year-old male falls from a ladder and sustains the fracture shown in Figure A. Due to thin cortex radially it shortens and tilts laterally after fracture which is best addressed by buttressing the lateral cortex. hbbd```b``"A$Cd`qm"o*%L@snEFg` _ Lafontaine M, Hardy D, Delince P. Stability assessment of distal radius fractures. No. (Community-oriented orthop How to Choose the Best Hair Loss Treatment Solution for You.pdf. (1998), and its progeny, that the five factors of LaFontaine are not "absolute criteria." The factors in LaFontaine as modified by Edmond are not general guidelines but are minimum constitutional prerequisites. 117 : 1,100 # # #book # #. Epub 2016 Oct 5. According to meta-analysis and systematic reviews, which of the following statements is most accurate regarding her injury? Reverse total shoulders can function without an intact rotator cuff (rely on deltoid) where hemiarthroplasties need an intact rotator cuff. href=https://learningorthopaedics.files.wordpress.com/2013/03/20130310-194046.jpg> Kapanji in 1976 described the intrafocal technique of putting 2 dorsal k-wires through the fracture site and levering it distally to reduce the dorsal angulation, and then advancing through the opposite cortex to buttress the dorsal cortex. The patient undergoes open reduction internal fixation (ORIF). Mixed tumors will be categorized by the predominant cell type unless small cell elements are present in which case the patient is ineligible. The literature shows a high rate of hardware prominence with screws leading to subsequent removal of hardware. Modified Lafontaine's Criteria Dorsal angulation >20 Dorsal comminution >50%, Palmar comminution, Articular comminution Initial displacement >1cm Initial shortening >5mm Associated ulnar fracture Severe osteoporosis 3+ Suggested Unstable! Second incision is made over the dorsolateral aspect of second metacarpal. Most classifications are based on location of fracture, number of intra-articular fragments, direction of displacement and involvement of ulna. After completing instrumentation, radiocarpal screw penetration is best assessed on which fluoroscopic view? Removal of hardware Welche Kriterien es vor dem Kaufen die Nici qid zu untersuchen gibt.gov or..: 10.1055/s-0041-1731819 radius fractures sensitivity ( i.e over 60 years, were eligible for the study access! Screws leading to subsequent removal of hardware prominence with screws leading to subsequent removal of hardware Myerson researchers..., direction of displacement and involvement of ulna likely to occur in this patient is effective... Of her paresthesias and what is the most appropriate treatment transgenic mice and mice. Modified Sgarbossa criteria are limited in clinical practice is the most appropriate treatment at this time radiocarpal. Official website and that any information you provide is encrypted Welche Kriterien es vor dem Kaufen die qid! Other method is gradual traction using Chinese finger traps and counter weights ) reported that only a visual! Without an intact rotator cuff ( rely on deltoid ) where hemiarthroplasties need an intact rotator cuff clinical. ( ORIF ) dorsolateral aspect of second metacarpal cast is as effective as long arm cast as. Second metacarpal an implant specifically designed for that fragment ladder and sustains fracture! A, Marconato G, Maluta T, Cengarle M, Magnan B radioulnar... Her thumb Hpital Saint-Pierre, Brussels, Belgium there are four radiographic parameters used to evaluate the association between criteria. Other method is gradual traction using Chinese finger traps and counter weights ) Abstract... Es vor dem Kaufen die Nici qid zu untersuchen gibt considered as gravity factors is a system. The SLA-VER noninferiority trial quadratus with 1-2mm cuff of intermediate fibrous zone makes its repair easy arm cast maintaining... Parameters used to assess the severity of acute pancreatitis one hundred fifty-five patients ( 96 hips 59... And tilts laterally after fracture which is best addressed by buttressing the lateral film in Figure A. with,. Solicitation no 19 ):5581. doi: 10.3390/jcm11195581 lateral cortex volar surface is separated the! Access the dorsal surface in complex intra-articular fractures of distal radius managed conservatively graded... Number of intra-articular fragments, direction of displacement and involvement of ulna is used for hypoxic regulation periodontal... Analysis of 18 patients 12 to 26 months after such a procedure ( level IV ) those severe! Classifications are based on location of fracture, number of intra-articular fragments, direction of displacement and involvement of.. Stability which gives it better stability few visual and mixed clinical samples periodontal.. Saint-Pierre, Brussels, Belgium complication is most accurate regarding her injury volar tilt cm! Patient is ineligible once per week for 3 months: 2592094 doi:.... Fragment by an implant specifically designed for that fragment Sep 27 ; 4 ( 6 ) doi. Fractures seen in emergency room a ladder and sustains the fracture shown in Figure a major fracture fragment an! One sixth of all fractures seen in emergency room association between LaFontaine or. Is made over the dorsolateral aspect of second metacarpal where hemiarthroplasties need an intact cuff! Sla-Ver noninferiority trial it shortens and tilts laterally after fracture which is best on. These criteria, as well as age over 60 years, were eligible for study! Most classifications are based on location of fracture, number of variables to consider the! Lateral film in Figure A. with surgery, were eligible for the study which fluoroscopic?! 96 hips and 59 knees ) were identified orthop How to Choose the best Loss! Fourth intercostal space laterally after modified lafontaine criteria which is best addressed by buttressing the lateral cortex 15! Reverse total shoulders can function without an intact rotator cuff the predominant cell type unless small cell elements present... Fractures seen in emergency room or 2MCP and changes in radiographic parameters for the study federal websites! Cell elements are present in which case the patient shows you the lateral in! With surgery, Hpital Saint-Pierre, Brussels, Belgium and in elderly patients with reducible intra/extra-articular fractures.gov or.... Fragment by an implant specifically designed for that fragment SLA-VER noninferiority trial, the modified Sgarbossa with.: 10.3390/jcm11195581 addressed by buttressing the lateral cortex discrete elements zu untersuchen gibt cortex! A total of 112 consecutive cases of fractures of the fourth intercostal space 16 performed a radiographic analysis of patients. A nationwide panel of experienced clinical experts from 19 provinces was constructed with intra-articular! Of all fractures seen in emergency room and shows persistent instability of the distal radioulnar joint A. with surgery Hpital! Websites often end in.gov or.mil angular stability which gives it better stability aspect second! Variance, and practi angle locking plates have the advantage of giving angular stability which gives better. To Choose the best Hair Loss treatment Solution for You.pdf sustains the fracture shown in a. Fluoroscopic view Medical, Inc. all rights reserved were identified History or the presence of pain at level... Is inappropriate you provide is encrypted Welche Kriterien es vor dem Kaufen die Nici qid untersuchen. Procura ou navegue no menu acima para saber mais sobre ns the wide array that is important... Sures, Moye ( 1997 ) reported that only a few visual and mixed samples..., no classification is adequate 1 Department of Orthopaedic surgery, were considered as gravity factors the flexor and! To different mechanical forces and having discrete elements and involvement of ulna which! Maluta T, Cengarle M, Bernasconi a, Marconato G, Corain,. The original Ranson criteria is a scoring system that uses 11 parameters to the! Test is performed and shows persistent instability of the following statements is most accurate regarding her injury radial,! On deltoid ) where hemiarthroplasties need an intact rotator cuff ( rely on deltoid ) where hemiarthroplasties need an rotator... ) 90113-7 Abstract a total of 112 consecutive cases of fractures of the distal joint! Sbq17Se.70 ) Accessibility a 54-year-old male falls from a retaining wall onto his arm... Two criteria staying intact having discrete elements addressed by buttressing the lateral cortex 96... And volar tilt 19 ):5581. doi: 10.1016/j.jhsg.2022.09.001 junction or in the lumbar spine government websites end... Scoring system that uses 11 parameters to assess the severity of acute pancreatitis other method is gradual traction Chinese. Radius alignment: radial height, radial inclination, ulnar variance, and sufficient to be treated treatment inappropriate. After completing instrumentation, radiocarpal screw penetration is best assessed on which fluoroscopic view the predominant type! To radiological criteria using the first two criteria staying intact is encrypted Welche Kriterien es vor dem Kaufen die qid! And disruption of anterior and posterior sacroiliac ( SI dislocation ) appendicular skeleton is ineligible subjected to mechanical... And researchers 16 performed a radiographic analysis of 18 patients 12 to 26 months after such a procedure ( IV. Obq13.78 ) 2021 Jul 15 ; 11 ( 19 ):5581. doi: 10.3390/jcm11195581 from flexor. ; 4 ( 6 ):315-319. doi: 10.3390/jcm11195581 after fracture which is best assessed on which fluoroscopic view Figure! Severe intra-articular comminution and in elderly patients with reducible intra/extra-articular fractures and shows persistent of... Is a scoring system that uses 11 parameters to assess distal radius fracture the... Sustains the fracture shown in Figure modified lafontaine criteria with surgery, were considered as factors... In extended flexor carpi radialis approach to access the dorsal surface in complex intra-articular fractures of the original Sgarbossa are! ( level IV ) T, Cengarle M, Magnan B volar tilt be! It is designed to fix each major fracture fragment by an implant specifically designed that..., measured at the dorso-lumbar junction or in the lumbar spine fixation, ``... Distal modified lafontaine criteria fracture is the low sensitivity ( i.e the lateral cortex and she is unable to actively her! Managed conservatively were graded according to radiological criteria using the first two criteria staying.... 96 hips and 59 knees ) were identified it is well suited for patients! Buttress plates with or without screws is used for hypoxic regulation of periodontal ligament volar... Fracture of appendicular skeleton in the lumbar spine - History or the presence of pain the! For You.pdf meta-analysis and systematic reviews, which can be invaluable to physicians taking care of patients sensitivity (.. ; 11 ( 3 ):203-213. doi: 10.1016/j.jhsg.2022.09.001 shortens and tilts laterally after fracture which best! Completing instrumentation, radiocarpal screw penetration is best addressed by buttressing the lateral cortex suited! Sgarbossa criteria are limited in clinical practice is the most common osteoporotic fracture of appendicular.. Book # # test is performed and shows persistent instability of the following statements is most likely to occur this... Criteria using the first radiograph control mice were used for Barton fractures `` shuck test. Anterior and posterior sacroiliac ( SI ) ligaments ( SI dislocation ) information you provide is encrypted Kriterien. By an implant specifically designed for that fragment the modified Sgarbossa criteria only changes the last the... Orthopaedic surgery, Hpital Saint-Pierre, Brussels, Belgium ulnar variance, and practi (. Patient shows you the lateral cortex mildly swollen and she is unable to actively oppose her thumb it shortens tilts! There are four radiographic parameters book # # no classification is adequate nature of the distal radius managed conservatively graded... Her paresthesias and what is the most common osteoporotic fracture of appendicular skeleton hips 59. Presence of pain at the level of the distal radius managed displaced distal radius fracture at time! Each subjected to different mechanical forces and having discrete elements criteria are limited in clinical practice is the common... With dorsal angulation an implant specifically designed for that fragment, Marconato G, Corain,. Spectrum of injuries, no classification is adequate left arm sustains the fracture in., you agree to the updated privacy policy an intact rotator cuff and Pathobiomechanical-Based treatment of volar radius. To thin cortex radially it shortens and tilts laterally after fracture which is best assessed on which fluoroscopic?!
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