Section Editors |
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iv | |
Contributing Authors |
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xvii | |
Preface |
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xxiii | |
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1 Principles of Evidence-Based Management of Distal Radius Fractures |
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7 | (6) |
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Principles of Evidence-Based Management |
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6 | (1) |
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Quality of Evidence and the Hierarchy of Evidence |
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6 | (2) |
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Presentation of Research Findings |
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8 | (2) |
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10 | (1) |
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11 | (1) |
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11 | (2) |
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2 Epidemiology of Distal Radius Fractures |
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13 | (8) |
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Importance of the Problem |
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13 | (1) |
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13 | (1) |
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13 | (1) |
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13 | (1) |
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14 | (1) |
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15 | (2) |
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15 | (1) |
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The Young Adult Population |
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15 | (1) |
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16 | (1) |
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17 | (1) |
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17 | (1) |
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18 | (3) |
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SECTION II ANATOMY AND BIOMECHANICS |
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3 Surgical Anatomy of the Distal Radius |
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21 | (1) |
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Importance of the Problem |
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21 | (1) |
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21 | (2) |
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21 | (1) |
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21 | (1) |
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22 | (1) |
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Fresh Look at Anatomy of the Distal Radius |
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23 | (1) |
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24 | (1) |
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Radiographic Pathoanatomy |
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25 | (4) |
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29 | (1) |
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29 | (2) |
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4 Biomechanics of Distal Radius Fractures |
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31 | (12) |
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Importance of the Problem |
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31 | (2) |
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33 | (1) |
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33 | (1) |
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33 | (1) |
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Classification: Why and Which One? |
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33 | (3) |
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33 | (1) |
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The "Best" Classification |
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33 | (2) |
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Fracture Analysis by the PAF System (Patient, Accident, Fracture) |
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35 | (1) |
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General Biomechanical Considerations |
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36 | (1) |
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36 | (1) |
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Fracture Specific Biomechanical Considerations: The Critical Corner |
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37 | (1) |
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Special Case of Anterior Plates for DRF |
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37 | (1) |
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Consequences of Fracture Displacement |
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37 | (3) |
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40 | (1) |
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40 | (3) |
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SECTION III DIAGNOSTIC MANAGEMENT |
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5 Radiographic Parameters of Distal Radius Fractures |
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43 | (8) |
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Importance of the Problem |
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43 | (1) |
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44 | (1) |
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44 | (1) |
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45 | (1) |
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45 | (1) |
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46 | (1) |
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47 | (2) |
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49 | (2) |
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6 Advanced Imaging in Distal Radius Fractures |
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51 | (10) |
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Importance of the Problem |
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52 | (1) |
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52 | (1) |
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52 | (1) |
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53 | (1) |
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53 | (1) |
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53 | (1) |
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54 | (1) |
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55 | (1) |
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56 | (1) |
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56 | (5) |
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SECTION IV ACUTE FRACTURE MANAGEMENT |
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7 Closed Reduction and Immobilization of Displaced Distal Radius Fractures |
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61 | (8) |
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Importance of the Problem |
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61 | (1) |
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62 | (1) |
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62 | (1) |
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62 | (1) |
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62 | (1) |
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62 | (1) |
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62 | (1) |
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62 | (1) |
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62 | (1) |
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Finger-Trap Versus Manual Reduction |
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62 | (1) |
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63 | (1) |
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Comparison Between Hematoma Block and Procedural Sedation |
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64 | (1) |
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Immobilization After Reduction |
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64 | (1) |
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65 | (1) |
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65 | (1) |
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65 | (1) |
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66 | (1) |
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67 | (2) |
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8 Surgical Versus Conservative Interventions for Displaced Distal Radius Fractures |
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69 | (16) |
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Importance of the Problem |
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69 | (1) |
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70 | (1) |
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70 | (1) |
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70 | (1) |
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Percutaneous Pinning vs Conservative Treatment |
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70 | (1) |
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70 | (1) |
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70 | (1) |
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External Fixation vs Conservative Treatment |
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71 | (1) |
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71 | (1) |
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71 | (1) |
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Volar Locking Plating vs Conservative Treatment |
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71 | (5) |
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71 | (1) |
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71 | (5) |
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76 | (1) |
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76 | (6) |
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82 | (3) |
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9 Predictors of Instability and Secondary Displacement After Conservatively Managed Distal Radius Fractures |
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85 | (10) |
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Importance of the Problem |
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86 | (1) |
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86 | (1) |
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86 | (1) |
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87 | (1) |
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87 | (1) |
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87 | (4) |
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87 | (2) |
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89 | (1) |
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89 | (2) |
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91 | (1) |
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91 | (2) |
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93 | (2) |
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10 Minimally Invasive Plate Osteosynthesis of Distal Radius Fractures |
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95 | (10) |
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Importance of the Problem |
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95 | (1) |
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96 | (1) |
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96 | (1) |
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96 | (1) |
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96 | (1) |
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96 | (4) |
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100 | (1) |
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100 | (3) |
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103 | (1) |
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103 | (2) |
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11 Volar, Dorsal, and/or Radial Plating |
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105 | (74) |
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Importance of the Problem |
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106 | (1) |
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106 | (1) |
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106 | (1) |
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106 | (1) |
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106 | (1) |
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106 | (6) |
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106 | (2) |
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108 | (1) |
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109 | (1) |
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110 | (2) |
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112 | (1) |
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112 | (5) |
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117 | (2) |
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12 Comminuted Articular Distal Radius Fractures |
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119 | (1) |
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Importance of the Problem |
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119 | (1) |
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120 | (1) |
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120 | (1) |
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120 | (1) |
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120 | (1) |
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120 | (8) |
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122 | (1) |
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122 | (1) |
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Dorsal Bridge Plating/Dorsal Distraction Plate |
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122 | (3) |
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125 | (1) |
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Volar Locking Plate Fixation |
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125 | (1) |
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Fragment-Specific Fixation |
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125 | (1) |
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126 | (2) |
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128 | (1) |
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128 | (12) |
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140 | (1) |
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13 Extra-Articular Distal Radius Fractures With Metaphyseal Comminution |
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141 | (20) |
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Importance of the Problem |
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149 | (1) |
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150 | (1) |
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150 | (1) |
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150 | (1) |
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Quality of the Evidence on VLP vs Cast |
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151 | (1) |
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Quality of the Evidence on Other Types of Surgery |
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151 | (1) |
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151 | (3) |
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Evidence From Level-1 VLP Studies |
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151 | (1) |
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Evidence From Level-2 VLP Studies |
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152 | (1) |
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Evidence From Level-3 VLP Studies |
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153 | (1) |
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153 | (1) |
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153 | (1) |
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154 | (1) |
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154 | (1) |
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154 | (4) |
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158 | (3) |
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14 Bone Graft (Substitutes) in Distal Radius Fractures |
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161 | (10) |
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Importance of the Problem |
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162 | (1) |
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162 | (1) |
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162 | (1) |
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162 | (1) |
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162 | (1) |
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163 | (3) |
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Evidence From Level-I Studies |
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163 | (1) |
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Evidence From Level-II Studies |
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164 | (1) |
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Evidence From Level-III Studies |
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164 | (1) |
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Evidence From Level-IV Studies |
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165 | (1) |
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166 | (1) |
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166 | (3) |
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169 | (2) |
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15 Arthroscopic-Assisted Treatment of Distal Radius Fractures |
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171 | (1) |
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Importance of the Problem |
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171 | (1) |
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171 | (1) |
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172 | (1) |
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172 | (1) |
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172 | (1) |
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173 | (7) |
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Can Arthroscopy Improve the Reduction of Intraarticulardistal Radius Fractures (IADRFs)? |
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173 | (1) |
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How Does Arthroscopy Contribute to the Diagnosis and Treatment of Concomitant Ligament Injuries? |
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173 | (1) |
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Does Arthroscopy Help to Improve the Functional Scores at Long-Term Follow-Up? |
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173 | (7) |
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180 | (1) |
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180 | (5) |
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185 | (2) |
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16 Simultaneous Fractures of the Distal Radius and Scaphoid |
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187 | (10) |
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Importance of the Problem |
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188 | (1) |
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189 | (1) |
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189 | (1) |
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189 | (1) |
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189 | (1) |
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189 | (3) |
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189 | (1) |
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Isolated Distal Radius and Scaphoid Fractures |
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189 | (3) |
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Perilunate Fracture Dislocations |
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192 | (1) |
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192 | (1) |
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192 | (2) |
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194 | (3) |
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17 Galeazzi Fracture Dislocations |
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197 | (10) |
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Importance of the Problem |
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198 | (1) |
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198 | (1) |
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198 | (1) |
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198 | (1) |
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198 | (1) |
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198 | (3) |
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198 | (1) |
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198 | (1) |
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199 | (1) |
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Associated Ulnar Styloid/Head Fracture |
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200 | (1) |
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200 | (1) |
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200 | (1) |
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201 | (1) |
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201 | (1) |
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201 | (1) |
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201 | (1) |
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201 | (1) |
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201 | (1) |
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201 | (3) |
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204 | (3) |
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18 Diagnosis and Treatment of an Essex-Lopresti Injury |
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207 | (10) |
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Importance of the Problem |
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207 | (1) |
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207 | (1) |
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207 | (1) |
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208 | (1) |
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208 | (1) |
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208 | (4) |
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Results for Diagnostic Tests |
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208 | (1) |
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209 | (3) |
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212 | (1) |
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212 | (4) |
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216 | (1) |
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19 Acute Distal Radioulnar Joint Instability |
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217 | (8) |
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Importance of the Problem |
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217 | (1) |
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217 | (1) |
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217 | (1) |
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218 | (1) |
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218 | (1) |
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219 | (2) |
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221 | (1) |
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221 | (2) |
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223 | (2) |
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20 Distal Ulnar Fractures Concomitant With Distal Radius Fractures |
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225 | (8) |
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Importance of the Problem |
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228 | (1) |
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228 | (1) |
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228 | (1) |
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228 | (1) |
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228 | (1) |
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229 | (1) |
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Ulnar Styloid Base Fractures |
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229 | (1) |
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Nonstyloid Distal Ulna Fractures |
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229 | (1) |
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229 | (1) |
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229 | (1) |
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229 | (1) |
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230 | (3) |
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21 Persistent Ulnar-Sided Wrist Pain After Distal Radius Fracture |
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233 | (12) |
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Importance of the Problem |
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235 | (1) |
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236 | (1) |
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236 | (1) |
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What Are the Elements of USWP After DRF? |
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236 | (1) |
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237 | (1) |
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237 | (1) |
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237 | (7) |
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244 | (1) |
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244 | (1) |
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244 | (1) |
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22 Association Between Radiological and Patient-Reported Outcomes |
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245 | (8) |
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Importance of the Problem |
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246 | (1) |
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246 | (1) |
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246 | (1) |
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246 | (1) |
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246 | (1) |
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246 | (1) |
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247 | (1) |
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248 | (1) |
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248 | (1) |
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Articular Step-Off and Incongruity |
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249 | (1) |
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249 | (1) |
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250 | (1) |
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250 | (3) |
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23 Rehabilitation Protocols After Distal Radius Fracture |
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253 | (10) |
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Importance of the Problem |
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254 | (1) |
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254 | (1) |
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254 | (1) |
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255 | (1) |
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255 | (1) |
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255 | (4) |
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255 | (1) |
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255 | (1) |
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Systematic Reviews: HEP vs SPS |
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255 | (2) |
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Timing of Rehabilitation After Surgery |
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257 | (1) |
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Other Rehabilitation Programs With Some Beneficial Evidence |
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258 | (1) |
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259 | (1) |
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259 | (1) |
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260 | (3) |
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24 Complex Regional Pain Syndrome in Distal Radius Fractures |
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263 | (14) |
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Importance of the Problem |
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263 | (2) |
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265 | (1) |
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265 | (1) |
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265 | (1) |
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265 | (1) |
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265 | (5) |
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Prevention of CRPS in Patients With DRFs With Prophylactic Vitamin C Treatment |
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265 | (3) |
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Is There a Correlation of CRPS to the DRF Fixation Technique? |
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268 | (1) |
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What Is the Role of Surgery for Treatment of CRPS |
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268 | (1) |
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The Role of Local Anesthetic Sympathetic Blockade for Treatment of CRPS |
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268 | (1) |
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What Is the Role of Physical Therapy and Behavioral Therapy for Treatment of CRPS in Patients With DRFs? |
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269 | (1) |
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270 | (1) |
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270 | (1) |
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271 | (4) |
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275 | (2) |
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SECTION V PEDIATRIC FRACTURE MANAGEMENT |
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25 Pediatric Distal Radius Fractures |
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277 | (14) |
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Importance of the Problem |
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278 | (1) |
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278 | (1) |
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278 | (1) |
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278 | (1) |
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279 | (1) |
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280 | (4) |
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Distal Forearm Fractures With Involvement of the Physis |
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280 | (1) |
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Distal Forearm Fractures Without Involvement of the Physis |
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280 | (4) |
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284 | (1) |
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284 | (5) |
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Fractures With Involvement of the Physis |
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284 | (1) |
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Fractures Without Involvement of the Physis |
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285 | (4) |
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289 | (2) |
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26 Pediatric Forearm Fractures |
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291 | (10) |
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Importance of the Problem |
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293 | (1) |
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293 | (1) |
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294 | (1) |
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294 | (1) |
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294 | (1) |
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294 | (3) |
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Nonoperative Treatment of Diaphyseal Both-Bone Forearm Fractures |
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294 | (2) |
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Operative Treatment of Diaphyseal Forearm Fractures |
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296 | (1) |
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297 | (1) |
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297 | (3) |
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300 | (1) |
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SECTION VI ELDERLY FRACTURE MANAGEMENT |
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27 Distal Radius Fracture Fixation in the Elderly |
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301 | (8) |
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Importance of the Problem |
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303 | (1) |
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303 | (1) |
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303 | (1) |
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303 | (1) |
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303 | (1) |
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303 | (2) |
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Overview of Level I Evidence |
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303 | (1) |
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Overview of Level II Evidence |
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304 | (1) |
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305 | (1) |
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305 | (3) |
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308 | (1) |
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28 Prevention of Distal Radius Fractures |
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309 | (10) |
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Importance of the Problem |
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310 | (1) |
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310 | (1) |
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311 | (1) |
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311 | (1) |
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311 | (1) |
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311 | (3) |
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Evidence for Screening and Osteoporosis Management |
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311 | (2) |
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Evidence for Falls Prevention |
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313 | (1) |
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314 | (1) |
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314 | (2) |
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316 | (3) |
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SECTION VII MALUNION AND NONUNION |
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29 Diagnosing the Malunited Distal Radius |
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319 | (8) |
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Importance of the Problem |
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320 | (1) |
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321 | (1) |
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321 | (1) |
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321 | (1) |
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321 | (1) |
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321 | (1) |
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Evidence From Level II Studies |
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321 | (1) |
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Evidence From Level III Studies |
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322 | (1) |
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Evidence From Level IV Studies |
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322 | (1) |
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Evidence From Level V Studies |
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322 | (1) |
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322 | (1) |
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323 | (1) |
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324 | (3) |
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30 Treatment of the Extraarticular Malunited Distal Radius |
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327 | (6) |
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Importance of the Problem |
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328 | (1) |
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328 | (1) |
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328 | (1) |
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328 | (1) |
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328 | (1) |
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328 | (2) |
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330 | (1) |
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330 | (1) |
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331 | (2) |
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31 Treatment of the Intraarticular Malunited Distal Radius |
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333 | (1) |
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Importance of the Problem |
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334 | (1) |
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334 | (1) |
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334 | (1) |
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334 | (1) |
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334 | (1) |
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334 | (1) |
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335 | (1) |
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335 | (4) |
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339 | (8) |
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32 Three-Dimensional Planning and Surgical Guidance of Malunion Correction |
|
|
347 | (10) |
|
|
|
|
Importance of the Problem |
|
|
342 | (1) |
|
|
342 | (1) |
|
|
342 | (1) |
|
|
342 | (1) |
|
|
343 | (1) |
|
|
343 | (1) |
|
Evidence From Level I Studies |
|
|
343 | (1) |
|
Evidence From Level IV Studies |
|
|
343 | (1) |
|
Evidence From Level V studies |
|
|
344 | (1) |
|
|
344 | (1) |
|
|
344 | (4) |
|
|
348 | (2) |
|
|
350 | (7) |
|
33 Nonunion of Distal Radius Fractures |
|
|
357 | (2) |
|
|
|
|
Importance of the Problem |
|
|
352 | (1) |
|
|
352 | (1) |
|
|
352 | (1) |
|
|
352 | (1) |
|
|
352 | (1) |
|
|
352 | (3) |
|
|
355 | (1) |
|
|
355 | (2) |
|
|
357 | (2) |
|
SECTION VIII POSTTRAUMATIC ARTHRITIS AND COMPLICATIONS |
|
|
|
34 Tendon Ruptures After Distal Radius Fracture |
|
|
359 | (12) |
|
|
Importance of the Problem |
|
|
360 | (1) |
|
|
361 | (1) |
|
|
361 | (1) |
|
|
361 | (1) |
|
|
361 | (1) |
|
|
361 | (4) |
|
|
361 | (4) |
|
|
365 | (1) |
|
|
365 | (1) |
|
Evidence to Support Specific Treatment |
|
|
365 | (1) |
|
|
365 | (3) |
|
|
368 | (1) |
|
|
368 | (1) |
|
|
368 | (3) |
|
35 Chronic DRUJ Instability After Distal Radius Fractures |
|
|
371 | (16) |
|
Vicente Carratala Bajxauli |
|
|
Francisco J. Lucas Garcia |
|
|
|
|
Importance of the Problem |
|
|
373 | (1) |
|
|
374 | (1) |
|
|
374 | (1) |
|
|
374 | (2) |
|
|
374 | (1) |
|
|
374 | (2) |
|
|
376 | (1) |
|
|
376 | (8) |
|
|
384 | (1) |
|
|
384 | (3) |
|
36 Posttraumatic DRUJ Arthritis |
|
|
387 | (20) |
|
|
|
|
Importance of the Problem |
|
|
388 | (1) |
|
|
389 | (1) |
|
|
389 | (1) |
|
Surgical Treatment Options |
|
|
389 | (3) |
|
|
389 | (1) |
|
DRUJ Resection Arthroplasties |
|
|
389 | (2) |
|
DRUJ Implant Arthroplasties |
|
|
391 | (1) |
|
|
392 | (1) |
|
|
392 | (1) |
|
|
393 | (1) |
|
|
393 | (1) |
|
|
393 | (6) |
|
|
399 | (1) |
|
|
399 | (8) |
|
37 Posttraumatic Radiocarpal Arthritis |
|
|
407 | (6) |
|
|
|
|
Importance of the Problem |
|
|
402 | (1) |
|
|
402 | (1) |
|
|
402 | (1) |
|
|
403 | (1) |
|
|
403 | (1) |
|
|
403 | (1) |
|
|
403 | (2) |
|
|
405 | (3) |
|
|
408 | (3) |
|
|
411 | (2) |
|
38 Wrist Contracture After Distal Radius Fractures |
|
|
413 | (16) |
|
|
|
|
Importance of the Problem |
|
|
414 | (1) |
|
|
414 | (3) |
|
|
416 | (1) |
|
|
416 | (1) |
|
|
416 | (1) |
|
|
417 | (1) |
|
Evidence From Level IV-V Studies |
|
|
417 | (4) |
|
|
421 | (5) |
|
|
426 | (1) |
|
|
427 | (2) |
Index |
|
429 | |