Apr 01, 2022 Issue
Splint vs. Cast for Forearm Buckle Fracture in Children [Medicine by the Numbers]

Learn more about splint vs. cast for forearm buckle fracture in children.

Mar 01, 2022 Issue
Thumb Spica Casts for Scaphoid Fractures [FPIN's Clinical Inquiries]

The type of cast used does not appear to impact outcomes. A short arm cast allows the patient to have better function and mobility during immobilization without compromising the healing process. Thumb spica casts are no better than casts that do not include the thumb in fracture healing rates or lon...

Dec 01, 2021 Issue
Ultrasonography Is Accurate for Diagnosing Upper Extremity Fractures in Children [POEMs]

Diagnostic ultrasonography is highly accurate for diagnosing most upper extremity fractures but slightly less accurate for fractures involving the elbow. Clinicians should not use ultrasonography alone to rule in elbow fractures in children.

Mar 15, 2021 Issue
Common Fractures of the Radius and Ulna [Article]

Fractures of the radius and ulna are the most common fractures of the upper extremity. Patients with radius and ulna fractures often present with reduced range of movement in the joint adjacent to the fracture. Radiography or ultrasonography can confirm the diagnosis, but repeat imaging may be needed if initially negative. Although nondisplaced or minimally displaced fractures can be managed with immobilization, it is important to identify fractures that require referral to an orthopedist.

Sep 15, 2020 Issue
Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much Higher [POEMs]

This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

Apr 15, 2020 Issue
Ketorolac vs. Morphine for Pain Relief After Fractures [FPIN's Help Desk Answers]

Parenteral ketorolac is as effective as parenteral morphine for short-term pain relief in patients with long bone fractures, and it results in fewer adverse effects.

Nov 15, 2018 Issue
Braces and Splints for Common Musculoskeletal Conditions [Article]

Find out how to choose the appropriate brace or splint for your patient’s condition, and to determine the correct size, fit, and duration of use. Selecting an inappropriate brace or splint may lead to delayed healing or further injury.

Nov 15, 2018 Issue
Screening for Osteoporosis to Prevent Fractures [Putting Prevention into Practice]

A 57-year-old postmenopausal woman comes to your clinic for a wellness visit. She has no significant medical problems. She broke her left forearm as a child by falling out of a tree but has had no other fractures. She currently smokes one pack of cigarettes per day, rarely drinks one glass of red wi...

Nov 15, 2018 Issue
Screening for Osteoporosis to Prevent Fractures: Recommendation Statement [U.S. Preventive Services Task Force]

The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.

Aug 15, 2018 Issue
Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults [Putting Prevention into Practice]

Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.

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