These key learning points summarize the consensus- and evidence-based recommendations included in this edition. The sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting. A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patientoriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort.

1. When clinical suspicion for fracture persists despite negative imaging, immobilize the affected extremity with protected weight-bearing; reassess with repeat radiography in 10 to 14 days or with advanced imaging with computed tomography or magnetic resonance imaging without intravenous contrast based on location and risk.
Evidence rating: SORT C
Source: Section One, reference 14

2. Recommend surgical management for patients younger than 65 years with distal radius fractures demonstrating radial shortening greater than 3 mm, dorsal tilt greater than 10 degrees, or intra-articular displacement or step-off greater than 2 mm.
Evidence rating: SORT B
Source: Section One, reference 18

3. Offer corticosteroid injections for de Quervain tenosynovitis and adhesive capsulitis.
Evidence rating: SORT A
Source: Section Two, reference 28 and 30