In this issue of the Orthopedic Clinics of North America , we present several interesting articles in the Upper Extremity section reviewing a broad range of topics.
Distal radius fractures are among the most common fractures seen and managed in the emergency department. However, some controversy still exists on its acute management. Padegimas and Ilyas present a practical review of emergency department management of distal radius fractures, including physical examination, radiographic diagnosis, closed reduction and splinting techniques, as well as surgical indications.
Elbow instability encompasses a wide variety of traumatic conditions of the elbow ranging from simple acute dislocations to complex ones with a combination of bony and ligamentous injuries. These are challenging injuries where treatment is predicated on both accurate diagnosis and timely treatment. Ahmed and Mistry present a detailed review, including diagnosis and the full spectrum of treatment options for both acute and chronic cases.
Thumb ulnar collateral ligament injuries are common conditions that can be a product of chronic trauma, but more commonly, acute trauma. Avery and colleagues provide a detailed review of this condition, including physical examination, diagnosis, and management.
Rotator cuff calcific tendinopathy is a relatively uncommon but interesting condition that is often found incidentally on radiographs during evaluation of shoulder pain. Greis and colleagues provide a comprehensive review of this tendinopathy, including its pathophysiology, diagnosis, and nonoperative management, including ultrasound-guided lavage and extracorporeal shock-wave therapy.