Description
In this presentation, Andrew Duckworth summarizes notable findings from the BJ 360 session, focusing on upper limb trauma. He discusses emerging literature on humeral shaft fractures, indicating a rise in interest towards operative management over traditional nonoperative approaches, highlighting the need for timely intervention to prevent complications such as non-union. Key studies, like the FISH trial, demonstrate potential benefits of surgery, particularly in cases of non-union. Duckworth also reviews the changing demographics with olecranon fractures, emphasizing a shift toward treating older patients and advocating for careful monitoring in nonoperative cases. He further explores distal radius fractures, revealing recent trials that question the efficacy of surgical fixation in older populations while hinting at patient-specific factors influencing outcomes. The presentation wraps up with insights on bony mallet injuries, suggesting the need for a reevaluation of traditional teaching based on new findings regarding treatment effectiveness and joint congruence. Overall, Duckworth advocates for a tailored approach to treatment in upper limb trauma, underscoring the importance of ongoing research and individualized patient care.
DOI: 10.1302/3114-221332