The week in
orthopaedics.

Paediatric distal radius fractures are the most common childhood fracture, and knowing when remodelling makes reduction unnecessary can spare young children anaesthesia, pins, and their complications.

Distal tibia fractures are a common trauma problem, and knowing the trade-off between infection risk with plating and knee pain with nailing is core knowledge for counselling and for exams.

Denosumab biosimilars may lower cost and widen access to a key antiresorptive for osteoporosis, which matters for secondary fracture prevention after fragility fractures seen on orthopaedic services.

Cell-based injections for knee arthritis are widely marketed, so a sham-controlled trial showing a 12-month responder benefit (with a wide confidence interval and an unusual composite endpoint) is directly relevant to how you counsel patients asking about biologics.

Frozen shoulder is a common clinic and exam topic, and this review shows that the evidence behind most of its many treatments is weak, short-term, and unable to rank options definitively.

Liposomal bupivacaine costs about $330 more per dose, and this review suggests its added analgesic benefit in interscalene blocks is too small to matter clinically for most shoulder surgery patients.

Students counselling families of children with mild to moderate scoliosis should know that scoliosis-specific exercise, especially Schroth, has the strongest pooled signal for curve and rotation change, although the trials are small and often at risk of bias.

Capsular management is a common decision in hip arthroscopy, and this review suggests repair matters most after larger (T-shaped) capsulotomies rather than routine interportal cuts.

Periprosthetic femoral fracture is a leading cause of reoperation after hip arthroplasty, and these data suggest stem choice may need to be tailored to the patient's sex, age, and frailty.