Unstable distal radius fractures can be treated with closed reduction and cast application in low-demand elderly patients to avoid risks and complications of surgery.

Volar locking plate fixation is an effective treatment in the anatomical and functional restoration of unstable distal radius fractures.

The two fixation methods yield similar results in terms of functional healing and patient satisfaction in the management of adult forearm fractures.

Aim: Until now, the association between subepicardial adipose tissue (SAT), insulin resistance and intima-media thickness (IMT) has not been evaluated in obese children. In this study, we evaluated whether echocardiographic SAT is related to insulin resistance and IMT in obese children. Subjects and Methods: A total of 46 obese subjects (10.2 ± 2.5 years of age, 25 male patients) and 30 age-and gendermatched lean subjects (10.8±3.1 years of age, 13 male patients) were included in this study. The criterion for diagnosing obesity was defined as the body mass index (BMI) being over 97% percentile of the same gender and age. Serum triglyceride (TG), low-and high-density lipoprotein, cholesterol, glucose and insulin levels were measured during the fasting state. Each subject underwent a transthoracic echocardiogram and the SAT thickness was measured during end-diastole from the parasternal long-axis views. Results: The obese subjects had significantly higher SAT thickness and IMT values compared with the subjects in the control group (5.7±1.4 vs 3.0±0.7 mm, 0.78±0.15 vs 0.51±0.11 mm, P ¼ 0.001, respectively). Simple linear regression analysis showed no significant correlation between SAT and insulin resistance (r ¼ 0.170, P ¼ 0.253), whereas there was significant correlation between SAT and BMI, age and IMT (r ¼ 0.625, P ¼ 0.02, r ¼ 0.589, P ¼ 0.001, r ¼ 0.343, P ¼ 0.02, respectively). As an optimal cutoff point, a SAT thickness of 4.1 mm determined insulin resistance with 90% sensitivity and 61% specificity. Conclusions: Our study showed that SAT was significantly correlated with age, BMI and IMT, but not insulin resistance. However, our findings suggest that a 4.1 mm cutoff of SAT thickness might be used as a simple, inexpensive and non-invasive screening method because of its ability to predict insulin resistance with high sensitivity in obese children.

In conclusion, acellular nerve allograft demonstrated equal functional recovery when compared to reversed autograft (control), and superior recovery compared to the cabled nerve autograft.

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Open mosaicplasty is a simple, safe, and effective alternative in the treatment of cartilage losses of the talar dome, in particular those of cystic type and exceeding 10 mm in size.