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Blakeney W et al. – The study highlights the importance of the initial `on arrival' and `post–reduction' X–rays in the ED. Displaced fractures are more likely to go onto poor outcome, as are inadequately reduced fractures. Medical officers working in ED should be aware of the importance of measuring the dorsal angle. They should be referring patients with >15° dorsal angulation to orthopaedics early. Reduction should not be accepted until the dorsal angle has been adequately corrected.

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