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Although distal radius fractures, especially extra-articular fractures, are considered to be relatively harmless, inadequate treatment may result in impaired function of the wrist. Initial treatment according to Dutch guidelines consists of closed reduction and plaster immobilisation. If fracture redisplacement occurs, surgical treatment is recommended. Recently, the use of volar locking plates has become more popular. The aim of this study is to compare the functional outcome following surgical reduction and fixation with a volar locking plate with the functional outcome following closed reduction and plaster immobilisation in patients with displaced extra-articular distal radius fractures. Design This single blinded randomised controlled trial will randomise between open reduction and internal fixation with a volar locking plate (intervention group) and closed reduction followed by plaster immobilisation (control group). The study population will consist of all consecutive adult patients who are diagnosed with a displaced extra-articular distal radius fracture, which has been adequately reduced at the Emergency Department. The primary outcome (functional outcome) will be assessed by means of the Disability Arm Shoulder Hand Score (DASH). Secondary outcomes comprise the Patient -Rated Wrist Evaluation score (PRWE), quality of life, pain, range of motion, radiological parameters, complications and cross-overs. Since the treatment allocated involves a surgical procedure, randomisation status will not be blinded. However, the researcher assessing the outcome at one year will be unaware of the treatment allocation. In total, 90 patients will be included and this trial will require an estimated time of two years to complete and will be conducted in the Academic Medical Centre Amsterdam and. In the group of young adults, distal radius fractures normally result from high-energy trauma. Wrist fractures in young patients without adequate trauma thus raise suspicion of a pathologic fracture. In this report we present the case of a fractured unicameral bone cyst (UBC) at the distal radius in a young adult. To the authora? best knowledge, this is the first detailed report in an UBC at the distal radius causing a pathologic DRF in an adult patient. Case presentation A 25-year-old otherwise healthy male presented to our Emergency Department after a simple fall on his right outstretched hand. Extended diagnostics revealed a pathologic, dorsally displaced, intra-articular distal radius fracture secondary to a unicameral bone cyst occupying almost the whole metaphysis of the distal radius.


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He has also provided technical support to multinational projects. He obtained his PhD from Peking University, and MSc from University College London. In this role, he currently works on the creation of an inclusive climate action plan for megacities, templates for city investment and divestment, and a host of other projects. Prior to starting with C40, Joshua was Chief of Staff to Mayor Charlie Hales in Portland, OR. As Chief of Staff, Josh worked with and advised the Mayor on long-range strategy and policy, led City efforts on addressing homelessness and was the lead for C40, where he helped launch a seven-city pilot to quantify and measure the green economy. Before joining Mayor Hales' administration, Joshua worked for 7 years as the Northwest Director of Conservation Strategies for The Trust for Public Land. Joshua holds a J. . from the Northwestern School of Law at Lewis and Clark College and a BA in Philosophy from the University of Pennsylvania. In this position she is responsible for supporting cities as they work to meet their climate change adaptation and water management goals. Before taking on this role, Mandy served as the City Director for Jakarta at C40 where she worked closely with the Governor and regional government of Jakarta to identify, develop and implement programmes and projects to reduce greenhouse gas emissions. Before joining C40, Mandy was a city planner in New York, serving in both NYC's City Planning and Parks and Recreation departments. She has a research background in urban and architectural history as well as international environmental programming, including projects with the Asia Foundation and the Aga Khan Trust for Culture. Mandy holds a Master of City Planning and a Master of Science in Architectural Studies from MIT and a BA in History from Wesleyan University. She is based in Copenhagen and is responsible for stewarding two of the C40 strategic funders, Children Investment Fund Foundation and Realdania, as well as developing various projects in the team. Prior to joining C40, Emilie worked as Head of Section in the Strategic Secretariat for the Danish Minister of Environment and Food, in the International Office for the Lord Mayor of Copenhagen, and in the Danish green think tank Monday Morning. During her studies, she interned with The Climate Group, helped develop the C40 Green Growth Network, and assisted the Danish negotiation team at the Ministry of Climate and Energy in preparing and facilitating COP15 in 2009. She is responsible for delivering C40’s global energy strategy, including oversight of the energy efficiency and district energy networks. Prior to joining C40, Zoe was a Senior Policy Adviser in the Department of Energy and Climate Change (DECC) of the UK Government.

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Rahasia! (hal. 179) Disini, ada 7 Misi yang dijalankan Sophie dan Marko. Tidak ada yang tahu seberapa berharga seseorang sampai dia pergi. (hal. 85). Mengenai film, aku belum nonton nih karena emang udah nggak ada di bioskop, tapi tonton trailernya saja ya:D. Tapi jangan salah, mereka juga menikmati hangout ke mal. You’ll know the answer is. ” (hal. 65) 3. “Cewek tuh punya intuisi. Bahkan bisa ngeliat cewek lain suka atau nggak sama cowok. (hal. 76) 4. “Berarti cewek tahu dong, kalau ada cowok yang suka sama dia. Walau tuh cowok nggak pernah ngomong? (hal. 76) 5.

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