Variation in outpatient consultation fees of psychiatrists in Australia by state and territory.

Objective: To determine bulk billing rates, and mean, median, and 10 and 90 centile fees for outpatient consultations with a psychiatrist in Australia in 2019, by state or territory.

Method: Medicare claims data for bulk billing rates and the mean, median, and 10 and 90 centile for fees charged in Australia in 2019 were requested, for item numbers for initial and ongoing consultations.

Results: There were high rates of bulk billing overall.

Extension type II pediatric supracondylar humerus fractures: a radiographic outcomes study of closed reduction and cast immobilization.

Background: The treatment of Gartland type II pediatric supracondylar humerus fractures remains controversial. Some argue that closed reduction and cast immobilization is sufficient to treat these fractures, whereas others advocate closed reduction and percutaneous pinning. The purpose of this radiographic outcomes study was to determine whether closed reduction and cast immobilization could successfully obtain and maintain acceptable reduction of extension type II supracondylar humerus fractures.

Posterior kyphectomy for myelomeningocele with anterior placement of fixation: a retrospective review.

Background: Kyphosis in myelomeningocele is a rare and difficult problem. Many strategies have been used with no single procedure universally agreed on. Techniques involving anterior and posterior fixation may provide better fusion.

Congenital bilateral absence of the elbow flexors.

In this case report, a patient with bilateral congenital absence of the elbow flexors is described, which has not been described previously. The usual methods of tendon transfers after brachial plexus injury were not possible in this case because there were no biceps muscle tendons to which to attach. The method of moving the origin of the common extensor tendon proximally to have it function as an elbow flexor was successful and the patient obtained functional elbow flexion strength.

Short arm plaster cast for distal pediatric forearm fractures.

Ten years' clinical experience with below-elbow plaster cast treatment of distal one third pediatric forearm fractures was subjected to an independent retrospective radiographic review. In the study population of 761 fractures, no significant displacement occurred while the forearm remained in plaster. The average angulation change was 4.