Advancing the management of upper extremity musculoskeletal conditions: Insights from the field of implementation science.

Introduction: The development of effective interventions in hand and upper extremity rehabilitation is critically important; yet even the most promising interventions may not successfully be implemented in practice. Occupational and physical therapists who provide specialized hand and upper extremity rehabilitation services ("hand therapists") can face extensive, multi-level barriers when attempting to use research findings in real-world settings, widening the long-standing research-to-practice gap. Concepts from the field of implementation science can be leveraged to address this gap and expedite the application of research discoveries that can maximize treatment outcomes of the musculoskeletal upper extremity client.

Plating of acute humeral diaphyseal fractures through an anterior approach in multiple trauma patients.

Objective: We evaluated the clinical and long-term functional outcomes of humeral diaphyseal fractures treated with acute anterior plating in a trauma population.

Design: Single-center, retrospective cohort analysis with long-term prospective follow-up.

Setting: Urban, Level I trauma center.