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Comments on “Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in Acute Shoulder Dislocations”

Volume 16, Issue 3, May 2015
Robert W. Jordan, MBChB, MRCS, et al.

We read the paper of Lacy et al. (2015) with interest. The authors present a narrative review of the use of external rotation bracing in acute shoulder dislocations. One of the weaknesses of a narrative review is that it is more likely to be subject to reporting bias.

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Comments on “Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in Acute Shoulder Dislocations”

Volume 16, Issue 3, May 2015
Kyle Lacy, MD, MS, et al.

Jordan et al. comment in their letter to the editor, “We feel that the narrative review in this publication does not provide a balanced overview of the clinical studies available and we question the value of external rotation in the management of these patients. They further state that, the paper is “likely to be subject to reporting bias.’’ Jordan et al. quote articles that question the value of external rotation bracing over internal rotation bracing for acute anterior dislocations.

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ISSN: 1936-900X
e-ISSN: 1936-9018

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Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.