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279 How Efficacious is the Manipulation of Distal Radius Fractures in the Emergency Department in Terms of Avoiding the Need for Surgery? A Service Evaluation across Three Busy Centers

280 Adjunctive Dorsal Spanning Plate Fixation in the Stabilization of Perilunate Dislocations

281 The Snuffbox: The Effect of Smokeless Tobacco Use on Scaphoid Fracture Healing

282 Public Insurance Is Associated with a Longer Time to Surgery for Distal Radius Fractures

283 Documented Cannabis Use is a Risk Factor for Nonunion after Nonsurgical Management of Scaphoid Fractures: A Retrospective Review of 159,998 Patients