Navigating through the sea of medicine

I t was back in 2018, and I was still working at the Sports Trauma Hospital in Guangzhou, China. That day, a young gentleman comes to the clinic with a martial arts injury. Physical examination/palpation of the limb and also an x-ray revealed a fractured ulna. Typically, in these types of situations, the standard of care at the hospital, required that the patient moves to the inpatient department for further evaluation, processing and to await surgery. During the surgery, the specialist would open a small incision, realign the bone and then secure it in place with pins or metal implants. However, this approach is not always necessary. In the not-so-distant past, for a simple fracture of the ulna with less than 50% displacement and less than 10% angulation, a simple cast and plenty of rest would be sufficient.  In any case, the patient outright refused surgery and casting. He simply asked that we use traditional bone-setting to realign the bone, and then secure it in place with wood...