@rsingler the only time they fail is when not serviced properly. Manual says blue loc-tite on the end of that screw and to service yearly. Most people don't, and often times they will tighten it which breaks the loc-tite. Service them properly, and a non-issue. If one opens up, and I've had a used one open up on me underwater, you can depressurize, and tighten it back pretty easily. I have since opened up all of them whether new or used and reapplied the loc-tite. Haven't had an issue since.
The problem with the elbows is that on the reg side, the bolt that holes the female 9/16-20 side and also holds the sealing o-ring has really tiny threads. If those are overtorqued at all, they like to shear off and the whole reg shoots out. Nothing you can do with those. Some of them are non-serviceable like the ones from Kirby Morgan and those are fine, but the cheap ones are not