BACKGROUND The aim of this study is to determine the functional long-term outcome after non-operative and operative treatment of radial neck fractures in adults. METHODS Thirty-four consecutive patients with a mean age of 46.4 (18.0 to 63.0) years with a fracture of the radial neck who were treated between 2000 and 2014 were examined regarding the clinical and radiological outcome. Twenty pat...

Gall-stone intestinal obstruction (GSO) is an unusual form of mechanical obstruction and a rare complication of cholelithiasis. The treatment options are controversial, usually the management is surgical but associated with significant morbidity and mortality. A spontaneous evacuation of the gall-stone that had induced GSO is even more exceptional, only few reports being published up to date. W...

Highly active ACL injured patients are usually recommended surgical treatment as the primary intervention. The objective of this study was to compare the functional outcome in a cohort of individuals after non-operative treatment to individuals after surgical treatment at a one year follow-up. One-hundred-and-twenty-five subjects with a mean age of 27.2 years (±8.6 years), and participating in ...

Peroneal split syndrome refers to longitudinal tearing of the peroneus brevis tendon at the level of the retrofibular groove. It is an increasingly recognized, albeit frequently overlooked, cause of lateral ankle pain. Several surgical options have been documented for managing this entity, however there are no reports emphasizing the role of conservative treatment. A 48-year-old male patient pr...

Management of first shoulder dislocation following reduction remains controversial. The two main options are immobilisation and arthroscopic stabilisation. The aim of this article is to highlight some of the issues that influence decision making when discussing management options with these patients, including natural history of the first time dislocation, outcomes of surgery and non-operative ...

Surgery is the routine management for elderly individuals with femoral neck fracture, in order to reduce the morbidity and the mortality and to relieve pain. Sixteen elderly patients with displaced femoral neck fractures who were unfit for surgeries were treated conservatively. The mortality in this group was not higher than reported following surgical management. Close nursing care, physiother...

Chylous discharge into cavities or skin is rare and usually arises after operations in the vicinity of the cisterna chyli (secondary chylous reflux). When chylous discharge is primary, however, chylous reflux has usually been present since birth probably as a consequence of obstruction to lymph flow at or above the cistern chyli. We report a patient who had had chylous reflux into lacerated ski...

We performed a prospective, randomised controlled trial of the operative versus non-operative treatment of 42 displaced fractures of the distal femur in elderly patients. Excellent or good results were achieved in 53% of the operated group and in 31% of the non-operated group. There were more complications in the latter, and the time to discharge was considerably longer.

conclusions although some of the orthopedic surgeons are not interested to manage these fractures surgically and most of them treat these cases conservatively (casting, etc.), in most displaced intra-articular calcaneal fractures, surgical treatment is the method of choice. moreover, in non-surgical treatment the prevalence of these complications among the patients is more and as a result, inev...

 Abstract  Background: Spondylolysis and spondylolisthesis can be associated with significant  low back pain, especially in physically active adolescents. Non-operative management  is usually successful in improving symptoms, but surgical intervention is  occasionally required. The aim of this study was to determine the effect of in situ posterolateral  fusion in the treatment of refractory cas...