The recent increase in life expectancy is expected to bring about a concurrent rise in the number of proximal humerus fractures. Those presenting with significant displacement, osteoporosis, and comminution present distinct clinical challenges, and the optimal treatment of these injuries remains controversial. As implant technologies and treatment strategies continue to evolve, the role and app...

STUDY DESIGN Concurrent prospective randomized and observational cohort studies. OBJECTIVE To assess the 8-year outcomes of surgery versus nonoperative care. SUMMARY OF BACKGROUND DATA Although randomized trials have demonstrated small short-term differences in favor of surgery, long-term outcomes comparing surgical with nonoperative treatment remain controversial. METHODS Surgical candid...

STUDY DESIGN Secondary analysis of randomized and nonrandomized prospective cohorts. OBJECTIVE To examine the effect of patient treatment expectations on treatment outcomes for patients with intervertebral disc herniation. SUMMARY OF BACKGROUND DATA Patient expectations about treatment effectiveness may have important relationships with clinical outcomes. METHODS Subgroup and reanalysis o...

Dear Editor We read the article by Bagheri et al with great interest (1). We found the study interesting and comprehensive as four groups of patients, including operative and nonoperative in either pure dislocation or fracture dislocation, were compared in terms of Mayo wrist score, Grip strength, range of motion and radiographic parameters. It seems that the results were comparable to studies ...

BACKGROUND Multiple meta-analyses have been published in efforts to determine whether operative or nonoperative treatment of Achilles tendon ruptures affords superior outcomes. PURPOSE To perform a systematic review of overlapping meta-analyses comparing operative and nonoperative treatment of Achilles tendon ruptures to determine which meta-analyses provide the highest level of evidence for ...

CONCLUSION: Despite their similarities in clinical and radiographic presentation, pediatric JE phalangeal fractures are a distinct entity from SH2 fractures. Presenting with significantly more radiographic angulation and clinical instability, JE fractures more frequently required operative fixation compared to SH2 fractures. This distinction is important when determining the treatment strategy ...

CONCLUSION: Despite their similarities in clinical and radiographic presentation, pediatric JE phalangeal fractures are a distinct entity from SH2 fractures. Presenting with significantly more radiographic angulation and clinical instability, JE fractures more frequently required operative fixation compared to SH2 fractures. This distinction is important when determining the treatment strategy ...

I have read the article by Kırkıl et al. (1) with great interest. They reported that uncomplicated appendicitis can be managed by medical treatment with a rate of 10.2% recurrence. In their study they failed to achieve success only 2 patients (1.2%) in first 48 hour. Although the first treatment response to complicated acute appendicitis is nonoperative intervention, there is a growing body of ...