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Maik Sliepen Institut für Experimentelle Muskuloskelettale Medizin (IEMM), Universitätsklinikum Münster (UKM), Westfälische Wilhelms-Universität Münster (WWU), Germany

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Matthijs Lipperts AHORSE, Department of Orthopaedics, Zuyderland Medical Centre, The Netherlands

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Marianne Tjur Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark

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Inger Mechlenburg Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark
Centre of Research in Rehabilitation (CORIR), Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Denmark

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preventing or delaying orthopaedic diseases 1 , 2 as well as non-orthopaedic conditions. 3 Thus, the assessment of PA, in addition to pain and physical function, is suggested to be relevant and can offer reference values or provide patient feedback

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Abdus S. Burahee The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Andrew D. Sanders The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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the MABCN is the most vulnerable and lies within 40 mm of the medial epicondyle in approximately 60% of cases. 17 Assessment of failed cubital tunnel surgery The clinician must take a detailed history to determine the timing of onset and

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Frederique J. Hafkamp Department of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands
Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands

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Taco Gosens Department of Orthopedics, Elisabeth-TweeSteden Hospital, Tilburg, Netherlands

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Jolanda de Vries Department of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands
Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands
Department of Medical Psychology, Elisabeth-TweeSteden Hospital, Tilburg, Netherlands

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Brenda L. den Oudsten Department of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands
Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands

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expectations have been met. 32 Although these concepts are clearly defined, assessment of these outcome expectations could focus on all different kinds of outcomes, such as, for example, general improvement, 10 , 33 – 35 or more specific pain level

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Martin Clementson Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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Anders Björkman Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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Niels O. B. Thomsen Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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initial radiographs. In cases of suspected scaphoid fracture where the initial radiographs are negative, magnetic resonance imaging (MRI) is recommended for diagnostics, while computed tomography (CT) has proven more reliable and accurate in the assessment

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Mohsen Raza Department of Trauma & Orthopaedics, St George’s University Hospitals NHS Foundation Trust, London, UK

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Daniel Murphy Department of Trauma & Orthopaedics, St George’s University Hospitals NHS Foundation Trust, London, UK

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Yael Gelfer Department of Trauma & Orthopaedics, St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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) checklist to aid with data synthesis methodology. 15 , 16 As the majority of studies were case reports/series, bias assessment was not deemed appropriate. Results A total of 169 published reports were originally identified. Fig. 1 presents

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James W.A. Fletcher Department for Health, University of Bath, UK
AO Research Institute Davos, Switzerland

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Lisa Wenzel AO Research Institute Davos, Switzerland
Department of Trauma Surgery, Trauma Center Murnau, Germany

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Verena Neumann AO Research Institute Davos, Switzerland

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R. Geoff Richards AO Research Institute Davos, Switzerland

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Boyko Gueorguiev AO Research Institute Davos, Switzerland

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Harinderjit S. Gill Department of Mechanical Engineering, University of Bath, UK

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Ezio Preatoni Department for Health, University of Bath, UK

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Michael R. Whitehouse Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, Southmead Hospital, Bristol, UK
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK

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were included in the review for assessment of screw tightness, of which nine reported the stripping rates explicitly in their manuscripts. 6 – 17 Fig. 1 PRISMA flow chart. Screw tightness achieved as a percentage of the maximum

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Ignacio Sanpera Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Sandra Villafranca-Solano Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Carmen Muñoz-Lopez Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Julia Sanpera-Iglesias Evelina Children’s Hospital, London, UK

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should include a shoeless assessment of the patient’s gait. The presence of a foot drop or an extensor recruitment to compensate for weak dorsiflexion should be noted. Abnormal heel and tandem walking may be an early sign of alert. When a calcaneocavus

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Daniel Murphy St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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Mohsen Raza St George’s University Hospitals NHS Foundation Trust, London, UK

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Hiba Khan St George’s University Hospitals NHS Foundation Trust, London, UK

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Deborah M. Eastwood Great Ormond Street Hospital, London, UK
University College London (UCL), London, UK

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Yael Gelfer St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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assessment of case series was carried out in accordance with published guidance from Murad and colleagues, 31 and assessment of non-randomized interventional studies was carried out using the ROBINS-I tool. 32 Table 1. Systematic review defined

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Rajpal Nandra Health Education West Midlands, Birmingham, UK

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Alan F. Brockie Academic Department of Military Nursing, Birmingham, UK

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Faisal Hussain Royal Orthopaedic Hospital, Birmingham, UK

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assessment and treatment of individuals injured or suddenly unwell from the point of contact at the scene to the emergency department; providing life-saving measures in life-threatening situations. Examples would include a cardiac arrest, pedestrian vs. car

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Maurizio De Pellegrin Pediatric Orthopedic Unit, San Raffaele Hospital, Milan, Italy

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Lucrezia Montanari Pediatric Orthopedic Unit, San Raffaele Hospital, Milan, Italy

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Desiree Moharamzadeh Pediatric Orthopedic Unit, San Raffaele Hospital, Milan, Italy

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Oliver Eberhardt Klinikum Stuttgart Olgahospital und Frauenklinik Stuttgart, Orthopädische Klinik, Stuttgart, Germany

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hip (DDH). Fleissner in 1994, in an article regarding closed reduction of the hip, proposed an arthrographic classification in order to give an assessment of success (or lack of it) of the reduction. 5 Carlioz and Felipe, in an article in 1982

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