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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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of the thumb. 44 At our institution, we recommend conservative treatment with a standard short arm cast without thumb immobilization which, besides comfort, improves patients’ hand function as it allows thumb opposition and thereby enhances pinch

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Reinier Feitz Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Yara E. van Kooij Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Marloes H. P. ter Stege Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Mark J. W. van der Oest Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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J. Sebastiaan Souer Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Robbert M. Wouters Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Harm P. Slijper Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Ruud W. Selles Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Steven E. R. Hovius Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Hand–Wrist Study Group RAM Blomme, BJR Sluijter, DJJC van der Avoort, A Kroeze, J Smit, J Debeij, ET Walbeehm, GM van Couwelaar, Guus M Vermeulen, JP de Schipper, JFM Temming, JH van Uchelen, HL de Boer, KP de Haas, K Harmsen, OT Zöphel, R Koch, TM Moojen, X Smit, GJ Halbesma, R van Huis, PY Pennehouat, K Schoneveld, YE van Kooij, RM Wouters, JJ Veltkamp, A Fink, WA de Ridder, J Tsehaie, R Poelstra, MC Janssen, PO Sun, VJMM Schrier, L Hoogendam, JS Teunissen, Jak Dekker, M Jansen-Landheer

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and operational parameters such as the number of new consultations, revenue in the outpatient clinic, revenue in the surgical theatre, number of procedures, total surgical fee, percentage of conservative treatment, and case-mix complexity. In the

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Bülent Atilla Hacettepe University Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Hande Güney-Deniz Hacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey

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, many adult haemophiliacs suffer from rotator cuff impingement or arthritis. In the management of shoulder pain, conservative treatment with physiotherapy should be considered first. 14 , 15 Persistence of symptoms despite effective conservative

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Javier Masquijo Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina

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Alpesh Kothari Department of Paediatric Orthopaedics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK

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subsequently has limited value when deciding on treatment options. Treatment decisions are influenced on clinical symptoms, skeletal maturity and characteristics of the lesion (size, location and stability). Conservative treatment Conservative treatment

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Vinzenz Auersperg Department of Orthopaedics, Klinikum Steyr-Kirchdorf, Steyr, Austria

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Klemens Trieb Department of Orthopaedic and Trauma Surgery, Paracelsus Medical University Salzburg, Salzburg, Austria
Computed Tomography Research Group, University of Applied Sciences Upper Austria, Wels, Austria

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Introduction and history Extracorporeal shock wave therapy (ESWT) is a non-invasive form of treatment, that has been developed from ESWL (extracorporeal shock wave lithotripsy). The development of EWST, the physical theoretical basic knowledge

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Benjamín Cancino Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Hospital Base de Valdivia, Valdivia, Chile
Universidad Austral de Chile, Valdivia, Chile

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ankle of a 15-year-old boy depicting a juvenile Tillaux fracture. A square-shaped fragment is observed in all sections. Treatment Regardless of their classification, non-displaced fractures require conservative treatment, including

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Enrique Gómez-Barrena Servicio de Cirugía Ortopédica y Traumatología, Hospital La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain

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Norma G. Padilla-Eguiluz Servicio de Cirugía Ortopédica y Traumatología, Hospital La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain

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Philippe Rosset Service de Chirurgie Orthopédique et Traumatologie, CHU Tours, Université de Tours, Tours, France

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(A) the exposed non-union, and (B) the non-union after debridement of the fibrous tissue, showing the intramedullary nail. Interest in non-union treatment research is not only concerned with the insufficient and sometimes ineffective current

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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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treatment should be delayed until the end of growth, as results then are much more predictable, and the chances of relapses reduce. 4 , 36 Conservative treatment has been recommended in the non-progressive flexible cavus foot, as insoles supporting the

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Gaspar González-Morán Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Luis Moraleda Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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conservative treatment with simple immobilization, Moraleda et al 24 described the long-term results of Gartland type II fractures treated with immobilization and no attempt at reduction. The authors described a mild cubitus varus deformity in 26% of cases

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Tamer El-Sobky Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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Shady Mahmoud Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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-vigilance in identifying these patient subsets. Because of the irreversibly severe consequences of misdiagnosis, proactive treatment, or ‘overtreatment’, in clinically suspicious cases remains a valid strategy. Inadequate healthcare referral systems in regard

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