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Helen Anwander Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Philipp Vetter Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Christophe Kurze Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Chui J Farn Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Department of Orthopedic Surgery, National Taiwan University Hospital, Taiwan, Republic of China

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Fabian G Krause Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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% ( 2 , 3 ). Numerous invasive therapies have been described; however, consensus particularly for bigger lesions has yet to be found ( 4 ). The first operative treatment introduced was the sole debridement of unstable cartilage. Today, bone marrow

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Hakan Ömeroğlu TOBB University of Economics and Technology, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Manuel Cassiano Neves CUF Descobertas Hospital, Department of Paediatric Orthopaedics, Lisbon, Portugal

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, operative treatment in children’s fractures was rarely indicated and this belief was based on the metabolic, anatomic and physiologic characteristics of the skeleton in children, which would lead to rapid fracture healing and remodelling with lower rate of

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Olga D. Savvidou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, Mediterraneo Hospital, Athens, Greece

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Angelos Kaspiris Laboratory of Molecular Pharmacology/ Sector for Bone Research, School of Health Sciences, University of Patras, Patras 26504, Greece

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Leon Naar First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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George D. Chloros First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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distraction of the triceps tendon. 1 , 2 Operative treatment, in order to restore articular congruity, has been the standard choice of care. 5 , 6 However, patients with comorbidities and elderly patients are at increased risk for postoperative

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Felix Kurt Massen Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Seth Shoap Trauma Training Center, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, USA

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J Turner Vosseller Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, USA

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Weija Fan Mailman School of Public Health, Department of Biostatistics, Columbia University, New York, New York, USA

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John Usseglio Augustus C. Long Health Sciences Library, Columbia University Irving Medical Center, New York, New York, USA

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Wolfgang Boecker Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Sebastian Felix Baumbach Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Hans Polzer Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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outcomes, as well as RTW/RTS among different rehabilitation protocols following operative treatment of acute Achilles tendon ruptures. Materials and methods The systematic review was conducted according to the Preferred Reporting Items for

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Christopher J. Pearce Jurong Health Services Pte Ltd, Singapore

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Audrey Tan Jurong Health Services Pte Ltd, Singapore

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diagnosis. 64 –66 Further studies may be needed to investigate their role and application in the management of Achilles tendinopathy. Non-operative treatment The mainstay of management in non-insertional Achilles tendinopathy is conservative, and

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Andreas Frodl Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Benjamin Erdle Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Hagen Schmal Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany
University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark

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fractured fibula was subjected to non-operative treatment in 309 patients, resulting in 113 postoperative varus/valgus deviations of the tibia. When the fibula had been fixed, only 25 patients suffered from a postoperative varus/valgus deviation > 5°. The

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Toni Luokkala Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland

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Minna K. Laitinen Department of Orthopaedics, Helsinki University Hospital, Helsinki, Finland

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Teemu P. Hevonkorpi Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland
Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Lauri Raittio Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Ville M. Mattila Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland

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Antti P. Launonen Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland

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-operatively and what would be the best way to achieve this? 2) Which fractures should we treat operatively? 3) How can we predict fracture behaviour during non-operative treatment and based on what premises should we intervene to maximize the

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Paul Hoogervorst OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam

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Peter van Schie OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam

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Michel PJ van den Bekerom OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam

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incidence of clavicle fractures has increased in recent years and the operative treatment of these fractures has increased disproportionately. 2 , 3 Clavicle fractures are most commonly classified according to the Allman classification and/or the

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S. Rymaruk University Hospital of South Manchester NHS Foundation Trust, UK

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C. Peach University Hospital of South Manchester NHS Foundation Trust, UK

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  • Frozen shoulder causes significant functional disability and pain in a population group constituted by patients who are often middle-aged and working.

  • Frozen shoulder remains poorly understood. The available literature is limited and often prone to bias.

  • A rapid, non-surgical and cost-effective treatment that reduces pain and restores function is an attractive option.

  • Hydrodilatation is a potential first-line treatment of frozen shoulder in secondary care.

Cite this article: EFORT Open Rev 2017;2:462–468. DOI: 10.1302/2058-5241.2.160061

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Alfonso Vaquero-Picado Hospital Universitario La Paz, Madrid, Spain

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Raul Barco Hospital Universitario La Paz, Madrid, Spain

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Samuel A. Antuña Hospital Universitario La Paz, Madrid, Spain

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and control of further clinical deterioration. 4 Non-operative treatment Non-operative treatment includes a wide array of possibilities with a rate of improvement in 90% of cases. Several new techniques have been developed in last decade

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