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Thomas J. Holme Epsom & St Helier University Hospitals NHS Trust, Trauma & Orthopaedics, Carshalton, UK

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Marta Karbowiak Royal Surrey NHS Foundation Trust, Trauma & Orthopaedics, Guildford, UK

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Jennifer Clements Epsom & St Helier University Hospitals NHS Trust, Trauma & Orthopaedics, Carshalton, UK

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Ritesh Sharma Epsom & St Helier University Hospitals NHS Trust, Trauma & Orthopaedics, Carshalton, UK

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Johnathan Craik Epsom & St Helier University Hospitals NHS Trust, Trauma & Orthopaedics, Carshalton, UK

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Najab Ellahee Epsom & St Helier University Hospitals NHS Trust, Trauma & Orthopaedics, Carshalton, UK

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-reported, subjective scales (e.g. pain), radiographic analysis, failure rates; randomized controlled trials, cohort studies, case series (with greater than 10 patients); mean follow up of at least 12 months. The exclusion criteria were: case reports; case series with

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Sitanshu Barik Pediatric Orthopedic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

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Sebastian Farr Orthopedic Hospital Speising, Department of Pediatric Orthopaedics and Adult Foot and Ankle Surgery, Vienna, Austria

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Indications (number of hands) Mean age (Range) (years) Outcome Lam et al (2019) 3 Restricted motion at MCP joint (7/7) 22.8 (16–30) Range of motion improved in all patients Ho et al (2018) 20 Pain at MCP joint (1/1) 13

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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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Background The overall aim of surgical or non-surgical interventions in orthopaedics, besides pain relief, is to restore function and enable patients to live physically active lives. Paradoxically, physical activity (PA) as an outcome measure

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Francesco Smeraglia Department of Public Health, Division of Orthopaedic Surgery, ‘Federico II’ University, Naples, Italy

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Federico Tamborini Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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Leonardo Garutti Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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Andrea Minini Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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Morena A. Basso Department of Public Health, Division of Orthopaedic Surgery, ‘Federico II’ University, Naples, Italy

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Mario Cherubino Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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symptomatology is characterized by forearm pain, stiffness, decreased muscle strength, and paraesthesias. Symptoms disappear when the exercise is stopped. CECS has been described to occur bilaterally in 70% to 100% of patients. 3 Conservative treatment is

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

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Cristian Artigas Hospital Roberto del Rio, Santiago, Chile
Clínica Alemana, Santiago, Chile

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Julio de Pablos Advanced Bone Reconstruction Surgery, Hospital San Juan de Dios y Complejo Hospitalario de Navarra, Pamplona, Spain

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assessment. 13 Before making any surgical decision, it is important to investigate the existence of pain, difficulties with everyday activities or sports, and even whether there are any aesthetic concerns. Besides a thorough physical examination

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

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

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imaging techniques to further define the pathology. Tarsal coalitions can cause significant foot and ankle pain as well as deformity and loss of function. In these cases, non-operative treatment is initially favoured, commonly in the form of analgesia

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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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common deformity at relapse, 19 and is a cause of pain and functional limitation. Stouten et al reported that isolated equinus deformity accounted for 40% of all observed relapses, with a further 36% displaying some element of equinus. 20 In a

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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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and Health Insurance Funds on consultations of the year 1998 for the evaluation of extracorporeal shock wave therapy (ESWT) for orthopaedic, surgical and pain therapeutic indications according to §135 para.1 SGB V of 22.07.1999, resulted in the

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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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make informed decisions), and situations exposing participants to coercion. The obvious example in emergency research would involve a patient who is unconscious; however, scenarios where the patient is in extreme pain, delirious or acutely unwell due to

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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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one specific surgeon. The graph depicts the outcome for open TFCC surgery from baseline to 12 months post surgery for pain during activity and function via the PRWE score. The green line is the median (p50) surgeon’s personal result (1st author) of his

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