Various treatment options exist for distal radius fractures, and the complications associated with operative and nonoperative management are well documented in the literature. While surgical management with the use of various buttress and locked plating constructs has gained popularity, the long-term outcomes of these plating techniques have not yet significantly demonstrated improved outcomes,...

We present a rational, scientific, low-risk approach to patellofemoral pain (anterior knee pain) based on an understanding of tissue homeostasis. Loss of tissue homeostasis from overload and/or injury produces pain. Bone overload and synovial inflammation are common sources of such pain. Chondromalacia and malalignment are findings that almost always do not need to be "corrected" to relieve pai...

Ankle fractures are a common injury across all age groups. Management may be operative or nonoperative, depending on the severity of the injury and the patient's overall health and functional status. Although imaging defines the nature of the fracture, a careful history and physical also helps determine the patient's plan of care. Initial management is focused on adequate alignment and safe imm...

BACKGROUND The purpose of this study was to assess swallowing outcomes in a cohort of patients with oropharyngeal squamous cell carcinoma (SCC) undergoing nonoperative treatment. METHODS We conducted a retrospective study of patients who completed videofluoroscopic swallowing studies (VFSS) after nonoperative treatment of oropharyngeal SCC. All patients received intensity-modulated radiation ...

Lumbar discectomy for relief of sciatica in patients with intervertebral disc herniation (IDH) is one of the most wellresearched and common indications for spine surgery. There is good evidence that lumbar discectomy for carefully selected patients with sciatica as the result of lumbar disc herniation provides faster relief of symptoms than nonoperative treatment [1,2]; however, randomized tria...

BACKGROUND The role of interval appendectomy (IA) after an episode of acute appendicitis is debated. HYPOTHESIS Patients treated nonoperatively for acute appendicitis do not require routine IA. DESIGN Retrospective cohort study using discharge abstract data. SETTING Twelve regional Kaiser Permanente hospitals in Southern California. PATIENTS A total of 32 938 patients were hospitalized ...

PURPOSE Long-term functional results remain equivocal between operative fixation and closed management of displaced humeral medial epicondyle fractures. The purpose of this study was to determine whether a functional difference exists between treatment types. METHODS One hundred and forty patients with a displaced medial epicondyle fracture between 2007 and 2014 met the inclusion criteria. Of...