"Frozen shoulder" comprises a group of conditions caused by different processes. Effective treatment depends on recognition of the underlying pathologic dis-order in each individual case. Idiopathic adhesive capsulitis usually responds to nonoperative therapy or closed manipulation, but shoulder stiffness due to trauma or surgery may necessitate either an arthroscopic or an open-release procedu...

Repetitive throwing or other overhead activity places great stress on the shoulder. As a result, the shoulder is a common site of injury in athletes. Addressing throwing-related injuries requires an understanding of throwing biomechanics and pathology. Nonoperative treatment is directed at restoring strength, flexibility, and neuromuscular control to the entire kinetic chain. Surgery is indicat...

CONTEXT Patellar tendinopathy is a common condition. There are a wide variety of treatment options available, the majority of which are nonoperative. No consensus exists on the optimal method of treatment. EVIDENCE ACQUISITION PubMed spanning 1962-2014. STUDY DESIGN Clinical review. LEVEL OF EVIDENCE Level 4. RESULTS The majority of cases resolve with nonoperative therapy: rest, physica...

dear editor we read the article by bagheri et al with great interest (1). we found the study interesting and comprehensive as four groups of patients, including operative and nonoperative in either pure dislocation or fracture dislocation, were compared in terms of mayo wrist score, grip strength, range of motion and radiographic parameters. it seems that the results were comparable to studies ...

BACKGROUND Midshaft clavicle fractures in adolescents have traditionally been treated nonoperatively. Recent studies in the adult literature have shown a higher prevalence of symptomatic malunion, nonunion, and poor functional outcome after nonoperative treatment of displaced fractures. The purpose of this study was to compare operative versus nonoperative treatment of displaced clavicle fractu...

BACKGROUND There has been considerable debate about the best treatment for acute rupture of the Achilles tendon. At our institution, a well-documented and structured program of nonoperative management of Achilles tendon rupture with use of casts and a removable orthosis was developed. METHODS We assessed the results in 140 consecutive patients with a complete rupture of the Achilles tendon wh...

BACKGROUND Nonoperative treatment of complete Achilles tendon ruptures generally involves a long period of cast immobilization and is associated with frequent reruptures. Functional nonoperative treatment of complete Achilles tendon ruptures involves the use of a high-shaft boot with a 3-cm hindfoot elevation, in which physical therapy is begun after 3 weeks of wear. We reviewed our long-term r...

STUDY DESIGN Prospective cohort study. OBJECTIVE To compare the novel treatment procedure with nonoperative treatment for low back pain (LBP) in elderly patients with degenerative lumbar scoliosis (DLS). SUMMARY OF BACKGROUND DATA Treatment of LBP associated with elderly DLS is controversial. We developed a novel treatment procedure, termed percutaneous intervertebral-vacuum polymethylmetha...

Cervical radiculopathy presents as pain in a dermatomal distribution. This frequently represents compression of an exiting cervical nerve root by either a herniated disk or a degenerative cervical spondylotic change. Most patients will improve with nonoperative treatment, and a small percentage will require further diagnostic evaluation and ultimately surgical intervention. An understanding of ...