“The Besides Surgery Club” is my personal blog, created for all persons interested in the equipoise between the surgical and non-surgical management of various orthopaedic and sports medicine pathologies

Meniscal damage detected on knee MRI is common among middle-aged and elderly persons with and without knee symptoms, and often accompanies knee osteoarthritis

Intra-articular steroid injections do not result in less knee pain but greater cartilage volume loss in patients with symptomatic knee osteoarthritis

Total knee replacement has minimal effect on quality of life of patients with knee osteoarthritis, but its effectiveness would rise if the procedure were restricted to patients with more severe preoperatively functional status

An active training program aimed at improving muscle strength and coordination around the pelvis seems to be superior to conventional physiotherapy for the treatment of athletes with long-standing adductor-related groin pain

Arthroscopic partial meniscectomy is not superior to exercise for improving knee pain and function at two-years follow-up in middle aged patients with degenerative meniscal tears but no definitive evidence of knee osteoarthritis

Rehabilitation followed by early anterior cruciate ligament reconstruction does not result in less knee pain and better function than rehabilitation plus optional delayed anterior cruciate ligament reconstruction at two-years follow-up in young active adults with acute anterior cruciate ligament injury

A physical therapy program (exercise, manual therapy, education and advice) provides no additional benefits over sham treatment (inactive ultrasound, inert gel application) in improving pain and function at 9-months follow-up in patients with hip osteoarthritis

Total knee replacement followed by non-surgical management (exercise, education, dietary advice, use of insoles, pain medication) is superior to non-surgical management alone for improving knee pain and function at one-year follow-up in patients with end-stage knee osteoarthritis

Greater weight loss following a dietary and activity intervention results in greater pain relief and functioning in overweight and obese patients with symptomatic knee osteoarthritis, suggesting a dose-response relationship