Orthopedics

Undiagnosed cellulitis

Undiagnosed cellulitis

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A patient is asked to follow up for care but does not, and severe cellulitis develop

Electroacupuncture may improve carpal tunnel symptoms

Electroacupuncture may improve carpal tunnel symptoms

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Patients treated with electroacupuncture plus splinting were more likely to show improvements.

Bupivacaine liposome injectable improves total knee arthroplasty outcomes

Bupivacaine liposome injectable improves total knee arthroplasty outcomes

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Patients who undergo total knee arthroplasty have better outcomes with bupivacaine liposome injectable than traditional anesthetics.

Overweight, obese patients have increased osteoarthritis risk

Overweight, obese patients have increased osteoarthritis risk

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The risk of developing hand, hip, and knee osteoarthritis is increased in people who are overweight or obese.

Osteoarthritis: conservative treatment options

Osteoarthritis: conservative treatment options

Osteoarthritis is one of the most common problems encountered in primary care, and conservative treatment can improve patients' quality of life.

Wrist pain after a fall: a simple fracture?

Wrist pain after a fall: a simple fracture?

After a fall on an outstretched hand, wrist injuries are common, but ligament tears should also be considered in adults.

Radiographs not reliable for detecting hip osteoarthritis

Radiographs not reliable for detecting hip osteoarthritis

In two osteoarthritis studies, radiographs correctly detected hip OA in only a fraction of patients.

Gap exists between patients, clinicians in osteoarthritis care

Gap exists between patients, clinicians in osteoarthritis care

For osteoarthritis care, complexity, dissonance, and prioritization are three barriers in clinician and patient communication.

Slipped capital femoral epiphysis
 in obese adolescents

Slipped capital femoral epiphysis
 in obese adolescents

Obese adolescents have an increased risk of slipped capital femoral epiphysis
 (SCFE).

Some women may not need regular bone mineral density tests

Some women may not need regular bone mineral density tests

It took nearly nine years for 3% of the older women without osteoporosis to sustain a spinal fracture or break a hip, wrist, or arm.

Eating less fruits and veggies may increase hip fracture risk

Eating less fruits and veggies may increase hip fracture risk

Patients who ate five servings of fruits and vegetables had a lower rate of hip fracture.

Is it time to reconsider acetaminophen for back pain?

Is it time to reconsider acetaminophen for back pain?

Acetaminophen provided a small benefit in the reduction of pain and disability in patients with osteoarthritis of the hip or knee and provided no benefit in reducing pain in patients with lower back pain.

Bringing patients peace of mind through therapeutic x-rays

Bringing patients peace of mind through therapeutic x-rays

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The more I work, the more I realize how much of medicine is treating both a person's mind and body.

Abdominal obesity may up hip fracture risk

Abdominal obesity may up hip fracture risk

Particularly in men, the risk of hip fracture was increased considerably with lower body mass index combined with abdominal obesity.

Low back pain risk increases with distraction, fatigue

Low back pain risk increases with distraction, fatigue

The risk of back pain was highest between 7 a.m. and noon.

Patient-tailored treatments no better for improving low-back-pain outcomes

Patient-tailored treatments no better for improving low-back-pain outcomes

Patient-matched treatments did not demonstrate better outcomes at seven weeks or 12 months compared with unmatched treatments.

Eczema heightens fracture risk in adults

Eczema heightens fracture risk in adults

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The combined lifetime risk for hip, forearm, and vertebral fractures that will require clinical attention is approximately 40%.

Post-concussion, look for physical regression in high-school athletes

Post-concussion, look for physical regression in high-school athletes

Teen athletes who have re-entered athletics following a concussion are reported regressing abilities in their physical abilities.

Multiple measurements more accurately predicts pain

Multiple measurements more accurately predicts pain

Fluctuating nature of low back pain suggests measuring outcomes more frequently may aid prediction.

Numbness, tingling, weakness, and coolness in a 'jammed' hand

Numbness, tingling, weakness, and coolness in a 'jammed' hand

A man tells the orthopedics clinic staff about odd sensations in his hand a week after a car accident.

Ortho-trained PAs shorten hospital stays

Ortho-trained PAs shorten hospital stays

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Introducing a single full-time orthopedic trained PA in the hospital setting benefited patients undergoing total knee arthroplasty.

Drinking milk slows arthritis progression in women

Drinking milk slows arthritis progression in women

There was no significant association between milk intake and knee osteoarthritis in men.

No benefit with arthroscopic surgery for knee OA

No benefit with arthroscopic surgery for knee OA

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Arthroscopic partial meniscectomy does not improve degenerative medial meniscus tear symptoms in patients without knee osteoarthritis.

Obesity complicates elbow fractures in children

Obesity complicates elbow fractures in children

Supracondylar humeral fractures more likely to be complex, have greater risk of post-op complications.

Do surgical metals affect security or MRI scans?

Do surgical metals affect security or MRI scans?

Learn what factors distort the waves used in scanning procedures when metal is present.

Disc surgery is good but no surgery is not bad

Disc surgery is good but no surgery is not bad

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Patients who underwent lumbar disc herniation had greater improvements in pain, functioning and disability than those treated nonoperatively, but the latter group also fared relatively well.

AAP: Evaluate child fractures for physical abuse

AAP: Evaluate child fractures for physical abuse

Location, fracture type and cause mechanism must be evaluated with child's medical history.

A better understanding of barefoot running

A better understanding of barefoot running

Research on the relationship between footwear and injury rates is limited. A switch to a minimalist shoe or barefoot running should be done gradually.

Young man presents with findings suspicious for occult fracture

Young man presents with findings suspicious for occult fracture

A teenager complains of pain in the left wrist, yet manifests no localized swelling and exhibits symmetric bilateral range of motion.

Frozen shoulder susceptibility 
in diabetic patients

Frozen shoulder susceptibility 
in diabetic patients

Why are individuals with diabetes especially prone to developing frozen shoulder?

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