ASA: Review Links Opioids With Complications Post-Spine Surgery

Higher postoperative pain score, worse quality of life for post-op pain management with opioids.

Proton Pump Inhibitor Use Tied to Hip Fracture in Dialysis Patients

Correlation between PPI and hip fracture persisted for subgroups with low, medium, high PPI use.

Fifteen Genetic Determinants of Fracture Identified

All determinants also associated with bone mineral density, which showed causal effect on fracture.

PT Better After Hip Surgery Than Opioids in Younger Adults

Benefits include lower hip-related downstream costs and lower opioid use after arthroscopic surgery.

Opioid Dependence More Common Before Spine Surgery

Findings based on large study of patients having surgery for degenerative spondylolisthesis.

Antirheumatic Medication Management for Orthopedic Surgery: An Interdisciplinary Perspective

A rheumatologist and orthopedic surgeon provide an interdisciplinary perspective on the perioperative management of antirheumatic medications in patients undergoing elective orthopedic surgery.

Fewer Cervical Spine Injuries Seen With Motorcycle Helmet Use

Findings based on analysis of motorcycle accident victims by helmet use.

EULAR Releases 2018 Guideline on Physical Activity in Inflammatory Arthritis, Osteoarthritis

The European League Against Rheumatism has issued their 2018 recommendations for physical activity in patients with inflammatory arthritis and osteoarthritis.

Effect of Mediterranean Diet Plus Vitamin D3 on Bone Density in Osteoporosis

Investigators examined the effect of consuming a Mediterranean-style diet for 1 year on inflammatory response and bone health in the elderly.

Risk for Below Knee Amputations With Canagliflozin vs Other Antihyperglycemic Agents

Investigators analyzed real world data to examine the risk for below-knee amputations in patients with type 2 diabetes taking canagliflozin vs other medications.

USPSTF Favors Osteoporosis Screening to Prevent Fracture

Screening with bone measurement recommended for women aged 65, younger women at risk

Get Your Sweat On: Top Fitness Trends of 2018

The American College of Sports Medicine's (ACSM) annual survey reveals people are going back to basics to get fit in 2018.

Regional Anesthesia Tied to Lower Opioid Use in TKA, Hip Arthroplasty

Findings based on comparison to general anesthesia for knee and hip arthroplasty

Effects of the Two Types of Anorexia Nervosa on Bone Metabolism

Investigators sought to determine whether both restrictive and purging types of anorexia nervosa effect bone metabolism.

Preterm Infant Vitamin D Level Affects Calcium and Bone Health

Vitamin D levels in preterm infants are significantly correlated with optimal calcium homeostasis and bone mineralization of the femur.

USPSTF Issues Recommendation for Vitamin D, Calcium Supplementation for Fracture Prevention

The USPSTF has released recommendations for vitamin D and calcium supplementation for the primary prevention of fractures in community-dwelling adults.

Hip fracture risks increase with short-term PPI use in patients with Alzheimer's disease

Short-term proton pump inhibitors (PPIs) are linked to an elevated risk for hip fracture among patients with Alzheimer's disease. No link is seem among patients taking long-term or cumulative PPIs.

NFL players do not have significantly increased mortality risk

Among NFL football players who began their careers between 1982 and 1992, career participation in the NFL, compared with limited NFL exposure obtained primarily as an NFL replacement player during a league-wide strike, was not associated with a statistically significant difference in long-term all-cause mortality.

FDA approves shock wave device to treat diabetic foot ulcers

The FDA has approved the Dermapace System for treatment of chronic, full-thickness diabetic foot ulcers.

Arthroscopic rotator cuff repair: comparing postoperative treatment options for pain

No significant differences were found in pain management for arthroscopic rotator cuff repair between use of an abduction brace and antrotation sling.

Steroid treatment effective for carpal tunnel syndrome

The researchers found that four weeks after treatment there was significant improvement in Boston Carpal Tunnel Questionnaire scores.

New biochemical bone assessment predicts fracture risk in children

The FSI proved to be at least as effective in predicting fracture risk in children as femoral and total body BMD.

Long-term type 1 diabetes not associated with hand osteoarthritis

However, long-term type 1 diabetes is associated with hand pain, disability, and stiffness.

Weight loss leads to lower cartilage degeneration in osteoarthritis

Patients who lost weight over a 48-month period had a lower rate of cartilage degeneration than patients who maintained stable weight.

Fiber and chondroitin may reduce knee pain in osteoarthritis

The researchers found that people who ate the most fiber were at lower risk of developing osteoarthritis knee pain.

Hand osteoarthritis will affect about 40% of people

Excess weight was also a risk factor for hand arthritis, according to the researchers.

Knee arthroscopy rates for osteoarthritis decrease in the United States

However, overall age and rates of knee arthroscopy increased between 1998 and 2006.

FDA approves radiofrequency treatment for osteoarthritis knee pain

The FDA has cleared Halyard Health's COOLIEF Radiofrequency Treatment for relief of chronic osteoarthritis knee pain.

Metabolic syndrome not linked to knee osteoarthritis

Researchers found no association between metabolic syndrome and incident knee osteoarthritis.

Inpatient rehabilitation may not improve mobility in total knee arthroplasty

Researchers conducted a randomized controlled trial to determine whether inpatient rehabilitation provided greater improvements compared with a monitored home-based program alone.

Total knee replacement for osteoarthritis has minimal effect on quality of life

Data from the Osteoarthritis Initiative show that total knee replacement has minimal effects on quality of life among patients with knee osteoarthritis.

Knee osteoarthritis linked to increased risk of hypertension

Researchers observed a higher incidence of hypertension in patients with knee osteoarthritis compared with patients without osteoarthritis.

Electroacupuncture may improve carpal tunnel symptoms

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

Bupivacaine liposome injectable improves total knee arthroplasty outcomes

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

Overweight, obese patients have increased osteoarthritis risk

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

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

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

Calcium intake may not affect fracture risk

Two studies found no evidence that calcium intake is associated with fracture risk.

One-quarter of elderly women have osteoporosis, per CDC

The CDC found that 24.8% of women and 5.6% of men aged 65 years and older had osteoporosis.

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

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?

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.

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

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

Eczema heightens fracture risk in adults

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

Insufficient evidence for vitamin D deficiency screenings

There is not enough evidence to support vitamin D deficiency screenings said the USPSTF in a final recommendation statement.

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.

Impact location does not affect concussion outcomes

Impact location in football accidents was not associated with the number of symptoms reported, prevalence of reported symptoms, or symptom resolution time.

Multiple measurements more accurately predicts pain

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

ImPACT program may aid concussion detection in student athletes

The intervention is designed to be administered immediately after a sports injury, in order to evaluate for potential cognitive changes.

Ortho-trained PAs shorten hospital stays

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

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

Obesity complicates elbow fractures in children

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

Disc surgery is good but no surgery is not bad

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

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

Imaging vital in treating Boston marathon injuries

Soft tissue and musculoskeletal trauma common in blast injuries.

Cognitive, physical impairments mar driving in chronic whiplash

Self-reported driving difficulty for patients with chronic whiplash was independently associated with physical and cognitive impairments.

No relief with vitamin D for joint symptoms post menopause

Daily calcium and vitamin D supplements did not relieve the frequency or severity of joint symptoms in postmenopausal women.

Hip dysplasia outcomes similar regardless of screening strategy

Degenerative changes with hip dysplasia are similar in long-term maturity follow-up regardless of ultrasound screening approach.

Tofacitinib combo ups RA treatment response

Adding tofacitinib to rheumatoid arthritis treatment regimens helps ease symptoms in patients who don't respond to DMARDs.

Spinal radiosurgery ups vertebral fracture risk

Risk is greater for fractional radiation dose of 20 Gy or higher.

Post-op PTSD reduces spine surgery benefit

PTSD symptoms predict clinical benefit better than psychiatric diagnosis.

Post-op cervical fusion x-rays often unnecessary

Follow-up postoperative x-rays are rarely of value when patient history and exam are normal.

Aspirin cost-effective for VTE prophylaxis after hip replacement

For patients aged 80 or 85 years, aspirin cost less and saved more quality-adjusted life-years than low-molecular-weight heparin.

Army service increases lumbar fracture risk

Predictors of lumbar fracture were assessed among a cohort of U.S. military members.

Surgery improves QOL scores for pediatric spondylolisthesis patients

Pediatric patients with spondylolisthesis who had lower baseline quality of life scores benefited most from surgery.

Patients worry exercise may aggravate arthritis

Discuss work-life balance when recommending physical activity interventions for patients with arthritis.

Better pain control with epidural for spine surgery

Patients undergoing reconstructive spine surgery fared better with general anesthesia and epidural than anesthesia plus narcotics.

Pilates, cycling offer similar benefits for back pain

Over the long-term, pilates has the same benefits as stationary cycling for patients with low back pain.

Lower extremity amputations declining in Medicare patients

Drastic amputations at proximal levels drop, while orthopedic treatments for diabetic foot ulcers rise.

Phone call safe, efficient for post-op follow-up

Most patients undergoing ambulatory surgery accepted and were highly satisfied with telehealth.

Glucosamine may negatively affect lumbar discs

More research needed to explore whether degenerative effects observed in animals is clinically relevant.

Lasers provide lasting tennis elbow relief

Class IV laser treatment improves strength and function, reduces pain associated with chronic epicondylitis.

Cervical spine surgery up, no mortality benefit

The volume of cervical spine surgeries, as well as associated costs increased from 2002 to 2009, without a significant improvement in mortality.

Patients satisfied with carpal tunnel surgery outcomes

Most patients are pleased and free of symptoms 13 years after open carpal tunnel release.

Preinjury opioid use may predict addictive behavior

Trauma patients more likely to fill more than one opioid Rx pre-injury and were more likely to be using opioids for longer than 12 weeks post-surgery.

Predictors of lumbar spine surgical outcomes ID'ed

Certain MRI findings may predict outcomes for patients with lumbar intervertebral disc herniation who undergo lumbar spine surgery.

FDA approves Xgeva for giant cell bone tumors

Denosumab has been approved to treat cases in which the tumor can't be surgically removed, or might lead to a severe outcome such as loss of a limb.

Epidural steroid injections increase bone fragility

Vertebral fracture risk increases by 21% with each additional injection.

Minimally invasive lumbar fusion surgery beneficial

But advantages disappear over open surgery when a concomitant decompression is necessary.

Aspirin OK for extended VTE prophylaxis post hip replacement

Aspirin for 28 days is non-inferior to and as safe as dalteparin for preventing venous thromboembolism.

MRI reduces vertebral compression fracture misdiagnoses before cementing

MRI reduces the rate of misdiagnosis of acute lesions and hidden lesions before percutaneous cement augmentation procedures.

Dextrose prolotherapy improves knee osteoarthritis symptoms

Dextrose prolotherapy is associated with greater improvements in pain, function and stiffness compared with saline injections or at-home exercise.

Updated recommendations for sports concussions released

The 2012 Zurich Consensus statement on sports concussion offers guidance for concussion evaluation, management and return to play.

Researchers doubt accuracy of red flags to detect spinal malignancy

In patients with lower back pain, red flag indicators may not be reliable at diagnosing spinal problems.

Poor sleep increases injury risk in teen athletes

Not getting enough sleep increases adolescent athletes risk for sports injuries.

Even minor changes in physical activity improve bone health

For premenopausal woman, two hours of physical activity per week was linked to lower sclerostin and higher serum IGF-I.

USPSTF: Vitamin D, calcium supplements no benefit for older women

The U.S. Preventive Services Task Force did not find sufficient evidence to support the use of vitamin D and calcium supplements to prevent cancer and osteoporotic fractures.

CMS nonpayment policy works for preventing targeted infections

Despite the overall positive impact, some hospitals are spending less time on infections not targeted in the CMS rule.

Early menopause ups risk for osteoporosis, fractures, death

Women who experience early menopause are at increased risk for osteoporosis later in life compared with women who reach menopause after the age of 47.

ACR issues new guidelines for treating rheumatoid arthritis

In the first update to rheumatoid arthritis treatment guidelines since 2008, researchers address treatment options in high-risk patients, immunization and screening for tuberculosis.

Bisphosphonate use increases risk for eye disease

First-time oral bisphosphonate users are at higher risk for developing uveitis and scleritis.

Generic Boniva approved for osteoporosis

The FDA has granted Apotex Inc., Orchid Healthcare and Mylan Pharmaceuticals approval to market 150 mg generic ibandronate tablets.

Pediatric football-linked risk factors for stroke explored

Several factors, including repeated head or neurological injury and obesity, may contribute to the risk of stroke among young football players.

Women are overscreened, undertreated for osteoporosis

Inappropriate screening could lead to improper osteoporosis management.

Pain relievers may increase bleeding

A combination of ibuprofen and acetaminophen can relieve chronic knee pain — including that caused by osteoarthritis — but at the cost of increased side effects, mainly GI bleeding.

Extra calcium won't reduce fracture risk

Clinicians should focus on increasing calcium intake among women who are not consuming enough of this mineral rather than increasing the calcium intake of those already consuming adequate amounts.

Medtronic spine device complications not fully disclosed

Recombinant bone morphogenetic protein-2 (rhBMP-2) complication rates and adverse events may be as many as 10% to 50% higher than estimates disclosed in original industry-sponsored studies.

Calcium supplements bad for the heart?

Use of supplemental calcium has increased greatly in recent years, yet Americans still may not be getting enough of this mineral.

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