Higher postoperative pain score, worse quality of life for post-op pain management with opioids.
Correlation between PPI and hip fracture persisted for subgroups with low, medium, high PPI use.
All determinants also associated with bone mineral density, which showed causal effect on fracture.
Benefits include lower hip-related downstream costs and lower opioid use after arthroscopic surgery.
Findings based on large study of patients having surgery for degenerative spondylolisthesis.
A rheumatologist and orthopedic surgeon provide an interdisciplinary perspective on the perioperative management of antirheumatic medications in patients undergoing elective orthopedic surgery.
Findings based on analysis of motorcycle accident victims by helmet use.
The European League Against Rheumatism has issued their 2018 recommendations for physical activity in patients with inflammatory arthritis and osteoarthritis.
Investigators examined the effect of consuming a Mediterranean-style diet for 1 year on inflammatory response and bone health in the elderly.
Investigators analyzed real world data to examine the risk for below-knee amputations in patients with type 2 diabetes taking canagliflozin vs other medications.
Screening with bone measurement recommended for women aged 65, younger women at risk
The American College of Sports Medicine's (ACSM) annual survey reveals people are going back to basics to get fit in 2018.
Findings based on comparison to general anesthesia for knee and hip arthroplasty
Investigators sought to determine whether both restrictive and purging types of anorexia nervosa effect bone metabolism.
Vitamin D levels in preterm infants are significantly correlated with optimal calcium homeostasis and bone mineralization of the femur.
The USPSTF has released recommendations for vitamin D and calcium supplementation for the primary prevention of fractures in community-dwelling adults.
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.
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.
The FDA has approved the Dermapace System for treatment of chronic, full-thickness diabetic foot ulcers.
No significant differences were found in pain management for arthroscopic rotator cuff repair between use of an abduction brace and antrotation sling.
The researchers found that four weeks after treatment there was significant improvement in Boston Carpal Tunnel Questionnaire scores.
The FSI proved to be at least as effective in predicting fracture risk in children as femoral and total body BMD.
However, long-term type 1 diabetes is associated with hand pain, disability, and stiffness.
Patients who lost weight over a 48-month period had a lower rate of cartilage degeneration than patients who maintained stable weight.
The researchers found that people who ate the most fiber were at lower risk of developing osteoarthritis knee pain.
Excess weight was also a risk factor for hand arthritis, according to the researchers.
However, overall age and rates of knee arthroscopy increased between 1998 and 2006.
The FDA has cleared Halyard Health's COOLIEF Radiofrequency Treatment for relief of chronic osteoarthritis knee pain.
Researchers found no association between metabolic syndrome and incident knee osteoarthritis.
Researchers conducted a randomized controlled trial to determine whether inpatient rehabilitation provided greater improvements compared with a monitored home-based program alone.
Data from the Osteoarthritis Initiative show that total knee replacement has minimal effects on quality of life among patients with knee osteoarthritis.
Researchers observed a higher incidence of hypertension in patients with knee osteoarthritis compared with patients without osteoarthritis.
Patients treated with electroacupuncture plus splinting were more likely to show improvements.
Patients who undergo total knee arthroplasty have better outcomes with bupivacaine liposome injectable than traditional anesthetics.
The risk of developing hand, hip, and knee osteoarthritis is increased in people who are overweight or obese.
In two osteoarthritis studies, radiographs correctly detected hip OA in only a fraction of patients.
For osteoarthritis care, complexity, dissonance, and prioritization are three barriers in clinician and patient communication.
Two studies found no evidence that calcium intake is associated with fracture risk.
The CDC found that 24.8% of women and 5.6% of men aged 65 years and older had osteoporosis.
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.
Patients who ate five servings of fruits and vegetables had a lower rate of hip fracture.
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.
Particularly in men, the risk of hip fracture was increased considerably with lower body mass index combined with abdominal obesity.
The risk of back pain was highest between 7 a.m. and noon.
Patient-matched treatments did not demonstrate better outcomes at seven weeks or 12 months compared with unmatched treatments.
The combined lifetime risk for hip, forearm, and vertebral fractures that will require clinical attention is approximately 40%.
There is not enough evidence to support vitamin D deficiency screenings said the USPSTF in a final recommendation statement.
Teen athletes who have re-entered athletics following a concussion are reported regressing abilities in their physical abilities.
Impact location in football accidents was not associated with the number of symptoms reported, prevalence of reported symptoms, or symptom resolution time.
Fluctuating nature of low back pain suggests measuring outcomes more frequently may aid prediction.
The intervention is designed to be administered immediately after a sports injury, in order to evaluate for potential cognitive changes.
Introducing a single full-time orthopedic trained PA in the hospital setting benefited patients undergoing total knee arthroplasty.
There was no significant association between milk intake and knee osteoarthritis in men.
Supracondylar humeral fractures more likely to be complex, have greater risk of post-op complications.
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.
Location, fracture type and cause mechanism must be evaluated with child's medical history.
Soft tissue and musculoskeletal trauma common in blast injuries.
Self-reported driving difficulty for patients with chronic whiplash was independently associated with physical and cognitive impairments.
Daily calcium and vitamin D supplements did not relieve the frequency or severity of joint symptoms in postmenopausal women.
Degenerative changes with hip dysplasia are similar in long-term maturity follow-up regardless of ultrasound screening approach.
Adding tofacitinib to rheumatoid arthritis treatment regimens helps ease symptoms in patients who don't respond to DMARDs.
Risk is greater for fractional radiation dose of 20 Gy or higher.
PTSD symptoms predict clinical benefit better than psychiatric diagnosis.
Follow-up postoperative x-rays are rarely of value when patient history and exam are normal.
For patients aged 80 or 85 years, aspirin cost less and saved more quality-adjusted life-years than low-molecular-weight heparin.
Predictors of lumbar fracture were assessed among a cohort of U.S. military members.
Pediatric patients with spondylolisthesis who had lower baseline quality of life scores benefited most from surgery.
Discuss work-life balance when recommending physical activity interventions for patients with arthritis.
Patients undergoing reconstructive spine surgery fared better with general anesthesia and epidural than anesthesia plus narcotics.
Over the long-term, pilates has the same benefits as stationary cycling for patients with low back pain.
Drastic amputations at proximal levels drop, while orthopedic treatments for diabetic foot ulcers rise.
Most patients undergoing ambulatory surgery accepted and were highly satisfied with telehealth.
More research needed to explore whether degenerative effects observed in animals is clinically relevant.
Class IV laser treatment improves strength and function, reduces pain associated with chronic epicondylitis.
The volume of cervical spine surgeries, as well as associated costs increased from 2002 to 2009, without a significant improvement in mortality.
Most patients are pleased and free of symptoms 13 years after open carpal tunnel release.
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.
Certain MRI findings may predict outcomes for patients with lumbar intervertebral disc herniation who undergo lumbar spine surgery.
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.
Vertebral fracture risk increases by 21% with each additional injection.
But advantages disappear over open surgery when a concomitant decompression is necessary.
Aspirin for 28 days is non-inferior to and as safe as dalteparin for preventing venous thromboembolism.
MRI reduces the rate of misdiagnosis of acute lesions and hidden lesions before percutaneous cement augmentation procedures.
Dextrose prolotherapy is associated with greater improvements in pain, function and stiffness compared with saline injections or at-home exercise.
The 2012 Zurich Consensus statement on sports concussion offers guidance for concussion evaluation, management and return to play.
In patients with lower back pain, red flag indicators may not be reliable at diagnosing spinal problems.
Not getting enough sleep increases adolescent athletes risk for sports injuries.
For premenopausal woman, two hours of physical activity per week was linked to lower sclerostin and higher serum IGF-I.
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.
Despite the overall positive impact, some hospitals are spending less time on infections not targeted in the CMS rule.
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.
In the first update to rheumatoid arthritis treatment guidelines since 2008, researchers address treatment options in high-risk patients, immunization and screening for tuberculosis.
First-time oral bisphosphonate users are at higher risk for developing uveitis and scleritis.
The FDA has granted Apotex Inc., Orchid Healthcare and Mylan Pharmaceuticals approval to market 150 mg generic ibandronate tablets.
Several factors, including repeated head or neurological injury and obesity, may contribute to the risk of stroke among young football players.
Inappropriate screening could lead to improper osteoporosis management.
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.
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.
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.
Use of supplemental calcium has increased greatly in recent years, yet Americans still may not be getting enough of this mineral.