Orthopedics

Proton Pump Inhibitor Use Tied to Hip Fracture in Dialysis Patients

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

Fifteen Genetic Determinants of Fracture Identified

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

Medicare bundled payments for lower extremity joint replacements results in fewer discharges to post-acute care facilities

Medicare patients randomized to the Comprehensive Care for Joint Replacement bundle payment model were less likely to be discharged to a post-acute care facility.

PT Better After Hip Surgery Than Opioids in Younger Adults

PT Better After Hip Surgery Than Opioids in Younger Adults

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

Case Study: Elbow and Biceps Pain After a Fall

Case Study: Elbow and Biceps Pain After a Fall

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An elderly man presents to the emergency department with elbow and biceps pain after falling on the stairs.

Opioid Dependence More Common Before Spine 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

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

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

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

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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

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

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

USPSTF Favors Osteoporosis Screening to Prevent Fracture

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

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

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

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

Preterm Infant Vitamin D Level Affects Calcium and Bone Health

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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

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

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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

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.

FDA approves shock wave device to treat diabetic foot ulcers

FDA approves shock wave device to treat diabetic foot ulcers

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

Case Study: Foot pain after jogging

Case Study: Foot pain after jogging

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A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain. She states that she tweaked it while jogging. The pain is localized to the lateral portion of her foot.

Arthroscopic rotator cuff repair: comparing postoperative treatment options for pain

Arthroscopic rotator cuff repair: comparing postoperative treatment options for pain

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

Are your colleagues continuing to perform unnecessary arthroscopies?

Are your colleagues continuing to perform unnecessary arthroscopies?

Unknown knowns are ideas that we're aware of on some level but, for whatever reason, choose not to admit to ourselves.

Steroid treatment effective for carpal tunnel syndrome

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

New biochemical bone assessment predicts fracture risk in children

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

Treating patients with a fracture: Engage an expert

Treating patients with a fracture: Engage an expert

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It is essential for healthcare professionals to collaborate with other experts from all specialty areas.

Long-term type 1 diabetes not associated with hand osteoarthritis

Long-term type 1 diabetes not associated with hand osteoarthritis

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

Weight loss leads to lower cartilage degeneration in osteoarthritis

Weight loss leads to lower cartilage degeneration in osteoarthritis

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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

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

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

Knee arthroscopy rates for osteoarthritis decrease in the United States

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

FDA approves radiofrequency treatment for osteoarthritis knee pain

FDA approves radiofrequency treatment for osteoarthritis knee pain

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

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