Epidural steroid injections increase bone fragility
Vertebral fracture risk increases by 21% with each additional injection.
Orthopedics
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.
No increased delirium with hydromorphone after hip surgery
Hydromorphone for postoperative pain does not appear to increase delirium in elderly patients having hip fracture surgery.
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.
Underlying problems of scoliosis
A girl with scoliosis returns to the clinic complaining of ankle pain.
Poor sleep increases injury risk in teen athletes
Not getting enough sleep increases adolescent athletes risk for sports injuries.
Combating patient noncompliance with DVT prophylaxis
Successful DVT prophylaxis with pharmacologic agents and adjunctive treatment modalities depends on both consistency and accuracy.
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