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Musculoskeletal/Orthopedics

Osteoarthritis

Proactive intervention for osteoarthritis

Osteoarthritis (OA) affects 27 million Americans and is one the most common causes of disability. It negatively affects the quality of life for many, but often patients don’t discuss symptoms with their healthcare providers...

Respiratory failure from a myasthenic crisis

Nina Robbins, age 36, is admitted to the medical unit with pyelonephritis. She states she has had a fever above 102° F, back pain, vomiting, and painful urination for the last 24 hours. Her...

Managing knee osteoarthritis in older adults

A degenerative joint disease, osteoarthritis (OA) is marked by cartilage erosion, osteophyte formation, joint hypertrophy, and subchondral sclerosis. A leading cause of disability in older adults, it affects more than 30% of American older...

Study: Handshake can indicate speed of aging

Handgrip strength corresponds to other markers of aging such as people’s future mortality, disability, cognitive decline and ability to recover from hospital, according to a study in PLOS ONE. Read more and read the...

Study: Light activity can reduce disability in patients with knee arthritis

Light physical activity, such as pushing a shopping cart or vacuum, can help people with or at risk of knee arthritis avoid developing disabilities as they age, according to a study in the British...

Protocol reduces complications for complex spinal surgery

A team approach reduces rates of major complications for complex spinal reconstructive surgery by two thirds, according to a report in Spine Deformity. The three main features are: two spine surgeons in the OR,...

Study: Incidence of mental disorders in mid-life, older adulthood may be underestimated

A study published in JAMA Psychiatry has found that common methods of assessing mental or physical disorders may consistently underestimate the prevalence of mental disorders among middle-aged and older adults. Read more and read...

Guiding your patients through menopause

The more you know about menopause, the more you can help patients understand and cope with symptoms.

Study: Low vitamin B12 increases fracture risk in older men

A study published in Osteoporosis International reports that older men who have low levels of vitamin B12 have a higher risk of fractures. Read more.

Study: Cost analysis of ACL reconstruction surgery

Anterior cruciate ligament (ACL) reconstruction is less costly and more effective than rehabilitation, according to a cost-utility analysis published in the Journal of Bone & Joint Surgery. Long-term cost savings were $50,417 per patient....

Updated guidelines for managing occupational HIV exposure released

Infection Control and Epidemiology has published “Updated US Public Health Service guidelines for the management of occupational exposures to human immunodeficiency virus and recommendations for postexposure prophylaxis.” Access a summary of the recommendations.

Polymyalgia rheumatica: A possible cause of pericardial effusion

Suspect polymyalgia in patients who continue to decline after treatment for pericardial effusion.

FDA announces recall of Stryker cutting guide for TKA

On April 19, the U.S. Food and Drug Administration (FDA) announced that Stryker Orthopaedics has recalled ShapeMatch Cutting Guides, used in total knee arthroplasty (TKA) instrumentation. Read more.