Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for December 2010. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Quadriceps Weakness Not Linked to OA in ACL Patients
WEDNESDAY, Dec. 29 (HealthDay News) -- There is no association between quadriceps muscle weakness after anterior cruciate ligament (ACL) reconstruction and subsequent knee osteoarthritis (OA), according to a report published in the December issue of Arthritis Care & Research.
Pre-Radiographic OA May Affect Half of Knee Pain Sufferers
WEDNESDAY, Dec. 29 (HealthDay News) -- Nearly half of knee pain sufferers have evidence of pre-radiographic osteoarthritis (pre-ROA), with 38 percent having evidence of ROA, according to a report published in the December issue of Arthritis Care & Research.
Apixaban May Beat Enoxaparin After Hip Replacement
WEDNESDAY, Dec. 22 (HealthDay News) -- In patients undergoing hip replacement, thromboprophylaxis with apixaban, an orally active, specific factor Xa inhibitor, is associated with lower rates of venous thromboembolism than enoxaparin, according to a study published in the Dec. 23 issue of the New England Journal of Medicine.
Revision Hip Replacement Usually Done at Same Hospital
TUESDAY, Dec. 21 (HealthDay News) -- Patients who have revision total hip replacement usually undergo the procedure at the hospital where they had their primary procedure or one with a similar volume of procedures, according to research published in the Dec. 1 issue of the Journal of Bone & Joint Surgery.
Genetic Marker Test Score Predicts Low-Risk Scoliosis
FRIDAY, Dec. 17 (HealthDay News) -- A saliva-based test for 53 genetic markers can identify patients at low risk of progression to severe adolescent idiopathic scoliosis (AIS), according to research published in the Dec. 1 issue of Spine.
Vitamin D Levels Moderately Tied to Frailty Risk
WEDNESDAY, Dec. 15 (HealthDay News) -- Low and elevated 25-hydroxyvitamin D (25[OH]D) levels appear to be moderately associated with a higher risk of frailty among older women, with lower 25(OH)D levels among non-frail women modestly associated with an elevated risk of incident frailty or death within a few years, according to a study published in the December issue of the Journal of Clinical Endocrinology & Metabolism.
Palm Device Monitors Recovery After Knee Replacement
WEDNESDAY, Dec. 15 (HealthDay News) -- Use of Palm electronic technology by patients to record pain, mobility, and functionality improvement after knee replacement surgery provides clinicians with a real-time method to monitor patient recovery, according to a study published in a supplement to the Dec. 1 issue of the Journal of Bone & Joint Surgery.
Process for Orthopedist MRI Evaluation, Diagnosis Described
TUESDAY, Dec. 14 (HealthDay News) -- A systematic approach to the interpretation of magnetic resonance imaging (MRI) scans of musculoskeletal conditions can help orthopedic surgeons develop more complete and accurate patient diagnoses, according to an article published in a supplement to the Dec. 1 issue of the Journal of Bone & Joint Surgery.
Intervention Addresses Opioid Delivery in Pediatric Fractures
TUESDAY, Dec. 14 (HealthDay News) -- A quality- and process-improvement effort can lead to improved timeliness of pain management in children with clinically apparent extremity fractures who present to the emergency department, according to research published online Dec. 13 in Pediatrics.
Calif. Health Plan Registries Track Orthopedic Outcomes
FRIDAY, Dec. 10 (HealthDay News) -- Registries maintained by a large California health plan for knee and hip replacement and knee ligament reconstruction surgery could provide models for currently-lacking national registries for these major orthopedic surgeries, according to an article published in a supplement to the Dec. 1 issue of the Journal of Bone & Joint Surgery.
Low Back Pain Is Common Cause of ER Visits
WEDNESDAY, Dec. 8 (HealthDay News) -- Low back pain-related disorders are a frequent cause of visits to the emergency department, and though opioids are administered or prescribed to most patients, use of therapeutic agents generally conforms with guideline recommendations, according to research published in the Nov. 15 issue of Spine.
QuickDASH Scale Useful for Assessing Neck-Pain Sufferers
MONDAY, Dec. 6 (HealthDay News) -- The Quick Disabilities of Arm, Shoulder, and Hand (QuickDASH) tool appears to be useful for evaluating upper extremity disability in patients with neck pain, according to research published in the Nov. 15 issue of Spine.
Rehab Only Equals Surgery Plus Rehab for Achilles Rupture
MONDAY, Dec. 6 (HealthDay News) -- Patients with ruptured Achilles tendons who are treated with accelerated functional rehabilitation without surgery recover as well as -- and have fewer complications than -- patients who have surgery before rehabilitation, according to a study in the Dec. 1 issue of the Journal of Bone & Joint Surgery.
Scoliosis Society Morbidity, Mortality Database Validated
MONDAY, Dec. 6 (HealthDay News) -- The Scoliosis Research Society's morbidity and mortality database (SRS M and M) is valid for the study of spinal disorders based on its reported major complication rates for three common spine procedures, according to research published in the Nov. 15 issue of Spine.
Neuromonitoring Tested for Use in Spinal Surgery
FRIDAY, Dec. 3 (HealthDay News) -- Benefits and limitations of intraoperative neuromonitoring (IOM) methods used in spinal surgery are identified in a literature review published in the Dec. 1 issue of Spine.
Many Risks Related to Early Onset Scoliosis Treatments
FRIDAY, Dec. 3 (HealthDay News) -- Surgically treating early onset scoliosis (EOS) with growing rods (GR) or vertical expandable prosthetic titanium rib (VEPTR) procedures may not fully control the deformity over a patient's entire growth period, and both procedures are beset with complications, according to a literature review published in the Dec. 1 issue of Spine.
Burnout Driving Away Many Emergency Physicians
THURSDAY, Dec. 2 (HealthDay News) -- Conflicts between work and family and poor on-the-job teamwork contribute to burnout and drive many physicians, particularly emergency physicians, to want to leave their profession, according to a study published online Dec. 1 in the Emergency Medicine Journal.
Neck Pain Is Often Part of More Widespread Pain
WEDNESDAY, Dec. 1 (HealthDay News) -- Patients who report neck pain generally report additional pain in other body sites and reduced functioning associated with this widespread pain, according to research published in the Nov. 1 issue of Spine.
Integrated Care Cost-Effective for Low Back Pain
WEDNESDAY, Dec. 1 (HealthDay News) -- An integrated care program that incorporates workplace ergonomics appears to be a cost-effective alternative to usual care for individuals sick listed due to chronic low back pain, according to research published online Nov. 30 in BMJ.
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