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Category: Orthopedics | Monthly Briefing

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November 2011 Briefing - Orthopedics

Last Updated: December 01, 2011.

 

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for November 2011. 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.

Metal, Ceramics on Par With Traditional Hip Implants

WEDNESDAY, Nov. 30 (HealthDay News) -- Implantable hip devices with metal on metal or ceramic on ceramic bearings do not offer an advantage over those with traditional bearings, according to a review published online Nov. 29 in BMJ.

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U.S. Patients Highly Satisfied With Outpatient Medical Care

WEDNESDAY, Nov. 30 (HealthDay News) -- Patients in the United States are, in general, highly satisfied with their outpatient medical care, according to a study published online Oct. 3 in Health Outcomes Research in Medicine.

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Long-Term Superiority Seen in Group Intervention for Neck Pain

WEDNESDAY, Nov. 30 (HealthDay News) -- For patients with persistent tension-type neck pain, a multi-component pain and stress self-management group intervention (PASS) is superior to individually-administered physical therapy (IAPT) at two years, according to a study published in the Dec. 1 issue of Spine.

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Young Adult Back Pain Severity Tied to Spinal Disc Degeneration

TUESDAY, Nov. 29 (HealthDay News) -- In young adults, lumbar intervertebral disc degeneration (DD) is associated with low back pain (LBP) symptom severity, independent of other degenerative findings, according to a study published in the Dec. 1 issue of Spine.

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Crash Injuries of Children in Restraints Not Tied to Weight

TUESDAY, Nov. 29 (HealthDay News) -- The risk of clinically significant crash-related injuries in motor vehicle crashes (MVCs) is not correlated with weight among children using forward-facing child restraints (FFCRs) or belt-positioning booster seats (BPBs), according to a study published online Nov. 28 in Pediatrics.

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High-Performing Docs Learn Equally From Success, Failure

MONDAY, Nov. 28 (HealthDay News) -- Among physicians making decisions in a medically-framed learning task, high and low performers show distinct behavioral and neural patterns of learning, according to a study published online Nov. 23 in PLoS One.

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Autoimmune Disorders Tied to Pulmonary Embolism Risk

MONDAY, Nov. 28 (HealthDay News) -- Autoimmune disorders are associated with an increased risk of pulmonary embolism, particularly during the first year after hospitalization, according to a study published online Nov. 26 in The Lancet.

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Short Stature Tied to Low-Frequency, Rare Gene Deletions

MONDAY, Nov. 28 (HealthDay News) -- Short stature is associated with an increased global burden of copy-number variants (CNVs) as well as a greater average length of CNVs for lower-frequency and rare deletions, according to a report published online Nov. 23 in the American Journal of Human Genetics.

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AAP Issues Infant Positional Skull Deformity Guidelines

MONDAY, Nov. 28 (HealthDay News) -- Pediatricians and health care clinicians should be able to diagnose positional skull deformities among infants, implement preventive counseling among parents, initiate appropriate management, and make referrals, when necessary, according to a scientific statement published Nov. 28 in Pediatrics.

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Substance Abuse Health Programs Benefit Surgeons

FRIDAY, Nov. 25 (HealthDay News) -- Surgeons being monitored for diagnosed substance use disorders have similar outcomes to their non-surgeon counterparts, according to a study published in the November issue of the Archives of Surgery.

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Alendronate Ups BMD in Patients Taking Steroids for Skin Diseases

WEDNESDAY, Nov. 23 (HealthDay News) -- Alendronate therapy is associated with significantly increased bone mineral density (BMD) at the lumbar spine and femoral neck at 12 months in patients with immunobullous skin diseases and glucocorticoid-induced osteoporosis, according to a study published online Nov. 21 in the Archives of Dermatology.

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BMI Predicts 30-Day Post-Surgery Mortality Risk

TUESDAY, Nov. 22 (HealthDay News) -- Body mass index (BMI) is a significant predictor of 30-day mortality after surgical procedures, irrespective of the type of surgery, according to a study published online Nov. 21 in the Archives of Surgery.

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Radial Fracture Type Doesn't Impact Volar Plate Outcome

TUESDAY, Nov. 22 (HealthDay News) -- Open reduction and internal fixation of extra-articular and single sagittal intra-articular fractures of the distal radius using volar locking plates have similar outcomes, according to a study published in the Nov. 16 issue of The Journal of Bone & Joint Surgery.

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Adverse Effects of Pediatric Acupuncture Usually Mild

MONDAY, Nov. 21 (HealthDay News) -- The majority of adverse effects (AEs) associated with pediatric acupuncture are mild in severity, according to a review published online Nov. 21 in Pediatrics.

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Survival Up With Posterior Cruciate-Retaining TKR

MONDAY, Nov. 21 (HealthDay News) -- Posterior cruciate-retaining total knee replacements (TKRs) show better survival at 15 years than posterior cruciate-stabilizing TKRs, according to a study published in the Nov. 16 issue of The Journal of Bone & Joint Surgery.

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Nonpunitive Method Improves Medical Error Reporting

MONDAY, Nov. 21 (HealthDay News) -- Medical error reporting in an academic pediatric ambulatory practice can be improved by a voluntary, nonpunitive, error-reporting system, according to a study published online Nov. 21 in Pediatrics.

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Pain, Function Key Factors in Elective Amputation Decision

MONDAY, Nov. 21 (HealthDay News) -- For patients with a functionally impaired lower limb, the decision to opt for elective amputation is largely influenced by the severity of pain and desire for improved function, according to a study published in the Nov. 16 issue of The Journal of Bone & Joint Surgery.

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CT Scan Beats Radiograph for Diagnosing Sacroiliitis

FRIDAY, Nov. 18 (HealthDay News) -- For patients with suspected spondyloarthritis (SpA), sacroiliitis is underestimated by radiography compared with computerized tomography (CT) scans, according to a study published online Nov. 11 in Arthritis & Rheumatism.

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'Number of Criteria' Approach Best Defines Gout Flare

FRIDAY, Nov. 18 (HealthDay News) -- Gout flare is best defined using a "number of criteria" approach that includes the presence of four patient-reported features associated with flare, according to a study published online Nov. 14 in Arthritis & Rheumatism.

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Evidence-Based Spine Surgery Recommendations Issued

FRIDAY, Nov. 18 (HealthDay News) -- Evidence-based recommendations from six studies can help guide clinical practice in spinal surgeries, according to a review published online Nov. 14 in Spine.

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Lower Floor Stiffness Reduces Peak Spine Forces in Falls

THURSDAY, Nov. 17 (HealthDay News) -- Peak spine force in backward falls is affected by the floor stiffness, according to a study published online Nov. 8 in Spine.

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Energy Deficits Induce Adverse Neuroendocrine Changes

THURSDAY, Nov. 17 (HealthDay News) -- Energy deficits in animals and humans induce neuroendocrine changes that may adversely affect body composition, according to a review published online Nov. 10 in Obesity Reviews.

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Whole-Body Vibration Does Not Improve Bone Density

WEDNESDAY, Nov. 16 (HealthDay News) -- Low magnitude whole-body vibration (WBV) does not affect bone mineral density (BMD) and structure in healthy postmenopausal women who receive calcium and vitamin D supplementation, according to a study published in the Nov. 15 issue of the Annals of Internal Medicine.

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Patients Without Insurance Have Shorter Hospital Stays

TUESDAY, Nov. 15 (HealthDay News) -- Patients without Medicaid or any other insurance, with ambulatory care-sensitive conditions (ACSCs) or non-ACSCs, have shorter lengths of stay in hospitals than patients with insurance, according to a study published in the November/December issue of the Annals of Family Medicine.

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Dairy/High Protein Ups Bone Health During Weight Loss

FRIDAY, Nov. 11 (HealthDay News) -- Consumption of dairy foods and high protein over 16 weeks of diet- and exercise-induced weight loss improves markers of bone health and calcium metabolism in obese or overweight, premenopausal women, according to a study published online Nov. 2 in the Journal of Clinical Endocrinology & Metabolism.

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Anterior Cervical Surgery Ups GERD Incidence, Severity

FRIDAY, Nov. 11 (HealthDay News) -- The incidence and severity of gastroesophageal reflux disease (GERD) in patients undergoing anterior cervical decompression and fusion (ACDF) is higher than that of patients undergoing posterior lumbar decompression, according to a study published in the Nov. 15 issue of Spine.

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Half of U.S. Adult Smokers Tried to Quit Last Year

THURSDAY, Nov. 10 (HealthDay News) -- The majority of adults who smoke would like to quit, but only about a third of them seek medical help and/or support to do so, according to research published in the Nov. 11 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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FDA: Manufacturer Recalls Operating Room Tables

THURSDAY, Nov. 10 (HealthDay News) -- Mizuho OSI Modular Table Systems are the subject of a class I recall following reports of patient injury, according to a recall notice issued Nov. 9 by the U.S. Food and Drug Administration.

Mizuho OSI Modular Table Systems Recall Notice
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Efficacy of Balance Exercises in the Elderly Questioned

THURSDAY, Nov. 10 (HealthDay News) -- Some exercise types may be effective for improving balance in older people, although the evidence is weak, according to a review published online Nov. 9 in the Cochrane Database of Systematic Reviews.

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Glove Use Linked to Reduced Hand Hygiene Compliance

THURSDAY, Nov. 10 (HealthDay News) -- Glove usage among healthcare workers is often inappropriate, and hand hygiene compliance is worse when gloves are worn, according to a study published online Oct. 17 in Infection Control and Hospital Epidemiology.

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Minimally Invasive Osteoid Osteoma Surgery Viable Option

THURSDAY, Nov. 10 (HealthDay News) -- Minimally invasive excision of osteoid osteoma in the mobile spine is emerging as an alternative method to conventional surgery, according to a study published in the Nov. 15 issue of Spine.

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Leg Motor Restlessness More Common in Parkinson's

THURSDAY, Nov. 10 (HealthDay News) -- Patients with early, unmedicated Parkinson's disease (PD) have a significantly increased risk for leg motor restlessness (LMR), but not restless legs syndrome (RLS), according to a study published online Nov. 9 in Neurology.

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Pre-Knee Replacement Use of Opioids Tied to Complications

THURSDAY, Nov. 10 (HealthDay News) -- Use of chronic opioid analgesia prior to total knee arthroplasty is associated with significantly increased prevalence of complications and poorer clinical outcomes, according to a study published in the Nov. 2 issue of The Journal of Bone & Joint Surgery.

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Similar Cuff Repair Outcomes With, Without Acromioplasty

THURSDAY, Nov. 10 (HealthDay News) -- Arthroscopic rotator cuff repair with and without acromioplasty shows similar significant improvements in functional and quality-of-life indices, according to a study published in the Nov. 2 issue of The Journal of Bone & Joint Surgery.

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Neuromuscular Warm-Up Cuts Lower Extremity Injury

TUESDAY, Nov. 8 (HealthDay News) -- Implementation of coach-led neuromuscular warm-up reduces the incidence of non-contact lower extremity (LE) injuries in female high school athletes, according to a study published in the November issue of the Archives of Pediatrics & Adolescent Medicine.

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Great Achievement at Young Age Function of Time, Not Field

MONDAY, Nov. 7 (HealthDay News) -- The frequency of great scientific achievements at young age is a function of time, and not related to the field, according to a study published online Nov. 7 in the Proceedings of the National Academy of Sciences.

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Exercise Lowers CVD Death Risk Irrespective of Metabolic Factors

MONDAY, Nov. 7 (HealthDay News) -- Physical activity is associated with lower risk for cardiovascular disease (CVD) mortality, independent of metabolic risk factors, according to a study published in the Nov. 15 issue of The American Journal of Cardiology.

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Gender Difference in Failure Patterns for Hip Resurfacing

MONDAY, Nov. 7 (HealthDay News) -- Gender differences exist in the failure patterns of metal-on-metal hip resurfacing arthroplasty, according to a study published online Oct. 13 in BMC Medicine.

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Vigorous Exercise Moderates Diet-Induced Weight Gain

FRIDAY, Nov. 4 (HealthDay News) -- Vigorous exercise, such as running, may reduce the risk of weight gain by high-risk diets, according to a study published in the November issue of Medicine & Science in Sports & Exercise.

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Receptionists Contribute to Safety of Repeat Prescriptions

FRIDAY, Nov. 4 (HealthDay News) -- Receptionists and administrative staff of general practices in the United Kingdom make important contributions to quality and safety in repeat prescribing, which are often unknown to clinicians, according to a study published online Nov. 3 in BMJ.

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Perceived Distortion in Scoliosis Tied to Quality of Life

FRIDAY, Nov. 4 (HealthDay News) -- For adult patients with adolescent idiopathic scoliosis, there is an inverse association between perceived distortion and quality of life (QOL), according to a study published online Oct. 27 in Spine.

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Rooms of Patients With A. baumannii Often Contaminated

FRIDAY, Nov. 4 (HealthDay News) -- A considerable proportion of rooms of patients colonized or infected with multidrug-resistant Acinetobacter baumannii (A. baumannii) (MDR-AB) have surfaces which are positive for A. baumannii, even in patients with a remote history of infection, according to a study published in the November issue of the American Journal of Infection Control.

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Carisoprodol-Related Emergency Visits Up in United States

THURSDAY, Nov. 3 (HealthDay News) -- Carisoprodol misuse- or abuse-related emergency department visits increased in the United States between 2004 and 2009, with the majority of visits involving other pharmaceuticals, according to a report published online Nov. 3 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Risks for C. difficile Infection, Colonization Identified

THURSDAY, Nov. 3 (HealthDay News) -- Health care-associated Clostridium difficile (C. difficile) infection and colonization are differentially associated with defined host and pathogen variables, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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No Medicare Savings From Disease-Management Hotline

THURSDAY, Nov. 3 (HealthDay News) -- Commercial disease-management companies using nurse-based call centers modestly improve quality-of-care measures in Medicare fee-for-service programs with no evident reduction in costs of care or acute care utilization, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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CDC: Opioid Overdoses Have Reached Epidemic Proportions

WEDNESDAY, Nov. 2 (HealthDay News) -- Opioid pain relievers (OPR) are involved in most drug overdose deaths; and OPR-related deaths, sales, and treatment admissions have increased in the last decade, according to a report published in the Nov. 1 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Cut-Out Saddles Up Saddle Pressures for Female Cyclists

WEDNESDAY, Nov. 2 (HealthDay News) -- The use of narrow and cut-out saddles by female competitive cyclists, rather than traditional or wider saddles, is associated with increased saddle pressures, according to a study published in the November issue of The Journal of Sexual Medicine.

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Yoga Beats Usual Care for Pain-Related Back Function

TUESDAY, Nov. 1 (HealthDay News) -- For patients with chronic or recurrent low back pain, attending yoga classes is associated with better back function than usual care, according to a study published in the Nov. 1 issue of the Annals of Internal Medicine.

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