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Category: Orthopedics | Monthly Briefing

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November 2009 Briefing - Orthopedics

Last Updated: December 01, 2009.

 

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for November 2009. 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.

Study Finds Surgeon Burnout Associated With Medical Errors

FRIDAY, Nov. 27 (HealthDay News) -- Among surgeons, degree of burnout was strongly associated with major medical errors, according to research published online Nov. 19 in the Annals of Surgery.

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Elders With Chronic Pain More Likely to Suffer Falls

TUESDAY, Nov. 24 (HealthDay News) -- Elderly people who have to contend with chronic pain are more likely to sustain a fall than their counterparts with little or no pain, according to a study published in the Nov. 25 issue of the Journal of the American Medical Association, while a study published in the Nov. 23 issue of the Archives of Internal Medicine found that the use of psychotropic medications also increases the risk of falls in elderly patients.

Abstract - Leveille
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Abstract - Woolcott
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Most Medical Journals Have Conflict of Interest Policies

TUESDAY, Nov. 24 (HealthDay News) -- Most high impact factor journals have publicly available conflict of interest statement policies, but there is a great deal of variation among journals, which could be confusing for authors, according to a study in the Nov. 25 issue of the Journal of the American Medical Association.

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New Algorithms Help Predict Osteoporotic Fracture Risk

FRIDAY, Nov. 20 (HealthDay News) -- Two new algorithms, QFractureScores, may accurately predict fracture risk without laboratory measurements, and may be suitable for use in both clinical settings and for self assessment, according to a U.K. study published online Nov. 19 in BMJ.

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Study Provides Insight Into Bone-Overgrowth Disease

THURSDAY, Nov. 19 (HealthDay News) -- In patients with fibrodysplasia ossificans progressiva (FOP), a mutation in the ACVR1 receptor appears to promote cartilage formation by inducing bone morphogenetic protein (BMP) signaling, according to research published in the November issue of the Journal of Clinical Investigation.

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Surgery Errors in Veterans Hospitals Studied

THURSDAY, Nov. 19 (HealthDay News) -- Errors during ophthalmologic and orthopedic surgeries were the most common found in a study of surgery errors occurring in veterans hospitals, according to a study in the November issue of the Archives of Surgery.

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Risk Factors for Shoulder Redislocation Examined

FRIDAY, Nov. 13 (HealthDay News) -- The risk for redislocation among patients who have had a corrective arthroscopic procedure may be linked to younger age, male gender and longer duration between injury and surgery, according to an Italian study in the November issue of the Journal of Bone & Joint Surgery.

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Low-Level Laser Treatment May Help Ease Neck Pain

FRIDAY, Nov. 13 (HealthDay News) -- Low-level laser therapy can effectively treat both acute and chronic neck pain, with benefits lasting up to 22 weeks for chronic pain, according to a study published online Nov. 13 in The Lancet.

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Knee Ligament Reconstruction Techniques Compared

THURSDAY, Nov. 12 (HealthDay News) -- The tibial inlay double-bundle technique for knee reconstruction may stabilize the joint better than two single-bundle techniques, according to a Korean study published in the Nov. 1 issue of the Journal of Bone & Joint Surgery.

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Childhood Esophageal Atresia Linked to Adult Scoliosis

THURSDAY, Nov. 12 (HealthDay News) -- Adults with a history of esophageal atresia repair during infancy face a substantially higher risk of scoliosis, according to research published online Nov. 9 in Pediatrics.

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Study Finds Costs of Quality Programs Burden Practices

WEDNESDAY, Nov. 11 (HealthDay News) -- The cost of providing data and support for health system quality-improvement programs can put a significant burden on primary care practices, and changes in the outcomes of trials are often made without being disclosed, according to two studies in the November/December Annals of Family Medicine.

Abstract - Halladay
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Abstract - Ewart
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Medical Errors Disclosure Can Help Physicians and Patients

WEDNESDAY, Nov. 11 (HealthDay News) -- Physicians are willing to share their experiences of making diagnostic errors, and analyzing them systematically helps point the way to improve future diagnoses, according to a study in the Nov. 9 issue of the Archives of Internal Medicine, while a second study in the same issue found that patients give higher quality ratings when adverse events are disclosed.

Abstract - Schiff
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Abstract - Lopez
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Biopsy Recommended During Percutaneous Vertebroplasty

TUESDAY, Nov. 10 (HealthDay News) -- During treatment of presumed osteoporotic vertebral compression fractures, obtaining bone biopsies may lead to the discovery of unsuspected malignancies, according to a study published in the Oct. 15 issue of Spine.

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Benefits of Steroid Use After Knee Arthroplasty Studied

MONDAY, Nov. 9 (HealthDay News) -- The injection of corticosteroids and pain relieving agents post-total knee arthroplasty may shorten hospital stay but does not seem to improve pain, range of motion or knee function as compared to injection of pain relieving agents alone, according to a study in the Nov. 1 issue of the Journal of Bone & Joint Surgery.

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Study Looks at Potential Benefits of Ligamentoplasty

MONDAY, Nov. 9 (HealthDay News) -- Ligamentoplasty may be associated with less adjacent-segment disease and fewer reoperations compared with lumbar fusion surgery, according to a Japanese study published in the October issue of the Journal of Spinal Disorders & Techniques.

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Lumbar Spine Functional Restoration Program Evaluated

MONDAY, Nov. 9 (HealthDay News) -- Patients with chronic disabling occupational lumbar disorders enrolled in an interdisciplinary functional restoration program will likely achieve normal range of motion (ROM) and quantitative lumbar flexion-relaxation phenomenon (QLFRP), according to a study published in the Oct. 15 issue of Spine.

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Rheumatoid Arthritis Therapy Options, Costs Analyzed

FRIDAY, Nov. 6 (HealthDay News) -- Treatment of early rheumatoid arthritis with disease-modifying antirheumatic drugs (DMARDs) is more cost-effective than the pyramid therapy, but, for now, biologics should be reserved for disease of longer duration or that is unresponsive to other treatment, according to a study in the Nov. 3 Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Shock-Wave Therapy and Surgery for Fractures Assessed

FRIDAY, Nov. 6 (HealthDay News) -- Extracorporeal shock-wave therapy may be as effective as surgery in promoting the union of long-bone factures over the long term and may provide better short-term clinical outcomes than surgery, according to a study in the November Journal of Joint & Bone Surgery.

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Self-Paced Walking Test Useful in Lumbar Spinal Stenosis

FRIDAY, Nov. 6 (HealthDay News) -- In patients with lumbar spinal stenosis, a self-paced walking test (SPWT) may serve as a feasible and reproducible criterion measure of walking capacity, according to a Canadian study published in the Oct. 15 issue of Spine.

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Thromboprophylaxis Indicated in Spinal Cord Injury

THURSDAY, Nov. 5 (HealthDay News) -- Early thromboprophylaxis should be used to prevent deep-vein thrombosis in patients who have suffered an acute spinal cord injury, according to a meta-analysis in the November issue of the Journal of Bone & Joint Surgery.

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Teriparatide May Help Treat Steroid-Induced Osteoporosis

THURSDAY, Nov. 5 (HealthDay News) -- In patients with glucocorticoid-induced osteoporosis, treatment with teriparatide is more effective than alendronate in increasing bone mineral density and preventing fractures, according to a study in the November issue of Arthritis & Rheumatism.

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Background Disease Rates Important in H1N1 Pandemic

MONDAY, Nov. 2 (HealthDay News) -- During mass immunization with pandemic H1N1 influenza vaccines, awareness of background rates of disease is essential for assessing vaccine safety, and may help allay vaccine-associated fears among the general public, according to an article published online Oct. 31 in The Lancet.

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