November 2012 Briefing - OrthopedicsLast Updated: December 03, 2012.
Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for November 2012. 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.
Noninvasive Method Improves Movement in Spinal Cord Injury
FRIDAY, Nov. 30 (HealthDay News) -- A system of paired, noninvasive stimulation of the brain motor cortex and the wrist can temporarily improve voluntary hand movement in patients with spinal cord injury, according to a study published online Nov. 29 in Current Biology.
New Inflammatory Biomarker ID'd in Lumbar Disc Herniation
FRIDAY, Nov. 30 (HealthDay News) -- The leukocyte adhesion protein E-selectin is an inflammatory biomarker in the pathogenesis of lumbar disc herniation, according to a study published in the December issue of the Journal of Spinal Disorders & Techniques.
Worse Outcomes for Total Joint Arthroplasty in RA Versus OA
FRIDAY, Nov. 30 (HealthDay News) -- Patients with rheumatoid arthritis (RA) are at higher risk of dislocation and infection following total joint arthroplasty compared to patients with osteoarthritis (OA), according to a review published in the December issue of Arthritis & Rheumatism.
Editorial: Too Much Vigorous Exercise Can Damage Heart
THURSDAY, Nov. 29 (HealthDay News) -- Limiting vigorous exercise to 30 to 50 minutes a day will ensure cardiovascular benefit, without risking cardiovascular damage, according to an editorial published online Nov. 29 in Heart.
School Posture Education Improves Healthy Backpack Use
THURSDAY, Nov. 29 (HealthDay News) -- A postural education program can significantly improve healthy backpack use habits among school children, according to a study published in the November issue of the European Spine Journal.
Political Leaders Face Voter Opposition to Medicare Cuts
WEDNESDAY, Nov. 28 (HealthDay News) -- The majority of those who voted for President Obama in the 2012 election favor implementing the Affordable Care Act (ACA), while those who voted for Republican officeholders are likely to oppose parts or all of the implementation of the ACA; both sides oppose cuts to Medicare as a means to balance the budget, according to an analysis of newly released polls published as a Special Report online Nov. 28 in the New England Journal of Medicine.
Removal of Consultation Fees Increased Spending on Doc Visits
WEDNESDAY, Nov. 28 (HealthDay News) -- The 2010 Medicare elimination of consultation payments (mainly billed by specialists) led to a net increase in spending on physician office visits, according to a study published online Nov. 26 in the Archives of Internal Medicine.
State Cost of Affordable Care Act's Medicaid Expansion Modest
WEDNESDAY, Nov. 28 (HealthDay News) -- Implementation of the Affordable Care Act's (ACA) Medicaid expansion will likely result in modest state costs by 2022, but will gain health care coverage for more than 20 million uninsured Americans, according to report published by the Kaiser Family Foundation.
Doc Earnings Growth Lags Behind Other Health Professionals
TUESDAY, Nov. 27 (HealthDay News) -- Compared with other health professionals, in the last 15 years there has been considerably less growth in the earnings of physicians in the United States, according to a research letter published in the Nov. 28 issue the Journal of the American Medical Association.
ECG Screening of Athletes in the U.S. Would Be Too Costly
TUESDAY, Nov. 27 (HealthDay News) -- A national electrocardiographic (ECG) screening program for athletes in the United States would result in huge costs per life saved, according to a study published in the Dec. 4 issue of the Journal of the American College of Cardiology.
Pediatric Inflatable Bouncer-Related Injuries Up in U.S.
MONDAY, Nov. 26 (HealthDay News) -- In recent years, the number and rate of inflatable bouncer-related injuries in children have increased rapidly in the United States, according to a study published online Nov. 26 in Pediatrics.
Obama Administration Moving Forward With Health Care Law
WEDNESDAY, Nov. 21 (HealthDay News) -- Three rules have been proposed by the Obama administration to further facilitate implementation of the Affordable Care Act, according to a Nov. 20 press release from the U.S. Centers for Medicare & Medicaid Services.
~40% of Post-Op Complications Occur After Discharge
TUESDAY, Nov. 20 (HealthDay News) -- For patients undergoing surgery, about 40 percent of complications occur post-discharge (PD) and are associated with higher rates of reoperation and death, according to research published in the November issue of the Archives of Surgery.
Novel Device Benefits Type 3 Osteogenesis Imperfecta
TUESDAY, Nov. 20 (HealthDay News) -- In children with type 3 osteogenesis imperfecta (OI) and thoracic insufficiency syndrome (TIS), thoracic elongation surgery using a novel expandable spino-thoracic fixation device significantly improves pulmonary function, weight gain, and spinal deformities, without significant complications, according to a study published online Nov. 7 in Spine.
Arthritis Cartilage Shows Mitochondrial Dysfunction
MONDAY, Nov. 19 (HealthDay News) -- Cartilage from osteoarthritis patients shows greater oxidative damage and mitochondrial dysfunction than healthy cartilage, which is associated with the downregulation of the superoxide dismutase 2 (SOD2) gene, according to a study published online Nov. 8 in Arthritis & Rheumatism.
More Adolescents Are Engaging in Muscle-Enhancing Behavior
MONDAY, Nov. 19 (HealthDay News) -- More adolescent boys and girls are engaging in muscle-enhancing behaviors than previously thought, with these behaviors more common among boys, according to a study published online Nov. 19 in Pediatrics.
Mental Illness, Job Stress Both Factors in Physician Suicides
FRIDAY, Nov. 16 (HealthDay News) -- The presence of mental illness or job problems may make physicians more vulnerable to suicide than non-physicians, according to a study published online Nov. 5 in General Hospital Psychiatry.
Tests Don't Predict Outcome After Spine Fusion for Back Pain
THURSDAY, Nov. 15 (HealthDay News) -- Currently, there is no test available to reliably predict which patients with chronic low back pain (LBP) will achieve a good clinical outcome after spinal fusion surgery, according to the results of a literature review published online Nov. 5 in The Spine Journal.
Predictors ID'd for Mortality in Elderly With Cervical Spine Injury
WEDNESDAY, Nov. 14 (HealthDay News) -- Preexisting comorbidities (PECs), spinal cord injury (SCI), and age are all strong predictors of mortality in elderly patients with trauma-related cervical spine injury (CSI), although the evidence is not conclusive, according to research published online Nov. 2 in Spine.
Soccer Players Have Alterations in White Matter Integrity
TUESDAY, Nov. 13 (HealthDay News) -- Soccer players have significant differences in white matter integrity compared to swimmers, according to a small study published in the Nov. 14 issue of the Journal of the American Medical Association.
Lack of Resources ID'd in Peds Concussion Management
TUESDAY, Nov. 13 (HealthDay News) -- Pediatric primary care and emergency medicine providers frequently care for patients with concussion, but may lack adequate training and resources for appropriate management, according to a study published online Nov. 12 in Pediatrics.
Efficacy of Corticosteroid Injection for Sciatica Reviewed
TUESDAY, Nov. 13 (HealthDay News) -- Epidural corticosteroid injections offer a small but significant degree of short-term relief of leg pain and disability for patients with sciatica, but the long-term effects are even smaller and not significant, according to a review published online Nov. 13 in the Annals of Internal Medicine.
Social Network Profile May Harm Medical Applicants
MONDAY, Nov. 12 (HealthDay News) -- Social networking profiles may harm an applicant's chances of admission to medical school or a residency program, according to a study published online Nov. 8 in the Postgraduate Medical Journal.
Review Compares Surgeries for Sciatica Due to Herniated Disc
FRIDAY, Nov. 9 (HealthDay News) -- No conclusions can be drawn with regard to the comparative efficacy of open, microscopic, and tubular discectomy surgical techniques to treat sciatica due to a herniated disc, according to the results of a systematic literature review published in the November issue of the European Spine Journal.
Disc Disease Severity Doesn't Predict Surgical Outcomes
THURSDAY, Nov. 8 (HealthDay News) -- Increasing severity of degenerative disc disease (DDD) does not impact outcomes in total lumbar disc replacement (TDR), according to a study published in the November issue of the European Spine Journal.
Even Physically Active Women Found to Sit Too Much
THURSDAY, Nov. 8 (HealthDay News) -- Healthy, middle- and older-aged women who meet the current exercise recommendations spend as much time sitting each week as women who do not exercise regularly, according to a study published online Oct. 4 in the International Journal of Behavioral Nutrition and Physical Activity.
Xeljanz Approved for Rheumatoid Arthritis
WEDNESDAY, Nov. 7 (HealthDay News) -- Xeljanz (tofacitinib) has been approved by the U.S. Food and Drug Administration to treat moderately to severely active rheumatoid arthritis (RA) among people who can't tolerate, or haven't been helped by, the drug methotrexate.
Few PT Interventions Effective for Knee Osteoarthritis
TUESDAY, Nov. 6 (HealthDay News) -- Only a few physical therapy (PT) interventions are effective for knee pain secondary to osteoarthritis, specifically exercise and ultrasonography, according to a review published in the Nov. 6 issue of the Annals of Internal Medicine.
Teriparatide Ups Bone Union for Women With Osteoporosis
FRIDAY, Nov. 2 (HealthDay News) -- Injections of teriparatide are more effective than oral bisphosphonate for bone union after instrumented lumbar posterolateral fusion in women with postmenopausal osteoporosis, according to a study published in the Nov. 1 issue of Spine.
Revision Hip Replacement Risk Highest During First 18 Months
FRIDAY, Nov. 2 (HealthDay News) -- Among elderly patients receiving total hip replacements for osteoarthritis, the risk of revision hip replacement is highest in the 18 months after surgery and among those aged 65 to 75 years at time of surgery, according to research published in the Oct. 17 issue of The Journal of Bone & Joint Surgery.
Rates, Causes of Spinal Surgery-Tied Mortality Quantified
FRIDAY, Nov. 2 (HealthDay News) -- The overall mortality rate associated with spinal surgery is 1.8 per 1,000 and varies based on factors such as patient age and primary diagnosis, according to a study published in the Nov. 1 issue of Spine.
Factors Impacting Benefit of Exercise in Knee OA Identified
FRIDAY, Nov. 2 (HealthDay News) -- For patients with knee osteoarthritis, self-reported knee instability and fear of physical activity correlate with the likelihood of treatment response following a therapeutic exercise program, according to a study published in the November issue of Arthritis Care & Research.
Sedentary Behavior Worsens Decline in Cerebral Palsy
FRIDAY, Nov. 2 (HealthDay News) -- Adults with cerebral palsy may be able to reduce declines in muscle strength, improve function, and reduce cardiovascular and metabolic disease by avoiding sedentary behavior and engaging in physical activity, according to a study published online Oct. 23 in Obesity Reviews.
Obesity Ups Complications After Total Knee Arthroplasty
THURSDAY, Nov. 1 (HealthDay News) -- For patients undergoing total knee arthroplasty, obesity correlates with increased rates of complications, including infection, deep infection, and revision for any reason, according to research published in the Oct. 17 issue of The Journal of Bone & Joint Surgery.
Neuraxial Anesthesia Beneficial for Bilateral Knee Arthroplasty
THURSDAY, Nov. 1 (HealthDay News) -- For patients undergoing bilateral total knee arthroplasty (BTKA), use of neuraxial anesthesia correlates with significantly lower rates of blood transfusions, according to research published in the November/December issue of Regional Anesthesia and Pain Medicine.
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