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Use of off-label devices increased costs and length of stay in TJA
Source:
Healio

Greater length of stay, admission costs, long-term complications risks and inpatient facility discharge likelihood was found among patients who underwent total hip or knee arthroplasty with an off-label prosthesis, according to results.

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Patient-reported results, knee stability improved after all-inside double-bundle ACL reconstruction
Source:
Healio

Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.

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Study supports efficacy of closed reduction, percutaneous fixation of crescent-fracture dislocations
Source:
Healio

Recently published data highlight the safety and efficacy of closed reduction and percutaneous screw fixation for the treatment of crescent fracture-dislocation of the sacroiliac joint and indicate satisfactory function and radiographic outcomes with the procedure.

Read More


Imaging identifies cartilage regeneration in long-distance runners
Source:
RSNA News

Using a mobile MRI truck, researchers followed runners for 4,500 kilometers through Europe to study the physical limits and adaptation of athletes over a 64-day period, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

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Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty
Source:
Healio

Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

Read More


Innovative tissue engineering strategies to repair spinal disc herniation
Source:
American Association for the Advancement of Science (AAAS)

New therapeutic approaches to repair herniated discs in the lumbar spine using novel tissue engineering and regenerative medicine strategies have shown promising outcomes in preclinical studies and target the underlying problem of disc injury or instability, unlike current nonsurgical and surgical treatments.

Read More


Revision Rate and Risk Factors After Lower Extremity Amputation in Diabetic or Dysvascular Patients
Source:
PubMed

This article reports the revision rate and possible risk factors for lower extremity amputations in patients with diabetes mellitus or peripheral arterial disease (PAD). Data were collected from 421 patients with diabetes mellitus or PAD who underwent amputations of the lower extremity at the authors' institution from 2002 to 2012.

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Anatomic Variation in Volar Tilt of the Scaphoid and Lunate Facet of the Distal Radius
Source:
PubMed

The aim of distal radial fracture treatment is to achieve optimal function through the restoration of normal anatomy, including volar tilt. The accuracy of assessing volar tilt on standard lateral radiographs compared with anatomic tilt lateral (ATL) radiographs is uncertain.

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Femoral Component Revision of Total Hip Arthroplasty
Source:
Healio

This article highlights the most common indications for revision after THA and offers recommendations for how to approach revision of the femoral component.

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Rate of injuries among youth soccer players doubled, new study finds
Source:
Science Daily

From 1990 through 2014, the number of soccer-related injuries treated in hospital emergency departments in the US each year increased by 78 percent and the yearly rate of injuries increased by 111 percent among youth 7-17 years of age, a new article reports.

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Morbidly obese, nonobese patients experienced similar outcomes after revision THA
Source:
Healio

No differences found in incidence of complications or survivorship free of reoperation or rerevision.

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Study finds predictors for ACL injury are dissimilar between male and female athletes
Source:
Healio

Except for increased anterior-posterior knee laxity, results from this study indicated female athletes and male athletes were not similar with regard to predictors for first-time noncontact ACL injury.

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Technique pearls for revision shoulder arthroplasty aid in preventing fracture, preserving bone stock
Source:
Healio

We present simple techniques for revision shoulder arthroplasty using a telescoping osteotome technique for glenoid removal, an open-book (vertical) osteotomy technique for extraction of the humeral stem and the use of an ultrasonic device and carbide burr for clearing bone and cement mantles.

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Two biomarkers that contribute to spine osteoarthritis
Source:
Science Daily

A research team has discovered a pair of tissue biomarkers that directly contribute to the harmful joint degeneration associated with spine osteoarthritis.

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Plantar pressures are higher in cases with diabetic foot ulcers compared to controls despite a longer stance phase duration
Source:
MD Linx

The researchers motive behind this study was to survey if plantar pressures were higher in patients with active plantar diabetic foot ulcers (cases) compared to diabetic patients without a foot ulcer history (diabetes controls) and people without diabetes or a foot ulcer history (healthy controls).

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Surgery that restores hand and elbow function in quadriplegics is underused
Source:
Science daily

A surgery for quadriplegics called tendon transfer can significantly improve hand and elbow function, but the procedure is greatly underused, according to an article in the journalHand Clinicsby Loyola Medicine hand surgeon Michael S. Bednar, MD, FAAOS.

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Robotic Total Knee Arthroplasty: Surgical Assistant for a Customized Normal Kinematic Knee
Source:
Healio

Robotic-assisted surgery aims to improve TKA by enhancing the surgeon's ability to optimize soft tissue balancing, reproduce alignment, and restore normal knee kinematics.

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Hamstring injuries in baseball may be preventable
Source:
Medical Xpress

Creating a program to prevent hamstring injuries in minor league and major league baseball players might be a possibility say researchers presenting their work today at the American Orthopaedic Society of Sports Medicine's (AOSSM) Annual Meeting in Colorado Springs, CO.

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Study to evaluate outcomes of different hip replacement techniques using mobile gait analysis system
Source:
News Medical Net

Researchers at Hospital for Special Surgery (HSS) have launched a pilot study using a portable gait analysis mat to determine early outcomes of several different hip replacement techniques. Gait analysis provides information about the way an individual walks.

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Large variation found in 3-D UKA alignment analysis for femoral, tibial components
Source:
Healio

Recently published results showed large variation in the rotational plane for both femoral and tibial components during 3-D unicompartmental knee arthroplasty component alignment analysis in the standing position, suggesting the importance of component positioning.

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Mind over matter could reduce back pain anguish
Source:
Medical Xpress

The University of Queensland School of Psychology's Dr Melissa Day is conducting a project that will test that possibility and could even save lives.

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Non-healing tissue from diabetic foot ulcers reprogrammed as pluripotent stem cells
Source:
Medical Xpress

Researchers at Tufts University School of Dental Medicine and the Sackler School of Graduate Biomedical Sciences at Tufts, led by Jonathan Garlick, have established for the first time that skin cells from diabetic foot ulcers can be reprogrammed to acquire properties of embryonic-like cells. These induced pluripotent stem cells might someday be used to treat chronic wounds. The study is published online in advance of print in Cellular Reprogramming.

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Endovascular treatment of below-the-elbow arteries in critical hand ischemia.
Source:
NCBI

Although uncommon, critical hand ischemia (CHI) represents a cause of significant disability because of its effect on hand function.

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Prospective study showed TKA not detrimental to patient participation in sports
Source:
Healio

Results of a study presented at European Society of Sports Traumatology, Knee Surgery and Arthroscopy Congress, here, showed patients who participated in sports before total knee arthroplasty were able to participate in sports postoperatively and in some cases, patients were more active in sports after surgery.

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Improvements seen after reverse PAO for patients with FAI secondary to acetabular retroversion
Source:
Healio

At mid- and long-term follow-up, clinical and radiographic results improved among young patients with either isolated retroversion or retroversion and hip dysplasia who underwent reverse periacetabular osteotomy for treatment of femoroacetabular impingement.

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Multiple risk factors, BMD associated with hip fracture in older men
Source:
Healio

Older men with an increasing number of specific risk factors combined with decreased bone mineral density at the femoral neck are at elevated risk for hip fracture, according to study findings.

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Better fix for torn ACLs
Source:
Science Daily

Researchers at the University of Missouri School of Medicine have developed a model to show that a newer surgical technique results in a stronger, more natural ACL repair.

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Preoperative opioid use linked with lower outcome scores after TSA
Source:
Healio

Patients with a history of preoperative opioid use experienced significantly lower preoperative baseline and final outcome scores after total shoulder arthroplasty than patients who did not take opioids preoperatively, according to results.

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Patients with longer vertebral augmentation procedures have poorer postoperative quality of life, study finds
Source:
Healio

Among pain-related and depression-related quality of life measures, longer operative time, younger age and increased time from fracture to surgery were found to negatively impact the minimally clinically important differences seen in patients after vertebral augmentation surgery, according to results of a study presented here.

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Patients showed improved pain, functional outcome after total ankle replacement
Source:
Healio

Since its launch in 2014, a low-profile fixed-bearing prosthesis that is implanted under fluoroscopic guidance has produced positive outcome data. According to results of a recent clinical study of the implant led by Ian Sharpe, FRCS (Tr&Orth), in Exeter, United Kingdom, patients who underwent the procedure have required no revision procedures to date.

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Threaded pin likely offers reliable fixation for articular distal radius fractures
Source:
Healio

Use of a threaded pin in the treatment of extra-articular and simple articular distal radius fractures offered reliable fracture fixation, according to study results.

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A look at factors correlated with scapular notching after reverse shoulder arthroplasty
Source:
Healio

At the American Academy of Orthopaedic Surgeons Annual Meeting, Eric Ricchetti, MD, discussed implant and patient-specific factors correlated with scapular notching following reverse shoulder arthroplasty. He noted increased range of motion caused more impingement events which lead to scapular notching.

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Platelet-rich plasma injections may lead to improvements in tissue healing
Source:
Medical Xpress

Tiger Woods, Kobe Bryant and A-Rod have all used it, but does platelet-rich plasma therapy (PRP) really work for the every-day active person? According to a University of Alberta Glen Sather Sports Medicine Clinic pilot study on patients with chronically sore shoulders published in PLOS ONE, preliminary findings say yes.

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Anterior vs. posterior: Does surgical approach impact hip replacement outcomes?
Source:
Medical Xpress

The surgical approach to total hip replacement (THR)—either from the front of the body or the side/back (anterior versus posterior)—has no impact on outcomes six months after surgery, according to research presented today at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).

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Total knee arthroplasty: analysis shows EXPAREL reduces length of hospital stay and improves discharge status compared to standard analgesic modality
Source:
Medical News Today

Pacira Pharmaceuticals, Inc. has announced results of new data showing that EXPAREL® (bupivacaine liposome injectable suspension) infiltration compared to a standard analgesic regimen in patients undergoing total knee arthroplasty (TKA) significantly decreased the length of hospital stay and increased the likelihood that a patient would be discharged to their home rather than a care facility when released from the hospital.

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Malnourished patients had increased risk for short-term complications after TSA
Source:
Healio

Patients who were malnourished prior to total shoulder arthroplasty experienced a significantly increased risk for blood transfusion, longer hospital stay and death within 30 days of surgery, according to results of this retrospective database study.

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Measuring severity of spinal cord injuries
Source:
Science Daily

Injuries to the spinal cord partially or completely disrupt the neural pathways between the brain and the limbs. The consequences for the representation of the affected limbs in the brain can be drastic. Researchers have now measured how severely this representation is affected.

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Low Star Excursion Balance Test scores linked with risk of ankle sprains in football players
Source:
Healio

Recently published results that evaluated high school and collegiate football players during the preseason highlighted lower Star Excursion Balance Test scores for anterior reach as a predictor of lateral ankle sprains and noted players who had these injuries had a significantly higher BMI.

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Researchers identify a new cause of inherited neuropathy
Source:
Medical Xpress

Charcot-Marie-Tooth Disease (CMT) is a family of inherited disorders of the peripheral nervous system, affecting approximately one in 2,500 Americans. Its most common iteration, CMT1, comes in many forms, most of which have to date been linked to a small set of causative genes. New research from the department of Neurology at the Perelman School of Medicine at the University of Pennsylvania and the Children's Hospital of Philadelphia recently spanned the globe to uncover a new genetic cause of CMT1. Their findings are published online this week in Brain.

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Use of off-label devices increased costs and length of stay in TJA
Source:
Healio

Greater length of stay, admission costs, long-term complications risks and inpatient facility discharge likelihood was found among patients who underwent total hip or knee arthroplasty with an off-label prosthesis, according to results.

Read More


Why treating shoulder pain in baseball pitchers and other throwing athletes is so difficult
Source:
Science Daily

Despite increasing medical knowledge, treating shoulder pain in baseball pitchers and other throwing athletes remains one of the most challenging tasks in sports medicine.

“The results of treatment are not as predictable as the patient, family, trainer, coach and doctor would like to think,” according to an article in the journal Physical Medicine and Rehabilitation Clinics of North America.

Read More


Study supports efficacy of closed reduction, percutaneous fixation of crescent-fracture dislocations
Source:
Healio

Recently published data highlight the safety and efficacy of closed reduction and percutaneous screw fixation for the treatment of crescent fracture-dislocation of the sacroiliac joint and indicate satisfactory function and radiographic outcomes with the procedure.

Read More


Imaging identifies cartilage regeneration in long-distance runners
Source:
Medical News Today

Using a mobile MRI truck, researchers followed runners for 4,500 kilometers through Europe to study the physical limits and adaptation of athletes over a 64-day period, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

Read More


Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty
Source:
Healio

Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

Read More


Innovative tissue engineering strategies to repair spinal disc herniation
Source:
Medical Xpress

New therapeutic approaches to repair herniated discs in the lumbar spine using novel tissue engineering and regenerative medicine strategies have shown promising outcomes in preclinical studies and target the underlying problem of disc injury or instability, unlike current nonsurgical and surgical treatments.

Read More


Bilateral Distal Tibial Transitional Ankle Fractures
Source:
Healio

The authors are from the Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York.

The authors have no relevant financial relationships to disclose.

Correspondence should be addressed to: Andrew J. Rosenbaum, MD, 1367 Washington Ave, Ste 202, Albany, NY 12206.

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What Happens When You Crack Your Knuckles
Source:
Daily Rx News

Despite the wives' tales that tie cracking your knuckles to problems like arthritis, many habitual knuckle-crackers just can't help themselves. But do they really have anything to fear?

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Joint Surgery Predicted By Number Of Children And Use Of HRT
Source:
Medical News Today

According to a study published in the Annals of the Rheumatic Diseases, women who have many children, usedhormone replacement therapy, and had early puberty are more likely to have surgery performed on their joints - especially on their knees.

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Pro athletes may safely return to competition after lumbar microdiscectomy
Source:
Healio

CHICAGO — The pooled rate of return to play following lumbar microdiscectomy for herniated disc nucleus was 83.5%, according to results presented at the North American Spine Society Annual Meeting, and the overall return to play rate for elite athletes with a herniated disc after this procedure was 84.5%.

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Satisfactory results seen in revision THA with acetabular reinforcement, HA granules, autograft
Source:
Healio

Using acetabular revision for loosening as an endpoint, investigators of this study found more than 90% acetabular component survival at 10 years among patients who underwent revision total hip arthroplasty for acetabular bone deficiency using a Kerboull-type acetabular reinforcement device to support hydroxyapatite granules and structural autograft.

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Recommendations for patient activity after knee replacement vary among surgeons
Source:
Healio

During recovery after knee replacement surgery, exercise is critical. After initial recovery, patients will want to resume more strenuous activities. In addition to exercise prescribed by a physical therapist, several studies have shown patients who participated in athletic activities prior to surgery will want to continue this practice after surgery. However, how much activity and how strenuous this activity should be remains unclear.

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KATOR suture anchor system receives FDA 510(k) clearance
Source:
Healio

KATOR announced it has received FDA 510(k) clearance for the KATOR Suture Anchor System.

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Fewer VTEs seen in elective spine surgeries with use of chemical prophylaxis
Source:
Healio

Although venous thromboembolism events are recognized as potential complications following spine surgery, results of a retrospective study showed the occurrence rate can be decreased through combined mechanical and pharmacological prophylaxis used at 6 hours postoperatively.

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Most patients return to activity without pain after surgery for tarsal coalitions
Source:
Healio

A survey of patients who underwent surgical excision of tarsal coalitions at age 18 years or younger showed 73% reported their activity was not inhibited by foot pain at midterm follow-up, and investigators found no significant differences in patient-reported outcomes between those treated for calcaneonavicular and talocalcaneal conditions.

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Stresses on elbow during pitching may alter multiple structures
Source:
Healio

In a pre- and post-season ultrasound evaluation of high school pitchers’ elbows, adaptive changes occurred to multiple structures about the elbow from stresses placed on the elbow during one season of pitching, based on results of a recently published study.

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Prevalence of Total Hip and Knee Replacement in the United States
Source:
JBJS

Descriptive epidemiology of total joint replacement procedures is limited to annual procedure volumes (incidence). The prevalence of the growing number of individuals living with a total hip or total knee replacement is currently unknown.

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Bats and balls, not base runners, cause worst injuries to major league catchers
Source:
Medical Xpress

Contrary to popular belief, the worst injuries baseball catchers face on the field come from errant bats and foul balls, not home-plate collisions with base runners, according to findings of a study led by researchers at the Johns Hopkins University School of Medicine.

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The use of bisphosphonate drugs is associated with an increased risk of atypical hip fractures
Source:
Medical News Today

The use of bisphosphonates, a group of drugs used to prevent hip breakages in women with osteoporosis, is associated with an increased risk of atypical fractures in this joint, understood as those that occur in less frequent locations. It has been established thus in the PhD thesis by Javier Gorricho-Mendívil, a graduate in pharmacy, and read at the NUP/UPNA-Public University of Navarre.

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A 48-year-old woman with right knee pain
Source:
Healio

A 48-year-old woman with a history of hypertension, rheumatoid arthritis treated with chronic prednisone, and a two-pack-per-week cigarette use, presented to clinic with 8 years of right knee pain. She had an intra-articular steroid injection with some relief 6 years ago. She denied any hip pain and uses a cane for ambulation.

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Stiff shoulders less likely to re-tear after rotator cuff repair vs non-stiff shoulders
Source:
Healio

Patients who had preoperative shoulder stiffness and those who developed stiffness at 6 weeks and 12 weeks postoperatively after rotator cuff repair were less likely to experience a re-tear compared with patients who had no stiffness, according to results presented here.

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Cholecalciferol may help reduce BMD loss after bariatric surgery
Source:
Medical Xpress

An intervention including cholecalciferol, protein supplementation, and physical exercise reduces bone mineral density loss after bariatric surgery, according to a study published online Sept. 9 in the Journal of Bone and Mineral Research.

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No significant differences found in outcomes of locked vs non-locked plates for pilon fractures
Source:
Healio

Results of this prospective randomized study showed comparable complication rates, function and radiographic results when patients with high-energy pilon fractures were treated with either locked or non-locked plates.

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What constitutes good treatment of tennis elbow?
Source:
Medical Xpress

What is the best treatment for acute tennis elbow? Physiotherapy? Cortisone? A combination? Or might you just as well forego treatment?

The two most common treatments for tennis elbow are physiotherapy and cortisone injections.

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Patient-specific predictive model offers more accurate preoperative templating in hip arthroplasty
Source:
Healio

A prediction model presented better estimates of the actual size of implants used in total hip arthroplasty and, in the long term, may help reduce the cost of health care by minimizing implant inventory costs, according to study results.

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Greater strength, endurance found in quadriceps after PCL tear vs ACL tear
Source:
Healio

Compared with ACL tears, the quadriceps muscle of the injured limb had greater strength and endurance after PCL tears, according to study results.

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Improved care and fewer deaths since introduction of NHS hip fracture initiative
Source:
Medical News Today

Substantial improvements in the care and survival of older people with hip fracture in England have followed the introduction of a collaborative national initiative to tackle the issue, according to a new study published in the Medical Care journal.

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UNMC study: knee replacement viable option for rheumatoid arthritis
Source:
Medical News Today

Kaleb Michaud, Ph.D., has for a long time listened to patients with rheumatoid arthritis (RA) talking about improved quality of life after their total joint replacements. But until now, there's been little information that actually measures how the surgery impacts quality of life for RA patients.

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Treatment of shoulder instability helps return collegiate athletes to playing field
Source:
Medical News Today

Athletes who suffer a shoulder instability injury may return to play more successfully after being treated arthroscopically compared to nonoperative treatment, say researchers presenting their work at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting.

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Lumbar spine BMD ups Fx risk in women with discordant T-scores
Source:
Medical Xpress

Lumbar spine (LS) bone mineral density (BMD) increases fracture risk among women with lower LS T-score than femoral neck (FN) T-score, according to a study published online Aug. 4 in the Journal of Bone and Mineral Research.

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Open modified Broström ankle reconstruction with internal brace augmentation: A novel approach
Source:
Healio

Chronic lateral ankle instability can cause debilitating ankle pain and dysfunction in athletes and active individuals. In the untreated patient, chronic lateral ankle instability can potentially lead to late sequelae, such as ankle arthritis and deformity.

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Swiss researchers evaluate fetal progenitor tenocytes for repairing tendon injuries
Source:
Medical Xpress

Tendon injuries, especially those acquired while engaging in sports, are not easily healed due to the fibrous nature of tendon tissues which transmit forces from muscle to bone and protect surrounding tissues against tension and compression. Tendon injuries to wrists, knees, elbows and rotator cuffs, often from over use when playing golf or tennis, are increasingly common for both professional and amateur athletes ("weekend warriors") alike.

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Lima Corporate completes Zimmer-Biomet assets acquisition
Source:
Healio

Lima Corporate announced the completion of the assets acquisition from Zimmer Holdings for the Zimmer Unicompartmental High Flex Knee and the Biomet Discovery Elbow System within the European Economic Area and Switzerland markets, as well as the Biomet Vanguard Complete Knee System for Denmark and Sweden.

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Make no bones about it: The female athlete triad can lead to problems with bone health
Source:
Medical Xpress

Participation in sports by women and girls has increased from 310,000 individuals in 1971 to 3.37 million in 2010. At the same time, sports-related injuries among female athletes have skyrocketed. According to a new study in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), women with symptoms known as the "female athlete triad" are at greater risk of bone stress injuries and fractures.

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Canal-to-Diaphysis Ratio as an Osteoporosis-Related Risk Factor for Hip Fractures
Source:
Healio

Prevention of osteoporosis is essential to health, quality of life, and independence in the elderly. The accepted diagnostic method for evaluation of fracture risk after osteopenia and osteoporosis is the measurement of bone mineral density with dual-energy x-ray absorptiometry (DEXA). This method is limited because of its low accessibility, high capital costs, and low sensitivity. This study evaluated whether canal diameter is a reliable indicator as a major risk factor for hip fracture in the elderly.

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Routine gait analysis may be a helpful guide for post-TKA rehabilitation
Source:
Healio

Many patients who underwent total knee arthroplasty did not experience improvement in their gait relative to preoperative patients by 12 months postoperatively; however, use of routine gait analysis was helpful for guiding patients' postoperative rehabilitation and may be useful for developing strategies for mobility improvement, according to researchers' findings.

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Reverse Shoulder Arthroplasty for the Massive Rotator Cuff Tear
Source:
ICJR

Orthopaedic surgeons have become increasingly interested in the use of reverse total shoulder arthroplasty to manage massive rotator cuff tears. This has been due to the success we have had with the procedure as the rate of complications decreased, thanks to the significant knowledge we have gained over the course of the past 10 years of using the reverse prosthesis.

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Spinal Cord Injuries Drop Among Young, But Rise Among Older Americans
Source:
Health Day

While the overall rate of traumatic spinal cord injuries was stable from 1993 to 2012, an increasing number of older Americans have experienced this injury, a new study finds.

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Control system shows potential for improving function of powered prosthetic leg
Source:
Medical Xpress

A control system that incorporated electrical signals generated during muscle contractions and gait information resulted in improved real-time control of a powered prosthetic leg for different modes of walking (such as on level ground or descending stairs), according to a study in the June 9 issue of JAMA, a theme issue on the Americans with Disabilities Act.

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Panel discusses epidemic of youth sports injuries, role of prevention programs
Source:
Healio

At Orthopedics Today Hawaii 2015, we convened a special Banyan Tree session to talk about injuries in youth athletes. This is a real problem that all orthopedic surgeons see on a regular basis — one that, I think, is still under-recognized. In this Orthopedics Today Round Table, we highlight the discussion, particularly as it relates to overhead sports, as well as how orthopedic surgeons can play a role in stemming the tide of injuries. We also talk about innovations to help with prevention and treatment, as well as the role of the STOP Sports Injuries and Pitch Smart programs.

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TOTAL FEMORAL ARTHROPLASTY FOR THE SALVAGED FEMUR
Source:
International Congress for Joint Reconstruction

Complicated revision total hip arthroplasty (THA) and total knee arthroplasty (TKA), septic prosthetic failure, and periprosthetic femoral fractures seem to be increasing.

The expanding applications for arthroplasty in younger patients coupled with their longer lifespan is translating into more revision procedures. In addition, with the increasing population of older patients – and the increasing number of THA and TKA procedures done in this population – prostheses are being used in more osteoporotic bone and the incidence of periprosthetic fractures is increasing.

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Osteochondral autograft transplantation may offer higher rate of return to pre-injury athletics
Source:
Healio

Among patients who underwent cartilage repair of the knee, osteochondral autograft transplantation enabled a much higher rate of return to pre-injury athletics, according to results presented at the International Cartilage Repair Society Annual Meeting.

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Subclinical hyperthyroidism associated with an increased risk of hip and other fractures
Source:
Science Daily

In an analysis that included more than 70,000 participants from 13 studies, subclinical hyperthyroidism was associated with an increased risk for hip and other fractures including spine. Subclinical hyperthyroidism is a low serum thyroid- stimulating hormone concentration in a person without clinical symptoms and normal thyroid hormone concentrations on blood tests.

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University of Iowa team developing bioactive gel to treat knee injuries
Source:
Medical News Today

Knee injuries are the bane of athletes everywhere, from professionals and college stars to weekend warriors. Current surgical options for repairing damaged cartilage caused by knee injuries are costly, can have complications, and often are not very effective in the long run. Even after surgery, cartilage degeneration can progress leading to painful arthritis.

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High risk of capsular restretching found among women and elite athletes
Source:
Healio

Even after successful arthroscopic Bankart repair and capsular shift, women, elite athletes and patients with frequent dislocations were at high risk of capsular restretching, according to study results.

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Tuberculosis of the Cervical Spine
Source:
Healio

The authors are from the Department of Radiology (JJM, LWB) and the Department of Neurosurgery (PDS), Florida Hospital, Orlando; and Florida State University College of Medicine (AJE), Tallahassee, Florida.

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MRI showed imaging abnormalities but good clinical results with ACI
Source:
Healio

CHICAGO — MRI appearance of autologous chondrocyte implantation showed imaging abnormalities at 65.8-month follow-up; however, autologous chondrocyte implantation was still found to produce good clinical results, according to data presented at the International Cartilage Repair Society Annual Meeting, here.

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Elective Hand Surgery After Axillary Lymph Node Dissection for Cancer
Source:
Healio

After axillary lymph node dissection (ALND), patients are cautioned against ipsilateral interventional procedures to avoid the theoretical increased risk of postoperative complications, particularly lymphedema. The authors' goal was to evaluate the complications of elective hand surgery after ALND.

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Women fare better than men following total knee, hip replacement
Source:
Medical Xpress

While women may have their first total joint replacement (TJR) at an older age, they are less likely to have complications related to their surgery or require revision surgery, according to a new study presented today at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). The findings contradict the theory that TJR is underutilized in female patients because they have worse outcomes then men.

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Caregivers frequently unaware of safety guidelines for young baseball pitchers
Source:
Healio

Results of a survey presented at the American Academy of Orthopaedic Surgeons Annual Meeting indicated caregivers were frequently unaware of safety guidelines recommended for young baseball pitchers.

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Hip Fracture Patients: Nearly half have delirium, study suggests
Source:
Science Daily

48 percent of hip fracture patients, age 65 and older, had delirium, or acute confusion, before, during and after surgery (perioperative), resulting in significantly longer hospital stays and higher costs for care, a new study concludes.

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A hip and trunk training program for athletes reduces ACL injuries
Source:
Medical Xpress

With the help of the Hockeyroos UWA researchers have developed a hip and trunk training program that could reduce the high rates of anterior cruciate ligament (ACL) injuries in all levels of sport.

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An Injury Curveball for Young Pitchers
Source:
Daily Rx

The love of America's pastime might lead many young players to play as often and as hard as they can, sometimes for multiple teams. However, that might increase these players' risk of getting hurt.

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Surgery Vs. Physical Therapy for Lumbar Spinal Stenosis
Source:
Daily Rx

If you have lumbar spinal stenosis, you may eventually be faced with a decision about whether to have surgery. However, you might be just as well off with physical therapy.

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External frame fixation aided stable reduction of pilon fractures
Source:
Healio

Fragments of pilon fractures could be adequately reduced without exposing the soft tissues of the ankle to additional trauma when investigators at Ashford and St. Peters NHS Foundation Trust used Ilizarov external frames for indirect reduction, fixation and stabilization of fractures, according to a presentation given here.

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Year-round baseball in the South could lead to more injuries, according to UF Health research
Source:
Medical News Today

Baseball pitchers are prone to elbow injuries, but pitchers who live or play in the South are at even more risk, a new University of Florida Health study finds.

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Alternative for pain control after knee replacement surgery
Source:
Science Daily

Injecting a newer long-acting numbing medicine called liposomal bupivacaine into the tissue surrounding the knee during surgery may provide a faster recovery and higher patient satisfaction, a new study has found.

Read More


Why treating shoulder pain in baseball pitchers and other throwing athletes is so difficult
Source:
Science Daily

Despite increasing medical knowledge, treating shoulder pain in baseball pitchers and other throwing athletes remains one of the most challenging tasks in sports medicine. Results of treatment as not as predictable as patients, doctors or coaches would like to think.

Read More


Osteoporosis: Steroid Danger
Source:
Ivanhoe

10-million Americans have osteoporosis and 18-million more are at risk. The bone disease leads to an increase in fractures in the hip, spine and wrist accounting for one-point-five million painful fractures each year and one woman's harrowing story of recovery is inspiring.

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Link possible between oral contraceptive use, ACL injury in females
Source:
Healio

Researchers from Denmark have uncovered a potential link between oral contraceptive use and instances of ACL injuries that required surgical intervention in women. The researchers evaluated 4,497 women who were treated operatively for an ACL injury between July 2005 and December 2011 and 8,858 age-matched, uninjured controls.

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The difficulties of treating shoulder pain in baseball pitchers
Source:
Medical News Today

Results of treating shoulder pain in baseball pitchers and other throwing athletes are not as predictable as doctors, patients and coaches would like to think, according to a report in the journal Physical Medicine and Rehabilitation Clinics of North America.

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First clinical trial in U. S. of procedure to relieve pain from cancer that has spread to spine
Source:
Science Daily

The first clinical trial in the United States of a minimally invasive treatment designed to help relieve pain, heal spinal fractures and prevent new fractures in patients with metastatic cancer that has spread to the spine is being launched.

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Bilateral Distal Tibial Transitional Ankle Fractures
Source:
Healio

A 13-year-old boy presented to the emergency department with bilateral ankle pain and swelling following a 5-foot fall from a swing set.

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Thumbs-up for mind-controlled robotic arm
Source:
Science Daily

A paralyzed woman who controlled a robotic arm using just her thoughts has taken another step towards restoring her natural movements by controlling the arm with a range of complex hand movements.

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Multilayer compression therapy reduces ankle, hindfoot edema more quickly
Source:
Healio

A faster reduction of ankle and hindfoot edema resulted from multilayer compression therapy and may be an alternative treatment for patients with ankle and hindfoot fractures, according to study results.

In a controlled, single-blinded study, researchers randomly assigned 58 patients with unilateral ankle or hindfoot fractures to a cold pack control group, a multilayer compression bandage group or an impulse compression group. Patients were analyzed according to the intention-to-treat principle. The study’s primary outcome was the reduction of edema as measured with the figure-of-eight-20 method.

Significant differences were seen in edema reduction between the bandage group and the control group both preoperatively and postoperatively, according to the researchers. In the control group, the researchers found a reduction in median preoperative edema of –2 mm, compared with –11 in the bandage group and –0.3 mm in the impulse compression group, after 2 days of intervention.

Median edema changes were +3.5 mm in the control group, –7.3 mm in the bandage group and +5 mm in the impulse compression group after 2 days postoperatively, according to the researchers.

The researchers concluded that although multilayer compression therapy appeared to be a viable alternative to treatment with ice, intermittent impulse compression applied without any extra compression from bandage or stockingette and without elevation during off-session periods was not.

Disclosure: See the study for a full list of all authors’ relevant financial disclosures.

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Higher baseline expectations for TJR improved health-related quality of life, satisfaction
Source:
Healio

Health-related quality of life and satisfaction improved among patients who had higher expectations for total joint replacement at baseline compared with patients who had lower expectations, according to study results.

Researchers recruited 892 patients preparing for total joint replacement (TJR) of the knee or hip due to primary osteoarthritis. Before surgery and for 12 months afterward, patients completed questionnaires with five questions about expectations before surgery; an item to measure satisfaction; WOMAC and SF-12; and questions about sociodemographic information. The researchers performed general linear models and logistic regression analysis to determine the association of patients’ expectations at baseline with satisfaction and changes in health-related quality of life (HRQoL) 12 months after surgery.

Study results showed larger improvements in HRQoL at 12 months among patients who had higher pain relief or ability to walk expectations. WOMAC and SF-12 physical component summary domains also improved more among patients with high expectations regarding the ability to walk, interact with other and psychological wellbeing expectations, according to the researchers.

Patients with very high expectations on the SF-12 physical component summary regarding their ability to walk and with high or very high pain relief expectations on SF-12 mental component summary experienced better improvement compared with patients with low expectations, the researchers found.

The researchers also found patients who had high or very high daily activities expectations were more likely to be satisfied.

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Hip resurfacing implant offers lower revision, complication rates for hip arthritis
Source:
Healio

Use of hip resurfacing arthroplasty for the treatment of hip arthritis in younger patients demonstrated a lower rate of revision and complications at short-term follow up, according to study results.

In an ongoing, prospective, multicenter cohort study, researchers have aimed to assess the safety and efficacy of a hip resurfacing implant in 265 patients. The researchers used Harris Hip Score, Euroqol-EQ-5D (EQ-5D) and range of motion to assess patients at the preoperative visit and at 6 weeks, 3 months, 1 year and annually thereafter. Additionally, biplanar radiographs were taken preoperatively, at 1 month and 1 year postoperatively, and annually thereafter.

Study results showed an improvement in Harris Hip Scores from a preoperative average of 56.8 to 96.9 at 2 years and 97 at 4 years, as well as a significant increase in EQ-5D score from 70.6 preoperatively to 88.5 at 1 year and 87.6 at 2 years, according to the researchers.

With regard to implant survivorship at 5 years postoperatively, women had a Kaplan-Meier survival of 94.7% and men had a 98.6% survivorship. Only seven revisions have been recorded to date, according to the researchers.

At 1 year, 267 hips had metal ion testing, at which time the researchers found a median whole blood cobalt level of 1.51 ppb and a median whole blood chromium level of 1.7 ppb. These results increased at 4 years with 112 hips at a 1.56 ppb median whole blood cobalt level and a 1.8 ppb median whole blood chromium level.

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All-inside meniscal repair effective as isolated, concurrent ACL reconstruction procedure
Source:
Healio

Do you work out for health benefits and feel you are exercising more than enough? You might be among the many Canadians who overrate how hard they work out or underestimate what moderate intensity exercise means, according to a recent study out of York University's Faculty of Health.

Primary second-generation all-inside meniscal repair was shown to be effective both as an isolated procedure and when performed with concurrent ACL reconstruction, according to study results.

In a retrospective review of patients who underwent meniscal repair with the use of an all-inside meniscal repair system from December 1999 to January 2007, researchers identified 83 meniscal repairs, of which 90% had follow-up data and 35% were performed as isolated procedures. The researchers defined clinical failure as repeat surgical intervention involving resection or revision repair. They then assessed clinical outcomes using KOOS, IKDC and the Marx activity scores. Minimum follow-up was 5 years.

At an average of 47 months, 16% of patients experienced failure of meniscal repair. The researchers did not find enough statistical evidence to establish a difference in average patient age, patient sex or number of sutures utilized between successful repairs and failures.

No difference was found in the failure rates between isolated repairs and those performed with concurrent ACL reconstruction. Study results also showed similarities in the average time to failure and postoperative KOOS and IKDC outcome scores between isolated repairs and repairs performed with concurrent ACL reconstruction, according to the researchers.

Disclosure: See the study for a full list of all authors’ relevant financial disclosures.

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Similar clinical outcomes found with, without acromioplasty after rotator cuff repair
Source:
Healio

After rotator cuff repair, study results showed no difference in clinical outcomes with or without acromioplasty at 2 years postoperatively.

Researchers randomly assigned 114 patients undergoing arthroscopic repair of full-thickness rotator cuff tears into acromioplasty or non-acromioplasty groups. Along with physical examination, which included range of motion and dynamometer strength testing, the researchers collected the Simple Shoulder Test, American Shoulder and Elbow Surgeons, Constant, University of California — Los Angeles and SF-12 health assessment scores and recorded intraoperative data, including tear size, repair configuration and concomitant procedures.

The researchers reviewed preoperative imaging to classify the acromial morphologic type, acromial angle and lateral acromial angulation.

Overall, 95 patients were available for a minimum of 2-year follow-up. Study results showed no significant differences in baseline characteristics, including number of tendons torn, repair configuration, concomitant procedures and acromion type and angles. All functional outcome scores improved significantly from preoperatively to all follow-up time points in both groups.

Additionally, there were no significant differences in functional outcomes between the two groups or between patients with different acromial features at any time point, according to the researchers.

Disclosure: See the study for a full list of all authors’ relevant financial disclosures.

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Paracetamol no better than placebo for lower back pain
Source:
Science Daily

Low-back pain is the leading cause of disability worldwide. National clinical guidelines universally recommend paracetamol as the first choice analgesic for acute low-back pain, despite the fact that no previous studies have provided robust evidence that it is effective in people with low-back pain.

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Surgery Non-invasive method for diagnosing common, painful back condition being developed
Source:
Science Daily

Biomarkers are certain body substances, such as proteins or body fluids that can indicate specific health conditions. When noninvasive imaging procedures can identify exactly where the biomarkers are, researchers may alleviate the need for painful and invasive diagnostic procedures and, in the future, provide targeted, stem cell-based therapies to patients with the condition.

More than 85 percent of the United States population suffers from low back pain, much of which is caused by intervertebral disc degeneration. Disc degeneration is a progressive condition, resulting in chronic pain in the back and neck. For some patients, degeneration can occur for years before pain sets in, presenting symptoms, while others are affected almost immediately.

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High success rates seen for combined meniscal, ACL repair
Source:
Healio

Concurrent meniscal and ACL repair has shown high rates of success, according to a presenter here.

Researchers evaluated 235 patients from the Multicenter Orthopaedic Outcomes Network (MOON) who underwent both unilateral primary ACL reconstructions and concurrent meniscal repair between 2002 and 2004. Of the meniscal repairs, 154 were medial, 72 were lateral and nine underwent both.

Validated patient-oriented outcome data (KOOS, WOMAC) scores, Marx activity scores and IKDC scores were recorded at 2 and 6 years follow-up. Failure of meniscal repairs was determined by subsequent ipsilateral repair.

“This represents the largest cohort combining meniscus repair and ACL reconstruction follow-up for a minimum of 6 years,” Robert W. Westermann, MD, said during the American Orthopaedic Society for Sports Medicine Annual Meeting.

Overall, 86% of meniscal repairs were successful at 6-year follow-up; of these, 86.4% were medial meniscal repair, 86.1% were lateral meniscal repairs and 77.8% were in cases where both were repaired, according to Westermann.

Of the 33 repair failures, nine (27.3%) were related to revision ACL surgery. On average, medial meniscal repairs failed sooner than lateral repairs (2.1 years vs. 3.7 years).

KOOS Symptoms, KOOS Pain, KOOS KRQOL, WOMAC Pain, and IKDC values all improved significantly when comparing baseline scores to 6-year follow-up, according to Westermann. Marx Activity levels gradually declined from time of injury to 6-year follow-up. — by Christian Ingram

Reference:Westermann RW. Paper #44.Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 10-13, 2014; Seattle.
Disclosure:Westermann has no relevant financial disclosures.

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Identifying risk factors for ACL re-injury
Source:
Medical News Today

Re-tearing a repaired knee Anterior Cruciate Ligament (ACL) happens all too frequently, however a recent study being presented today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting suggests that identification and patient education regarding modifiable risk factors may minimize the chance of a future ACL tear.

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Autografts may improve ACL reconstructions
Source:
Medical News Today

Anterior Cruciate Ligament (ACL) reconstructions occur more than 200,000 times a year, but the type of material used to create a new ligament may determine how long you stay in the game, say researchers who presented their work at the Annual Meeting of the American Orthopaedic Society of Sports Medicine (AOSSM).

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Low back pain? Don't blame the weather
Source:
ScienceDaily

According to the World Health Organization (WHO) nearly everyone experiences low back pain at some point in their life, making it the most prevalent musculoskeletal condition and affecting up to 33% of the world population at any given time. Those with musculoskeletal (bone, muscle, ligament, tendon, and nerve) pain report that their symptoms are influenced by the weather. Previous studies have shown that cold or humid weather, and changes in the weather increase symptoms in patients with chronic pain conditions.

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Ways to help manage chronic bone and joint pain
Source:
Medical News Today

The majority of chronic pain complaints concern the musculoskeletal system, but they also include headaches and abdominal pain. "As orthopaedic surgeons, we are experts in the management of acute injuries to the extremities and spine.

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Promising results from minimally invasive back surgery
Source:
Medical News Today

Beaumont research findings published in the February online issue of Spine shows that patients who have a low back surgery called minimally invasive transforaminal lumbar interbody fusion, end up better off in many ways than patients who have more invasive surgery to alleviate debilitating pain.

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Ways To Prevent Lower Back Problems
Source:
Back Pain Relief Daily

The following ways to prevent lower back problems will help to keep an individual engaged in daily activities without risking any injury to the back or neck. Changing the body position frequently and taking breaks during activities is important to prevent putting strain on the spine.

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Complication rates for nonagenarian patients similar to those of younger patients undergoing total hip replacement surgery
Source:
Medical News Today

As more Americans are living well into their 90s, the number of nonagenarian total hip replacement (THR) candidates continues to increase.

The authors of the study concluded that nonagenarian patients can safely undergo a THR, despite advanced age and a higher prevalence of comorbidities. Overall, the nonagenarian patients experienced a complication rate comparable to those of younger THR patients, and the higher mortality rate is well within expectations for individuals age 90 and older.

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Patients should wait at least six weeks to resume driving following shoulder replacement surgery
Source:
NewsMedical

More than 53,000 Americans have total shoulder joint replacement (SJR) surgery each year, and yet the effects of this surgery on a patient’s ability to safely drive a vehicle, and the appropriate recovery time before patients should return to driving, have yet to be determined.

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New probe could help determine severity of rotator-cuff injuries
Source:
MedicalXpress

A new ultrasound probe that has been developed at Clemson University could take some of the guesswork out of determining the severity of rotator-cuff injuries, making it easier for doctors to decide whether patients need surgery.

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Reducing the risk of falls by motivating older people to do preventative exercise
Source:
Medical News Today

Simple strength and balance training can effectively help to prevent falls, but Bournemouth University research shows only a minority of older people will carry out these exercises.

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Healing and Surviving After Knee and Hip Replacements
Source:
DailyRx

For some people with aching bones and joints, knee or hip replacement surgery may be a treatment option. But pre-existing conditions may affect how a patient responds to surgery.

A recent study found that joint replacement patients with certain pre-existing conditions had a greater risk of having a second surgery or not surviving the next one to 10 years than patients without such disorders.

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Obesity May Limit Overall Function Two Years After Shoulder Replacement Surgery
Source:
ScienceDaily

Patients with obesity undergo a disproportionately higher number of elective orthopaedic surgeries in the U.S.

Total shoulder arthroplasty is an excellent procedure for pain relief and functional improvement in patients with shoulder arthritis.

A total shoulder replacement was able to provide this patient population (normal BMI) with improved shoulder function which resulted in a better physical function.

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Analysis suggests saline shots may do just as well as steroids for lower back pain
Source:
Medical News Today

New research from Johns Hopkins suggests that it may not be the steroids in spinal shots that provide relief from lower back pain, but the mere introduction of any of a number of fluids, such as anesthetics and saline, to the space around the spinal cord.

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Bracing 'Effective in Reducing Adolescent Scoliosis'
Source:
Medical News Today

Scoliosis is a condition in which the spine abnormally curves to the right or left. When it occurs in a child or teen, the condition is referred to as adolescent idiopathic scoliosis (AIS).

It is unknown what causes the disorder, but severe cases of the condition, if untreated, may cause pain and disability, particularly if a child is still growing.

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What is Degenerative Disc Disease?
Source:
Medical News Today

Degenerative disc disease refers to the degeneration of at least one of the intervertebral discs of the spinal column. Some people may call it degenerative disc disorder.

What is degenerative disc disease?

Degenerative disc disease is a "disease of aging", an age related disease.

Over the years and decades, the repeated daily stresses on the spine and occasional minor, unnoticed injuries, as well as major ones, begin to take their toll.

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For spinal fractures, vertebral augmentation offers greater patient survival and overall cost savings
Source:
Medical News Today

A study of 69,000 Medicare patient records led by Johns Hopkins researchers shows that people with spine compression fractures who undergo operations to strengthen back bones with cement survive longer and have shorter overall hospital stays than those who stick with bed rest, pain control and physical therapy.

Although so-called interventional augmentation procedures were initially more expensive than conservative medical management of the fractures, the researchers say the former were associated with lower in-hospital mortality and increased survival compared with non-operative management.

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Young athletes at risk for lower back injuries
Source:
Medical News Today

Lower back injuries are the third most common injuries suffered in athletes under age 18, according to a study presented by Loyola University Medical Center sports medicine physician NeeruJayanthi, MD.

Many injuries are severe enough to sideline young athletes for one-to-six months, and put them at future risk for long-term back problems.

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Women more likely to tear ACL due to 'knock knees'
Source:
Medical News Today

Researchers say that women are nearly four times more likely to suffer from a tear to the ACL (anterior cruciate ligament) in the knee than men, but that it may be prevented by a different "landing strategy."

ACL injuries are defined as a tearing of the anterior cruciate ligament inside the knee joint. The injury causes the knee to swell, and the joint becomes too painful to bear weight.

These injuries are very common in sports where the participants are required to do many "jump stops and cuts." This includes basketball, soccer, tennis and volleyball.

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Physical activity decreases sudden cardiac death risk in unfit men
Source:
Medical News Today

Dr Laukkanen said: "Sudden cardiac death (SCD) accounts for approximately 50% of deaths from coronary heart disease. SCD typically occurs shortly after the onset of symptoms, leaving little time for effective medical interventions, and most cases occur outside hospital with few or no early warning signs. Finding ways to identify individuals at elevated risk of SCD would allow early interventions on risk factors to be implemented."

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Knee osteoarthritis risk unaffected by moderate exercise
Source:
Medical News Today

A new study suggests that the risk of middle-aged and older adults developing knee arthritis is unaffected by doing up to 150 minutes per week of moderate physical activity, the level recommended by the US government.

Knee arthritis leading cause of disability and joint pain

Osteoarthritis occurs when the cartilage and underlying bone in a joint break down, leading to bony overgrowth, pain, swelling and stiffness.

The joints most affected are the knees, hips and those of the hands and spine. The condition, for which there is currently no cure, develops gradually, usually in the over-40s.

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Combating Sports-Related Concussions: New Device Accurately and Objectively Diagnoses Concussions from the Sidelines
Source:
Science daily

In the United States there are millions of sports-related concussions each year, but many go undiagnosed because for some athletes, the fear of being benched trumps the fear of permanent brain damage, and there is no objective test available to accurately diagnose concussions on the sidelines.

Balance tests are a primary method used to detect concussion. The current means of scoring these tests relies on the skill of athletic trainers to visually determine whether or not a concussion has occurred.

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PET predicts outcomes for patients with cervical spinal cord compression - Metabolic activity in spine indicates optimal time for surgery
Source:
Medical News Today

For patients with degenerative cervical myelopathy, imaging with 18F-FDG positron emission tomography (PET) could act as a marker for a potentially reversible phase of the disease in which substantial clinical improvement can be achieved.

Cervical spinal stenosis is a condition in which the spinal canal narrows in the neck. While many patients lack symptoms, once symptoms appear, it usually indicates the presence of myelopathy. This compression can lead to progressive neurologic deficits, such as numbness, weakness or tingling in a leg, foot, arm or hand.

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Core Exercises For Preventing Lower Back Problems
Source:
Back Pain Relief Daily

Excess outdoor activities may result in deconditioning of the back muscles causing the sufferer to become more prone to minor back injuries. The best way to prevent such injuries to the spine is to do core exercises for preventing lower back problems through regular abdominal conditioning exercises. Those who feel comfortable while sitting can opt for back extension exercise. If you find that back soreness is reduced while standing, try flexion exercises such as the pelvic tilt. Using an Abdometer will help in monitoring the natural curvature of the lower spine, which is important during exercises.

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Shoulder surgery may make sense for young patients: research
Source:
MeD India

According to research presented today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting in Chicago, IL, arthroscopic bankart repair surgery is a cost-effective approach for patients suffering their first shoulder dislocation.

"We based our conclusions on a Markov model, which takes into account how surgery affects the patient's recovery in relation to the actual costs of medical treatment," commented Ryan P. Donegan, MD, MS, from Dartmouth-Hitchcock Medical Center in Lebanon, NH. "For surgery to be cost-effective in this model, expenses must be under $24,457, the probability of re-dislocation must be under 7 percent, and the quality of life rating must not fall below 0.86. Our research showed surgical costs of $11,267, probability of re-dislocation at only 4 percent and quality of life rating of 0.93 - numbers suggesting surgery is a good investment for these patients." 

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Omega-3 fatty acids may help reduce risk of hip fracture in postmenopausal women
Source:
Healio

The risk of hip fractures in postmenopausal women may be reduced through consuming more omega-3 polyunsaturated fatty acids, according to a study published in the Journal of Bone and Mineral Research.

“We don’t yet know whether omega-3 supplementation would affect results for bone health or other outcomes,” Tonya Orchard, PhD, RD, LD, from Ohio State University, stated in a press release. “Though it is premature to make a nutrition recommendation based on this work, I do think this study adds a little more strength to current recommendations to include more omega-3s in the diet in the form of fish, and suggests that plant sources of omega-3 may be just as important for preventing hip fractures in women.”

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Stress Fracture Risk May Be Modifiable
Source:
Science daily

The incidence rate for stress fracture injuries among females was nearly three times greater when compared to males. Knee rotation and abduction angles when landing were both associated with the rates of lower-extremity stress fractures, as were reduced knee and hip flexion angles, and increased vertical and medial ground reaction forces.

"Lower extremity movement patterns and strength have previously been associated with stress fractures and overuse injuries; however, our study is one of the first to identify dynamic knee rotation and frontal plane angles as important prospective risk factors for lower extremity stress fractures."

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Coffee For A Bad Back?
Source:
Back Pain Relief Daily

A question often arises on whether it is advisable to have coffee for a bad back? The answer is yes. Doses of caffeine cause stimulation of the receptor cells in the nerves responsible for reducing the pain.

Those who are not fan of this drink, suffer much more often. Scientists explain the regularity that caffeine stimulates receptors responsible for reducing pain. Thus, scientists have confirmed the assumption that, in small doses, caffeine has analgesic effects by stimulating the receptors of the body responsible for the reduction of pain. By the way, coffee reduces the so-called Delayed onset muscle soreness after intense exercise. Thus, this delicious drink can be called anesthetic for muscular pain. Drink coffee for your health!

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Spinal Injury Causes Permanent Damage Within Weeks: Study
Source:
US news

New MRI technology sheds light on how quickly tissue loss begins, effectiveness of treatment.

For people who suffer a spinal cord injury, irreversible tissue loss occurs within 40 days, which is much sooner than previously thought, researchers say.

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Hope for injection of cells to regenerate spine discs
Source:
Medical News Today

Scientists have developed a new method of stopping or reversing disability and pain caused by degenerative disc disease in the spine using cell therapies, according to a proof-of-concept study published in the journal Biomaterials.

Degenerative disc disease is a common spinal condition caused by the breakdown of intervertebral discs. It is more likely to occur as a person ages, where the discs begin to wear thin and lose their ability to cushion the spine. This can lead to further complications, such as arthritis.

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Pain Relief From Sitting
Source:
Back Pain Relief Daily

Prolonged hours of sitting will result in immobility of the body. This is a contributing factor towards degeneration of spinal discs causing back ache. A few simple things can help pain relief from sitting such as movement and getting up at frequent intervals, stretching your back, and keeping a proper posture while sitting on the chair and making full use of a backrest according to this article. Using the perfect chair to allow your body to sit in an ergonomic way is advisable, and use of a standing desk can be very helpful in keeping the vertebrae in an upright position. Over and above following these tips, keep active throughout the day to say good bye to pain in your back.

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Shoulder pain in the elderly
Source:
The Star Online

Frozen shoulder is a common, sometimes painful, self-limiting condition that can be adequately managed in the primary care setting.

Shoulder pain commonly affects daily activities, and subsequently, the quality of life of our Malaysian seniors.

While elderly people are more likely to experience pain than the general population, in many instances, they are under-treated. Many older adults feel that pain is just a natural part of the ageing process and do not seek medical treatment until the condition has worsened.

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FDA clears Soft Tissue Regeneration’s STR GRAFT
Source:
News Medical

Soft Tissue Regeneration, an early stage orthopedic device company that has developed a breakthrough tissue engineering platform used to regenerate ligaments and tendons, announced today that it has received FDA clearance to market its STR GRAFT, a biodegradable scaffold used for soft tissue augmentation and rotator cuff repair.

Developed by Cato T. Laurencin , M.D., Ph.D., an orthopedic surgeon and the company's founder, the STR GRAFT is a three-dimensional braided engineered matrix that Laurencin likens to a patch. During surgery, surgeons can drape this biodegradable patch over the tendon that sits on the shoulder bone, anchoring it with sutures to keep it in place while the tendon, bones and nearby tissues heal. Unlike currently available devices, which are made of weaker cadaver or animal tissue that can cause sutures to pull, the STR GRAFT is thinner—about 1 millimeter—and stronger, which lessens pain, speeds recovery time and drastically reduces surgical failure rates.

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ACL insurance insight
Source:
Ivanhoe.com

ACL injuries have increased 400% in teens and adolescents in the last ten years. They’re also on the rise among baby boomers. To make sure you don’t have to pay out-of-pocket to fix the injury, doctors are using a new tool to show surgery works.

That’s where the gait-rite system comes in. This 26 foot carpet contains sensors to assess gait after injury and again after surgery to show how patients are doing.

Dr. Maloney says that, “We will have seen that their gait has been restored to what we consider normal and safe and allow them to progress.”

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Why so idle with knee OA?
Source:
DailyRx.com

Being obese or overweight can make osteoarthritis worse. Staying physically active is one of the best ways to avoid putting on extra pounds. However, many osteoarthritis patients remain inactive.

These findings suggest that there may be a serious need to improve physical activity among patients with knee osteoarthritis. According to the authors, increasing physical activity among these patients will likely involve weight management, healthy diet and improving pain and disability.

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The fate of new hips in women
Source:
DailyRx.com

Hip joint replacements can help patients regain normal mobility. But just like any surgery, risks are involved in hip replacement. And women may have a higher risk than men when it comes to failure of the new hip.

Women were slightly more likely than men to have a failed hip replacement within three years of surgery, according to a new study.

The findings highlighted the risks and precautions patients should consider before deciding to get a new hip.

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Toss the vitamin D and calcium?
Source:
DailyRx.com

Preventing the risk of fractures as you grow older is important. Previously, vitamin D and calcium supplements were thought to help reduce that risk – but recommendations have changed.

The Task Force actually recommends against vitamin D in daily doses of 400 IU or less and calcium in daily doses of 1000 mg or less because it can increase the risk of kidney stones. At those doses, supplements do not prevent fractures in younger men and women.

However, the Task Force continues to recommend vitamin D supplements to prevent falls in adults 65 and older who are at higher risk for falls.

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Fractures Take High Toll on High School Athletes
Source:
MedicineNet.Com

Fractures account for about 10 percent of all injuries suffered by U.S. high school athletes, and can have a major physical, emotional and financial impact on the young competitors, according to a new study.

The findings highlight the need for fracture prevention programs in high school sports, the Ohio State University researchers said.

Researchers analyzed 2008-2009 and 2010-2011 data from the National High School Sports-Related Injury Surveillance System. Fracture rates were highest in boys' sports -- including football, ice hockey and lacrosse -- and boys suffered 79 percent of all fractures reported.

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Increase in Dance-Related Injuries in Children and Adolescents
Source:
Science Daily

Dance is a beautiful form of expression, but it could be physically taxing and strenuous on the human body, particularly for children and adolescents. A new study by researchers at the Center for Injury Research and Policy of The Research Institute at Nationwide Children's Hospital examined dance-related injuries among children and adolescents 3 to 19 years of age from 1991 to 2007. During the 17-year study period, an estimated 113,000 children and adolescents were treated in U.S. emergency departments for dance-related injuries.

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