• Multidisciplinary treatment can help with pain after TKA or THA

    Source - Healio

    Multidisciplinary pain treatment has been shown in a recent study to one way to aid patients following total knee arthroplasty and total hip arthroplasty procedures.

    In the study, investigators found that multidisciplinary pain treatment (MPT) “has beneficial short-term and mid-term effects on subjective pain intensity, physical capability and depression levels in patients with persistent pain after joint arthroplasty,” lead author Christian Merle, MD, MSc, and colleagues, wrote.

    Merle and colleagues conducted a retrospective study that followed 40 patients (mean age 62 years) with persistent unexplained pain following total knee arthroplasty (TKA) or total hip arthroplasty (THA) that previous treatments were unable to rectify.  The procedures were performed between April 2007 and April 2010.

    The evaluations, which were done before MPT, after 3 weeks of MPT and at 32 months mean follow-up, focused on the patients’ pain intensity, physical capability and psychological status, according to the study.

    All the scores used showed a significant improvement at the completion of MPT over the baseline pain scores. At 32 months’ follow-up, pain intensity, physical capability and depression levels deteriorated slightly, but were significantly better than at baseline. The results showed 79% of the 34 patients available for final follow-up reported a reduction in pain on the Numeric Rating Scale of 0.5 to 5.0 points. All patients reported pre-MPT NSAID use, 41% of patients continued to use NSAIDs and15% of them reported using opioids after 32 months.

    Because MPT helps to alleviate unexplained pain following TKA and THA, Merle and colleagues noted in the study it may help patients avoid exploratory revision surgery.

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  • Overuse Injuries, Burnout in Youth Sports Can Have Long-Term Effects

    Source - ScienceDaily

    As an emphasis on competitive success in youth sports has led to intense training, frequent competition and early single sport specialization, overuse injuries and burnout have become common. Given these concerns, the American Medical Society for Sports Medicine (AMSSM) has released a new clinical report that provides guidance to physicians and healthcare professionals who provide care for young athletes.

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  • Improper way of working out may do more harm than good

    Source - News Medical

    With the coming of the new year, many people will vow to get in shape after overindulging during the holidays. However, not knowing the proper way to work out might do more harm than good.

    Nearly 500,000 workout-related injuries occur each year. One reason is people want to do too much too fast and overuse their muscles. These injuries occur gradually and are often hard to diagnose in the bones, tendons and joints. Another reason is poor technique during weight and other training.

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  • Bio-Inspired Robotic Device Could Aid Ankle-Foot Rehabilitation

    Source - ScienceDaily

    A soft, wearable device that mimics the muscles, tendons and ligaments of the lower leg could aid in the rehabilitation of patients with ankle-foot disorders such as drop foot, said Yong-Lae Park, an assistant professor of robotics at Carnegie Mellon University.

    Park, working with collaborators at Harvard University, the University of Southern California, MIT and BioSensics, developed an active orthotic device using soft plastics and composite materials, instead of a rigid exoskeleton. The soft materials, combined with pneumatic artificial muscles (PAMs), lightweight sensors and advanced control software, made it possible for the robotic device to achieve natural motions in the ankle.

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  • Study: Patients with femoral neck fractures have more complications after uncemented hemiarthroplasty

    Source - Healio

    The use of uncemented hemiarthroplasty is associated with more hip reoperations and mechanical complications for patients with femoral neck fractures compared to patients who are treated using cemented hemiarthroplasty, according to a recently published data.

    Using the PERFECT database, researchers identified 25,174 patients in Finland who were treated with hemiarthroplasty (HA) for a femoral neck fracture from 1999 to 2009. Using the unique personal identification number of each patient, data on comorbidities, the use of residential care and deaths in this population were extracted from the Finnish Health Care Register. Primary outcome measures included mortality, while secondary outcomes included reoperations, complications, readmissions and treatment times.

    Researchers found patients who have an uncemented HA showed lower postoperative mortality during the first postoperative days. However, there were no significant differences in mortality for the patients at 1 week and 1 year after surgery. Patients treated with uncemented HA showed more mechanical complications, re-arthroplasties and femoral fracture operations during the first 3 months after surgery.

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  • Program allows young visitors to experience orthopaedics up close

    Source - UT Southwestern Medical Center

    Less than 7 percent of orthopaedic surgeons in the U.S. are women, according to data from the American Academy of Orthopaedic Surgeons. It is a statistic that Dr. Katherine Coyner, Assistant Professor of Orthopaedic Surgery at UT Southwestern Medical Center, is trying to change.

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  • Painful Frozen Shoulder Generally Resolves, But Return To Mobility Takes Time

    Source - The Vancouver Sun

    Nearly a decade has passed since Lynne Robson's first encounter with frozen shoulder. But she remembers in exquisite detail the limitations it imposed and the pain it caused her.

    Pulling on a winter coat was excruciating. Robson could only wear clothing with front closures, because reaching behind her back to hook a bra, for instance, required a range of movement she no longer had. Blow-drying her hair — pretty much a requirement for a TV reporter, which Robson was at the time — was impossibility.

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  • Rotator Cuff Tears

    Source - Medical Observer

    This Update looks at the anatomy, assessment and management of rotator cuff tears.

    The rotator cuff is a set of tendons that surround the humeral head and seat the head in the glenoid which in turn allows overhead function. They are crucial tendons and commonly injured. The most commonly injured of the four tendons is the supraspinatus, particularly, at its insertion into the greater tuberosity on the humeral head.

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  • How To Know If Shoulder Pain Might Be Rotator Cuff Disease

    Source - Medscape

    A positive painful arc test and a positive external rotation resistance test in a patient with shoulder pain has a high likelihood of being rotator cuff disease (RCD). And a positive lag test (external or internal rotation) likely means a full-thickness rotator cuff tear.

    That's according to a meta-analytic review of relevant studies. Dr. Job Hermans from Erasmus Medical Center, Rotterdam, the Netherlands and colleagues say they did the analysis to identify the most accurate clinical examination findings for RCD.

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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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