MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Current Reviews in Musculoskeletal Medicine' source. Thu, 09 Feb 2012 00:02:26 +0100 http://www.medworm.com/index.php?rid=5650944&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr76pp282r1tv7252%2F Abstract  Articular cartilage injuries of the knee can be debilitating if not treated properly. Once an articular cartilage injury is sustained there are a variety of surgical interventions depending on the severity of the injury. The most common of these procedures are: osteochondral autograft transplantation (OATS), autologous chondrocyte implantation (ACI) and microfracture. The rehabilitation outlined in this article is specific to the exact surgical procedure performed and the location in the knee. The outcomes of these procedures are also discussed. Content Type Journal ArticleCategory Knee Rehabilitation (J Cavanaugh, Section Editor)Pages 1-10DOI 10.1007/s12178-011-9108-5Authors Timothy F. Tyler, Nicholas Institute for Sports Medicine and Athletic Trauma (NISMAT... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5650944 Fri, 27 Jan 2012 17:54:53 +0100 5650944 http://www.medworm.com/index.php?rid=5611890&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl728680765377377%2F Abstract  Injuries to the anterior cruciate ligament are common. Surgical reconstruction is more prevalent than ever. This review article discusses treatment of the patient following surgical reconstruction of the anterior cruciate ligament. Various phases of rehabilitation are discussed with emphasis on early return of passive motion, early weight bearing, bracing, kinetic chain exercises, neuromuscular electrical stimulation and accelerated rehabilitation. Although evidence exists for the treatment of the surgically reconstructed cruciate ligament, more is needed to better define specific timeframes for advancement. Evidence exists that many of these young individuals are not fully returning to unlimited high level activities. This review article presents some of the late... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5611890 Tue, 17 Jan 2012 07:05:25 +0100 5611890 http://www.medworm.com/index.php?rid=5585491&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff3283l650u875055%2F This article will outline the biomechanics and necessary muscle forces during running, and theories regarding strengthening and neuromuscular control. Perspectives on treatment, based on known evidence and our clinical reasoning are presented. Content Type Journal ArticleCategory Hip Rehabilitation (J Edelstein, Section Editor)Pages 1-8DOI 10.1007/s12178-011-9102-yAuthors Scott Siverling, Hospital for Special Surgery Integrative Care Center, 635 Madison Avenue, New York, NY 10022, USAEilish O’Sullivan, Hospital for Special Surgery, 525 East 71st Street, New York, NY 10021, USAMatthew Garofalo, Hospital for Special Surgery, 541 East 71st Street, New York, NY 10021, USAPeter Moley, Hospital for Special Surgery, 541 East 71st Street, New York, NY 10021, USA Journal Current R... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5585491 Tue, 10 Jan 2012 06:42:00 +0100 5585491 http://www.medworm.com/index.php?rid=5585490&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp14r3543hk030071%2F Abstract  Hip resurfacing (HR) has become a widely used surgical intervention for younger patients requiring hip joint arthroplasty. While case reports have been published describing rehabilitation programs following HR, there has yet to be established rehabilitation guidelines. Through experience and clinical reasoning, the following guidelines have been developed based on the patients at the Hospital for Special Surgery. The demographics of the typical HR patient, along with the surgical process are described. Current published literature reporting rehabilitation for patients with arthritic hip pathologies has been incorporated into the guidelines and is presented. The guidelines are divided into three phases, with goals for each phase explained. A progression through pha... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5585490 Tue, 10 Jan 2012 06:42:00 +0100 5585490 http://www.medworm.com/index.php?rid=5573396&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F22626774tu782283%2F This article describes the possible correlation between hip dysplasia and hip pain in the dancer, the relationship of dance postures to the kinematic chain and outlines possible treatment strategies for management. Content Type Journal ArticleCategory Hip Rehabilitation (J Edelstein, Section Editor)Pages 1-7DOI 10.1007/s12178-011-9104-9Authors Robert Turner, Hospital for Special Surgery, 525 East 71st Street, New York, NY 10021, USAEilish O’Sullivan, Hospital for Special Surgery, 525 East 71st Street, New York, NY 10021, USAJaime Edelstein, Hospital for Special Surgery, 525 East 71st Street, New York, NY 10021, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5573396 Wed, 04 Jan 2012 16:59:39 +0100 5573396 http://www.medworm.com/index.php?rid=5306515&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fev72517x520490m3%2F Abstract  Pediatric scoliosis is a relatively uncommon condition typically first noticed due to altered stature or by routine spine screenings by a school nurse or pediatrician. The formal diagnosis is made with spine radiographs, with coronal curvature measurement of 10° or greater. Treatment may consist of serial observation, bracing until skeletal maturity, or surgery for correction and fusion/stabilization of severe or progressive deformity. Overall success for non-operative management of scoliosis is affected by the etiology for the deformity, close follow up and monitoring for evolution of the deformity, and patient compliance with their treatment regimen. The most common surgical technique is a posterior approach spine fusion with implanted instrumentation, and pati... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5306515 Fri, 07 Oct 2011 15:57:30 +0100 5306515 http://www.medworm.com/index.php?rid=5306516&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu7l61602u52416v3%2F Abstract  Adult spinal deformity may occur as the result of a number of conditions and patients may present with a heterogeneous group of symptoms. Multiple etiologies may cause spinal deformity; however, symptoms are associated with progressive and asymmetric degeneration of the spinal elements potentially leading to neural element compression. Symptoms and clinical presentation vary and may be related to progressive deformity, axial back pain, and/or neurologic symptoms. Spinal deformity is becoming more common as adults 55–64 years of age are the fastest growing proportion of the U.S. population. As the percentage of elderly in the United States accelerates, more patients are expected to present with painful spinal conditions, potentially requiring spinal surgery.... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5306516 Thu, 06 Oct 2011 15:41:28 +0100 5306516 http://www.medworm.com/index.php?rid=5240833&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm47410k004175710%2F Abstract  Degenerative cervical spine disorders will affect up to two-thirds of the population in their lifetime. While often benign and episodic in nature, cervical disorders may become debilitating resulting in severe pain and possibly neurologic sequelae. Non-operative treatment continues to play an important role in treating these patients, with medications, therapy and interventional pain injections playing increasing roles in treatment. Surgical treatment including anterior and posterior decompression and fusion have been effective treatments of many cervical disorders, but may lead to significant problems including adjacent level disease. Laminotomy/foraminotomy and total disc arthroplasty may avoid some of these problems while providing similar clinical results. Ong... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5240833 Mon, 19 Sep 2011 15:40:48 +0100 5240833 http://www.medworm.com/index.php?rid=5186240&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F442066878q2q2583%2F This article reviews the current literature on various treatment options for irreparable rotator cuff tears, then outlines an algorithm for determining treatment. Content Type Journal ArticleCategory Modern Techniques in Shoulder Surgery (Lawrence V. Gulotta, Section Editor)Pages 1-6DOI 10.1007/s12178-011-9098-3Authors M. Michael Khair, Resident in Orthopedic Surgery, Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USALawrence V. Gulotta, Assistant Attending Surgeon, Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5186240 Wed, 31 Aug 2011 15:54:40 +0100 5186240 http://www.medworm.com/index.php?rid=5148859&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc412218m6862t510%2F Abstract  The reverse shoulder arthroplasty emerged as a potential solution for those patients who could not be managed effectively with a conventional total shoulder arthroplasty. Grammont revolutionized the design by medializing and distalizing the center of rotation and utilizing a large convex glenoid surface and concave humeral component with a neck-shaft angle of 155°. This design has been highly successful in cuff deficient shoulders, and indications continue to broaden. Many mid-term studies have improved upon the early encouraging results. Long-term studies are starting to emerge, demonstrating good survivorship, but progressive functional and radiographic deterioration continue to be concerning. Careful patient selection and attention to appropriate technique are... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5148859 Mon, 22 Aug 2011 16:00:02 +0100 5148859 http://www.medworm.com/index.php?rid=5148860&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm188k76617221u90%2F Abstract  Rotator cuff repair is a common orthopedic procedure. Despite advances in surgical technique, the rotator cuff tendons often fail to heal after surgery. In recent years, a number of biologic strategies have been developed and tested to augment healing after rotator cuff repair. These strategies include allograft, extracellular matrices (ECMs), platelet rich plasma (PRP), growth factors, stem cells, and gene therapy. This chapter reviews the most current research on biologic augmentation of rotator cuff repair using these methods. Content Type Journal ArticleCategory Modern Techniques in Shoulder Surgery (Lawrence V. Gulotta, Section Editor)Pages 1-10DOI 10.1007/s12178-011-9095-6Authors Scott R. Montgomery, Orthopaedic Surgery Education Office, David Geffen Sc... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5148860 Thu, 18 Aug 2011 05:51:35 +0100 5148860 http://www.medworm.com/index.php?rid=5121441&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv49m766u721360j1%2F This article reviews the current knowledge regarding the glenoid in total shoulder arthroplasty touching on anatomy, component design, implant fixation, causes of implant failure, management of glenoid failure and alternatives to glenoid replacement. Content Type Journal ArticlePages 1-9DOI 10.1007/s12178-011-9096-5Authors Mark Schrumpf, Hospital for Special Surgery, 535 E 70th St., New York, NY 10021, USATravis Maak, Hospital for Special Surgery, 535 E 70th St., New York, NY 10021, USASommer Hammoud, Hospital for Special Surgery, 535 E 70th St., New York, NY 10021, USAEdward V. Craig, Hospital for Special Surgery, 535 E 70th St., New York, NY 10021, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in M... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5121441 Mon, 08 Aug 2011 19:52:12 +0100 5121441 http://www.medworm.com/index.php?rid=5121442&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4l5772gx7g095813%2F Abstract  The surgical approach utilized in total hip arthroplasty has been identified as a factor that may affect surgical outcomes. There have been many different approaches and modifications used since the procedure was popularized by Sir John Charnley. The popular approaches today can be grouped by their relationship to the trochanter (anterior or posterior), patient position, leg position for dislocation/femoral preparation, and treatment of the abductors and short external rotators. The Rottinger approach is an anterior approach which utilizes the muscle interval between the tensor fascia lata and abductor musculature. The abductor attachments are preserved and the femur is prepared in extension, adduction, and external rotation. This approach has been shown in litera... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5121442 Mon, 08 Aug 2011 19:52:11 +0100 5121442 http://www.medworm.com/index.php?rid=5099405&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe1024842g7r4t873%2F This article reviews the current literature on the classification and treatment options for proximal humeral fractures, while seeking to help the reader to define the most appropriate treatment plan for each individual patient with this type of fracture. Content Type Journal ArticlePages 1-7DOI 10.1007/s12178-011-9094-7Authors Craig S. Mauro, Burke and Bradley Orthopedics, University of Pittsburgh Medical Center, UPMC St. Margaret 200 Delafield Rd. Suite 4010, Pittsburgh, PA 15215, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5099405 Tue, 02 Aug 2011 06:17:08 +0100 5099405 http://www.medworm.com/index.php?rid=5099406&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmx17k308r03t5080%2F Abstract  The glenohumeral joint is inherently predisposed to instability by its bony architecture. The incidence of traumatic shoulder instability is 1.7% in the general population. Associated injuries to the capsulolabral structures of the glenohumeral joint have been described and may play a role in predicting recurrent instability. Advanced imaging, computed tomography or MRI may be necessary to adequately evaluate for associated glenohumeral pathology. Treatment algorithms have traditionally included a period of non-operative management in all patients, however young athletic patients may often benefit from early operative treatment. Various open and arthroscopic surgical options exist to address anterior glenohumeral instability. Bony injuries including bony Bankart l... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5099406 Tue, 02 Aug 2011 06:17:07 +0100 5099406 http://www.medworm.com/index.php?rid=5099407&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc34w454247852714%2F This article reviews the published risk factors associated with incident osteoarthritis of the lower extremity weight-bearing joints. Systemic risk factors include factors such as age, ethnicity, gender and genetic variables. Local risk factors are variables such as obesity, previous knee injury and occupational activities. Challenges in the study of incident osteoarthritis, and promising potential future study directions are also reviewed. Content Type Journal ArticlePages 1-6DOI 10.1007/s12178-011-9088-5Authors R. Krishna Chaganti, Division of Rheumatology, University of California, San Francisco, USANancy E. Lane, Musculoskeletal Research Center, Medicine and Rheumatology, University of California at Davis School of Medicine, Sacramento, CA, USA Journal Current Reviews ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5099407 Tue, 02 Aug 2011 06:17:06 +0100 5099407 http://www.medworm.com/index.php?rid=5072435&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft2m64m1p16q2321x%2F Abstract  Because of the extensile nature and familiarity of the standard posterior-lateral approach to the hip, a family of “micro-posterior” approaches has been developed. This family includes the Percutaneously-Assisted Total Hip (PATH) approach, the Supercapsular (SuperCap) approach and a newer hybrid approach, the Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) approach. Such approaches should ideally provide a continuum for the surgeon: from a “micro” (external rotator sparing) posterior approach, to a “mini” (external rotator sacrificing) posterior approach, to a standard posterior approach. This could keep a surgeon within his comfort zone during the learning curve of the procedure, while leaving options for complicated reconstructions for th... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5072435 Mon, 25 Jul 2011 15:47:26 +0100 5072435 http://www.medworm.com/index.php?rid=5042967&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9316776833046ux5%2F We present the implementation and results of such a protocol involving a different surgical approach, and highlight the published literature on this topic. Content Type Journal ArticlePages 1-7DOI 10.1007/s12178-011-9091-xAuthors Samuel S. Wellman, Department of Orthopaedic Surgery, Duke University Medical Center, Box 3447, Durham, NC 27710, USAAndrew C. Murphy, The Center for Computer Assisted and Reconstructive Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, MA, USADiane Gulcynski, The Center for Computer Assisted and Reconstructive Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, MA, USAStephen B. Murphy, The Center for Computer Assisted and Reconstructive Surgery, New England Baptist Hospital, Tufts Universi... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5042967 Thu, 14 Jul 2011 05:59:52 +0100 5042967 http://www.medworm.com/index.php?rid=5001861&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp434763115115713%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s12178-011-9089-4Authors Elana J. Bernstein, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USAJonathan Kay, Rheumatology Center, UMass Memorial Medical Center, Memorial Campus, 119 Belmont Street, Worcester, MA 01605, USAAllan Gibofsky, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5001861 Mon, 04 Jul 2011 16:19:05 +0100 5001861 http://www.medworm.com/index.php?rid=5001860&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq86475v42hv33u78%2F Abstract  Surgeons want to perform a perfect total hip replacement (THR) with every operation. Human performance has limitations, especially when performing a mechanical operation in a biological environment. Recent suggested changes to improve outcomes have been large femoral heads and anterior incisions, but unfortunately neither has resulted in any scientific data that change has been effected. The scientific data does tell us that poor component positions and impingement are the source of increasing mechanical complications. Therefore, attempts to improve the surgeon’s performance by precise quantitative knowledge in the operating room have been used. We discuss robotic guided navigation as a solution. This technology provides predictable and reproducible results. ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5001860 Mon, 04 Jul 2011 16:19:05 +0100 5001860 http://www.medworm.com/index.php?rid=4988010&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F47343023qu814v70%2F Abstract  Total hip arthroplasty is a successful procedure for treatment of painful hip arthritides. A large volume of literature is devoted to the patient outcomes and complication profiles of the commonly used surgical approaches to help refine the technique, enhance patient function, and limit cost and patient morbidity. The direct anterior approach has been reported using a fracture table to promote surgical exposure to the proximal femur. This technique is described herein with attention paid to the technical points which facilitate surgical exposure, patient safety, and functional outcome. Following a literature review of recent reports using this procedure are reviewed in context of the reported complications. The results show the direct anterior approach using a fra... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4988010 Tue, 28 Jun 2011 15:48:20 +0100 4988010 http://www.medworm.com/index.php?rid=4979014&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff2865r3310r27064%2F This article provides an overview of the existing literature on undergraduate medical musculoskeletal education, including learning objectives, researched methodology, and currently utilized assessment tools. A discussion of challenges to and suggested approaches for the implementation of medical school musculoskeletal curricula is presented. Content Type Journal ArticlePages 1-8DOI 10.1007/s12178-011-9083-xAuthors Seetha U. Monrad, Division of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Taubman Center SPC 5358, 1500 E Medical Center Drive, Ann Arbor, MI 48109, USAJohn L. Zeller, Departments of Orthopaedic Surgery, Emergency Medicine, and Medical Education, University of Michigan Medical School, Ann Arbor, MI, USAClifford L. Craig, Depart... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4979014 Mon, 27 Jun 2011 17:50:32 +0100 4979014 http://www.medworm.com/index.php?rid=4979013&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp05383q61rg74226%2F Abstract  Arthritis is the most common extraintestinal manifestation of inflammatory bowel disease (IBD) and can have a significant impact on morbidity and quality of life. IBD-associated arthropathy is considered a subtype of seronegative spondyloarthropathy, with axial, peripheral, or a combination of both joint manifestations. Peripheral arthritis is generally non-erosive and the oligoarticular variant particularly may correlate with intestinal disease activity. Axial arthritis may include inflammatory back pain, sacroiliitis, or ankylosing spondylitis, and is less likely to correlate with gastrointestinal symptoms. While there have been advances in identifying predisposing genetic factors and in elucidating pathophysiology of inflammatory bowel disease, the mechanisms s... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4979013 Mon, 27 Jun 2011 17:50:32 +0100 4979013 http://www.medworm.com/index.php?rid=4971947&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F84651k5302l72263%2F Abstract  Osteoarthritis (OA), the third most common diagnosis in the elderly [1], causes significant pain leading to disability and decreased quality of life in subjects 65 years and older [2]. Traditionally, clinicians have relied heavily on the use of non-steroidal anti-inflammatory drugs (NSAIDs) to treat the pain of OA, as numerous studies have proven these agents to be effective. The cardiovascular, gastrointestinal, renal and hepatic toxicities of NSAIDs have limited their use, particularly in the elderly. Acetaminophen has been recommended as initial therapy due to relative safety. Several other topical, oral and intra-articular agents are available today, with use limited by efficacy and side effect profiles. Many non-pharmacologic approaches are available but u... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4971947 Thu, 23 Jun 2011 16:25:58 +0100 4971947 http://www.medworm.com/index.php?rid=4916008&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv8012u85698038g2%2F Content Type Journal ArticlePages 1-5DOI 10.1007/s12178-011-9082-yAuthors Elana J. Bernstein, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USAJonathan Kay, Rheumatology Center, UMass Memorial Medical Center, Memorial Campus, 119 Belmont Street, Worcester, MA 01605, USAAllan Gibofsky, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4916008 Wed, 08 Jun 2011 15:49:12 +0100 4916008 http://www.medworm.com/index.php?rid=5390816&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F775m12778461l628%2F We present a review of the literature looking at the anatomy of the Anterior Cruciate Ligament, the biomechanical aspects of ACL reconstruction, review the outcomes of single and double bundle ACL reconstruction and present the current techniques for anatomic single bundle reconstruction. Content Type Journal ArticlePages 65-72DOI 10.1007/s12178-011-9081-zAuthors Michael R. Carmont, The Northern General Hospital, Sheffield University Teaching Hospitals NHS Foundation Trust, Sheffield, UKSven Scheffler, Centre for Musculoskeletal Surgery, Charite Universitatsmedizin, Berlin, GermanyTim Spalding, The University Hospitals of Coventry & Warwickshire NHS Trust, Coventry, UKJeremy Brown, The Northern General Hospital, Sheffield University Teaching Hospitals NHS Foundation Trust, Sheffie... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390816 Mon, 09 May 2011 05:34:58 +0100 5390816 http://www.medworm.com/index.php?rid=5390817&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fgkj5368j6p718009%2F Abstract  The anterior cruciate ligament reconstruction is a common procedure that improves stability and function of the knee. The surgical technique continues to evolve and many issues are still under debate. These mainly include: (1) graft selection (patellar tendon, hamstring, quadriceps tendon, or allografts), (2) surgical technique (double versus single bundle), and (3) femoral tunnel drilling. Currently, the most controversial one is the femoral tunnel drilling (transtibial vs. anteromedial portal drilling). Common opinion is that drilling the femoral tunnel through the anteromedial (AM) allows a more anatomic placement of the graft and a better rotational stability; therefore, this technique is gaining in popularity compared with the transtibial drilling despite a g... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390817 Tue, 03 May 2011 16:03:30 +0100 5390817 http://www.medworm.com/index.php?rid=4916009&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc25675277779002k%2F Abstract  Disparities in health outcomes occur in systemic lupus erythematosus (SLE) especially in economically disadvantaged populations. At the 9th International Congress on SLE, June 24–27, 2010, held in Vancouver, British Columbia, a symposium “Narrowing the Gap in the Treatment and Study of SLE worldwide” was held. Participating physicians from the Caribbean, Central and South America, Asia, Portugal, Africa and impoverished areas of the United States detailed their constraints and desires. These were remarkably consistent. Out of these discussions, a statement on minimum best practice was put forth aimed at the cost-effective management of SLE focusing on the critical factors that make a difference and are feasible even in the most challenging environments. Appr... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4916009 Wed, 20 Apr 2011 06:05:25 +0100 4916009 http://www.medworm.com/index.php?rid=5390818&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr7x212uk133087ww%2F Abstract  The anterior cruciate ligament (ACL) consists of two primal functional bundles, anteromedial bundle and posterolateral bundles. Those two bundles play different functional roles and contribute differently to knee stability throughout the range of motion. Recent advancement in studies of anatomy and biomechanics of ACL has led surgeons to perform double-bundle ACL reconstruction to obtain better stability and kinematics. Consequently, variable surgical techniques of double-bundle ACL reconstruction have been reported to replicate native ACL. In addition, various surgical key points and problems in double-bundle ACL reconstruction techniques have also been reported. There has been a trend to more anatomically replicate native ACL bundles, not simply creating two bun... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390818 Tue, 19 Apr 2011 07:13:22 +0100 5390818 http://www.medworm.com/index.php?rid=5390819&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg51pt43k65w13325%2F Abstract  Arthroscopically-assisted ACL-reconstructions are currently reliable, reproducible. Residual anterior knee symptoms however, especially after patellar-BTB graft use, are not uncommon occurrences. Contributing factors are numerous and include injury to the saphenous nerve infrapatellar branches and/or histologic changes at the harvest site. The use of mini invasive harvesting technique decreases the risk of injury to the saphenous nerve infrapatellar branches while preserving the peritenon. The double-incision approach significantly reduces the mid-term incidence of anterior knee pain after ACL-reconstruction. Additionally, this technique markedly decreases the occurrence of sensory disorders and the extent of hypoesthesia. We thus advocate the use of a double-incis... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390819 Thu, 07 Apr 2011 06:03:17 +0100 5390819 http://www.medworm.com/index.php?rid=5390820&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm4p771060l265u35%2F This article reviews the management of ACL injured skeletally immature patients including the functional outcome and complications of contemporary surgical techniques. Content Type Journal ArticlePages 37-44DOI 10.1007/s12178-011-9076-9Authors Mark O. McConkey, Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 2701 Prairie Meadow Drive, Iowa City, IA 52242, USADavide Edoardo Bonasia, Ist Department of Orthopaedics, CTO hospital, University of Turin Medical School, Via Lamarmora 26, Torino, 10128 ItalyAnnunziato Amendola, Department of Orthopaedics and Rehabilitation, UI Sports Medicine Center, 2701 Prairie Meadow Drive, Iowa City, IA 52242, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390820 Wed, 06 Apr 2011 16:28:15 +0100 5390820 http://www.medworm.com/index.php?rid=5390821&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq170010322320323%2F Abstract  The purposes of this paper are to summarize the concepts relating to the use of a combined intra-articular and extra-articular reconstructive procedure in the arthroscopic treatment of a torn ACL and to review several operative techniques utilizing gracilis and semitendinosus tendons that are currently in use to treat this instability. The highly satisfactory results obtained over the time show that a combination of intra- and extra-articular procedures for ACL reconstruction is a valid surgical option. Content Type Journal ArticlePages 73-77DOI 10.1007/s12178-011-9075-xAuthors Maurilio Marcacci, Clinica Ortopedica e Traumatologica III – Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136 Bologna, Italy... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390821 Tue, 05 Apr 2011 10:03:39 +0100 5390821 http://www.medworm.com/index.php?rid=5390822&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F275395qr1n540782%2F Content Type Journal ArticleCategory INVITED COMMENTARYPages 35-36DOI 10.1007/s12178-011-9074-yAuthors Freddie H. Fu, University of Pittsburgh, 3471 Fifth Avenue, Kaufman Building, Suite 1011, Pittsburgh, PA 15213, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 4 Journal Issue Volume 4, Number 2 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390822 Wed, 23 Mar 2011 06:09:31 +0100 5390822 http://www.medworm.com/index.php?rid=5390823&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F706t813312811174%2F Abstract  Hip pain in adults has traditionally been associated with osteoarthritis in the joint. However, many young patients with hip pain do get referred to orthopaedic surgeons without arthritis. Subtle bony and soft tissues abnormalities can present with hip pain in the active young adult. These abnormalities can lead to premature arthritis. With the improvements in clinical examination for hip impingement, radiological imaging using magnetic resonance arthrography (MRA) and or computed tomograms (CT) Scans, these lesions are being detected early. Though the cause of primary osteoarthritis is unknown, it is suggested that femoro-acetabular impingement (FAI) may be responsible for the progression of the disease in these patients. FAI is a pathological condition leading t... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390823 Tue, 15 Mar 2011 17:23:32 +0100 5390823 http://www.medworm.com/index.php?rid=5390824&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu7g44u772u74t7m3%2F Abstract  Scaphoid fractures are among the most common hand fractures in adults. The geometry of the scaphoid as it relates to its retrograde blood supply renders it particularly prone to avascular necrosis and other fracture complications. Though there has been long-standing debate over the optimal method of diagnosing scaphoid fractures, the best and most cost-effective methods combine clinical exam with other imaging modalities such as navicular view plain films, CT, and MRI for particularly questionable presentations. Once a scaphoid fracture is diagnosed, it should be followed by an orthopaedic surgeon and treated with cast immobilization or operative management in the case of displaced fractures. Fractures should be followed to monitor healing progress in order to ens... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390824 Mon, 07 Mar 2011 17:02:20 +0100 5390824 http://www.medworm.com/index.php?rid=5390825&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F35n36r66828v6624%2F Abstract  In this article, we present a review of the current practice regarding computer-assisted navigation in total knee replacement together with the bearing on cost-effectiveness and clinical outcome. Content Type Journal ArticlePages 11-15DOI 10.1007/s12178-011-9071-1Authors Aravind S. Desai, Centre for Hip and Knee Surgery, Wrightington Hospital, Wigan, UKAsterios Dramis, Centre for Hip and Knee Surgery, Wrightington Hospital, Wigan, UKDaniel Kendoff, Computer Assisted Surgery Center, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USATim N. Board, Centre for Hip and Knee Surgery, Wrightington Hospital, Wigan, UK Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volu... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390825 Mon, 28 Feb 2011 16:48:22 +0100 5390825 http://www.medworm.com/index.php?rid=5390827&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr8707u522628w424%2F Content Type Journal ArticleCategory Retraction NotePages 34-34DOI 10.1007/s12178-010-9070-7Authors Saccomanni Bernardino, Orthopaedic and Traumatologic Surgery, Gabriele D’ Annunzio University Chieti (Italy), Via dei Vestini, 66013 Chieti Scalo, Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 4 Journal Issue Volume 4, Number 1 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390827 Sat, 29 Jan 2011 17:20:37 +0100 5390827 http://www.medworm.com/index.php?rid=5390826&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr268u680184068qt%2F Content Type Journal ArticleCategory Retraction NotePages 33-33DOI 10.1007/s12178-010-9069-0Authors Bernardino Saccomanni, Orthopaedic and Traumatologic Surgery, Gabriele D’ Annunzio University, via dei Vestini, 66013 Chieti Scalo, Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 4 Journal Issue Volume 4, Number 1 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390826 Sat, 29 Jan 2011 17:20:37 +0100 5390826 http://www.medworm.com/index.php?rid=4430429&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fr8707u522628w424%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s12178-010-9070-7Authors Saccomanni Bernardino, Orthopaedic and Traumatologic Surgery, Gabriele D’ Annunzio University Chieti (Italy), Via dei Vestini, 66013 Chieti Scalo, Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4430429 Sat, 29 Jan 2011 17:20:37 +0100 4430429 http://www.medworm.com/index.php?rid=4430428&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fr268u680184068qt%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s12178-010-9069-0Authors Bernardino Saccomanni, Orthopaedic and Traumatologic Surgery, Gabriele D’ Annunzio University, via dei Vestini, 66013 Chieti Scalo, Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=4430428 Sat, 29 Jan 2011 17:20:37 +0100 4430428 http://www.medworm.com/index.php?rid=5390828&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft48411w282x71193%2F Abstract  The following is a case report which reviews the essential aspects of Lambert–Eaton myasthenic syndrome (LEMS) in a patient with long standing back pain and gait dysfunction. The patient was referred to our electrodiagnostics laboratory for a 9-month history of low back pain and difficulty walking following a charity breast cancer walk. A workup including magnetic resonance imaging of the brain, entire spine, and EMG/NCS at another institution were reportedly normal. A detailed history revealed symptoms of proximal weakness and autonomic dysfunction. Physical findings were consistent with proximal weakness, a bilateral gluteus medius gait, and diffusely absent reflexes obtainable in the biceps after 3 s of contraction. Electrical testing revealed an initial... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390828 Mon, 03 Jan 2011 06:51:27 +0100 5390828 http://www.medworm.com/index.php?rid=5390829&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpl761t6275w14716%2F Abstract  Achilles tendinopathy has been reported as the most common overuse injury in sports medicine clinics (Clement et al. Am J Sports Med 12: 179–184, 1984). Standard treatment regimens include activity modification, heel lifts, arch supports, stretching exercises, nonsteroidal anti-inflammatories, and eccentric loading. There is a lack of consensus regarding treatment. Even so, most athletes will respond to this regimen. However, conservative management will prove to be inadequate for a subset of patients. When conservative therapy fails, other noninvasive treatment measures may be considered. Extracorporeal shock wave therapy (ESWT) has been used in soft-tissue disorders including lateral epicondylitis, plantar fasciitis, and calcific tendonitis of the shoulder. Co... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390829 Thu, 25 Nov 2010 19:58:08 +0100 5390829 http://www.medworm.com/index.php?rid=5390830&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F41h1746242x5774k%2F Abstract  Chronic exertional compartment syndrome (CECS) is an underdiagnosed cause of chronic exertional leg pain. The syndrome most commonly occurs in young adult recreational runners, elite athletes, and military recruits. CECS is caused by increased intracompartmental pressure within a fascial space; however, the mechanism of why pain occurs is unknown. Symptoms are classically pain in the affected compartment at the same time, distance, or intensity of exercise. CECS is a clinical diagnosis; however, it is confirmed by intracompartmental pressure testing. Fasciotomy is the treatment of choice for athletes who would like to maintain the same level of activity. Athletes who have a release of the anterior and lateral compartments have a high success rate. Content Type... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390830 Thu, 02 Sep 2010 08:26:48 +0100 5390830 http://www.medworm.com/index.php?rid=5390831&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc351236813138n44%2F Abstract  Injuries to the quadriceps muscle group occur frequently in sports and athletic activities. Muscle strains and contusions constitute the majority of these injuries. The clinical presentation and assessment of quadriceps strains and contusions are reviewed along with discussion of appropriate imaging used in diagnosis. Treatment protocols for acute injuries are reviewed including rehabilitation techniques frequently utilized during recovery. Special consideration is given to discussing the criteria for return to sports for athletes after injury. Myositis ossificans is a potentially disabling complication from quadriceps contusions and risk factors, prevention, and treatment are reviewed. Content Type Journal ArticlePages 26-31DOI 10.1007/s12178-010-9064-5Author... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390831 Fri, 30 Jul 2010 17:25:19 +0100 5390831 http://www.medworm.com/index.php?rid=5390832&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7552234m05q35435%2F This article describes (1) the various etiological models that have been proposed to explain iliotibial band friction syndrome; (2) some of the imaging methods, research studies, and clinical experiences that support or call into question these various models; (3) commonly proposed treatment methods for iliotibial band friction syndrome; and (4) the rationale behind these methods and the clinical outcome studies that support their efficacy. Content Type Journal ArticlePages 18-22DOI 10.1007/s12178-010-9061-8Authors Ronald Lavine, Private Practice of Chiropractic, 928 Broadway, Suite 804, New York, NY 10010, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 3 Journal Issue Volume 3, Numbers 1-4 (S... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390832 Tue, 20 Jul 2010 08:02:13 +0100 5390832 http://www.medworm.com/index.php?rid=5390833&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F53r403127vm21507%2F Abstract  Lateral epicondylitis or tennis elbow is a painful and functionally limiting entity affecting the upperextremity and is frequently treated by hand surgeons. Corticosteroid injection is one of the most common interventions for lateral epicondylitis or tennis elbow. Here, a review of the medical literature on this treatment is presented. Content Type Journal ArticlePages 38-40DOI 10.1007/s12178-010-9066-3Authors Bernardino Saccomanni, Orthopaedic and Traumatologic Surgery, Gabriele D’ Annunzio University, Via dei Vestini, 66013 Chieti Scalo, Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 3 Journal Issue Volume 3, Numbers 1-4 (Source: Current Reviews in Musculoskeletal Medic... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390833 Fri, 16 Jul 2010 17:03:09 +0100 5390833 http://www.medworm.com/index.php?rid=5390834&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk4n85q772163700p%2F Abstract  Carpal Tunnel Syndrome (CTS) is a compressive neuropathy of the median nerve in the carpal tunnel. It is the most common peripheral entrapment neuropathy. The surgical management includes dividing the flexor retinaculum to decompress the median nerve. Post-operative mobilization of the wrist is controversial. Some surgeons splint the wrist for 2–4 weeks whilst others encourage early mobilization. The literature has been inconclusive as to which method is most beneficial. The purpose of this study is to review the literature regarding the effectiveness of wrist immobilization following open carpal tunnel decompression. We reviewed all published clinical trials claiming to evaluate the mobility status following open carpal tunnel release. Studies not in the En... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390834 Sun, 11 Jul 2010 12:18:24 +0100 5390834 http://www.medworm.com/index.php?rid=5390836&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg3227810003x3582%2F Abstract  Painful os intermetatarseum is a very rare condition. Gruber et al. first described os intermetatarseum in 1877. This condition is usually asymptomatic. One should consider painful os intermetatarseum as being a possible cause of dorsal foot pain in athletes. Surgical excision of the os intermetatarseum should be considered for those patients failing conservative treatment. Here, a literature review of this condition is presented. Content Type Journal ArticlePages 23-25DOI 10.1007/s12178-010-9062-7Authors Bernardino Saccomanni, Orthopaedic and Traumatologic Surgery, Gabriele D’ Annunzio University, via dei Vestini, 66013 Chieti Scalo, Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390836 Tue, 06 Jul 2010 17:07:28 +0100 5390836 http://www.medworm.com/index.php?rid=5390835&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq2w405341447v676%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s12178-010-9063-6Authors Saccomanni Bernardino, Orthopaedic and Traumatologic Surgery, Gabriele D’ Annunzio University, Chieti (Italy), Via dei Vestini, 66013 Chieti Scalo, Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 3 Journal Issue Volume 3, Numbers 1-4 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390835 Tue, 06 Jul 2010 17:07:28 +0100 5390835 http://www.medworm.com/index.php?rid=3735506&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fg3227810003x3582%2F Abstract  Painful os intermetatarseum is a very rare condition. Gruber et al. first described os intermetatarseum in 1877. This condition is usually asymptomatic. One should consider painful os intermetatarseum as being a possible cause of dorsal foot pain in athletes. Surgical excision of the os intermetatarseum should be considered for those patients failing conservative treatment. Here, a literature review of this condition is presented. Content Type Journal ArticleDOI 10.1007/s12178-010-9062-7Authors Bernardino Saccomanni, Gabriele D’ Annunzio University Orthopaedic and Traumatologic Surgery via dei Vestini 66013 Chieti Scalo Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Muscul... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3735506 Tue, 06 Jul 2010 17:07:28 +0100 3735506 http://www.medworm.com/index.php?rid=3735505&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fq2w405341447v676%2F Content Type Journal ArticleDOI 10.1007/s12178-010-9063-6Authors Saccomanni Bernardino, Gabriele D’ Annunzio University, Chieti (Italy) Orthopaedic and Traumatologic Surgery Via dei Vestini 66013 Chieti Scalo Italy Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3735505 Tue, 06 Jul 2010 17:07:28 +0100 3735505 http://www.medworm.com/index.php?rid=5390837&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr53450j477128679%2F Content Type Journal ArticlePages 148-153DOI 10.1007/s12178-010-9059-2 Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 2 Journal Issue Volume 2, Number 4 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390837 Sun, 20 Jun 2010 23:09:33 +0100 5390837 http://www.medworm.com/index.php?rid=5390838&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F11v113450r77043k%2F This article provides a review of the anatomy and important aspects of the history and physical examination when evaluating posterior knee pain. It concludes by discussing the causes and management of posterior knee pain. Content Type Journal ArticlePages 3-10DOI 10.1007/s12178-010-9057-4Authors S. English, Department of Physical Medicine and Rehabilitation, The University of California Irvine, Irvine, CA USAD. Perret, Department of Anesthesiology and Perioperative Care, The University of California Irvine, Irvine, CA USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 3 Journal Issue Volume 3, Numbers 1-4 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390838 Mon, 14 Jun 2010 13:52:47 +0100 5390838 http://www.medworm.com/index.php?rid=5390839&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0780323k183831t8%2F Content Type Journal ArticlePages 147-147DOI 10.1007/s12178-010-9058-3Authors Stephanie Wilson, American Osteopathic College of Physical Medicine and Rehabilitation Post Office Box 4 Phillipsburg NJ 08865-0004 USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 2 Journal Issue Volume 2, Number 4 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390839 Mon, 14 Jun 2010 13:52:46 +0100 5390839 http://www.medworm.com/index.php?rid=5390840&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0018673t0510373v%2F Abstract  Median nerve (MN) compression is a recognized component of carpal tunnel syndrome (CTS). In order to document compressive changes in the MN during hand activity, the carpal tunnel was imaged with neuromuscular ultrasound (NMUS). Ten patients with CTS and five normal controls underwent NMUS of the MN at rest and during dynamic stress testing (DST). DST maneuvers involve sustained isometric flexion of the distal phalanges of the first three digits. During DST in the CTS patients, NMUS demonstrated MN compression between the contracting thenar muscles ventrally and the taut flexor tendons dorsally. The mean MN diameter decreased nearly 40%, with focal narrowing in the mid-distal carpal canal. Normal controls demonstrated no MN compression and a tendency towards MN en... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390840 Tue, 01 Dec 2009 08:43:51 +0100 5390840 http://www.medworm.com/index.php?rid=5390841&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8643q32433324821%2F Abstract  Medial tibial stress syndrome (MTSS), commonly known as “shin splints,” is a frequent injury of the lower extremity and one of the most common causes of exertional leg pain in athletes (Willems T, Med Sci Sports Exerc 39(2):330–339, 2007; Korkola M, Amendola A, Phys Sportsmed 29(6):35–50, 2001; Hreljac A, Med Sci Sports Exerc 36(5):845–849, 2004). Although often not serious, it can be quite disabling and progress to more serious complications if not treated properly. Often, the cause of MTSS is multi-factorial and involves training errors and various biomechanical abnormalities. Few advances have been made in the treatment of MTSS over the last few decades. Current treatment options are mostly based on expert opinion and clinical experience. The purpose of... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390841 Wed, 07 Oct 2009 07:20:18 +0100 5390841 http://www.medworm.com/index.php?rid=5390842&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9p85271171737451%2F Abstract  Calf strains are common injuries seen in primary care and sports medicine clinics. Differentiating strains of the gastrocnemius or soleus is important for treatment and prognosis. Simple clinical testing can assist in diagnosis and is aided by knowledge of the anatomy and common clinical presentation. Content Type Journal ArticlePages 74-77DOI 10.1007/s12178-009-9045-8Authors J. Bryan Dixon, Marquette Sports Medicine Institute Marquette MI USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 2 Journal Issue Volume 2, Number 2 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390842 Sun, 24 May 2009 06:00:10 +0100 5390842 http://www.medworm.com/index.php?rid=5390843&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu282128154gr2170%2F Content Type Journal ArticlePages 2-2DOI 10.1007/s12178-009-9054-7 Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 2 Journal Issue Volume 2, Number 1 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390843 Thu, 07 May 2009 06:08:57 +0100 5390843 http://www.medworm.com/index.php?rid=5390844&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa3701m5014883331%2F This study will attempt to discuss pathological commonalities of low-back pain in athletes and how these can be applied to an evidence-based rehabilitation approach. Content Type Journal ArticlePages 88-93DOI 10.1007/s12178-009-9050-yAuthors Chad Carlson, Stadia Sports Medicine, 6000 University Ave, Suite 250, West Des Moines, IA 50266, USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 2 Journal Issue Volume 2, Number 2 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=5390844 Thu, 07 May 2009 06:08:56 +0100 5390844 http://www.medworm.com/index.php?rid=2384751&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Ff367514265l4361r%2F Abstract  The authors review and compare posterior lumbar interbody fusion (PLIF) with transforaminal lumbar interbody fusion (TLIF). A review of the literature is performed wherein the history, indications for surgery, surgical procedures with their respective biomechanical advantages, potential complications, and grafting substances are presented. Along with the technical advancements and improvements in grafting substances, the indications and use of PLIF and TLIF have increased. The rate of arthrodesis has been shown to increase given placement of bone graft along the weight-bearing axis. The fusion rate across the disc space is further enhanced with the placement of posterior pedicle screw–rod constructs and the application of an osteoinductive material. The chief ad... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2384751 Wed, 29 Apr 2009 07:04:47 +0100 2384751 http://www.medworm.com/index.php?rid=2378673&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F754410k203882712%2F Abstract  In patients with non specific acute low back pain, without the red flags, a conservative approach is preferable, with assessment in 4–6 weeks. The natural history of low back pain is favorable with improvement over time, thus reassurance to such patients is very important. However, a plain radiograph or more advanced imaging techniques like MRI/CT may be ordered in back pain associated with radiculopathy or spinal stenosis and back pain associated with progressive neurologic deficits. There is limited role of imaging in non specific acute low back pain without the red flags, as the findings correlate poorly with symptoms. Content Type Journal ArticleDOI 10.1007/s12178-008-9037-0Authors Humaira Lateef, Flower Hospital Family Medicine Residency Sylvania OH... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2378673 Tue, 28 Apr 2009 12:58:07 +0100 2378673 http://www.medworm.com/index.php?rid=2335827&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fp7577782v15j5513%2F Abstract  The hip labrum has many functions, including shock absorption, joint lubrication, pressure distribution, and aiding in stability, with damage to the labrum associated with osteoarthritis. The etiology of labral tears includes trauma, femoroacetabular impingement (FAI), capsular laxity/hip hypermobility, dysplasia, and degeneration. Labral tears present with anterior hip or groin pain, and less commonly buttock pain. Frequently, there are also mechanical symptoms including clicking, locking, and giving way. The most consistent physical examination finding is a positive anterior hip impingement test. Because of the vast differential diagnosis and the need for specialized diagnostic tools, labral tears frequently go undiagnosed during an extended period of time. Eval... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2335827 Tue, 07 Apr 2009 05:37:09 +0100 2335827 http://www.medworm.com/index.php?rid=2314448&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fw76825w100337m67%2F Abstract   Low back pain is the most common pain symptom experienced by American adults and is the second most common reason for primary care physician visits. There are many structures in the lumbar spine that can serve as pain generators and often the etiology of low back pain is multifactorial. However, the facet joint has been increasingly recognized as an important cause of low back pain. Facet joint pain can be diagnosed with local anesthetic blocks of the medial branches or of the facet joints themselves. Subsequent radiofrequency lesioning of the medial branches can provide more long-term pain relief. Despite some of the pitfalls associated with facet joint blocks, they have been shown to be valid, safe, and reliable as a diagnostic tool. Medial branch denervation ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2314448 Tue, 31 Mar 2009 05:59:35 +0100 2314448 http://www.medworm.com/index.php?rid=2314443&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F6t24086p25401k86%2F Abstract  We review here the latest studies on efficacy of and techniques employed in radiofrequency neurotomy of the sacroiliac joint. Radiofrequency neurotomy has been shown to have limited evidence in treating sacroiliac joint syndrome. Variability in results has been attributed to individual nerve patterns, improper diagnosis, and selection of patients, as well as variability in the procedure itself. Future studies will be needed to focus on the type of radiofrequency neurotomy and positioning of electrodes to better evaluate efficacy. Content Type Journal ArticleDOI 10.1007/s12178-008-9038-zAuthors Stasia Bochnowski Muhlner, Keck School of Medicine at USC Los Angeles CA USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 193... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2314443 Tue, 31 Mar 2009 05:59:35 +0100 2314443 http://www.medworm.com/index.php?rid=2314453&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fa0125q15204g7636%2F Abstract  Low back pain (LBP) affects approximately 60–85% of adults during some point in their lives. Fortunately, for the large majority of individuals, symptoms are mild and transient, with 90% subsiding within 6 weeks. Chronic low back pain, defined as pain symptoms persisting beyond 3 months, affects an estimated 15–45% of the population. For the minority with intractable symptoms, the impact on quality of life and economic implications are considerable. Despite the high prevalence of low back pain within the general population, the diagnostic approach and therapeutic options are diverse and often inconsistent, resulting in rising costs and variability in management throughout the country. In part, this is due to the difficulty establishing a clear etiolog... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2314453 Wed, 25 Mar 2009 07:07:52 +0100 2314453 http://www.medworm.com/index.php?rid=2279342&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fb720750vt3623x73%2F Abstract  The pediatric and adolescent elbow is subject to both acute and chronic overuse injuries. The practitioner should develop a classification system to evaluate all such injuries, with first focusing on whether the injury represents an acute episode or rather it represents a more chronic problem. In addition, localizing the area of pain as being either medial, lateral, or posterior can better help differentiate the diagnosis. Youth baseball pitchers and throwers are particularly at risk for overuse injuries of the elbow, most of which are related to an injury mechanism termed “valgus extension overload”. The most common entity related to this is termed “Little Leaguer’s Elbow.” Treatment is usually conservative, but for some injuries surgery may be required... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2279342 Sat, 14 Mar 2009 14:43:22 +0100 2279342 http://www.medworm.com/index.php?rid=2265419&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fr73225k812171405%2F Abstract  Osteoid osteoma and osteoblastoma are rare primary bone tumors that usually do not arise in the spine. Histologically, osteoid osteoma and osteoblastoma are similar, containing osteoblasts that produce osteoid and woven bone. Osteoblastoma, however, is larger, tends to be more aggressive, and can undergo malignant transformation, whereas osteoid osteoma is small, benign, and self-limited. With the help of modern imaging modalities that aid in diagnosis and surgical planning, a complete removal and cure may be achieved for most of these rare tumors. We document a brief review of the literature. Content Type Journal ArticleDOI 10.1007/s12178-009-9047-6Authors Bernardino Saccomanni, Gabriele d’Annunzio University Orthopaedic and Traumatologic Surgery Via dei Ves... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2265419 Fri, 13 Mar 2009 09:45:26 +0100 2265419 http://www.medworm.com/index.php?rid=2265420&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F926364h9h3251719%2F Abstract  Viscosupplementation refers to the concept of synovial fluid replacement with intra-articular injections of hyaluronic acid (HA) for the relief of pain associated with osteoarthritis (OA). Intra-articular viscosupplementation was approved by the Food and Drug Administration (FDA) in 1997. It is currently indicated only for the treatment of pain associated with knee OA. However, OA can occur in several of the weight-bearing joints of the foot and ankle. Ankle OA produces chronic disability that directly impacts the quality of life. There is only limited published literature relating to the use of HA in the ankle. This paper will review the authors’ experience, indications, clinical outcomes, and complications of viscosupplementation therapy in patients with ankle... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2265420 Fri, 13 Mar 2009 09:45:05 +0100 2265420 http://www.medworm.com/index.php?rid=2253266&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Ft155220141905v8l%2F Abstract  Upon the discovery of RANK, RANKL and OPG in the late 1990s, their importance in the maintenance of the skeletal structure and their dramatic role in bone disease were largely unexpected. In recent years the understanding of these proteins, in particular their regulation, has greatly increased. This review aims to bring the interested reader up to date with the latest news and views on the mechanisms controlling bone resorption in normal and pathological conditions. Content Type Journal ArticleDOI 10.1007/s12178-009-9046-7Authors H. L. Wright, Keele University at the Leopold Muller Arthritis Research Centre, RJAH Orthopaedic Hospital ISTM, Medical School Oswestry Shropshire SY10 7AG UKH. S. McCarthy, Charles Salt Research Centre at the RJAH Orthopaedic Hospital ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2253266 Tue, 10 Mar 2009 08:08:19 +0100 2253266 http://www.medworm.com/index.php?rid=2168625&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Ftrxt03804p03x4w2%2F Content Type Journal ArticleDOI 10.1007/s12178-009-9043-xAuthors Grant Cooper, Beth Israel Medical Center Interventional Spine and Musculoskeletal Medicine, Department of Orthopedics and Rehabilitation Medicine New York NY USAJoseph Herrera, Mount Sinai School of Medicine Interventional Spine and Sports Medicine Division Department of Rehabilitation New York NY USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2168625 Thu, 05 Feb 2009 07:21:36 +0100 2168625 http://www.medworm.com/index.php?rid=2142141&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fbx76347g063m1017%2F Abstract  Coracoid impingement syndrome is a less common cause of shoulder pain. Symptoms are presumed to occur when the subscapularis tendon impinges between the coracoid and lesser tuberosity of the humerus. Coracoid impingement should be included in the differential diagnosis when evaluating a patient with activity-related anterior shoulder pain. It is not thought to be as common as subacromial impingement, and the possibility of the coexistence of the two conditions must be taken into consideration before treatment of either as an isolated process. If nonoperative treatment fails to relieve symptoms, surgical decompression can be offered as an option. Content Type Journal ArticleDOI 10.1007/s12178-009-9044-9Authors T. Okoro, University Hospitals Leicester NHS Trust,... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2142141 Tue, 27 Jan 2009 07:43:42 +0100 2142141 http://www.medworm.com/index.php?rid=2090569&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fn5m78276727222n6%2F This article reviews the reported injuries to both leisure and elite athletes. To many, an injured extremity requires travel to a medical facility for accurate evaluation. Musculoskeletal ultrasound is an accurate and portable technology that can be used for real time, mountainside diagnoses of these injuries. Content Type Journal ArticleDOI 10.1007/s12178-008-9040-5Authors M. R. Nowak, Henry Ford Hospital Departments of Emergency Medicine and Surgery Detroit MI USAA. W. Kirkpatrick, Foothills Medical Center Regional Trauma Services Calgary AB CanadaJ. A. Bouffard, Henry Ford Hospital Department of Radiology Detroit MI USAD. Amponsah, Henry Ford Hospital Department of Emergency Medicine Detroit MI USAS. A. Dulchavsky, Henry Ford Hospital Department of Surgery Detroit MI USA J... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2090569 Wed, 07 Jan 2009 07:45:28 +0100 2090569 http://www.medworm.com/index.php?rid=2090570&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F6072vgl5457717m5%2F Abstract  Radiofrequency thermal ablation (RFTA) is considered the treatment of choice for osteoid osteomas, in which it has long been safely used. Other benign conditions (chondroblastoma, osteoblastoma, giant cell tumour, etc.) can also be treated by this technique, which is less invasive than traditional surgical procedures. RFTA ablation is also an option for the palliation of localized, painful osteolytic metastatic and myeloma lesions. The reduction in pain improves the quality of life of patients with cancer, who often have multiple morbidities and a limited life expectancy. In some cases, these patients are treated with RFTA because conventional therapies (surgery, radiotherapy, chemotherapy, etc.) have been exhausted. In other cases, it is combined with conventiona... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2090570 Wed, 07 Jan 2009 07:45:22 +0100 2090570 http://www.medworm.com/index.php?rid=2090571&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fm7wn251558600663%2F This article is an in depth review of the efficacy, complications, and technique of both interlaminar and transforaminal cervical epidural steroid injections in the management of cervical radiculitis. Content Type Journal ArticleDOI 10.1007/s12178-008-9041-4Authors Christopher W. Huston, The Orthopedic Clinic Association 2222 E. Highland Avenue, Suite 300 Phoenix AZ 85016 USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=2090571 Wed, 07 Jan 2009 07:45:20 +0100 2090571 http://www.medworm.com/index.php?rid=1816474&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F437271n4397m5190%2F This article presents a review of conservative therapies for plantar fasciitis pain reduction with a discussion of steroid therapy risks. The therapies reviewed include orthoses, stretching, extracorporeal shockwave, BTX-A, and corticosteroid injection/iontophoresis. These modes were included based on the availability of double blinded randomized controlled trials. We noted the following findings. Orthoses, regardless of type, can improve pain levels. Plantar stretching shows limited short-term benefit (1 month), but can reflect significant long-term improvement (10 months). Extracorporeal shockwave therapy shows equivocal benefit with some studies showing significant improvement and others showing none. Although BTX-A injections were the least studied, significant pain imp... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1816474 Sat, 20 Sep 2008 10:25:37 +0100 1816474 http://www.medworm.com/index.php?rid=1743559&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fm716215vlg8q64x3%2F Abstract  The treatment algorithms for athletes with spine injuries follow similar guidelines as those for non-athletes in terms of deciding between surgical intervention and non-operative management. However, the athlete has unique postoperative demands and the decision to “allow” an athlete to return to competitive sports after a spinal or plexus injury can be difficult. This article reviews the several studies, available guidelines and peer-reviewed publications to aid in the decisions to allow athletes to return to sports. A set of recommendations concerning return to play after a spinal injury is provided. Content Type Journal ArticleDOI 10.1007/s12178-008-9034-3Authors Shiveindra Jeyamohan, Jefferson Medical College Philadelphia PA 19107 USAJames S. Harrop, Tho... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1743559 Tue, 26 Aug 2008 07:42:01 +0100 1743559 http://www.medworm.com/index.php?rid=1743560&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fd7x4n54027601164%2F This article reviews what is known about ganglion cyst formation, natural history (50% of cysts will spontaneously resolve), diagnosis, and management of this common malady. Although the exact mechanism of cyst formation is unknown, most current theories hold that extra-articular mucin “droplets” coalesce to form the main body of the tumor. Only subsequently are the “cyst wall” and pedicle (connecting the cyst to a nearby synovial joint) formed. Treatment options include watchful waiting, nonoperative aspiration/injection, and surgical removal. Although treatment is often unnecessary, many patients seeking consultation desire some form of definitive treatment. Cyst aspiration/injection is fraught with a high incidence of recurrence. Surgery generally results in lower rates of... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1743560 Tue, 26 Aug 2008 07:42:00 +0100 1743560 http://www.medworm.com/index.php?rid=1714769&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fh326p1t1l11442m8%2F The objective of this article is to review the complications of lumbar interlaminar and transforaminal epidural injections and discuss the potential pitfalls related to these procedures. We performed a comprehensive literature review through a Medline search for relevant case reports, clinical trials, and review articles. Complications from lumbar epidural injections are extremely rare. Most if not all complications can be avoided by careful technique with accurate needle placement, sterile precautions, and a thorough understanding of the relevant anatomy and contrast patterns on fluoroscopic imaging. Content Type Journal ArticleDOI 10.1007/s12178-008-9035-2Authors Bradly S. Goodman, University of Missouri- Columbia; and the Alabama Orthopedic, Spine and Sports Medicine Associate... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1714769 Sat, 16 Aug 2008 08:51:11 +0100 1714769 http://www.medworm.com/index.php?rid=1635787&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F5708408818n30275%2F This article introduces the reader to PRP therapy and reviews the current literature on this emerging treatment modality. In summary, PRP provides a promising alternative to surgery by promoting safe and natural healing. However, there are few controlled trials, and mostly anecdotal or case reports. Additionally the sample sizes are frequently small, limiting the generalization of the findings. Recently, there is emerging literature on the beneficial effects of PRP for chronic non-healing tendon injuries including lateral epicondylitis and plantar fasciitis and cartilage degeneration (Mishra and Pavelko, The American Journal of Sports Medicine 10(10):1–5, 2006; Barrett and Erredge, Podiatry Today 17:37–42, 2004). However, as clinical use increases, more controlled studies are need... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1635787 Wed, 16 Jul 2008 05:53:03 +0100 1635787 http://www.medworm.com/index.php?rid=1569550&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F49607788628316j2%2F Abstract  Obturator neuropathy is a difficult clinical problem to evaluate. One possible cause of pain is due to fascial entrapment of the nerve. Symptoms include medial thigh or groin pain, weakness with leg adduction, and sensory loss in the medial thigh of the affected side. Radiographic imaging provides limited diagnostic help. MRI may detect atrophy in the adductors of the leg. However, it is unable to detect any abnormality of the nerve or in the fibro-osseus tunnel. The best test for diagnosis is by electromyography (EMG) and can be confirmed by a local nerve block. Pharmacologic management of pain and physical therapy can be helpful in the acute phase of injury. Surgical decompression of the nerve should be considered for lesions documented by EMG or local nerve blo... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569550 Wed, 11 Jun 2008 05:51:14 +0100 1569550 http://www.medworm.com/index.php?rid=1569551&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fv73n241555864108%2F Abstract  Elbow medial collateral ligament sprain occurs when the elbow is subjected to a valgus force exceeding the tensile properties of the medial collateral ligament (MCL). This is an injury seen more often in throwing athletes. Understanding the differential diagnosis of medial elbow pain is paramount to diagnose MCL injury as well as addressing other medial elbow pathology. A natural evolution regarding MCL injury has occurred over the past 20 years, with modifications of the original surgical procedure, specificity and sensitivity analysis of imaging modalities, and physical exam maneuvers to diagnose MCL pathology. In order for the MCL literature to advance further, more biomechanical and long-term clinical outcome data for the respective surgical modifications... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569551 Fri, 06 Jun 2008 05:53:08 +0100 1569551 http://www.medworm.com/index.php?rid=1569552&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fw63p7336xl146561%2F Abstract  Adhesive capsulitis is a musculoskeletal condition that has a disabling capability. This review discusses the diagnosis and both operative and nonoperative management of this shoulder condition that causes significant morbidity. Issues related to medications, rehabilitation, and post surgical considerations are discussed. Content Type Journal ArticleDOI 10.1007/s12178-008-9031-6Authors Robert C. Manske, Wichita State University Department of Physical Therapy 1845 North Fairmount Wichita KS 67260-0043 USADaniel Prohaska, University of Kansas School of Medicine-Wichita Department of Orthopaedics, Advanced Orthopaedic Associates 2778 N. Webb Rd. Wichita KS 67226 USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569552 Fri, 23 May 2008 05:54:34 +0100 1569552 http://www.medworm.com/index.php?rid=1569553&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fm8ggl5005215402x%2F Abstract  Osteoarthritis of the hip is a significant source of morbidity in the elderly. Treatment guidelines are available for the management of hip osteoarthritis, but these do not address the application of intraarticular corticosteroid injection. The intraarticular injection of corticosteroid is used in the management of other large joint osteoarthritic diseases and is well studied in the knee, however, this data cannot be used to make sound clinical decisions regarding its use for hip osteoarthritis. There are also concerns regarding the safety of this modality. Review of the published literature reveals that there are eight trials examining the efficacy of intraarticular corticosteroid injection for hip osteoarthritis and of these only four are randomized controlled t... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569553 Sat, 17 May 2008 05:50:34 +0100 1569553 http://www.medworm.com/index.php?rid=1569554&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fc82lr216p5411346%2F Abstract  Supracondylar fractures of the humerus are a common pediatric elbow injury that are historically associated with morbidity due to malunion, neurovascular complications, and compartment syndrome. True anteroposterior and lateral radiographs are essential not only for an accurate diagnosis, but also for creating a treatment plan for these injuries. A staging system (based on the lateral radiograph) for classifying the severity of the fracture helps guide definitive management. Nondisplaced fractures are treated initially with a posterior splint, followed by a long-arm casting. Closed reduction and percutaneous pinning is the preferred treatment for displaced or unstable fractures. If there is any question about fracture stability, patients should be seen within 5&nb... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569554 Sat, 10 May 2008 08:18:28 +0100 1569554 http://www.medworm.com/index.php?rid=1569555&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F80051702221674nm%2F Abstract  Coccydynia is a term that refers to pain in the region of the coccyx. Most cases are associated with abnormal mobility of the coccyx which may trigger a chronic inflammatory process leading to degeneration of this structure. In some patients this instability may be detected on dynamic radiographs. Nonsurgical management remains the gold standard treatment for coccydynia, consisting of decreased sitting, seat cushioning, coccygeal massage, stretching, manipulation, local injection of steroids or anesthetics, and postural adjustments. Those patients who fail these conservative modalities may potentially benefit from coccygectomy. However, surgical intervention is typically reserved for patients with evidence of advanced coccygeal instability (e.g., subluxation or hy... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569555 Wed, 07 May 2008 14:53:18 +0100 1569555 http://www.medworm.com/index.php?rid=1569556&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fq368u47237325381%2F Abstract  The Achilles tendon is the strongest and thickest tendon in the human body. Like any other tendon in the body, however, it is susceptible to rupture. Many surgeons advocate early operative repair of the ruptured Achilles tendon, citing decreased re-rupture rates and improved functional outcome. Waiting for surgical repair for longer than one month may lead to inferior functional results postoperatively. Non-operative treatment has higher re-rupture rates as compared to surgically repaired tendons, but may be the treatment of choice in some patients. While for many years, patients were rigidly immobilized in a non-weightbearing cast for 6–8 weeks postoperatively, newer studies have shown excellent results with early weightbearing, and this is quickly becomin... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569556 Thu, 20 Mar 2008 09:39:31 +0100 1569556 http://www.medworm.com/index.php?rid=1569557&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fc7203660303h4321%2F This article examines patient selection, complications, and outcomes of surgical treatment options for AC joint osteoarthritis. Content Type Journal ArticleDOI 10.1007/s12178-008-9024-5Authors Salvatore Docimo, New York College of Osteopathic Medline Anatomy and Pathology Academic Medicine Fellow Old Westbury NY USADellene Kornitsky, New York College of Osteopathic Medicine Old Westbury NY USABennett Futterman, New York College of Osteopathic Medicine Department of Anatomy Old Westbury NY USADavid E. Elkowitz, New York College of Osteopathic Medicine Department of Pathology Old Westbury NY USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 1 Journal Issue Volume 1, Number 2 / June, 2008 (Source: Curren... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569557 Tue, 11 Mar 2008 07:57:48 +0100 1569557 http://www.medworm.com/index.php?rid=1569558&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F40713021x3283xj7%2F This article reviews the anatomical origin of the nerve, the etiologies of possible nerve damage, evaluation of the patient with peroneal nerve injury, and treatment of this disorder. Content Type Journal ArticleDOI 10.1007/s12178-008-9023-6Authors Jennifer Baima, Brigham and Women’s Hospital Boston MA USALisa Krivickas, Brigham and Women’s Hospital Boston MA USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 1 Journal Issue Volume 1, Number 2 / June, 2008 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569558 Tue, 11 Mar 2008 07:57:46 +0100 1569558 http://www.medworm.com/index.php?rid=1569559&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F255315wv4432gvg7%2F Abstract  Maximal performance during competition is the drive many competitors use to train harder. However, there are several variables that contribute to impair a competitor’s performance. These variables work by altering the homeostatic mechanisms within the body. Once homeostasis is altered the competitor’s body is no longer optimized to face the stresses of the athletic competition. The environment works as an all encompassing variable that will affect sweat rate. During increased environmental heat strain, one must adjust for critical variables, such as temperature regulation, hydration status, and electrolyte levels, as they can contribute to impaired performance. Acclimatization through training and competition will reduce or slow down the effects of these stres... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569559 Tue, 04 Mar 2008 08:09:28 +0100 1569559 http://www.medworm.com/index.php?rid=1569560&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fn32313613x39ng76%2F This article reviews the anatomy of the hamstring, its role in athletic movement, common mechanisms of injury, and management guidelines with the goal of return into sporting activity in mind. Content Type Journal ArticleDOI 10.1007/s12178-007-9018-8Authors Chad Carlson, Stadia Sports Medicine 6000 University Avenue, Suite 250 West Des Moines IA 50266 USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 1 Journal Issue Volume 1, Number 2 / June, 2008 (Source: Current Reviews in Musculoskeletal Medicine) Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569560 Thu, 28 Feb 2008 15:44:56 +0100 1569560 http://www.medworm.com/index.php?rid=1569562&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F753t5701099w706u%2F Abstract  Back pain is ubiquitous in today’s society and is particularly common during pregnancy. There are multiple factors contributing to these symptoms during pregnancy including pelvic changes as well as alterations to loading. Potential imaging modalities are limited during pregnancy due to the desire to limit ionizing radiation exposure to the fetus. Treatments are generally conservative, exercise-based interventions and alternative modalities may also be considered. Low back pain associated with pregnancy does generally resolve postpartum. Content Type Journal ArticleDOI 10.1007/s12178-008-9021-8Authors Jennifer Sabino, Yale University School of Medicine Department of Orthopaedics and Rehabilitation P.O. Box 208071 New Haven CT 06520-8071 USAJonathan N. Grauer,... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569562 Tue, 26 Feb 2008 15:33:48 +0100 1569562 http://www.medworm.com/index.php?rid=1569561&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Ff7n7u1375j8170u2%2F Abstract  Despite the very good results of anterior cervical discectomy and fusion, there are concerns of adjacent level degeneration. For this reason, interest has grown in the potential for motion sparing alternatives. Cervical disc arthroplasty is thus evolving as a potential alternative to fusion. Specific design characteristic and implants will be reviewed and outcomes summarized. Content Type Journal ArticleDOI 10.1007/s12178-008-9019-2Authors Jorge J. Jaramillo-de la Torre, Yale University School of Medicine Division of Spine Surgery, Department of Orthopaedics and Rehabilitation P.O. Box 208071 New Haven CT 06520-8071 USAJonathan N. Grauer, Yale University School of Medicine Division of Spine Surgery, Department of Orthopaedics and Rehabilitation P.O. Box 208071 Ne... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569561 Tue, 26 Feb 2008 15:33:48 +0100 1569561 http://www.medworm.com/index.php?rid=1569563&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fcp531w759172561g%2F Abstract  The purpose of this article is to outline the pathophysiology and epidemiology of arthritis of the base of the thumb. The usual presentation and diagnosis will be discussed along with the current conservative treatment options. Surgical treatment options are determined by the stage of the arthritis as well as the demands of the patient. The current standard surgical treatment options will be reviewed along with their results in the literature. Content Type Journal ArticleDOI 10.1007/s12178-008-9022-7Authors Carrie R. Swigart, Yale University School of Medicine Department of Orthopaedics and Rehabilitation New Haven CT USA Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X Journal Volume Volume 1 Journal Is... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569563 Sun, 24 Feb 2008 19:16:58 +0100 1569563 http://www.medworm.com/index.php?rid=1569564&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F05360gm481778x00%2F Abstract  Vertebroplasty and kyphoplasty have become common surgical techniques for the treatment of vertebral compression fractures. Vertebroplasty involves the percutaneous injection of bone cement into the cancellous bone of a vertebral body with the goals of pain alleviation and preventing further loss of vertebral body height. Kyphoplasty utilizes an inflatable balloon to create a cavity for the cement with the additional potential goals of restoring height and reducing kyphosis. Vertebroplasty and kyphoplasty are effective treatment options for the reduction of pain associated with vertebral body compression fractures. Biomechanical studies demonstrate that kyphoplasty is initially superior for increasing vertebral body height and reducing kyphosis, but these gains ar... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569564 Sat, 12 Jan 2008 16:30:21 +0100 1569564 http://www.medworm.com/index.php?rid=1569565&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fr0267168242336t3%2F Abstract  Neck pain is one of the most prevalent and costly health problems in the United States. It remains a complex, subjective experience with a variety of musculoskeletal causes. Although, cervical collars are a seemingly benign intervention, they can have adverse effects, especially when used for longer periods of time. It is feared that a long period of immobilization, can result in atrophy-related secondary damage. Many physicians cite anecdotal evidence of their clinical utility and soft cervical collars are often prescribed by convention for patients complaining of neck pain. The use of cervical collars to treat neck pain is an area of controversy. This review article examines the current evidence and studies related to recommending cervical collars for neck pain ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569565 Fri, 14 Dec 2007 15:56:25 +0100 1569565 http://www.medworm.com/index.php?rid=1569566&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F01134421m0921043%2F Abstract  Finger fractures are common injuries with a wide spectrum of presentation. Although a vast majority of these injuries may be treated non-operatively with gentle reduction, appropriate splinting, and careful follow-up, health care providers must recognize injury patterns that require more specialized care. Injuries involving unstable fracture patterns, intra-articular extension, or tendon function tend to have suboptimal outcomes with non-operative treatment. Other injuries including terminal extensor tendon injuries (mallet finger), stable non-articular fractures, and distal phalanx tuft fractures are readily treated by conservative means, and in general do quite well. Appropriate understanding of finger fracture patterns, treatment modalities, and injuries requir... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569566 Tue, 11 Dec 2007 15:38:16 +0100 1569566 http://www.medworm.com/index.php?rid=1569567&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fd14547j575146453%2F Abstract  The available evidence suggests that the treatment of painful vertebral compression fractures (VCFs) secondary to osteoporosis or multiple myeloma, by cement augmentation with balloon kyphoplasty (BK), is both safe and effective. However, there is uncertainty in the literature concerning the potential of the procedure to influence the risk for adjacent segment fracture. The aim of this article is to review the available peer-reviewed literature, regarding adjacent vertebral body fractures after kyphoplasty augmentation. Content Type Journal ArticleDOI 10.1007/s12178-007-9007-yAuthors Peter G. Campbell, Thomas Jefferson University Hospital Department of Neurosurgery 909 Walnut St, 3rd Floor Philadelphia PA 19107 USAJames S. Harrop, Thomas Jefferson University Ho... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569567 Sat, 08 Dec 2007 18:48:40 +0100 1569567 http://www.medworm.com/index.php?rid=1569569&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Ft47680rl65m02145%2F Abstract  The medial collateral ligament is one of the most commonly injured ligaments of the knee. Most injuries result from a valgus force on the knee. The increased participation in football, ice hockey, and skiing has all contributed to the increased frequency of MCL injuries. Prophylactic knee bracing in contact sports may prevent injury; however, performance may suffer. The majority of patients who sustain an MCL injury will achieve their pre-injury activity level with non-operative treatment alone; however, those with combined ligamentous injuries may require acute operative care. Accurate characterization of each aspect of the injury will help to determine the optimum treatment plan. Content Type Journal ArticleDOI 10.1007/s12178-007-9016-xAuthors Lan Chen, Colu... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569569 Fri, 07 Dec 2007 16:37:50 +0100 1569569 http://www.medworm.com/index.php?rid=1569568&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fj4780057115u5l07%2F Abstract  LBP is one of the most common reasons for visiting a doctor and is the most common cause of disability under age 45.Amongst a variety of etiologies, internal disc disruption (IDD) has been postulated as an important cause of low back pain. Treating discogenic low back pain continues to be a challenge to physicians. Inflammation, either from direct chemical irritation or secondary to an autoimmune response to the nucleus pulposus has been implicated as the primary pain source. Both steroids and non-steroidal anti-inflammatory drugs have partial effectiveness in treating pain associated with inflammation. Therefore, the rationale for using intradiscal steroids is to suppress the inflammation within the disc, thereby alleviating the patient’s symptoms. The goal of ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=1569568 Fri, 07 Dec 2007 16:37:50 +0100 1569568 http://www.medworm.com/index.php?rid=3094551&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Frr135p2805v28225%2F Abstract  Medial plica irritation of the knee is a very common source of anterior knee pain. Patients can complain of pain over the anteromedial aspect of their knees and describe episodes of crepitation, catching, and pseudo-locking events with activities. Patients commonly have pain on physical examination upon rolling the plica fold of tissue over the anteromedial aspect of their knees and often have tight hamstrings. The majority of the patients will respond well to a non-operative treatment program consisting of quadriceps strengthening along with concurrent hamstring stretching. In cases which do not respond initially to an exercise program, an intraarticular steroid injection may be indicated. In those few patients who do not respond to a non-operative treatment prog... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3094551 Tue, 27 Nov 2007 15:39:11 +0100 3094551 http://www.medworm.com/index.php?rid=3094550&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F2376760473560626%2F Abstract  Trigger finger is a common finger aliment, thought to be caused by inflammation and subsequent narrowing of the A1 pulley, which causes pain, clicking, catching, and loss of motion of the affected finger. Although it can occur in anyone, it is seen more frequently in the diabetic population and in women, typically in the fifth to sixth decade of life. The diagnosis is usually fairly straightforward, as most patients complain of clicking or locking of the finger, but other pathological processes such as fracture, tumor, or other traumatic soft tissue injuries must be excluded. Treatment modalities, including splinting, corticosteroid injection, or surgical release, are very effective and are tailored to the severity and duration of symptoms. Content Type Journal ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3094550 Tue, 27 Nov 2007 15:39:11 +0100 3094550 http://www.medworm.com/index.php?rid=3094552&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fv67712845x77472r%2F Abstract  Preparation of the skin prior to joint injection varies widely among disciplines and across regional borders. This is likely due to the paucity of literature on the most effective and efficient methods of preparation. There is no standard definition of clean technique prior to joint injection. Review of the available literature suggests that alcohol is effective preparation for the skin prior to most procedures. Surveys of current clinical practice demonstrate that the use of gloves may be favored, but no conclusions can be drawn in regards to whether sterile gloves are required. Clean technique should be defined as use of non-sterile gloves and agents such as alcohol or soap prior to injection. Significant cost savings may be achieved with the consistent use of c... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3094552 Sat, 17 Nov 2007 23:21:05 +0100 3094552 http://www.medworm.com/index.php?rid=3094553&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fcp5661w54875328q%2F Discussion    PMCMA is a novel percutaneous technology for the management of VCF and possibly for use as a conforming interbody graft. The available published literature lacks outcome data of the use of PMCMA. Careful, independent research is needed to assess the viability of this technology and its long-term results. Content Type Journal ArticleDOI 10.1007/s12178-007-9010-3Authors Stewart M. Kerr, Thomas Jefferson University Hospital Department of Neurological Surgery Philadelphia PA 19107 USABenjamin Liechty, Thomas Jefferson University Hospital Department of Neurological Surgery Philadelphia PA 19107 USARavi Patel, Thomas Jefferson University Hospital Department of Neurological Surgery Philadelphia PA 19107 USAJames S. Harrop, Thomas Jefferson University Hospi... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3094553 Fri, 16 Nov 2007 15:57:21 +0100 3094553 http://www.medworm.com/index.php?rid=3195891&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fl428710j5wqw3q8n%2F Conclusions Whiplash is a common injury associated most often with motor vehicle accidents. It may present with a variety of clinical manifestations, collectively termed WAD. Whiplash is an important cause of chronic disability. Many controversies exist regarding the diagnosis and treatment of whiplash injuries. The multifactorial etiology, believed to underly whiplash injuries, make management highly variable between patients. Radiographic evidence of injury often cannot be identified in the acute phase. Recent studies suggest early mobilization may lead to improved outcomes. Ligamentous and bony injuries may go undetected at initial presentation leading to delayed diagnosis and inappropriate therapies. Content Type Journal ArticleDOI 10.1007/s12178-007-9008-xAuthors Sanjay Yadl... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3195891 Thu, 15 Nov 2007 21:10:35 +0100 3195891 http://www.medworm.com/index.php?rid=3134817&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fv1n7636174w47081%2F Abstract  Many interventions for the management of low back pain exist, however most have modest efficacy at best, and there are few with clearly demonstrated benefits once pain becomes chronic. Therapeutic exercise, on the other hand, does appear to have significant benefits for managing patients with chronic low back pain (CLBP) in terms of decreasing pain and improving function. In addition, because chronic pain is complex and does not fit a simple model, there have also been numerous trials investigating and demonstrating the efficacy of multidisciplinary pain programs for CLBP. It follows that interventions that treat more than one aspect of LBP would have significant benefits for this patient population. Yoga and Pilates which have, both been gaining in popularity ove... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3134817 Thu, 15 Nov 2007 21:10:35 +0100 3134817 http://www.medworm.com/index.php?rid=3119834&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2Fc124763769178667%2F Abstract  Anterior impingement is a common problem in dancers occurring primarily secondary to the repetitive forced ankle dorsiflexion inherent in ballet. Symptoms generally occur progressively and may respond to conservative treatment including addressing biomechanical faults that contribute to the problem. As impingement progresses, movements essential to ballet may become impossible and arthroscopic ankle surgery is often effective for both diagnosis and treatment, allowing athletes to return to dance. Content Type Journal ArticleDOI 10.1007/s12178-007-9001-4Authors John William O’Kane, University of Washington Department of Orthopaedics and Sports Medicine Seattle WA USANancy Kadel, University of Washington Department of Orthopaedics and Sports Medicine Seattle WA ... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3119834 Thu, 15 Nov 2007 21:10:35 +0100 3119834 http://www.medworm.com/index.php?rid=3098657&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F57320ux147622l11%2F Abstract  Chronic low back pain is the most common cause of disability in individuals between the ages of 45 and 65. Given the variety of anatomic and pathophysiologic causes of persistent low back pain, it is a difficult diagnosis for clinicians to treat. Discography is a diagnostic option that may link a patient’s subjective complaints of spinal pain to symptomatic disk disease when non-invasive imaging, such as magnetic resonance imaging (MRI), does not find structural abnormalities. A controversial procedure, discography is only necessary to assess painful discs prior to surgical interventions. For accurate discogram interpretation an experienced spine interventionalist must be careful to exclude false positive results and be aware of the patient’s underlying psycho... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3098657 Thu, 15 Nov 2007 21:10:35 +0100 3098657 http://www.medworm.com/index.php?rid=3094554&cid=s_37298_31_f&fid=37298&url=http%3A%2F%2Fspringerlink.com%2Fcontent%2F4lq6h22h60871208%2F Abstract  Proximal wrist extensor tendinopathy, which is also known as tennis elbow, is pain at or just distal to the lateral humeral epicondyle within the proximal wrist extensor tendon. It occurs commonly in certain athletes but can also occur in people with jobs that require repetitive movements of the hand and upper limb. In most cases the tendon involved shows no signs of inflammation or tendonitis, but instead shows fibroblasts, vascular hyperplasia, and disorganized collagen. Diagnosis is often made by history and physical exam alone. Most people respond to conservative measures including activity modification, analgesics, manipulation of tissue, and exercise. In some cases, an injection of corticosteroid or botulinum toxin may be used. Surgery is rarely needed. C... Current Reviews in Musculoskeletal Medicine journals http://www.medworm.com/rss/comments.php?id=3094554 Thu, 15 Nov 2007 21:10:35 +0100 3094554