MedWorm: Orthopaedics

DXA on a par with radiography for vertebral fracture diagnosis

MedWire News - Bone Health — Thu, 09 Feb 2012 04:35:58 +0100

The latest generation of dual-energy X-ray absorptiometry imaging is on a par with conventional radiography for the diagnosis of vertebral fractures, Italian researchers report. (Source: MedWire News - Bone Health)

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Study Shows 57% Failure in Large Rotator Cuff RepairsStudy Shows 57% Failure in Large Rotator Cuff Repairs

Medscape Today Headlines — Wed, 08 Feb 2012 20:12:42 +0100

A series of rotator cuff procedures gives some perspective on what can best be repaired. Medscape Medical News (Source: Medscape Today Headlines)

Female Soccer Players May Face Health Problems: Study

Gynecology News - Doctors Lounge — Wed, 08 Feb 2012 18:00:00 +0100

Intense training, poor nutrition might lead to menstrual abnormalities, stress fractures in young players (Source: Gynecology News - Doctors Lounge)

Anterior Cruciate Ligament Reconstructions - Steep Learning Curve For Surgeons

Health News from Medical News Today — Wed, 08 Feb 2012 18:00:00 +0100

An investigation by researchers at Hospital for Special Surgery reveals that individuals who undergo anterior cruciate ligament (ACL) reconstruction are approximately 4 to 5 times more likely to undergo further ACL reconstruction, if the initial operation was performed by a surgeon who has carried out less than 60 operations. Furthermore, the researchers found that taking part in subspecialty orthopedic fellowship-training program did not enhance the learning curve of young surgeons carrying out ACL reconstructions... (Source: Health News from Medical News Today)

Heart Failure, Fractures Linked (CME/CE)

MedPage Today State Required CME — Wed, 08 Feb 2012 16:13:11 +0100

(MedPage Today) -- Heart failure appears to be associated with a greater risk of major osteoporotic fractures, independent of bone mineral density, a Canadian study showed. (Source: MedPage Today State Required CME)

Bone putty could heal fractures in days rather than months, claim scientists

the Mail online | Health — Wed, 08 Feb 2012 15:20:12 +0100

Scientists from the University of Georgia Regenerative Bioscience Center used adult stem cells to produce a protein involved in bone healing and generation. (Source: the Mail online | Health)

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One ‘Silver Lining’ to Recession: Fewer Broken Bones?

Orthopedics News - Doctors Lounge — Wed, 08 Feb 2012 15:00:00 +0100

Florida study finds less orthopedic trauma cases as construction workers lost jobs (Source: Orthopedics News - Doctors Lounge)

Embolism Risk Highest in First Week After ArthroplastyEmbolism Risk Highest in First Week After Arthroplasty

Medscape Today Headlines — Wed, 08 Feb 2012 14:04:28 +0100

The risk for pulmonary embolism appears to be highest in the first week after total joint arthroplasty. Medscape Medical News (Source: Medscape Today Headlines)

Pocket Physio app launched for knee surgery patients

Hospital IT Europe — Wed, 08 Feb 2012 13:26:00 +0100

First physiotherapy app designed by orthopaedic provider to help improve patients’ recoveries (Source: Hospital IT Europe)

Electrospun Nanostructured Fibers of Collagen-Biomimetic Apatite on Titanium Alloy

Clinical and Developmental Immunology — Wed, 08 Feb 2012 11:20:54 +0100

Titanium and its alloys are currently the mainly used materials to manufacture orthopaedic implants due to their excellent mechanical properties and corrosion resistance. Although these materials are bioinert, the improvement of biological properties (e.g., bone implant contact) can be obtained by the application of a material that mimics the bone extracellular matrix. To this aim, this work describes a new method to produce nanostructured collagen-apatite composites on titanium alloy substrate, by combining electrospinning and biomimetic mineralization. The characterization results showed that the obtained mineralized scaffolds have morphological, structural, and chemical compositional features similar to natural bone extracellular matrix. Finally, the topographic distribution of the chem...

Orthopaedic Experts Present Research, Clinical Advances At AAOS Meeting

Health News from Medical News Today — Wed, 08 Feb 2012 09:00:00 +0100

Experts from the Department of Orthopaedic Surgery at NYU Langone Medical Center are presenting their latest research and clinical findings on diseases of the muscle, tendon, bone and joint at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS), February 7-11 in San Francisco, California... (Source: Health News from Medical News Today)

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In Bone Repair, The Smallest Tools Could Give The Biggest Results

Health News from Medical News Today — Wed, 08 Feb 2012 09:00:00 +0100

When William Murphy works with some of the most powerful tools in biology, he thinks about making tools that can fit together. These constructions sound a bit like socket wrenches, which can be assembled to turn a half-inch nut in tight quarters, or to loosen a rusted-tight one-inch bolt using a very persuasive lever. The tools used by Murphy, an associate professor of biomedical engineering and orthopedics and rehabilitation at University of Wisconsin-Madison, however, are proteins, which are vastly more flexible than socket wrenches - and roughly 100 million times smaller... (Source: Health News from Medical News Today)

Exercise Triggers Stem Cells In Muscle

Health News from Medical News Today — Wed, 08 Feb 2012 09:00:00 +0100

University of Illinois researchers determined that an adult stem cell present in muscle is responsive to exercise, a discovery that may provide a link between exercise and muscle health. The findings could lead to new therapeutic techniques using these cells to rehabilitate injured muscle and prevent or restore muscle loss with age. Mesenchymal stem cells (MSCs) in skeletal muscle have been known to be important for muscle repair in response to non-physiological injury, predominantly in response to chemical injections that significantly damage muscle tissue and induce inflammation... (Source: Health News from Medical News Today)

New Study May Shed Light On Why Women, And Some Men, Are At Greater Risk For ACL Injuries

Health News from Medical News Today — Wed, 08 Feb 2012 08:00:00 +0100

Much orthopaedic research has been devoted to determining why women are far more susceptible to knee ligament injuries than men. According to a new study, the answer may lie in geometry - the length and shape of a patient's knee bone - more than gender. Research recently published in the Journal of Bone and Joint Surgery (JBJS), compared magnetic resonance imaging (MRI) scans of male and female athletes with non-contact anterior cruciate ligament (ACL) injuries with those of athletes who participated in similar, at-risk sports but without a history of ligament injury... (Source: Health News from Medical News Today)

Mechanical pain sensitivity of deep tissues in children - possible development of myofascial trigger points in children

BMC Musculoskeletal Disorders — Wed, 08 Feb 2012 05:00:00 +0100

Conclusions: It is concluded that a child had increased sensitivity at the tendon attachment site and the muscle belly (endplate zone) after age of 4 years. Therefore, it is likely that a child may develop an A-Trp and a latent MTrP at the brachioradialis muscle after the age of 4 years. The changes in sensitivity, or the development for these trigger points, may not be related to the activity level of children aged 7-11 years. Further investigation is still required to indentify the exact timing of the initial occurrence of a-Trps and latent MTrPs.Key words: myofascial trigger points, children, pressure pain threshold, algometry (Source: BMC Musculoskeletal Disorders)

Osteoporosis Medication Linked to Unusual Thigh Fractures

WebMD Health — Wed, 08 Feb 2012 05:00:00 +0100

Some drugs used to strengthen bones may increase the risk of an unusual type of fracture if patients take them on a long-term basis for multiple years, a new study shows. (Source: WebMD Health)

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Do gastric adverse events influence the choice of bisphosphonate for the treatment of osteoporosis?

NeLM - Medicines Q and A — Wed, 08 Feb 2012 05:00:00 +0100

Source: Regional Drug and Therapeutics Centre Area: Evidence > Medicines Q & A The bisphosphonates are a group of drugs used to reduce bone turnover in conditions including osteoporosis, Paget's disease, and bone malignancies. The therapeutic effect is achieved by inhibiting bone resorption. As a group the bisphosphonates are generally well tolerated, but have a well documented adverse effect (AE) profile, and gastrointestinal effects are a known issue. Strict administration requirements have been introduced to reduce the risk of oesophageal AEs, and inability to meet these requirements is considered a contraindication to treatment. There have been reports of pain, nausea, vomiting and gastric ulcers associated with bisphosphonate use. (Source: NeLM - ...

Excessive sporting activity may impair long-term success of hip resurfacing

EurekAlert! - Medicine and Health — Wed, 08 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) High impact sporting activities -- such as daily running or tennis -- can be detrimental to the long-term success of hip resurfacing arthroplasty, according to research presented today at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). (Source: EurekAlert! - Medicine and Health)

Obese children more likely to suffer growth plate fractures

EurekAlert! - Medicine and Health — Wed, 08 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Obese and overweight children are more likely to suffer growth plate fractures, and their injuries were more often from a "low-energy" impact, according to new research presented at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons. (Source: EurekAlert! - Medicine and Health)

Online support following joint replacement surgery is cost and time effective for patients

EurekAlert! - Medicine and Health — Wed, 08 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Web-based follow-up for total knee replacement (TKR) may provide significant time and cost savings to patients, according to new research presented at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). (Source: EurekAlert! - Medicine and Health)

Anxiety trait linked to post-operative pain in men following total knee replacement

EurekAlert! - Social and Behavioral Science — Wed, 08 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) In new research, men with anxiety traits were more likely to report post-operative pain ratings following total knee replacement (TKR) resulting in longer hospital stays, and women generally reported higher post-operative pain levels than men and were less satisfied with pain control. (Source: EurekAlert! - Social and Behavioral Science)

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Antidepressant use linked with less patient satisfaction after hip replacement

EurekAlert! - Social and Behavioral Science — Wed, 08 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Patients taking antidepressants up to three years prior to undergoing a total hip replacement (THR) were more likely to report greater pain before and after surgery and less satisfaction with their procedure, according to new research presented today at the 2012 Annual Meeting of the American Academy of Orthopedic Surgeons (AAOS). (Source: EurekAlert! - Social and Behavioral Science)

Video-based home exercise can minimize osteoarthritis pain, improve mobility

EurekAlert! - Social and Behavioral Science — Wed, 08 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Video-based home exercise programs can enhance adherence to a prescribed exercise program, reduce pain, improve physical function, and improve life quality in patients living with knee osteoarthritis. (Source: EurekAlert! - Social and Behavioral Science)

Anxiety trait linked to postoperative pain in men following total knee replacement

EurekAlert! - Social and Behavioral Science — Wed, 08 Feb 2012 05:00:00 +0100

Halting bone-building osteoporosis drug use cuts risk for additional atypical femur fracture in half

EurekAlert! - Medicine and Health — Wed, 08 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) There is growing evidence that supports an association between atypical fractures of the femur- a rare break of the thigh bone, typically without trauma - and the use of bisphosphonates, drugs proven to enhance bone density and reduce fracture incidence caused by osteoporosis. (Source: EurekAlert! - Medicine and Health)

Archive of failed joint replacements provides tips to building a better hip replacement

EurekAlert! - Medicine and Health — Wed, 08 Feb 2012 05:00:00 +0100

(Hospital for Special Surgery) A study by Hospital for Special Surgery researchers has provided the first comprehensive look at just how metal-on-metal total hip replacements are failing in patients around the country. (Source: EurekAlert! - Medicine and Health)

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Half of Older Women With Arm Fractures Have Low Vitamin DHalf of Older Women With Arm Fractures Have Low Vitamin D

Medscape Today Headlines — Wed, 08 Feb 2012 01:18:10 +0100

Significantly more postmenopausal women with distal radius fractures than control women were found to have vitamin D deficiency or insufficiency. Medscape Medical News (Source: Medscape Today Headlines)

Inflammation predicts hip fracture risk in elderly women

MedWire News - Bone Health — Wed, 08 Feb 2012 00:00:00 +0100

The risk for hip fracture in elderly women may be predicted by measuring plasma inflammatory markers associated with the development of osteoporosis, research suggests. (Source: MedWire News - Bone Health)

Arthritis common in poor neighborhoods

MedWire News - Bone Health — Wed, 08 Feb 2012 00:00:00 +0100

People who live in poorer neighborhoods are at significantly greater risk for arthritis than people living in more affluent areas, say researchers. (Source: MedWire News - Bone Health)

Cochlear Implantation in Posttraumatic Bilateral Temporal Bone Fracture

Karger Publishers — Tue, 07 Feb 2012 23:00:00 +0100

ORL 2012;74:52-56 (DOI:10.1159/000335931) (Source: Karger Publishers)

Heart Failure, Osteoporosis Go 'Hand-In-Hand'

MedlinePlus Health News — Tue, 07 Feb 2012 22:00:00 +0100

Cardiac condition raises the risks of falls and may contribute to bone-density loss Source: HealthDay Related MedlinePlus Pages: Heart Failure, Osteoporosis (Source: MedlinePlus Health News)

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Orthopaedic Trauma Volume Drops as Unemployment Rate RisesOrthopaedic Trauma Volume Drops as Unemployment Rate Rises

Medscape Today Headlines — Tue, 07 Feb 2012 20:32:36 +0100

The higher the unemployment rate, the lower the number of orthopaedic trauma cases presenting at the emergency department. Medscape Medical News (Source: Medscape Today Headlines)

Breast Cancer Drug May Weaken Bones, Study Finds

The Doctors Lounge - Oncology — Tue, 07 Feb 2012 18:00:00 +0100

Researchers say postmenopausal women taking Aromasin need to be monitored (Source: The Doctors Lounge - Oncology)

Vitamin D Deficiency in Orthopaedic Trauma PatientsVitamin D Deficiency in Orthopaedic Trauma Patients

Medscape Today Headlines — Tue, 07 Feb 2012 17:36:00 +0100

More than three quarters of orthopaedic trauma patients had vitamin D deficiency or insufficiency in a study presented at AAOS. Medscape Medical News (Source: Medscape Today Headlines)

American Academy of Orthopaedic Surgeons (AAOS) 2012 Annual MeetingAmerican Academy of Orthopaedic Surgeons (AAOS) 2012 Annual Meeting

Medscape Today Headlines — Tue, 07 Feb 2012 16:13:10 +0100

Read clinically focused news coverage of key developments from the meeting. Medscape Ophthalmology (Source: Medscape Today Headlines)

Researchers develop method of directing stem cells to increase bone formation and bone strength (EurekAlert, 5 February 2012)

Society for Endocrinology — Tue, 07 Feb 2012 12:00:00 +0100

US researchers have developed a technique to promote bone growth in a mouse model of osteoporosis by stimulating the migration of stem cells to the bone, reporting their findings in Nature Medicine. Full article (Source: Society for Endocrinology)

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Directing Stem Cells To Increase Bone Formation And Bone Strength

Health News from Medical News Today — Tue, 07 Feb 2012 09:00:00 +0100

A research team led by UC Davis Health System scientists has developed a novel technique to enhance bone growth by using a molecule which, when injected into the bloodstream, directs the body's stem cells to travel to the surface of bones. Once these cells are guided to the bone surface by this molecule, the stem cells differentiate into bone-forming cells and synthesize proteins to enhance bone growth... (Source: Health News from Medical News Today)

Growth From Birth To Adulthood And Peak Bone Mass And Density Data From The New Delhi Birth Cohort

Health News from Medical News Today — Tue, 07 Feb 2012 08:00:00 +0100

Growth in early life may predict adult bone health. Our data showed that greater height and body mass index (BMI) gain in utero and infancy are associated with higher peak bone mass, and greater BMI gain in childhood/adolescence with higher peak bone density. These associations are mediated by attained adult height and BMI. To study the relationship of height and BMI during childhood with adult bone mineral content (BMC), areal density (aBMD) and apparent density (BMAD, estimated volumetric density)... (Source: Health News from Medical News Today)

MAVIDOS Maternal Vitamin D Osteoporosis Study: study protocol for a randomized controlled trial.

Trials — Tue, 07 Feb 2012 05:00:00 +0100

In this study we aim to test whether offspring of mothers supplemented with vitamin D in pregnancy have higher bone mass at birth than those whose mothers were not supplemented. Methods: Women have their vitamin D status assessed after ultrasound scanning in the twelfth week of pregnancy at 3 trial centres (Southampton, Sheffield, Oxford). Women with circulating 25(OH)-vitamin D levels 25-100nmol/l are randomised in a double-blind design to either oral vitamin D supplement (1000 IU cholecalciferol/day, n=477) or placebo at 14 weeks (n=477). Questionnaire data include parity, sunlight exposure, dietary information, and cigarette and alcohol consumption. At 19 and 34 weeks maternal anthropometry is assessed and blood samples taken to measure 25(OH)-vitamin D, PTH and biochemistry. At deliver...

Prophylaxis in Children with Hemophilia: Evidence-Based Achievements, Old and New Challenges

Seminars in Thrombosis and Hemostasis — Tue, 07 Feb 2012 05:00:00 +0100

Semin Thromb Hemost 2012; 38: 79-94DOI: 10.1055/s-0031-1300954Recurrent joint bleeding leading to progressive musculoskeletal damage (hemophilic arthropathy), in spite of on-demand replacement with deficient factor concentrates, is the clinical hallmark of severe hemophilia A and B (i.e., the congenital deficiencies of coagulation factors VIII and IX with circulating levels <1 IU/dL). Fifty years of clinical experience, which began in Northern Europe and then initiated in other European countries and in North America, up to the recent randomized clinical trials, have provided definitive evidence that preventing bleeding from an early age through long-term regular prophylactic concentrate infusions limits the adverse clinical consequences of arthropathy and its complications in the quali...

Heart Failure, Osteoporosis Go ‘Hand-in-Hand’: Researchers

The Doctors Lounge - Cardiology — Tue, 07 Feb 2012 05:00:00 +0100

Cardiac condition raises the risks of falls and may contribute to bone-density loss (Source: The Doctors Lounge - Cardiology)

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Beneficial Effect of Amantadine on Postoperative Pain Reduction and Consumption of Morphine in Patients Subjected to Elective Spine Surgery

Pain Medicine — Tue, 07 Feb 2012 05:00:00 +0100

Conclusions. Pre‐ and postoperative administration of amantadine significantly reduced fentanyl use during operation, as well as reduced the postoperative pain and decreased morphine consumption in young patients undergoing orthopedic surgery. (Source: Pain Medicine)

Post surgical phone support improves outcome following knee replacement

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Among high-risk Total Knee Replacement patients, those who received telephone support reported significantly higher post-surgical physical activity and function at six months. (Source: EurekAlert! - Medicine and Health)

44 percent of postmenopausal women with distal radius fracture have low levels of vitamin D

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Forty-four percent of postmenopausal women with a distal radius fracture have a low level of vitamin D, according to new research presented today at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons. (Source: EurekAlert! - Medicine and Health)

Aspirin may prevent DVT and PE in joint replacement patients

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Aspirin, along with the use of stockings and a foot pump, are safe and effective therapies in preventing deep vein thrombosis and pulmonary embolism in most joint replacement patients, according to research presented today at the American Academy of Orthopaedic Surgeons 2012 Annual Meeting. Patients at high risk for DVT made require the use of anticoagulation therapies. (Source: EurekAlert! - Medicine and Health)

Risk of pulmonary embolism greatest during first week following total joint replacement

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Anticoagulation treatment for more than seven days following total joint replacement may be unnecessary, according to new research presented today at the American Academy of Orthpaedic Surgeons 2012 Annual Meeting. (Source: EurekAlert! - Medicine and Health)

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Economic factors impact orthopaedic trauma volume

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Economic trends impact orthopaedic trauma volume, according to new research presented today at the American Academy of Orthopaedic Surgeons 2012 Annual Meeting. (Source: EurekAlert! - Medicine and Health)

Modern, low-energy ammunition can cause deep tissue damage

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Gunshot injuries are typically categorized as low- or high-energy based on the weapon's missile velocity and mass. (Source: EurekAlert! - Medicine and Health)

Vitamin D deficiency high among trauma patients

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) New research presented at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons found that 77 percent of trauma patients had deficient or insufficient levels of vitamin D. (Source: EurekAlert! - Medicine and Health)

Competitive soccer linked to increased injuries and menstrual dysfunction in girls

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) In the US, there are nearly three million youth soccer players, and half of them are female. New research presented today at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons found that despite reporting appropriate body perception and attitudes toward eating, elite youth soccer athletes face an increased risk for delayed or irregular menstruation. (Source: EurekAlert! - Medicine and Health)

Knee replacement may lower a patient's risk for mortality and heart failure

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) New research presented at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons highlights the benefits of total knee replacement. (Source: EurekAlert! - Medicine and Health)

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New guidelines suggest DVT prophylaxis not appropriate for all patients

EurekAlert! - Medicine and Health — Tue, 07 Feb 2012 05:00:00 +0100

(American College of Chest Physicians) New evidence-based guidelines from the American College of Chest Physicians recommend considering individual patients' risk of thrombosis when deciding for or against the use of preventive therapies for deep vein thrombosis and venous thromboembolism. Furthermore, the ACCP now indicates aspirin is an option for the prevention of DVT/VTE in major orthopedic surgery. (Source: EurekAlert! - Medicine and Health)

Breast Cancer Drug Exemestane Causes Substantial Bone Loss

Health News from Medical News Today — Tue, 07 Feb 2012 02:00:00 +0100

A recent study published in The Lancet Oncology shows how exemestane (Aromasin), a drug that prevents the development of breast cancer in postmenopausal women, may significantly worsen age-related bone loss. As an aromatase inhibitor, exemestane works by blocking the synthesis of estrogen, slowing down the growth of cancers that have estrogen receptors. Whilst the drug is effective at preventing the development of cancer, there has been an increasing concern about its effects on bone density and fracture risk... (Source: Health News from Medical News Today)

Childhood growth rate impacts adult bone measures

MedWire News - Bone Health — Tue, 07 Feb 2012 00:00:00 +0100

The rate of growth during infancy and childhood has a significant impact on bone measurements such as mineral content in adult life, results of a longitudinal study show. (Source: MedWire News - Bone Health)

Brittle bones at just 29 - all because I had a baby

the Mail online | Health — Mon, 06 Feb 2012 23:45:32 +0100

Georgina Howard was suffering from far more than post-birth backache after the birth of her daughter. She had osteoporosis. (Source: the Mail online | Health)

Green Tea Protects Against Functional Disability Linked To Aging

Health News from Medical News Today — Mon, 06 Feb 2012 21:00:00 +0100

Regular green tea drinkers have a lower risk of developing functional disability, researchers from Tohoku University Graduate School of Medicine, Sendai, Japan, reported in the American Journal of Clinical Nutrition. Functional disability refers to problems with daily chores and activities, such as bathing or dressing. As background information, the authors explained that prior studies had found that consuming green tea reduced the risk of diseases associated with functional disability, such as osteoporosis, cognitive impairment and stroke... (Source: Health News from Medical News Today)

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Smith & Nephew settles Greek bribery case for $22.2M

bizjournals.com Health Care:Biotechnology headlines — Mon, 06 Feb 2012 20:14:00 +0100

Smith & Nephew Inc. is paying $22.2 million to settle U.S. criminal and civil allegations that it bribed doctors employed by the Greek government to win business. The amount includes a $16.8 million fine that must be paid by Memphis-based Smith & Nephew Orthopaedics, the company’s subsidiary. The Memphis division merged with another company division in Andover, Mass., last year to create the Advanced Surgical Devices Division. Under the agreement, Smith & Nephew has to internally monitor corporate activities to prevent bribery and hire a compliance expert for 18 months... (Source: bizjournals.com Health Care:Biotechnology headlines)

Burden of pelvis fracture: a population-based study of incidence, hospitalisation and mortality

Osteoporosis International — Mon, 06 Feb 2012 19:37:21 +0100

Conclusions Pelvic fractures are associated with high rates of hospitalisation and mortality. Given this, further work is required to identify the optimal post-fracture therapeutic strategy to improve outcomes in this elderly patient group. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00198-012-1907-zAuthors D. Prieto-Alhambra, Oxford NIHR Musculoskeletal Biomedical Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Windmill Road, Headington, Oxford OX3 7LD, UKF. F. Avilés, Institut Català de la Salut—IDIAP Jordi Gol i Gurina, Barcelona, SpainA. Judge, Oxford NIHR Musculoskeletal Biomedical Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoske...

Frontiers in Osteoarthritis: Executive Summary of the Scientific Meeting

HSS Journal — Mon, 06 Feb 2012 19:37:18 +0100

Content Type Journal ArticleCategory HSS Osteoarthritis Symposium: Frontiers in OAPages 1-2DOI 10.1007/s11420-011-9230-3Authors Steven Goldring, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USATimothy Wright, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA Journal HSS JournalOnline ISSN 1556-3324Print ISSN 1556-3316 (Source: HSS Journal)

Age-related changes in osseous anatomy, alignment, and range of motion of the cervical spine. Part I: Radiographic data from over 1,200 asymptomatic subjects

European Spine Journal — Mon, 06 Feb 2012 19:37:06 +0100

Conclusions The standard values and age-related changes in cervical anatomy, alignment, and ROM for males and females in each decade between the 3rd and 8th were established. Cervical lordosis in the neutral position develops with aging, while extension ROM decreases gradually. These data will be useful as normal values for the sake of comparison in clinical practice. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00586-012-2167-5Authors Yasutsugu Yukawa, Department of Orthopedic Surgery, Chubu Rosai Hospital, 1-10-6 Komei, Minato-ku, Nagoya, Aichi 455-8530, JapanFumihiko Kato, Department of Orthopedic Surgery, Chubu Rosai Hospital, 1-10-6 Komei, Minato-ku, Nagoya, Aichi 455-8530, JapanKota Suda, Department of Orthopedic Surgery, Hokkaido...

Increase in spinal longitudinal length by correction surgery for adolescent idiopathic scoliosis

European Spine Journal — Mon, 06 Feb 2012 19:37:05 +0100

Conclusion Spinal longitudinal length was significantly increased after surgery in both the ASF and PSF groups. Correction of the Cobb angle and increase in T1–L5 length were highly correlated with each other, especially in the PSF group. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00586-012-2163-9Authors Kota Watanabe, Department of Advanced Therapy for Spine and Spinal Cord Disorders, Keio University School of Medicine, Tokyo, JapanNaobumi Hosogane, Department of Orthopedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582 JapanNoriaki Kawakami, Department of Orthopaedic Surgery, Meijo Hospital, Nagoya, JapanTaichi Tsuji, Department of Orthopaedic Surgery, Meijo Hospital, Nagoya, JapanYoshiaki T...

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Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review

European Spine Journal — Mon, 06 Feb 2012 19:37:05 +0100

Conclusions Based on these findings, the level of evidence for the association between PPGP and relaxin levels was found to be low. PPGP assessment and controlling for risk factors were found to increase bias leaving uncertainty in interpretation of these findings and a need for further research. Content Type Journal ArticleCategory Review ArticlePages 1-8DOI 10.1007/s00586-012-2162-xAuthors Daniela Aldabe, School of Physical Education, University of Otago, 56 Union Street, Dunedin, 9016 New ZealandDaniel Cury Ribeiro, Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, 325 Great King Street, Dunedin, 9016 New ZealandStephan Milosavljevic, Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, 325 Great King Str...

Rhabdomyolysis after heterotopic ossification: an unusual complication in a spinal cord injured patient

European Spine Journal — Mon, 06 Feb 2012 19:37:04 +0100

Conclusions We report the case of our patient to increase awareness among physicians and training staff working with patients with a spinal cord injury to expedite the diagnosis of rhabdomyolysis in the setting of HO and SCI. Content Type Journal ArticleCategory Case ReportPages 1-4DOI 10.1007/s00586-012-2174-6Authors Mustafa Citak, Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, GermanyEduardo M. Suero, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, USAManuel Backhaus, Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, GermanyRenate Meindl, Division...

The correlation between coronal balance and neuroaxial abnormalities detected on MRI in adolescent idiopathic scoliosis

European Spine Journal — Mon, 06 Feb 2012 19:37:03 +0100

Conclusions Our audit demonstrates that neither coronal nor sagittal misbalance should be used as an indicator of neural axis abnormalities. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00586-012-2175-5Authors Robert S. Lee, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA7 4LP UKDaniel W. Reed, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA7 4LP UKAsif Saifuddin, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA7 4LP UK Journal European Spine JournalOnline ISSN 1432-0932Print ISSN 0940-6719 (Source: European Spine Journal)

Total hip arthroplasty for vascular necrosis of the femoral head in patients with systemic lupus erythematosus: a midterm follow-up study of 28 hips in 24 patients

European Journal of Orthopaedic Surgery and Traumatology — Mon, 06 Feb 2012 19:34:54 +0100

Conclusion THA is an acceptable method for achieving functional recovery and increasing HRQOL in patients with SLE and ANFH who receive proper perioperative management. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00590-012-0939-6Authors Yan Kang, Department of Joint Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 Guangdong, ChinaZi-ji Zhang, Department of Joint Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 Guangdong, ChinaXiao-yi Zhao, Department of Joint Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 Guangdong, ChinaZhi-qi Zhang, Department of Joint Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 Guangdong,...

The reharvested patellar tendon has the potential for ligamentization when used for anterior cruciate ligament revision surgery

Knee Surgery, Sports Traumatology, Arthroscopy — Mon, 06 Feb 2012 19:34:15 +0100

Conclusions The clinical outcome 10 years after ACL revision surgery was poor in these four patients. In contrast, the reharvested patellar tendon appeared close to normal on MRI, and the second-look arthroscopy with the concomitant histological findings revealed that the grafts were viable 3 years after revision. Therefore, the reharvested patellar tendon seems to have the potential for ligamentization when used for ACL revision surgery. Level of evidence Case series, Level IV. Content Type Journal ArticleCategory KneePages 1-7DOI 10.1007/s00167-012-1908-7Authors Sven Stener, NU-Hospital Organization, Trollhättan/Uddevalla, SwedenLars Ejerhed, NU-Hospital Organization, Trollhättan/Uddevalla, SwedenTomas Movin, Karolinska University Ho...

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A Teething Problem: Artefactual X-Ray Appearances of Odontoid Fracture due to Superimposed Incisor

Comparative and Functional Genomics — Mon, 06 Feb 2012 14:15:44 +0100

We report a case of artefactual C2 fracture caused by a superimposed incisor tooth in a seven-year-old boy. CT refuted the diagnosis. Trauma clinicians should be aware of this entity to guide correct interpretation of trauma X-rays. (Source: Comparative and Functional Genomics)

Actinomycetoma of the chest wall attributed to Nocardia nova after reconstructive surgery.

Dermatol Online J — Mon, 06 Feb 2012 12:54:18 +0100

Authors: Antunes J, Pacheco D, Travassos R, Sequeira H, Filipe P, Marques MS Abstract A 29-year-old man, presented with multiple ulcers, nodules, abscesses, fistulae, and atrophic scars, over the right chest wall. Six years prior, the patient had a car accident, which resulted in skin loss of the right arm, shoulder, thoracic wall. In addition, he suffered a supracondylar fracture; orthopedic surgery and skin grafts were required. Material discharging from sinus tracts was obtained for mycological and bacteriological studies. Direct microscopic examination revealed small white grains. Cultures on Sabouraud and Lowenstein-Jensen media isolated orange-white colonies suggestive of Nocardia. PCR assay identified Nocardia nova. Thoracic and right upper limb CT showed signs of chronic os...

Fat embolism due to bilateral femoral fracture: a case report. - Porpodis K, Karanikas M, Zarogoulidis P, Konoglou M, Domvri K, Mitrakas A, Boglou P, Bakali S, Iordanidis A, Zervas V, Courcoutsakis N, Katsikogiannis N, Zarogoulidis K.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

We present a case with fat embolism syndrome due to femur fracture. Prompt supportive treat... (Source: SafetyLit: All (Unduplicated))

Opium and opioid abuse in orthopedic inpatients: a cross sectional study in Urmia university of medical sciences. - Afshar A, Asadzadeh M, Kargar H, Aghdashi MM, Mirzatolooei F.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

During a cross-sectional study, patients who were admitted to the orthopedic department of the Urmia University of Medical Sciences were asked about opium/opioid abuse. Demographic characteristics, the pattern of consumption, the substance, the duration of... (Source: SafetyLit: All (Unduplicated))

Emerging narrative discourse skills 18 months after traumatic brain injury in early childhood. - Walz NC, Yeates KO, Taylor HG, Stancin T, Wade SL.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

This study examined the longer term effect of traumatic brain injury (TBI), approximately 18 months post-injury, on emerging narrative discourse skills of 85 children with orthopaedic injury (OI), 43 children with moderate TBI, and 19 children with severe ... (Source: SafetyLit: All (Unduplicated))

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Impact of Tai Chi exercise on multiple fracture-related risk factors in post-menopausal osteopenic women: a pilot pragmatic, randomized trial. - Wayne PM, Kiel DP, Buring JE, Connors EM, Bonato P, Yeh GY, Cohen CJ, Mancinelli C, Davis RB.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

BACKGROUND: Tai Chi (TC) is a mind-body exercise that shows potential as an effective and safe intervention for preventing fall-related fractures in the elderly. Few randomized trials have simultaneously evaluated TC's potential to reduce bone loss and imp... (Source: SafetyLit: All (Unduplicated))

Child abuse experts calls for U.S. campaign

Reuters: Health — Mon, 06 Feb 2012 08:14:51 +0100

NEW YORK (Reuters Health) - Nearly 4,600 U.S. children were hospitalized with broken bones, traumatic brain injury and other serious damage caused by physical abuse in 2006, according to a new report. (Source: Reuters: Health)

Pressure and pain In Systemic sclerosis/ Scleroderma - an evaluation of a simple intervention (PISCES): randomised controlled trial protocol

BMC Musculoskeletal Disorders — Mon, 06 Feb 2012 05:00:00 +0100

DiscussionThis trial protocol proposes a rigorous and potentially significant evaluation of a simple and readily provided therapeutic approach which, if effective, could be of a great benefit for this group of patients.Trial registrationCurrent Controlled Trials: ISRCTN02824122 (Source: BMC Musculoskeletal Disorders)

Radiographic knee osteoarthritis in ex-elite table tennis players

BMC Musculoskeletal Disorders — Mon, 06 Feb 2012 05:00:00 +0100

Conclusions: Ex-elite table tennis players were found to have increased levels of radiological signs of OA in the knee joint though this did not transpire through to altered levels of physical disability or knee stiffness in these players when compared with subjects from the general population suggesting that function in these players is not severely impacted upon. (Source: BMC Musculoskeletal Disorders)

Building bones by knocking down genes

Nature Medicine — Mon, 06 Feb 2012 05:00:00 +0100

Nature Medicine 18, 202 (2012). doi:10.1038/nm.2630 Author: Clifford J Rosen New strategies for selectively stimulating bone formation without promoting bone resorption are required, as all currently approved agents for osteoporosis act on both of these aspects of the bone remodeling process. A recent study describes an approach that specifically delivers therapeutic siRNAs to bone-forming surfaces without affecting bone resorption (pages 307–314). (Source: Nature Medicine)

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Prevention of Inappropriate ICD Shocks due to Lead Insulation Failure by Continuous Monitoring and Automatic Alert

Pacing and Clinical Electrophysiology : PACE — Mon, 06 Feb 2012 05:00:00 +0100

We report on a patient with a failed St. Jude Riata™ ST lead (St. Jude Medical, St. Paul, MN, USA) connected to a Medtronic Virtuoso DR (Medtronic Inc., Minneapolis, MN, USA) with the LIA. Oversensing triggered the LIA, while the impedance trend was normal.(PACE 2012;1–4) (Source: Pacing and Clinical Electrophysiology : PACE)

Osteoporosis & Bone Mass

About.com Eating Disorders — Mon, 06 Feb 2012 05:00:00 +0100

Given the knowledge that high peak bone density reduces osteoporosis risk later in life, it makes sense to pay more attention to those factors that affect peak bone mass. (Source: About.com Eating Disorders)

Pathologic Fracture

About.com Eating Disorders — Mon, 06 Feb 2012 05:00:00 +0100

A patient with metastatic breast cancer has weakened bone in the hip. Because of the breast cancer lesion, she sustained a pathologic fracture and required operative treatment. (Source: About.com Eating Disorders)

Lisfranc

About.com Eating Disorders — Mon, 06 Feb 2012 05:00:00 +0100

The Lisfranc injury to the foot is a fracture and dislocation of the bones that join the forefoot and midfoot. Most often, Lisfranc injuries require surgery for treatment. (Source: About.com Eating Disorders)

Squeaking Hip Replacements

About.com Eating Disorders — Mon, 06 Feb 2012 05:00:00 +0100

A hip replacement is a surgical procedure that replaces a worn out ball-and-socket joint with an artificial joint. Certain types of artificial hip replacements have been found to make a squeaking noise. Often a squeaking hip replacement is just an inconvenience, but sometimes a noisy hip may be a sign of problems with the implant. (Source: About.com Eating Disorders)

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Pathogenesis and treatment concepts of orthopaedic biofilm infections

FEMS Immunology and Medical Microbiology — Mon, 06 Feb 2012 05:00:00 +0100

AbstractImplant‐associated infection is caused by surface adhering bacteria persisting as biofilm. Periprosthetic joint infection is difficult to diagnose and to treat. The high susceptibility of implanted devices to infection is due to a locally acquired host defense defect, and persistence is mainly due to the rapid formation of a biofilm resistant to host defense and antimicrobial agents. Successful treatment of periprosthetic joint infection requires the optimal surgical procedure combined with long‐term antimicrobial therapy directed against surface‐adhering microorganisms. Surgical treatment according to an algorithm has been validated in several observational studies. The role of rifampin against device‐associated staphylococcal infection has been evaluated in an animal mode...

NYU Langone orthopaedic experts present research, clinical advances at AAOS meeting

EurekAlert! - Social and Behavioral Science — Mon, 06 Feb 2012 05:00:00 +0100

(NYU Langone Medical Center / New York University School of Medicine) Experts from the Department of Orthopaedic Surgery at NYU Langone Medical Center will present their latest research and clinical findings on diseases of the muscle, tendon, bone and joint at the annual meeting of the American Academy of Orthopaedic Surgeons, Feb. 7-11 in San Francisco, California. (Source: EurekAlert! - Social and Behavioral Science)

Geometry, not gender

EurekAlert! - Medicine and Health — Mon, 06 Feb 2012 05:00:00 +0100

(American Academy of Orthopaedic Surgeons) Much orthopaedic research has been devoted to determining why women are far more susceptible to knee ligament injuries than men. According to a new study, the answer may lie in geometry -- the length and shape of a patient's knee bone -- more than gender. (Source: EurekAlert! - Medicine and Health)

Fracture Risk and BMD Reduction Associated With PPIsFracture Risk and BMD Reduction Associated With PPIs

Medscape Today Headlines — Mon, 06 Feb 2012 04:00:00 +0100

This review summarizes bone risk associated with prolonged PPI therapy. Pharmacotherapy (Source: Medscape Today Headlines)

Hip fracture risk linked to smoking, gastro drug use

MedWire News - Bone Health — Mon, 06 Feb 2012 00:00:00 +0100

The risk for hip fracture is increased in women who use drugs for heartburn or reflux, with research showing that current or former smokers are at particular risk. (Source: MedWire News - Bone Health)

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Early study suggests nanodiamonds safe for implants

ScienceDaily Headlines — Sun, 05 Feb 2012 21:37:37 +0100

As the number of knee and hip joint replacements grows, nanodiamond coatings could answer problems related to metal surfaces. (Source: ScienceDaily Headlines)

Pathomorphology and treatment of femoroacetabular impingement.

Pain Physician — Sun, 05 Feb 2012 17:36:02 +0100

Authors: Klenke FM, Siebenrock KA Abstract Femoroacetabular impingement is recognized as a major cause of hip pain and early hip joint osteoarthritis in young adults. The dynamic conflict between the femoral neck and the acetabular rim has been shown to result in labral tears, cartilage lesions, and early osteoarthritis. To be successful, the treatment strategy should address the underlying pathomorphology at the femoral neck, the acetabulum, or both. An overview of the various pathomorphologies leading to femoroacetabular impingement and a treatment algorithm intended to preserve the native hip joint should be helpful to the orthopaedic surgeon treating patients with this condition. PMID: 22301238 [PubMed - in process] (Source: Pain Physician)

MRI and arthroscopy correlations of the hip: a case-based approach.

Pain Physician — Sun, 05 Feb 2012 17:36:02 +0100

Authors: McCall DA, Safran MR Abstract Disorders of the hip joint can be physically disabling for the patient and a diagnostic challenge for the physician. Advances in imaging the hip with MRI can help the physician determine a more specific diagnosis for patients with acute or chronic hip pain. MRI and particularly magnetic resonance arthrography have helped raised awareness of nonarthritic hip problems and have made the diagnosis of hip problems much easier. Intra-articular and extra-articular processes can be evaluated with MRI; multiple sequences are available to increase the sensitivity and specificity for detecting specific pathology around the hip. Because the hip is a deep joint within a large soft-tissue envelope, MRI more precisely delineates the sources of hip pain by ev...

Link Between Heart Failure And Thinner Bones And Fractures

Health News from Medical News Today — Sun, 05 Feb 2012 08:00:00 +0100

Heart failure is associated with a 30 percent increase in major fractures and also identifies a high-risk population that may benefit from increased screening and treatment for osteoporosis, according to a recent study accepted for publication in The Endocrine Society's Journal of Clinical Endocrinology & Metabolism (JCEM). Osteoporosis and heart failure are common, chronic and costly conditions that share common etiologic factors like older age, post-menopausal status and diabetes... (Source: Health News from Medical News Today)

Book: The Complete Book of Bone Health

Sound Medicine — Sun, 05 Feb 2012 05:00:00 +0100

And finally today, osteoporosis is the most common health problem women face today. In fact, one in five women will die within a year of breaking a hip. The good news: There are things women can do to bolster their bones. Host Barbara Lewis interviews bone health expert Diane Schneider, MD, who discusses her new book The Complete Book of Bone Health. Dr. Schneider started a non-profit orga.... (Source: Sound Medicine)

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Bone Density Testing - ASBMR Response To NEJM Article

Health News from Medical News Today — Sat, 04 Feb 2012 08:00:00 +0100

The recently reported study on bone density testing in the New England Journal of Medicine (NEJM) may have inadvertently resulted in confusion about the use and recommended frequency of an important diagnostic tool used for osteoporosis, a very serious condition that affects many women... (Source: Health News from Medical News Today)

Diet Strategies To Manage Hot Flash

HealthCastle.com Nutrition Tips - written by Registered Dietitians — Sat, 04 Feb 2012 00:20:58 +0100

(HealthCastle.com) Hot flashes seem to be a personal experience. Many women we talked to tried various diet remedies and supplements but results are often inconsistent. Let's look at some common diet solutions for hot flashes and their scientific evidence. A Diet to Manage Hot Flash Avoid the following food items in your diet. Most women found these foods make hot flashes worse. read more (Source: HealthCastle.com Nutrition Tips - written by Registered Dietitians)

Shropshire hospital trust appoints director of nursing

Nursing Times Breaking News — Sat, 04 Feb 2012 00:01:00 +0100

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust has appointed Jayne Downey as its director of nursing and governance. (Source: Nursing Times Breaking News)

Effects of multiple firings on the mechanical properties and microstructure of veneering ceramics for zirconia frameworks

Journal of Dentistry — Fri, 03 Feb 2012 23:20:26 +0100

ConclusionMultiple firings could be effective for improving the densification and the hardness of veneering ceramics for zirconia restorations.Clinical SignificanceBy 10 firings, the density and hardness of the veneering ceramics used with zirconia frameworks were raised, and porosity was reduced. However, no significant changes occurred in flexural strength, fracture toughness or microstructure. (Source: Journal of Dentistry)

Austin-based Hanger revamps its brand

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 20:44:49 +0100

Hanger Orthopedic Group Inc., a manufacturer and provider of prosthetics, orthotics and related services, has unveiled a new name, logo and strategy. The Austin-based company plans to shorten its name to Hanger (NYSE: HGR), and change its clinic business, now called Hanger Prosthetics & Orthotics, to Hanger Clinic. The company’s shareholders are expected to approve the name changes at the annual shareholder meeting in May. The company has developed a new logo to compliment the name changes called Empower Mark, that “symbolizes a beacon of hope for Hanger’s clients,” company officials said... (Source: bizjournals.com Health Care:Hospitals headlines)

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Treatment of fixed knee flexion deformity by anterior distal femoral stapling

Knee Surgery, Sports Traumatology, Arthroscopy — Fri, 03 Feb 2012 17:53:10 +0100

Conclusions Our results demonstrate that anterior distal femoral stapling is an effective method for the treatment of fixed knee flexion deformity in growing children and adolescents. Rare complications, immediate mobilization, and a low recurrence rate after staple removal provide obvious advantages of this minimally invasive procedure. Level of evidence Retrospective therapeutic study, Level IV. Content Type Journal ArticleCategory KneePages 1-6DOI 10.1007/s00167-012-1915-8Authors Alexander S. Spiro, Department of Trauma-, Hand-, and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyPeggy Stenger, Department of Pediatric Orthopaedic Surgery, Children’s Hospital Hamburg-Altona, Bleicken...

Postoperative functional rehabilitation after repair of quadriceps tendon ruptures: a comparison of two different protocols

Knee Surgery, Sports Traumatology, Arthroscopy — Fri, 03 Feb 2012 17:53:10 +0100

Conclusion Early functional postoperative mobilization with full weight bearing after primary repair of a quadriceps tendon rupture is safe and will not lead to inferior clinical outcome or an increased complication rate. Level of evidence Therapeutic, III. Content Type Journal ArticleCategory KneePages 1-4DOI 10.1007/s00167-012-1887-8Authors Ronny Langenhan, Department of Orthopaedic and Trauma Surgery, Hegau-Bodensee-Klinikum Singen, Singen, GermanyMatthias Baumann, Department of Orthopaedic and Trauma Surgery, BG Unfallklinik Tübingen, Tübingen, GermanyPedro Ricart, Department of Orthopaedic Surgery, Westchester Medical Center, Valhalla, NY, USADavid Hak, Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO, USAAxel Probs...

Answer to the Letter to the Editor of G. Supp concerning manuscript “Centralization in patients with sciatica: are pain responses to repeated movement and positioning associated with outcome or types of disc lesions?”by Hanne B. Albert et al. Eur Spine J, 2011 Sept 23 [Epub ahead of print]

European Spine Journal — Fri, 03 Feb 2012 17:52:59 +0100

Content Type Journal ArticleCategory Author's ReplyPages 1-1DOI 10.1007/s00586-012-2177-3Authors Robin McKenzie, McKenzie Institute International, 3 Alexander Road, Raumati Beach, Kapiti Coast, 5032 Wellington, New Zealand Journal European Spine JournalOnline ISSN 1432-0932Print ISSN 0940-6719 (Source: European Spine Journal)

Secondary Fracture Prevention

Current Osteoporosis Reports — Fri, 03 Feb 2012 17:52:47 +0100

This article describes some of the programs that work, their cost-effectiveness, and the applicability to the generally non-integrated US health care system. It is clear that better management of the post-fracture patient (and other high-risk patients) will lead to fewer fractures, decreased morbidity and mortality, and long-term cost savings. Content Type Journal ArticleCategory Current Therapeutics (SL Silverman, Section Editor)Pages 1-6DOI 10.1007/s11914-011-0090-zAuthors Robert A. Adler, Endocrinology and Metabolism Section, McGuire Veterans Affairs Medical Center, 1201 Broad Rock Boulevard, Richmond, VA 23249, USA Journal Current Osteoporosis ReportsOnline ISSN 1544-2241Print ISSN 1544-1873 (Source: Current Osteoporosis Reports)

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Short-term functional outcome after hip resurfacing surgery

European Journal of Orthopaedic Surgery and Traumatology — Fri, 03 Feb 2012 17:52:43 +0100

Abstract Hip resurfacing arthroplasty is a popular method for treating late stage osteoarthritis, especially in young and active patients. Most studies presenting short-term follow-up after hip resurfacing present radiographic or dual clinician-patient-related outcome. These kinds of outcomes are influenced by interpretation of the clinician and do not tell us much about functional outcome from the patients perspective. Today, functional outcome is often measured using patient-reported outcome instruments. We used the patient-reported ‘Hip Disability and osteoarthritis Outcome Score’ questionnaire, which has good measurement properties, to assess short-term functional outcome in 160 patients (mean follow-up of 2.6 years) after hip resurfacing surgery. Furthermore, ...

Stem cells derived from osteoarthritic knee mesenchymal tissues: a pilot study

European Journal of Orthopaedic Surgery and Traumatology — Fri, 03 Feb 2012 17:52:43 +0100

Abstract Regenerative medicine is a promising approach for addressing musculoskeletal disorders. Successful implementation of regenerative therapies is based upon existence of reliable, easy accessible cell sources. Mesenchymal tissues removed during total knee replacement (TKR) were investigated as a potential autologous stem cell source. Materials and methods Samples were collected from patients undergoing primary TKR mononuclear cells from adipose and synovial tissue; subchondral trabecular bone and osteoarthritic cartilage were isolated and assessed in terms of mesenchymal stem cells (MSC) content. Results MSCs obtained from all the investigated tissue types and from all donors showed proliferative, differentiation and surface markers characteristic of stemness. Importa...

Breakage of bioabsorbable femoral transfix screw after arthroscopic anterior cruciate ligament repair: a report of two cases

European Journal of Orthopaedic Surgery and Traumatology — Fri, 03 Feb 2012 17:52:41 +0100

We describe the failure of transfix due to breakage in two patients after arthroscopic ACL reconstruction. These patients developed symptoms of screw irritation subcutaneously or skin penetration of the broken, migrated transfix pin. The clinical presentation, diagnosis, the image findings, management and review of literature are presented in this report. To the best of our knowledge, this is the only report from Asia. Content Type Journal ArticleCategory Up-to date Review and Case ReportPages 1-4DOI 10.1007/s00590-012-0954-7Authors A. Raviraj, Department of Orthopedics, Fortis Hospitals, Bangalore, 560076 IndiaAshish Anand, Department of Orthopedics, Fortis Hospitals, Bangalore, 560076 IndiaK. Santosh, Department of Radiology, Fortis Hospitals, Bangalore, 560076 India Jou...

Measurement of active shoulder proprioception: dedicated system and device

European Journal of Orthopaedic Surgery and Traumatology — Fri, 03 Feb 2012 17:52:41 +0100

Abstract Proprioception is an essential part of shoulder stability and neuromuscular control. The purpose of the study was the development of a precise system of shoulder proprioception assessment in the active mode (Propriometr). For that purpose, devices such as the electronic goniometer and computer software had been designed. A pilot study was carried out on a control group of 27 healthy subjects, the average age being 23.8 (22–29) in order to test the system. The result of the assessment was the finding of the error of active reproduction of the joint position (EARJP). EARJP was assessed for flexion, abduction, external and internal rotation. For every motion, reference positions were used at three different angles. The results showed EARJP to range in 3–6.1°. Th...

Efficacy of zoledronic acid in postmenopausal Japanese women with early breast cancer receiving adjuvant letrozole: 12-month results

Breast Cancer Research and Treatment — Fri, 03 Feb 2012 17:52:05 +0100

Abstract Aromatase inhibitor-associated bone loss has not been proved in the Japanese or Asian women. The aim of this study was to evaluate an upfront or delayed strategy of bone protection therapy with zoledronic acid administered at 4 mg every 6 months in postmenopausal Japanese women with early breast cancer to compare with results of the Z-FAST and ZO-FAST studies in western countries. Postmenopausal women with hormone receptor positive early breast cancer receiving adjuvant letrozole were randomly assigned to receive either upfront or delayed-start zoledronic acid (4 mg intravenously every 6 months). The delayed group received zoledronic acid when lumbar spine (L2–L4) bone mineral density (BMD) decreased to less than young adult mean −2.0SD or w...

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Association between multi-dose drug dispensing and drug treatment changes

European Journal of Clinical Pharmacology — Fri, 03 Feb 2012 17:51:13 +0100

Conclusions MDD is associated with fewer changes in drug treatment compared with OP. Further studies of risks and benefits from this prescribing procedure are urged. Content Type Journal ArticleCategory Pharmacoepidemiology and PrescriptionPages 1-7DOI 10.1007/s00228-012-1230-9Authors Christina Sjöberg, Department of Geriatrics, Sahlgrenska University Hospital/Mölndal, 431 80 Mölndal, SwedenHenrik Ohlsson, Centre for Primary Health Care Research, Lund University/Region Skåne, Skåne University Hospital, Malmö, SwedenSusanna M Wallerstedt, Department of Clinical Pharmacology, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden Journal European Journal of Clinical PharmacologyOnline ISSN 1432-1041Print ISSN 0031-6970 (Source: European Journal of Clin...

Postoperative spondilodiscitis

International Orthopaedics — Fri, 03 Feb 2012 17:12:18 +0100

Conclusions Appropriate management requires aggressive medical treatment and, at times, surgical intervention. If recognised early and treated appropriately, a full recovery can often be expected. Therefore, clinicians should be aware of the clinical presentation of such infections to improve patient outcome. A review of the literature was done to advance our understanding of the diagnosis, treatment, prevention and outcome of these infections. Content Type Journal ArticleCategory Review ArticlePages 1-6DOI 10.1007/s00264-011-1442-0Authors Antoine Gerometta, Spine Services, Lenox Hill Hospital, 130 East, 77th street, 7th floor, New York, NY 10075, USAFabian Bittan, Spine Services, Lenox Hill Hospital, 130 East, 77th street, 7th floor, New York, NY 10075, USAJuan Ca...

Retrograde dynamic locked nailing for valgus knee correction: a revised technique

International Orthopaedics — Fri, 03 Feb 2012 17:12:18 +0100

Conclusion The technique described here may be a feasible alternative for correction of valgus knee deformity. The advantages of this technique include the use of a biomechanically more appropriate method, a minimal complication rate and a high rate of satisfactory outcomes. Content Type Journal ArticleCategory Original PaperPages 1-7DOI 10.1007/s00264-012-1495-8Authors Chi-Chuan Wu, Department of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung University, Gueishan, Taoyuan, Taiwan Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)

Distal metaphyseal radius fractures in children following closed reduction and casting: can loss of reduction be predicted?

International Orthopaedics — Fri, 03 Feb 2012 17:12:18 +0100

Conclusion Our study, the largest dedicated series of distal radial metaphyseal fractures, indicates that loss of reduction is common. Our analysis suggests that an anatomical reduction, which minimises residual translation, is the most important variable in preventing a loss of reduction. Content Type Journal ArticleCategory Original PaperPages 1-6DOI 10.1007/s00264-012-1493-xAuthors Juan Pretell Mazzini, Orthopaedic Surgery Department, Hospital 12 de Octubre, Madrid, SpainNicholas Beck, Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, PA, USAJordan Brewer, Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, PA, USAKeith Baldwin, Division of Orthopaedic Surgery, The Children’s Hospital...

Metal artefact reduction in gemstone spectral imaging dual-energy CT with and without metal artefact reduction software

European Radiology — Fri, 03 Feb 2012 17:11:57 +0100

Conclusion Dual-energy CT with GSI-MARs can reduce metal-related artefacts and improve the delineation of the prosthesis and periprosthetic region. We should be cautious when using GSI-MARs because the image quality was affected by the prosthesis composition, energy (in keV) and DFOV. The metallic composition and size should be considered in metallic imaging with GSI-MARs reconstruction. Key Points • Metal-related artefacts can be troublesome on musculoskeletal computed tomography (CT). • Gemstone spectral imaging (GSI) with dual-energy CT (DECT) offers a novel solution • GSI and metallic artefact reduction software (GSI-MAR) can markedly reduce these artefacts. • However image quality is influenced by the prosthesis...

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Erratum to: Ethnic differences in composite indices of femoral neck strength

Osteoporosis International — Fri, 03 Feb 2012 17:11:21 +0100

Content Type Journal ArticleCategory ErratumPages 1-2DOI 10.1007/s00198-011-1887-4Authors S. Ishii, Geriatric Research, Education and Clinical Center (GRECC), VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Building 220, Room 302, Los Angeles, CA 90073, USAJ. A. Cauley, Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, A524 Crabtree, Pittsburgh, PA 15260, USAG. A. Greendale, Department of Medicine/Division of Geriatrics, David Geffen School of Medicine at UCLA, 10933 Le Conte Ave, Los Angeles, CA 90095, USAM. E. Danielson, Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, A524 Crabtree, Pittsburgh, PA 15260, USAN. Safaei Nili, Department of Medicine/Division ...

Association of T869C gene polymorphism of transforming growth factor-β1 with low protein levels and anthropometric indices in osteopenia/osteoporosis postmenopausal Thai women.

Genetics and Molecular Research — Fri, 03 Feb 2012 11:24:05 +0100

Association of T869C gene polymorphism of transforming growth factor-β1 with low protein levels and anthropometric indices in osteopenia/osteoporosis postmenopausal Thai women. Genet Mol Res. 2012;11(1):87-99 Authors: Utennam D, Tungtrongchitr A, Phonrat B, Tungtrongchitr R, Preutthipan S Abstract Osteoporosis is the most common metabolic bone disease; it is an important health problem among postmenopausal women. We evaluated the association of three polymorphisms, T869C, C-509T and G915C, of the TGF-β1 gene with bone mineral density (BMD) serum TGF-β1 levels in 278 postmenopausal female osteopenia/osteoporosis subjects and 95 postmenopausal female control subjects. Serum TGF-β1 levels were significantly lower in osteopenia/osteoporosis subjects than in control subjects...

What Do I Do With My Paper Chart? — The Middle of the Road Makes the Most Sense

ICMCC: The International Council on Medical and Care Compunetics — Fri, 03 Feb 2012 09:00:43 +0100

Source: Seth Flam, Becker's Orthopedic, Spine & Pain Management Content: “Many healthcare providers who are transitioning from paper charts to electronic health records need help understanding how to work with the paper charts they built over their many years in practice. There are three general approaches.” Article Seth Flam, Becker’s Orthopedic, Spine & Pain Management, 2 February [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Massage Found To Reduce Inflammation Following Strenuous Exercise

Health News from Medical News Today — Fri, 03 Feb 2012 08:00:00 +0100

Most athletes can testify to the pain-relieving, recovery-promoting effects of massage. Now there's a scientific basis that supports booking a session with a massage therapist: On the cellular level massage reduces inflammation and promotes the growth of new mitochondria in skeletal muscle. The research, involving scientists from the Buck Institute for Research on Aging and McMaster University in Hamilton Ontario appears in the online edition of Science Translational Medicine... (Source: Health News from Medical News Today)

Biomechanical properties of the mid-shaft femur in middle-aged hypophysectomized rats as assessed by bending test

Endocrine — Fri, 03 Feb 2012 07:21:23 +0100

Abstract Both stiffness and strength of bones are thought to be controlled by the “bone mechanostat”. Its natural stimuli would be the strains of bone tissue (sensed by osteocytes) that are induced by both gravitational forces (body weight) and contraction of regional muscles. Body weight and muscle mass increase with age. Biomechanical performance of load-bearing bones must adapt to these growth-induced changes. Hypophysectomy in the rat slows the rate of body growth. With time, a great difference in body size is established between a hypophysectomized rat and its age-matched control, which makes it difficult to establish the real effect of pituitary ablation on bone biomechanics. The purpose of the present investigation was to compare mid-shaft femoral mechanical pro...

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Letter to the editor on: Hanna B. Albert, Eva Hauge, Claus Manniche (2011) Centralization in patients with sciatica: are pain responses to repeated movement and positioning associated with outcome or types of disc lesions? Eur Spine J. doi:10.1007/s00586-011-2018-9

European Spine Journal — Fri, 03 Feb 2012 07:19:36 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s00586-012-2172-8Authors Georg Supp, PULZ Freiburg, Freiburg, Germany Journal European Spine JournalOnline ISSN 1432-0932Print ISSN 0940-6719 (Source: European Spine Journal)

Normal morphology, age-related changes and abnormal findings of the cervical spine. Part II: magnetic resonance imaging of over 1,200 asymptomatic subjects

European Spine Journal — Fri, 03 Feb 2012 07:19:35 +0100

Conclusions Using MRI data of 1,211 asymptomatic subjects, the standard values for the cervical spinal canal, dural tube, and spinal cord for healthy members of each sex and each decade of life and the age-related changes in these parameters were established. The relatively high prevalence of abnormal MRI findings of the cervical spine in asymptomatic individuals emphasizes the dangers of predicating operative decisions on diagnostic tests without precisely correlating these findings with clinical signs and symptoms. Content Type Journal ArticleCategory Original ArticlePages 1-9DOI 10.1007/s00586-012-2176-4Authors Fumihiko Kato, Department of Orthopedic Surgery, Chubu Rosai Hospital, 1-10-6 Komei, Minato-ku, Nagoya, Aichi 455-8530, JapanYasutsugu Yukawa, Departmen...

Rottenstein Law Group Alarmed by Further Manufacturing Improprieties...

PRWeb: Medical Pharmaceuticals — Fri, 03 Feb 2012 06:24:02 +0100

The Rottenstein Law Group, which represents clients with claims stemming from the surgical implantation of hip replacement devices manufactured and sold by DePuy Orthopaedics and other companies, has...(PRWeb January 30, 2012)Read the full story at http://www.prweb.com/releases/2012/1/prweb9135576.htm (Source: PRWeb: Medical Pharmaceuticals)

US Drug Watchdog Expands Its Initiative For Women With A Femur...

PRWeb: Medical Pharmaceuticals — Fri, 03 Feb 2012 06:24:02 +0100

The US Drug Watchdog says, "We are becoming increasing concerned that women, who have had a femur break, after using the osteoporosis drug called Fosamax are signing on with a law firms, that...(PRWeb January 31, 2012)Read the full story at http://www.prweb.com/releases/2012/1/prweb9147653.htm (Source: PRWeb: Medical Pharmaceuticals)

Frequent bone scans for osteoporosis revealed as yet another medical scam

NaturalNews.com — Fri, 03 Feb 2012 06:00:00 +0100

There seems to be a scan for almost every medical condition these days. But not all of these scans have been proven safe or effective, or even necessary for that matter. A new study published in the New England Journal of Medicine (NEJM) has revealed that bone mineral... (Source: NaturalNews.com)

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Operating Room Traffic is a Major Concern During Total Joint Arthroplasty.

Clinical Orthopaedics and Related Research — Fri, 03 Feb 2012 05:00:00 +0100

CONCLUSIONS: Traffic in the OR is a major concern during TJA. Revision cases demonstrated a particularly high rate of traffic. Implementation of strategies, such as storage of instruments and components in the operating room and education of OR personnel, is required to reduce door openings in the OR. PMID: 22302655 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)

Value-Based Healthcare and Orthopaedic Surgery: Editorial Comment.

Clinical Orthopaedics and Related Research — Fri, 03 Feb 2012 05:00:00 +0100

Authors: Bozic KJ, Wright JG PMID: 22302657 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)

An in vivo investigation of the initiation and progression of subchondral cysts in a rodent model of secondary osteoarthritis

Arthritis Research and Therapy — Fri, 03 Feb 2012 05:00:00 +0100

Conclusions: This study provides insight into the mechanisms leading to SBC formation in knee OA. The expansion of these lesions is due to stress-induced bone resorption from the incurred mechanical instability. Therefore we suggest these lesions can be more accurately described as a form of OA-induced osteonecrosis, rather than 'subchondral cysts'. (Source: Arthritis Research and Therapy)

Comparison of cement pressurisation in flanged and unflanged acetabular cups

Journal of Orthopaedic Surgery and Research — Fri, 03 Feb 2012 05:00:00 +0100

Conclusions: Our experiment suggests that flanged cups do not consistently generate significantly higher cement pressures compared to unflanged cups. (Source: Journal of Orthopaedic Surgery and Research)

Evaluation of educational program on osteoporosis awareness and prevention among nurse students in China

Nursing and Health Sciences — Fri, 03 Feb 2012 05:00:00 +0100

This study assessed a targeted continuing osteoporosis educational program and investigated awareness and prevention of osteoporosis in Chinese female pre‐internship nurse students. A quasi‐experimental study was conducted. The program was presented to 256 nurse students. The baseline knowledge score of the nurse students was low (9.78 ± 3.13). They had inadequate osteoporosis health beliefs, self‐efficacy and related behaviors. The educational program significantly augmented osteoporosis knowledge (Student's paired t = −13.42, P < 0.001), total osteoporosis health beliefs (Student's paired t = −4.46, P < 0.001), and the subscale (P < 0.001) except for the perceived barriers to exercising and calcium intake. Participants showed a significant incr...

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New study to assess 3 simple, cost-effective strategies to promote healthy aging

EurekAlert! - Social and Behavioral Science — Fri, 03 Feb 2012 05:00:00 +0100

(International Osteoporosis Foundation) A new international study announced today by the University of Zurich hopes to provide definitive evidence that three effective, affordable and safe measures can be taken to significantly reduce the burden of chronic diseases in the elderly. The DO-HEALTH study will be Europe's largest healthy aging study. It expects to provide solid evidence for the efficacy and safety of three simple preventive interventions: Vitamin D, omega-3 fatty acids and a simple home exercise program. (Source: EurekAlert! - Social and Behavioral Science)

Index

Foot and Ankle Clinics — Fri, 03 Feb 2012 04:48:22 +0100

(Source: Foot and Ankle Clinics)

Varus Ankle and Osteochondral Lesions of the Talus

Foot and Ankle Clinics — Fri, 03 Feb 2012 04:48:22 +0100

To our knowledge, little is reported about the management of the patients with combined symptomatic osteochondral lesions of the talus (OLT) and varus ankle malalignment. Treatment strategies for symptomatic OLTs are relatively well described in the orthopaedic literature. While less defined than the surgical management of OLTs, realignment procedures for the varus ankle and hindfoot have also been studied and reported in some detail, albeit with a focus on management of ankle arthritis. In this article we review practical concepts from the orthopaedic literature that may be applied when treating patients with concomitant OLTs and varus ankles malalignment. (Source: Foot and Ankle Clinics)

Forthcoming Issues

Foot and Ankle Clinics — Fri, 03 Feb 2012 04:48:22 +0100

(Source: Foot and Ankle Clinics)

Foot and Ankle Clinics — Fri, 03 Feb 2012 04:48:22 +0100

(Source: Foot and Ankle Clinics)

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Contributors

Foot and Ankle Clinics — Fri, 03 Feb 2012 04:48:22 +0100

(Source: Foot and Ankle Clinics)

Health Tip: Help Prevent a Stress Fracture

Orthopedics News - Doctors Lounge — Fri, 03 Feb 2012 04:48:09 +0100

Take it slow when starting an exercise program (Source: Orthopedics News - Doctors Lounge)

Electronic medical records have low impact on quality of osteoporosis care

MedWire News - Bone Health — Fri, 03 Feb 2012 04:48:08 +0100

The use of electronic medical records only marginally improves the care of patients with osteoporosis, a US pilot study has found. (Source: MedWire News - Bone Health)

Control‐matched computational evaluation of tendo‐femoral contact in patients with posterior‐stabilized total knee arthroplasty

Journal of Orthopaedic Research — Fri, 03 Feb 2012 04:43:34 +0100

AbstractPainful patellar crepitus is a potential complication in up to 14% of patients following posterior‐stabilized (PS) total knee arthroplasty (TKA). A recent clinical study identified influential patient and surgical variables by comparing a group of crepitus patients with controls matched for age, sex, and body mass index. The purpose of our study was to evaluate effects of variables identified as significant in the clinical study, including patellar ligament length, femoral component flexion, patellar button size, and position of the joint line, on contact between the quadriceps tendon and the PS femoral component. A previously verified finite element model was utilized to estimate tendo‐femoral contact during deep flexion activity. Using discrete perturbations, the computationa...

Snowboarders More Injury-Prone Than Skiers: StudySnowboarders More Injury-Prone Than Skiers: Study

Medscape Orthopaedics Headlines — Fri, 03 Feb 2012 02:44:50 +0100

A new study from a Vermont ski resort found that snowboarders get injured slightly more often than skiers, with the most injuries happening in young, inexperienced female snowboarders. Reuters Health Information (Source: Medscape Orthopaedics Headlines)

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Anemia as a risk factor for low bone mineral density in postmenopausal Turkish women.

European Journal of Internal Medicine — Fri, 03 Feb 2012 00:27:01 +0100

CONCLUSION: We have found that the presence of anemia was as an independent predictor of LBM for spine after adjusting for body mass index and other confounders in postmenopausal Turkish women. PMID: 22284246 [PubMed - in process] (Source: European Journal of Internal Medicine)

Prevalence of thoracic vertebral fractures in Spanish patients hospitalized in Internal Medicine Departments. Assessment of the clinical inertia. (PREFRAMI study).

European Journal of Internal Medicine — Fri, 03 Feb 2012 00:25:33 +0100

CONCLUSIONS: A high prevalence of asymptomatic VF is verified in medical inpatients ≥50years of age. The FRAX index did not turn out to be predictive of the presence of VF in this population. There is an underdiagnosis of osteoporotic VF in the coding at hospital discharge. Action protocols are necessary to avoid clinical inactivity regarding this entity. PMID: 22284255 [PubMed - in process] (Source: European Journal of Internal Medicine)

Herbal medicine ‘unjustified’ for osteoarthritis

MedWire News - Bone Health — Fri, 03 Feb 2012 00:00:00 +0100

There is little conclusive evidence to justify the use of herbal medicines for the relief of symptoms in people with osteoarthritis, concludes a review in the Drug and Therapeutics Bulletin. (Source: MedWire News - Bone Health)

Cardinal Health Releases Smart-Seal Surgical Mask

Medgadget Anesthesiology — Thu, 02 Feb 2012 19:11:23 +0100

Cardinal Health has made available its Smart-Seal surgical mask that improves both its fit and reduces interior fogging while providing a high level of filtration and resistance to liquids.From the announcement:Read More (Source: Medgadget Anesthesiology)

Reaching Consensus and Highlighting Future Directions for Research: The Osteoarthritis Summit Breakout Sessions

HSS Journal — Thu, 02 Feb 2012 18:16:55 +0100

Content Type Journal ArticleCategory HSS OSTEOARTHRITIS SYMPOSIUM: FRONTIERS IN OAPages 1-4DOI 10.1007/s11420-011-9252-xAuthors Timothy Wright, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USASteven Goldring, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA Journal HSS JournalOnline ISSN 1556-3324Print ISSN 1556-3316 (Source: HSS Journal)

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Lodox/Statscan facilitates the early detection of commonly overlooked extracranial injuries in patients with traumatic brain injury

European Journal of Trauma and Emergency Surgery — Thu, 02 Feb 2012 18:16:54 +0100

Conclusion The Lodox/Statscan can provide benefits for surveying extracranial injuries in patients with diminished level of consciousness. The Lodox/Statscan also emits a notably low dose of radiation and appears to be a relatively inexpensive adjunct to screen torso or extremity injuries in TBI patients. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00068-012-0176-zAuthors H.-C. Huang, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404 Taiwan, ROCC.-Y. Fu, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404 Taiwan, ROCC.-H. Hsieh, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404 Taiwan, ROCY.-...

Fatal thromboembolism following physical restraint in a patient with schizophrenia

International Journal of Legal Medicine — Thu, 02 Feb 2012 18:15:45 +0100

Abstract Fatal thromboembolism during physical restraint in patients suffering from psychotic disorders is a very rare occurrence. In the case we present here, the criteria used in forensic pathology for the age determination of venous thrombi are applied to a case of pulmonary embolism in a patient suffering from schizophrenia who died after physical restraint. The possible association between conventional antipsychotic drugs and deep venous thrombosis, followed by pulmonary embolism, in a man with no predisposing risk factors, as well as the question concerning the appropriateness of medical care, are discussed. Content Type Journal ArticleCategory Case ReportPages 1-6DOI 10.1007/s00414-012-0670-1Authors Rossana Cecchi, Department of Anatomical, Histological, Legal ...

Osteocyte regulation of bone mineral: a little give and take

Osteoporosis International — Thu, 02 Feb 2012 18:14:38 +0100

Abstract Osteocytes actively participate in almost every phase of mineral handling by bone. They regulate the mineralisation of osteoid during bone formation, and they are also a major RANKL-producing cell. Osteocytes are thus able to liberate bone mineral by regulating osteoclast differentiation and activity in response to a range of stimuli, including bone matrix damage, bone disuse and mechanical unloading, oestrogen deficiency, high-dose glucocorticoid and chemotherapeutic agents. At least some of these activities may be regulated by the osteocyte-secreted product, sclerostin. There is also mounting evidence that in addition to regulating phosphate homeostasis systemically, osteocytes contribute directly to calcium homeostasis in the mature skeleton. Osteocyte cell dea...

Prevalence of vertebral fracture in oldest old nursing home residents

Osteoporosis International — Thu, 02 Feb 2012 18:14:36 +0100

Conclusion In oldest old nursing home residents, osteoporosis and vertebral fracture were frequently detected. Ten-year fracture probability appeared to be mainly determined by age and clinical risk factors obtained by medical history, rather than by BMD or vertebral fracture. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00198-012-1900-6Authors A. Rodondi, Division of Bone Diseases, Department of Medical Specialties, Geneva University Hospitals and Faculty of Medicine, CH–1211 Geneva 14, SwitzerlandT. Chevalley, Division of Bone Diseases, Department of Medical Specialties, Geneva University Hospitals and Faculty of Medicine, CH–1211 Geneva 14, SwitzerlandR. Rizzoli, Division of Bone Diseases, Department of Medical Specialties, Genev...

Radiographically occult femoral and pelvic fractures are not mutually exclusive: a review of fractures detected by MRI following low-energy trauma

Skeletal Radiology — Thu, 02 Feb 2012 18:14:07 +0100

Conclusions Limited pelvic MRI found a high prevalence of radiographically occult femoral and pelvic fractures in low-energy trauma patients, with clinical suspicion of fracture despite normal radiographs. Co-existing occult femoral and pelvic ring fractures were commonly observed, and in such cases, the femoral fracture was likely to be incomplete and multiple pelvic fractures were typically present. Content Type Journal ArticleCategory Scientific ArticlePages 1-6DOI 10.1007/s00256-012-1362-0Authors Magdalena Szewczyk-Bieda, Department of Clinical Radiology, Ninewells Hospital and Medical School, Ninewells Avenue, DD1 9SY Dundee, Scotland, UKNaveena Thomas, Department of Clinical Radiology, Ninewells Hospital and Medical School, Ninewells Avenue, DD1 9SY Dundee, S...

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The trochlear cleft: the “black line” of the trochlear trough

Skeletal Radiology — Thu, 02 Feb 2012 18:14:06 +0100

Conclusions A trochlear cleft is a rare finding in young active individuals. It most likely indicates an incomplete cartilage fissure which may rarely progress to a full-thickness defect. Content Type Journal ArticleCategory Scientific ArticlePages 1-6DOI 10.1007/s00256-011-1356-3Authors Robert D. Wissman, Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, Cincinnati, OH 45267-0761, USAJerrell Ingalls, Desert Radiologists, 2020 Palomino Lane, Suite 100, Las Vegas, NV 89106, USAJoshua Nepute, Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, Cincinnati, OH 45267-0761, USANathaniel Von Fischer, Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, Cincinnati, OH 45267...

Évaluation des résultats du traitement fonctionnel et chirurgical des fractures thalamiques du calcanéus : à propos d’une série rétrospective de 304 cas

Medecine et Chirurgie du Pied — Thu, 02 Feb 2012 18:13:00 +0100

Conclusions Le traitement fonctionnel reste le traitement de référence sous réserve d’une congruence globale de l’articulation sous-talienne. Une ostéosynthèse semble indiquée dans les fractures simples à trait fondamental interne associées à une verticalisation du thalamus latéral. L’arthrodèse doit être réservée aux fracas thalamiques. Content Type Journal ArticleCategory Article Original / Original ArticlePages 1-9DOI 10.1007/s10243-012-0328-1Authors X. Roussignol, Chirurgie orthopédique et traumatologique, CHU de Rouen, 1, rue de Germont, F-76031 Rouen cedex, FranceG. Carvalhana, Chirurgie orthopédique et traumatologique, CHU de Rouen, 1, rue de Germont, F-76031 Rouen cedex, FranceG. Polle, Clinique du Cèdre, 950, rue de la Haie, F-76235 B...

Treatment of severe osteochondral defects of the knee by combined autologous bone grafting and autologous chondrocyte implantation using fibrin gel

Knee Surgery, Sports Traumatology, Arthroscopy — Thu, 02 Feb 2012 18:10:22 +0100

Conclusion Combined autologous bone grafting and GACI may offer an alternative surgical option for severe and unstable osteochondral defects of the knee. Level of evidence IV. Content Type Journal ArticleCategory KneePages 1-7DOI 10.1007/s00167-012-1891-zAuthors Yvonne E. Könst, Department of Orthopaedic Surgery, Gemini Ziekenhuis, Huisduinerweg 3, 1780 AT Den Helder, The NetherlandsRob J. Benink, Department of Orthopaedic Surgery, Gemini Ziekenhuis, Huisduinerweg 3, 1780 AT Den Helder, The NetherlandsRon Veldstra, Department of Orthopaedic Surgery, Gemini Ziekenhuis, Huisduinerweg 3, 1780 AT Den Helder, The NetherlandsTjerk J. van der Krieke, Department of Orthopaedic Surgery, Gemini Ziekenhuis, Huisduinerweg 3, 1780 AT Den Helder, The Netherlands...

Post injury changes in the properties of mesenchymal stem cells derived from human anterior cruciate ligaments

International Orthopaedics — Thu, 02 Feb 2012 18:10:13 +0100

Conclusions Our results suggest that colony-forming and differentiation potential decrease over time. It is important to consider changes in properties of MSCs and use ACL tissue in the acute phase of rupture when biological manipulation is required. Content Type Journal ArticleCategory Original PaperPages 1-8DOI 10.1007/s00264-012-1484-yAuthors Shuya Nohmi, Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562 JapanYuji Yamamoto, Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562 JapanHiroki Mizukami, Department of Pathology and Molecular Medicine, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562 JapanYasuyuki Ishibash...