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44 records returned

Medial tibial stress syndrome: conservative treatment optionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Current Reviews in Musculoskeletal Medicine - October 7, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ArticleDOI 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 (Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - May 24, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Midyear Conference AnnouncementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleDOI 10.1007/s12178-009-9054-7 Journal Current Reviews in Musculoskeletal MedicineOnline ISSN 1935-9748Print ISSN 1935-973X (Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - May 7, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Axial back pain in the athlete: pathophysiology and approach to rehabilitationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ArticleDOI 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 (Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - May 7, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approachesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Current Reviews in Musculoskeletal Medicine - April 29, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

What is the role of imaging in acute low back pain?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 c...
Source: Current Reviews in Musculoskeletal Medicine - April 28, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

A comprehensive review of hip labral tearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. ...
Source: Current Reviews in Musculoskeletal Medicine - April 7, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

The provocative lumbar facet jointEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Current Reviews in Musculoskeletal Medicine - March 31, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Review article: radiofrequency neurotomy for the treatment of sacroiliac joint syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Current Reviews in Musculoskeletal Medicine - March 31, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Lumbar spondylosis: clinical presentation and treatment approachesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 an...
Source: Current Reviews in Musculoskeletal Medicine - March 25, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Elbow pain in pediatricsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 overlo...
Source: Current Reviews in Musculoskeletal Medicine - March 14, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Osteoid osteoma and osteoblastoma of the spine: a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Co...
Source: Current Reviews in Musculoskeletal Medicine - March 13, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Hyaluronic acid as a treatment for ankle osteoarthritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Current Reviews in Musculoskeletal Medicine - March 13, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

RANK, RANKL and osteoprotegerin in bone biology and diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Res...
Source: Current Reviews in Musculoskeletal Medicine - March 10, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Letter from the editorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Current Reviews in Musculoskeletal Medicine - February 5, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Coracoid impingement syndrome: a literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, surg...
Source: Current Reviews in Musculoskeletal Medicine - January 27, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Snowboarding injuries: a review of the literature and an analysis of the potential use of portable ultrasound for mountainside diagnosticsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Current Reviews in Musculoskeletal Medicine - January 7, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Treatment of bone tumours by radiofrequency thermal ablationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 patien...
Source: Current Reviews in Musculoskeletal Medicine - January 7, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Cervical epidural steroid injections in the management of cervical radiculitis: interlaminar versus transforaminal. A reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Current Reviews in Musculoskeletal Medicine - January 7, 2009 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

The real risks of steroid injection for plantar fasciitis, with a review of conservative therapiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 s...
Source: Current Reviews in Musculoskeletal Medicine - September 20, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Athletes returning to play after cervical spine or neurobrachial injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pro...
Source: Current Reviews in Musculoskeletal Medicine - August 26, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Ganglion cysts of the wrist: pathophysiology, clinical picture, and managementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 cons...
Source: Current Reviews in Musculoskeletal Medicine - August 26, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Complications and pitfalls of lumbar interlaminar and transforaminal epidural injectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Current Reviews in Musculoskeletal Medicine - August 16, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Platelet rich plasma injection grafts for musculoskeletal injuries: a reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Current Reviews in Musculoskeletal Medicine - July 16, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Obturator neuropathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Current Reviews in Musculoskeletal Medicine - June 11, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Elbow medial collateral ligament injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 diag...
Source: Current Reviews in Musculoskeletal Medicine - June 6, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Diagnosis and management of adhesive capsulitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, A...
Source: Current Reviews in Musculoskeletal Medicine - May 23, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Intraarticular cortisone injection for osteoarthritis of the hip. Is it effective? Is it safe?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Current Reviews in Musculoskeletal Medicine - May 17, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Pediatric supracondylar fractures of the distal humerusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 per...
Source: Current Reviews in Musculoskeletal Medicine - May 10, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

CoccydyniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 potential...
Source: Current Reviews in Musculoskeletal Medicine - May 7, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

The ruptured Achilles tendon: operative and non-operative treatment optionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 immobi...
Source: Current Reviews in Musculoskeletal Medicine - March 20, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Surgical treatment for acromioclavicular joint osteoarthritis: patient selection, surgical options, complications, and outcomeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Current Reviews in Musculoskeletal Medicine - March 11, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Evaluation and treatment of peroneal neuropathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Current Reviews in Musculoskeletal Medicine - March 11, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Musculoskeletal performance and hydration statusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Current Reviews in Musculoskeletal Medicine - March 4, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

The natural history and management of hamstring injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Current Reviews in Musculoskeletal Medicine - February 28, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Pregnancy and low back painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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/s12178-008-9021-8...
Source: Current Reviews in Musculoskeletal Medicine - February 26, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Update on cervical disc arthroplasty: where are we and where are we going?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Current Reviews in Musculoskeletal Medicine - February 26, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Arthritis of the base of the thumbEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Reha...
Source: Current Reviews in Musculoskeletal Medicine - February 24, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Vertebroplasty and kyphoplasty: a comparative review of efficacy and adverse eventsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 compre...
Source: Current Reviews in Musculoskeletal Medicine - January 12, 2008 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

When should a cervical collar be used to treat neck pain?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 col...
Source: Current Reviews in Musculoskeletal Medicine - December 14, 2007 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Non-operative treatment of common finger injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 a...
Source: Current Reviews in Musculoskeletal Medicine - December 11, 2007 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Incidence of fracture in adjacent levels in patients treated with balloon kyphoplasty: a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. C...
Source: Current Reviews in Musculoskeletal Medicine - December 8, 2007 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

Medial collateral ligament injuries of the knee: current treatment conceptsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 characteriza...
Source: Current Reviews in Musculoskeletal Medicine - December 7, 2007 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals

The role of intradiscal steroids in the treatment of discogenic low back painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 inflammat...
Source: Current Reviews in Musculoskeletal Medicine - December 7, 2007 Category: Orthopaedics Tags: Current Reviews in Musculoskeletal Medicine Source Type: journals