Orthopedic medicine

When not to fix: Thoughts of an orthopaedic surgeon

One driving force that is emerging in our high-tech, low-touch approach to healthcare is our tendency to rely far too much on technology such as MRI findings, and too little on our physical exam findings and on the story our patient … READ MORE

Out on a limb: Hockey gets hip to FAI

Despite evidence of significant lower extremity injury risks associated with ice hockey, even at youth levels, preventing those types of injuries has never been a priority in that sport. But that may be starting to change. Young ice … READ MORE

Battle of Achilles II: How the debate is informing clinical practice

Four years later, the ongoing discussion of the relative merits of surgical and nonsurgical management of Achilles tendon rupture is starting to affect practice patterns – even in the US. Sara Mearns, New York City Ballerina. … READ MORE

Does silent inflammation explain rise in ‘Non-OA’ knee pain?

An Italian study [2] detects a high prevalence of inflammatory abnormalities in the knee joints of older adults, usually absent clinical signs of osteoarthritis. By Rita Baron Faust, Rheumatology Network April 20, 2015 Knee pain and … READ MORE

AAOS criteria for treating pediatric patients with knee osteochondritis dissecans

The American Academy of Orthopaedic Surgeons (AAOS) today released Appropriate Use Criteria (AUC) to assist in the treatment and rehabilitation of pediatric patients with osteochondritis dissecans of the femoral condyle, also known as … READ MORE

Variation in use of non-surgical treatments among osteoarthritis patients in orthopaedic practice in the Netherlands

While most recommended non-surgical treatments for OA were used frequently as single therapy, the combination is used in only a small percentage of OA patients who received a THA or TKA. With regard to wild animals, dogs should also … READ MORE

In-home tele-rehabilitation following total knee replacement

Patients who received rehabilitation instruction via video tele-conference, or tele-rehabilitation, following total knee replacement (TKR) surgery, had comparable outcomes to patients who received in-person physical therapy, … READ MORE

Infrared thermography, a support tool for orthopedic diagnosis

Researchers at UPM confirm the usefulness of infrared thermography (IRT) for detection and early diagnosis of orthopedic injuries. Results show that, when using a high resolution thermographic camera following an appropriate protocol, … READ MORE

Ambling modifiers: Finding a patient-friendly gait for knee OA

In the interest of improving compliance, studies of gait modifications to reduce moments and forces at the knee in patients with knee osteoarthritis (OA) are increasingly focusing on gait alterations that will not make patients … READ MORE

Knee replacement surgery works, but so can non-surgical techniques

Knee replacement more effective than alternative care but risks are higher, too. OssKin Evoke™ Nonsurgical treatments are effective for some patients with knee osteoarthritis, and the approach carries less risk of adverse … READ MORE

Osteoarthritis in the XXIst century: Risk factors and behaviours that influence onset and progression

Paddling with Evoke™ brace Musumeci G, Aiello FC, Szychlinska MA, Di Rosa M, Castrogiovanni P, Mobasheri A. International Journal of Molecular Sciences, 2015 Mar 16 Abstract Osteoarthritis (OA) is a growing public health … READ MORE

Keep moving to prevent osteoarthritis, say physicists

Osteoarthritis in the knee is a painful condition affecting nearly half of all Americans at some time – and two thirds of obese adults. Research suggesting that physical activity could help prevent it has been presented this … READ MORE

Exercise recommendations after total joint replacement

A review of the current literature and proposal of scientifically based guidelines. This article presents a literature review of the current recommendations regarding sports after total joint replacement and also suggests … READ MORE

Are a third of knee replacements inappropriate?

One third of total knee replacement surgeries in the United States may be “inappropriate,” according to an article published in Arthritis & Rheumatology. The findings point to the need for the development of consensus … READ MORE

Pre-operative exercise boosts TKA outcomes

An evidence-based exercise regimen, designed to enhance knee strength and the ability to complete functional tasks, may speed recovery following total knee arthroscopy, TKA, in patients with knee osteoarthritis. Evoke unloading knee … READ MORE

OA bracing may bolster prehabilitation protocols

Pre-operative exercise has been shown to improve total knee arthroplasty outcomes, but may not be feasible in patients with severe pain. Bracing and other offloading methods can help decrease that pain, potentially improving the … READ MORE

OA knee bracing for lateral, severe cases respond positively

OssKin Evoke™ by Jordana Bieze Foster, Lower Extremity Review April 2010 Two studies presented in March suggest that bracing for knee osteoarthritis may be effective in two patient populations that are not well represented in … READ MORE

Footwear and risk of knee OA: The search for meaning in moments

Although footwear may in fact play a role in the development of knee osteoarthritis and its clinical management, those relationships are turning out to be much more complicated than once thought. Want a helping hand? Try wearing … READ MORE

Women with knee osteoarthritis experience greater pain sensitivity

Among patients with osteoarthritis of the knee, women experienced greater sensitivity to various pain modalities – such as lower tolerance to heat, cold, and pressure – and greater widespread pain than men. The findings … READ MORE

Knee OA, biomechanics, and progression to TKA

Findings related to muscle activity during gait and progression to TKA may explain why interventions to improve joint stability can impact symptoms but not knee adduction moment (KAM). By Cheryl Hubley-Kozey PhD, and Gillian Hatfield … READ MORE

Knee arthroscopy in arthritis: an evidence-practice mismatch

The small inconsequential benefit seen from interventions that include arthroscopy for the degenerative knee is limited in time and absent at one to two years after surgery. Knee arthroscopy is associated with harms. Taken together, … READ MORE

Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while other ISPO … READ MORE

Driving safety: effects of lower extremity impairment

By Hank Black, Lower Extremity Review July 2015 ▽ Table of Contents Introduction Medico-legal landscape Driving simulators Immobilizing and adaptive devices Driver evaluation programs Individual recommendations References Further … READ MORE

Knee surgery shows no benefit for mild osteoarthritis

A new study indicates that there is no apparent benefit to arthroscopic knee surgery for age-related tears of the meniscus in comparison with nonsurgical or sham treatments. Ballroom Dancing Shoes. When you plan to twirl, step, and … READ MORE

Surgery for knee pain may not provide benefits

People in their 50s and older often get arthroscopic surgery for knee pain, but a new review of studies suggests that it has serious risks and no lasting benefits. Meniscus tear repair. A torn meniscus is a common injury often caused … READ MORE

AAOS Rehab and conditioning program

10 Exercises to Help Relieve Knee Pain. Healthline After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following a well-structured … READ MORE

Spine conditioning program

This spine conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. After your recovery, these exercises can be continued as a maintenance program for lifelong … READ MORE

Rotator cuff and shoulder conditioning program

This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. After your recovery, these exercises can be continued as a maintenance program for lifelong … READ MORE

Corrective chest surgery changed my life

Pectus excavatum surgery was the most painful experience of my life, but the self-confidence I gained made it worth it. Playing in the surf. Porto Covo, Portugal. Wikimedia Commons Tears rushed down my face as I looked at my … READ MORE

OA risk increases with age, at time of injury and from time of injury onset

Joint trauma can lead to a spectrum of acute lesions, including osteochondral fractures, ligament or meniscus tears and damage to the articular cartilage. This is often associated with intra-articular bleeding and causes … READ MORE

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