Delay to TKA and Costs Associated with Knee Osteoarthritis Care Using Intra-Articular Hyaluronic Acid: Analysis of an Administrative Database
CONCLUSION: These results demonstrate that within a large cohort of KOA patients, individuals who received multiple courses of IA-HA had a progressively greater delay to TKA compared to patients who did not receive IA-HA treatment. Also, for patients who progressed to TKA, IA-HA treatment was associated with a large reduction in KOA-related healthcare costs. Based on these results, multiple, repeat courses of IA-HA may be beneficial in substantially delaying TKA in KOA patients, as well as minimizing KOA-related healthcare costs.PMID:33814937 | PMC:PMC7989120 | DOI:10.1177/1179544121994092 (Source: Clinical Medicine Insigh...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - April 5, 2021 Category: Orthopaedics Authors: Andrew Concoff Faizan Niazi Forough Farrokhyar Akram Alyass Jeffrey Rosen Mathew Nicholls Source Type: research

Can Medical Cannabis Therapies be Cost-Effective in the Non-Surgical Management of Chronic Knee Pain?
CONCLUSION: Our study showed that MC may be a cost-effective strategy in the management of chronic knee pain; however, the evidence on the medical use of cannabis is limited and predominantly low-quality. Additional trials on MC are definitely needed, specifically in patients with chronic knee pain.PMID:33795939 | PMC:PMC7970188 | DOI:10.1177/11795441211002492 (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - April 2, 2021 Category: Orthopaedics Authors: Christopher Vannabouathong Meng Zhu Yaping Chang Mohit Bhandari Source Type: research

Therapeutic Effectiveness of AxioBionics Wearable Therapy Pain Management System in Patients with Chronic Lower Back Pain
This study retrospectively analyzed whether the AxioBionics Wearable Therapy Pain Management (WTPM) System, a customized and wearable electrical stimulation device, alleviated chronic lower back pain, and improved muscular function. This study assessed self-reported pain levels using the visual analog scale before and during the use of the AxioBionics WTPM System when performing normal activities such as sitting, standing, and walking (n = 69). Results showed that both at-rest and activity-related pain were significantly reduced during treatment with the AxioBionics WTPM System (% reduction in pain: 64% and 60%, respectively; P
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - March 22, 2021 Category: Orthopaedics Authors: Philip Muccio Josh Schueller Miriam van Emde Boas Norm Howe Edward Dabrowski David Durrant Source Type: research

Assessment of Adipokines, CXCL16 Chemokine Levels in Patients With Rheumatoid Arthritis Combined With Metabolic Syndrome.
In this study, we investigated the level of chemokine C-X-C motif chemokine ligand 16 (CXCL16) and adipokine in RA with MetS patients and assessed the association of biomarkers with clinical and biochemical activity scores of RA and components of MetS. Methods: Blood serum of 298 people (48-patients with RA and MetS, 82-with RA without MetS, 105-with MetS, 63-control group without both RA and MetS) was tested for (CXCL16), Resistin, Leptin and Fibroblast Growth Factor 21 (FGF21) levels by fluorescent antibody technique. Statistical analysis was performed using SPSS version 18.0. Results: The biomarker study showed ...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - February 23, 2021 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Prevalence of Musculoskeletal Pain Among Academic Staff of Mekelle University, Ethiopia.
Authors: Meaza H, Temesgen MH, Redae G, Hailemariam TT, Alamer A Abstract Background: Musculoskeletal pain is a leading cause of morbidity, low productivity. Thus; not only affecting the individual's quality of life; it also creates a burden in the health system and affects the productivity of their institution and the country at large. The prevalence of musculoskeletal pain among academic staff in developed countries ranges from 47% to 85%. However, there was a scarce of studies in developing country, particularly in the study area. Purpose: the aim of the research was to assess the burden of musculoskeletal p...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - January 27, 2021 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

COVID-19, Antiphospholipid Antibodies, and Catastrophic Antiphospholipid Syndrome: A Possible Association?
Authors: El Hasbani G, Taher AT, Jawad A, Uthman I Abstract Since the 2019 novel coronavirus (COVID-19) was first detected in December 2019, research on the complications and fatality of this virus has hastened. Initially, case reports drew an association between COVID-19 and abnormal coagulation parameters. Subsequently, cross-sectional studies found a high prevalence of thrombosis among ICU and non-ICU COVID-19 patients. For that reason, certain studies tried to explain the pathogenic mechanisms of thrombosis, one of which was the emergence of anti-phospholipid antibodies (aPL). Although aPL have been found posit...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - December 19, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Isolated Neck Extensor Myopathy Associated With Cervical Spondylosis: A Case Report and Brief Review.
Authors: Chu EC, Wong AY, Lin AF Abstract Dropped head syndrome (DHS) is manifested as the inability to maintain the head in an upright posture. It has been associated with a wide spectrum of myopathies and neurological conditions. Isolated neck extensor myopathy (INEM) is one of many potential causes of DHS. This is a case report of a 72-year-old man who presented with degenerative cervical spondylosis and DHS for 2 years. He had previously failed to achieve a positive outcome to medication, cervical collar and exercise rehabilitation. However, he was able to regain his voluntary head control after a 4-mont...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - December 15, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Efficacy and Safety of Hylan G-F 20 Versus Intra-Articular Corticosteroids in People with Knee Osteoarthritis: A Systematic Review and Network Meta-Analysis.
Conclusions: Hylan G-F 20 may perform better in relieving pain at 6 months post-injection compared to IACS. Both agents were relatively well tolerated, with no clear differences in safety. PMID: 33281462 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - December 9, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Pediatric Granulomatosis With Polyangiitis Mimicking IgA Vasculitis: A Case Report.
Conclusion: In the case of a patient with an unusual presentation of IgA vasculitis, to some degree of suspicion, the GPA should be considered. Also, in approach to non-thrombocytopenic palpable petechia and purpura a wide range of differential diagnosis such as infections, ANCA associated vasculitis, and secondary vasculitis should be considered. Therefore, 2 effective method of GPA diagnosis, the high titer of C-ANCA test and tissue biopsy, should be considered simultaneously. PMID: 33223861 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - November 25, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Efficacy and Safety of Musculoskeletal Ultrasound Guided Aspiration and Intra-Lesional Corticosteroids Injection of Ruptured Baker's Cyst: A Retrospective Observational Study.
Conclusion: Ultrasonographic guided aspiration followed by injection of corticosteroids intra-lesional is an efficient and safe method for managing ruptured BCs. PMID: 33223862 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - November 25, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Successful Treatment of Urticarial Vasculitis in a Patient With Systemic Lupus Erythematosus With Rituximab.
Authors: Alharbi S, Sanchez-Guerrero J Abstract Urticarial vasculitis is an eruption of erythematous wheals that clinically resemble urticaria but histologically show changes of leukocytoklastic vasculitis. In association with connective tissue disease it is most commonly seen complicating Systemic lupus erythematous (SLE) and, less often, Sjogren's syndrome. Here, we report a 25-year-old woman who developed SLE in 1998. In May 2013 she presented with urticarial vasculitis; her skin biopsy was consistent with leukocytoclastic vasculitis. She also developed bilateral uveitis. She had most of the clinical and laborat...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - November 18, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Diagnostic Accuracy of Magnetic Resonance Images and Weight-Bearing Radiographs in Patients With Arthroscopic-Proven Medial Osteoarthritis of the Knee.
Authors: Muñoz-García N, Cordero-Ampuero J, Madero-Jarabo R Abstract Aims: The aim of this study is to analyze the diagnostic value of weight-bearing radiographs, magnetic resonance images (MRI), and the combination of both in osteoarthritic knees when using arthroscopic findings as the "gold standard" to compare with. Methods: A total of 59 patients were studied because of chronic pain in 1 of their knees. Radiographs were classified according to Kellgren-Lawrence scale. Magnetic resonance images were classified according to Vallotton, and arthroscopic findings according to Outerbridge ...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - August 28, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

The Efficacy and Safety of Highly-Bioavailable Curcumin for Treating Knee Osteoarthritis: A 6-Month Open-Labeled Prospective Study.
Conclusion: This study demonstrates the safety and good efficacy of Theracurmin for various types of knee osteoarthritis. Theracurmin shows great potential for the treatment of human knee osteoarthritis. PMID: 32848491 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - August 28, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Expert Opinion on the Extensive Use of Prescription Crystalline Glucosamine Sulfate in the Multimodal Treatment of Osteoarthritis in Ukraine, Kazakhstan, Uzbekistan, and Armenia.
Conclusions: This expert opinion article recommends a modified approach to the existing guidelines incorporating pCGS in treatment modality of OA in Ukraine and CIS countries. Extensive use of pCGS targets early symptomatic relief in OA while limiting the adverse effects due to long-term use of analgesics and NSAIDs. PMID: 32821188 [PubMed - as supplied by publisher] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - August 23, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

The Differences in Imaging Findings Between Painless and Painful Osteoarthritis of the Hip.
Conclusion: Investigation of the differences between painless and painful osteoarthritis of the hip showed that the cases with more pain have BMLs of the femoral head on MRI that extend not only to the loading area, but also to the central-inferior area. Even with the same x-ray findings, the pain was stronger in patients with severe psoas atrophy. Thus, the instability due to muscle atrophy may also play a role in the pain of hip osteoarthritis. PMID: 32821189 [PubMed - as supplied by publisher] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - August 23, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Patient-Reported Outcomes After Platelet-Rich Plasma, Bone Marrow Aspirate, and Adipose-Derived Mesenchymal Stem Cell Injections for Symptomatic Knee Osteoarthritis.
Conclusions: Our findings support previous reports and encourage further research on the use of these cost-effective treatments for OA of the knee. PMID: 32669883 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - July 18, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy.
We describe the clinical challenges of managing a 10-year-old boy who presented with repetitive episodes of torticollis. Open-mouth odontoid radiograph and computed tomographic (CT) scan gave a diagnosis in ARRS, based on its characteristic imaging findings. The child was admitted multiple times for continuous halter traction in the first 6 months after symptom onset. He also experienced a temporary complication from an overcorrection with correcting neck bracing. Seven months after symptom onset, this case was discussed by a multidisciplinary spine team and referred to chiropractic clinic. Despite persistent radiographic ...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - July 15, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Shoulder Double Crush Syndrome: A Retrospective Study of Patients With Concomitant Suprascapular Neuropathy and Cervical Radiculopathy.
Conclusion: A significant percentage of patients with SSN have evidence of shoulder double crush syndrome. Patients with SSN and concomitant median neuropathy should have a detailed neck examination performed. PMID: 32612405 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - July 4, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Midfoot Arthritis in Children: Is There Any Relation With Malignancy?
Conclusion: According to the findings of the present study, it can be concluded that "midfoot arthritis" may be the first manifestation of leukemia in children even with a near-normal hematologic values. PMID: 32550767 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - June 21, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Cannabinoids in Chronic Non-Cancer Pain: A Systematic Review and Meta-Analysis.
Conclusions: There was moderate evidence to support cannabinoids in treating chronic, non-cancer pain at 2 weeks. Similar results were observed at later time points, but the confidence in effect is low. There is little evidence that cannabinoids increase the risk of experiencing serious AEs, although non-serious AEs may be common in the short-term period following use. PMID: 32127750 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - March 6, 2020 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Patients Prescribed Anakinra for Acute Gout Have Baseline Increased Burden of Hyperuricemia, Tophi, and Comorbidities, and Ultimate All-Cause Mortality.
Authors: Sharma E, Pedersen B, Terkeltaub R Abstract Objective: The interleukin-1 (IL-1) receptor antagonist anakinra is an effective, off-label option in acute gout flares, when conventional therapy options are narrowed. We performed a retrospective, randomized, case-controlled study to gain clinical insight on baseline factors for gout patients most likely to receive anakinra, and ultimate mortality of those who received anakinra. Methods: Of 1451 gout patients seen between January 2003 and January 2015 in a Veterans Affairs (VA) rheumatology group practice, under stringent managed care principles, 13 (100% m...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - December 17, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Lyme Arthritis in Children on the Uptick in Western New York Area.
Conclusions: A significant increase (P = .02) in Lyme arthritis cases was observed at Oishei Children's Hospital of Buffalo. Lyme arthritis may clinically present similarly to other forms of arthritis, such as oligoarticular juvenile idiopathic arthritis, so health care providers should be aware of distinguishing clinical features, which include rapid onset of swelling and patient age. Because the geographic area of endemic Lyme disease is expanding, all health care providers need to be aware of Lyme arthritis as a possible diagnosis. PMID: 31819695 [PubMed] (Source: Clinical Medicine Insights: Arthritis ...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - December 11, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Parkinson's Disease and Symptomatic Osteoarthritis Are Independent Risk Factors of Falls in the Elderly.
Conclusions: Symptomatic hip and knee osteoarthritis are risk factors for falls and related fractures among the elderly population with and without Parkinson's disease. The inability to walk 500 m could be used as a simple predictive factor for the increased risk of falls among elderly populations. PMID: 31700249 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - November 10, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Safety of Intra-articular Methotrexate Injection With and Without Electroporation for Inflammatory Small Joints in Patients With Rheumatoid Arthritis.
Authors: Tada M, Inui K, Okano T, Mamoto K, Koike T, Nakamura H Abstract The general disease activity of patients with rheumatoid arthritis (RA) is well controlled by disease-modifying antirheumatic drugs, but local inflammation often remains in a few small joints. Electroporation, making small pores in cell membranes, has proven useful for drug delivery. The safety of a combination therapy of methotrexate (MTX) and electroporation for local joint inflammation in RA was investigated in a prospective, randomized, double-blind, placebo-controlled, exploratory study (UMIN000016606). The patients were randomly allocate...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - November 10, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

A Middle Cuneiform Stress Fracture in an Adolescent Athlete: A Case Report and Literature Review.
Authors: Krebs P, Borchers J Abstract A 13-year-old female soccer and basketball athlete presented with pain in the arch of her foot. Magnetic resonance imaging confirmed the diagnosis of a middle cuneiform stress fracture. The patient's stress fracture healed nonoperatively over a 10-week period complicated by nonadherence to a fracture boot, after which she was progressed back to full activity. Knowledge of these fractures and their treatment are important for sports medicine physicians, as they can often be overlooked, given their infrequent occurrence. There have been 8 previous case reports and 1 case series o...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - October 24, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Two-Year Results of the PHANTOM High Flex Trial: A Single-Arm Study on the Atlas Unicompartmental Knee System Load Absorber in Patients With Medial Compartment Osteoarthritis of the Knee.
This study confirmed that the benefit of a joint unloading device in the management of young patients with medial knee OA is maintained over 2 years. This trial was registered with ClinicalTrials.gov (NCT02711254). PMID: 31579106 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - October 5, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Reliability and Accuracy of MRI in Orthopedics: A Survey of Its Use and Perceived Limitations.
This study summarizes some of the concerns of MRI use in the orthopedic community and attempts to add a unique perspective on the attitudes, decision-making, and apparent economic problems that they face as well as uncover specific instances where MRIs were determined to be unreliable and incomplete in aiding the diagnosis and treatment algorithm. PMID: 31523134 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - September 18, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

The Combined Effect of Body Mass Index and Tibial Slope Angles on Anterior Cruciate Ligament Injury Risk in Male Knees: A Case-Control Study.
Conclusions: Body mass index, LTS, and MTS angles were associated with ACL injury risk and BMI + MTS + LTS together revealed the greatest effect on ACL injury. PMID: 31427857 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - August 22, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Prevalence of Sarcopenia Obesity in Patients Treated at a Rural, Multidisciplinary Weight and Wellness Center.
Authors: Batsis JA, Gilbert-Diamond D, McClure AC, Weintraub A, Sette D, Mecchella JN, Rotenberg S, Cook SB, Rothstein RI Abstract Sarcopenic obesity portends poor outcomes, yet it is under-recognized in practice. We collected baseline clinical data including data on body composition (total and segmental muscle mass and total body fat), grip strength, and 5-times sit-to-stand. We defined sarcopenia using cut-points for appendicular lean mass (ALM) and obesity using body-fat cut-points. A total of 599 clinic patients (78.5% female; mean age was 51.3 ± 14.2 years) had bioelectrical impedan...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - August 8, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Xanthoma Combined With Gout Infiltration of the Achilles Tendon: A Case Report.
Authors: Fu Y, Huang QL Abstract Xanthoma is a rare condition mostly caused by hyperlipidemia. The pathogenesis of gout is hyperuricemia, which is caused by a disorder of purine metabolism and/or a decrease in uric acid excretion. Xanthoma combined with gout is very rare. This case report presents magnetic resonance images of a case of xanthoma combined with gout infiltration of the Achilles tendon. PMID: 31384134 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - August 8, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Colchicine-Induced Rhabdomyolysis: Clinical, Biochemical, and Neurophysiological Features and Review of the Literature.
We report the case of a 46-years-old man with long-term asymptomatic hyperuricemia who started taking colchicine (0.5 mg/day) and allopurinol (100 mg/d) for normalization of biochemical values. After the third week of starting treatment, acute weakness was present; and by the fifth week, profound weakness in lower extremities and tenderness and cramps on thighs and calves with inability to climb stairs were also observed. Biochemical evaluation showed elevated muscle enzymes (creatinine kinase [CK] raised to five-folds its normal value) and electromyographic features were consistent with myopathy (at rest, fi...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - June 29, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Comparison of Bone Mineral Densitometry at 2 Sites Versus 3 Sites in Patients Suspicious for Osteoporosis.
In this study, we aim to evaluate the bone mineral density (BMD) results of 2 standard sites with 3 sites including wrist in diagnosing osteoporosis. Methods: We evaluated the BMD results of 1272 individuals referred for suspected osteoporosis between 2012 and 2015. Those individuals were included with BMD at lumbar spine, femur neck, and wrist. Bone mineral density was measured using a dual-energy X-ray absorptiometry (DXA) device. Bone mineral density and T score were measured for all 3 sites. Results: There was significant correlation between wrist T score with hip T score (r = 0.606, P
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - June 19, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Does Neuromuscular Electrical Stimulation Improve Recovery Following Acute Ankle Sprain? A Pilot Randomised Controlled Trial.
Conclusions: In this pilot, randomised controlled trial, NMES was well tolerated by patients following ankle sprain and demonstrated statistically significant improvements in oedema reduction as measured by fluid displacement. No other changes were observed. Further work will need to confirm the clinical significance and effect on longer term recovery post-ankle sprain. PMID: 31205428 [PubMed] (Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders)
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - June 19, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Exploring Neuromuscular Electrical Stimulation Intensity Effects on Multifidus Muscle Activity in Adults With Chronic Low Back Pain: An Ultrasound Imaging-Informed Investigation.
Authors: Sions JM, Crippen DC, Hicks GE, Alroumi AM, Manal TJ, Pohlig RT Abstract Study design: Cross-sectional study. Background: Neuromuscular electrical stimulation (NMES) is an effective tool for stimulating multifidus muscle contractions. Ultrasound imaging (USI) is valid and reliable for quantifying multifidus activity represented by percent thickness change from a resting to contracted state. Thus, USI may be used to help determine optimal NMES intensity. Objectives: To explore NMES intensity effects on multifidus thickening in adults with chronic low back pain (CLBP). Methods: Sixty patients wit...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - June 19, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research

Pseudoaneurysm of the Second Dorsal Metatarsal Artery: Case Report and Literature Review.
Authors: Kinter CW, Hodgkins CW Abstract Pseudoaneurysms are a rare complication of foot and ankle surgeries that can potentially lead to serious sequelae, especially when there is delay in the diagnosis. Due to the rarity of this occurrence, guidelines for management are limited for orthopedic surgeons. Once diagnosed, the surgeon has to decide quickly on many options for how to best manage the patient. In this case report, we present the occurrence of a dorsal second metatarsal artery pseudoaneurysm that occurred after removal of hardware. We also discuss the most current literature on the subject to help guide o...
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - June 19, 2019 Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research