Orthopaedics Clinical Briefs

• Risk for Hip Fracture Increased With Long-Term PPI Use CME A new Nurses' Health Study trial shows an increased risk for hip fractures in postmenopausal women who use proton pump inhibitors, particularly with longer duration of use and smoking.
  Medscape Education Clinical Briefs, February 2012
• Benefits of Statins Outweigh Musculoskeletal Effects, Say Experts CME Statin use was linked with a higher prevalence of musculoskeletal pain among patients without arthritis, but evidence of statin use and musculoskeletal pain was lacking in patients with arthritis.
  Reuters Health Information CME, February 2012
• Advancing Joint Damage Still Occurs Even in RA Remission CME In patients with rheumatoid arthritis, joint damage progresses even when they meet the Disease Activity Score in 28 joints criterion for remission.
  Medscape Education Clinical Briefs, January 2012
• Neck Pain Alleviated With Spinal Manipulation, Exercise CME Spinal manipulation and a home exercise program provide better relief from neck pain than medications, a new study says.
  Medscape Education Clinical Briefs, January 2012
• Resistance Training May Reduce Adverse Outcomes of Hip Fracture CME High-intensity resistance training and multiple interventions to improve general health and well-being can minimize rates of mortality and nursing home admissions after hip fracture.
  Medscape Education Clinical Briefs, January 2012
• Guidelines Recommend Blood Glucose Testing in All Hospitalized Patients CME A new clinical practice guideline from The Endocrine Society calls for blood glucose testing for all patients on admission to the hospital, mainly those who do not require intensive care.
  Medscape Education Clinical Briefs, January 2012
• Yerba Mate Tea Linked With Greater Bone Mineral Density CME Consumption of yerba mate tea is associated with higher bone mineral density in postmenopausal women, according to a cross-sectional, observational study.
  Medscape Education Clinical Briefs, January 2012
• Timing Important in Aquatic Therapy for Knee, Hip Arthroplasty CME A randomized controlled study shows that starting aquatic therapy 6 days after total knee arthroplasty improves patient-reported outcomes vs starting therapy 14 days after the surgery.
  Medscape Education Clinical Briefs, December 2011
• MRI Before Epidural Injection Not Beneficial in Back Pain CME A new study shows that magnetic resonance imaging before epidural steroid injections for low back pain has no major effect on treatment outcomes and only a minor effect on clinician decision making.
  Medscape Education Clinical Briefs, December 2011
• Fracture Risk Reduced With Vitamin D, Calcium Supplementation CME/CE Combined supplementation with vitamin D and calcium can reduce the risk for fracture, according to the findings of a meta-analysis.
  Medscape Education Clinical Briefs, December 2011
• CMS Programs Promoting Healthcare System Change Begin to Show Results CME As the Centers for Medicare and Medicaid Services shifts to paying for quality instead of volume, what are the implications for care providers?
  Medscape Education Clinical Briefs, December 2011
• Prevalence of Knee Pain Increased During 20 Years CME Researchers suggest that the rise in knee pain and knee replacement procedures in the last 20 years may be linked to increased knee pain or increased awareness of knee pain.
  Medscape Education Clinical Briefs, December 2011
• New Hip Implants Have No Advantage vs Traditional Ones CME This systematic review of hip implants did not show any advantage for metal-on-metal or ceramic-on-ceramic implants vs traditional metal-on-polyethylene or ceramic-on-polyethylene bearings.
  Medscape Education Clinical Briefs, December 2011
• Bisphosphonates Increase Implant Survival After Arthroplasty CME The use of bisphosphonates can reduce the risk for revision after total hip or knee arthroplasty and double the survival time of the implant.
  Medscape Education Clinical Briefs, December 2011
• New Criteria for Periprosthetic Joint Infection Recommended CME The study authors have proposed a new definition for periprosthetic joint infection to help with diagnosis, treatment, and surveillance.
  Medscape Education Clinical Briefs, November 2011
• Low-Dose Corticosteroid Effective in Treatment of Shoulder Pain CME A randomized, placebo-controlled study shows that a low-dose (20-mg) corticosteroid injection is just as effective as a high dose (40-mg) in relieving pain and restoring mobility in the shoulder.
  Medscape Education Clinical Briefs, November 2011
• Yoga Helps Back Function in Patients With Chronic Low Back Pain CME A UK study found that yoga can help patients who have chronic low back pain; a 12-session, 3-month yoga program led to greater improvements in back function than usual care.
  Medscape Education Clinical Briefs, November 2011
• Stretching, Yoga Beneficial in Chronic Low Back Pain CME A study found that yoga classes were more effective than a self-help book, but not more effective than stretching classes, in improving function and reducing symptoms from chronic low back pain.
  Medscape Education Clinical Briefs, November 2011
• Dextrose Injections Control Symptoms of Knee Pain in Teens CME Dextrose injections vs usual care given to teen athletes with Osgood-Schlatter disease was safe and well tolerated and reduced symptoms of knee pain.
  Medscape Education Clinical Briefs, October 2011
• AAOS Issues New Guideline for VTE Prevention CME/CE The American Academy of Orthopaedic Surgeons has issued an evidence-based guideline of recommendations to prevent venous thromboembolism in patients undergoing elective hip and knee arthroplasty.
  Medscape Education Clinical Briefs, October 2011