Orthopedics (all articles)
Pragmatic randomized trial found similar rates of surgical site infectious with 2% alcoholic chlorhexidine skin preparation compared with povidone–iodine, or with triclosan-coated sutures compared with non-coated sutures.
26 Oct, 2021 | 01:52h | UTCCommentaries:
Prevention of surgical site infection in low-resource settings – The Lancet
Commentary on Twitter
2% alcoholic chlorhexidine skin preparation and triclosan-coated sutures – no benefit in preventing surgical site infection in clean-contaminated or contaminated or dirty surgical woundshttps://t.co/QVkdYYmDvP pic.twitter.com/8hAO5lqFTV
— K Pavithran (@drkpavithran) October 25, 2021
Management of patients with cervical spine trauma in the emergency department: a systematic critical appraisal of guidelines with a view to developing standardized strategies for clinical practice.
26 Oct, 2021 | 01:17h | UTC
Cluster RCT: Increasing the dietary sources of calcium and protein (by providing additional milk, yogurt, and cheese) reduced hip fractures and falls in older adults in residential care.
22 Oct, 2021 | 10:21h | UTCNews release: Increasing dairy intake reduces falls and fractures among older care home residents – British Medical Journal
Commentary on Twitter
Increasing intake of foods rich in calcium and protein such as milk, yoghurt, and cheese, reduces falls and fractures in older adults living in residential care, finds a randomised controlled trial published @bmj_latest today https://t.co/QzozG4Odjb
— BMJ Group (@bmj_company) October 21, 2021
Five-year follow-up of RCT: Arthroscopic subacromial decompression provided no benefit over diagnostic arthroscopy or exercise therapy on return to work in patients with shoulder impingement syndrome.
21 Oct, 2021 | 09:54h | UTCRelated:
Randomized Trial: Subacromial Decompression vs Diagnostic Arthroscopy for Shoulder Impingement
Research: Arthroscopic subacromial decompression for subacromial shoulder pain
Systematic Review: Subacromial Decompression Surgery for Rotator Cuff Disease
Systematic Review: Surgery for Rotator Cuff Tears
M-A: Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis – although Etoricoxib 60 mg/day and diclofenac 150 mg/day seem to be most effective treatments, topical diclofenac 70-81 mg/day is safer and should be considered as first line treatment.
17 Oct, 2021 | 21:14h | UTCNews release: Topical pain-killers more effective, safer than opioids for knee osteoarthritis pain – St. Michael’s Hospital
Commentary: Network meta-analysis compares analgesic regimens for osteoarthritis – medwire News
Commentary on Twitter
Etoricoxib 60 mg/day and diclofenac 150 mg/day seem to be the most effective oral NSAIDs for knee and hip osteoarthritis pain and physical function, but might not be appropriate in the presence of comorbidities or for long term use, concludes #BMJResearchhttps://t.co/rrtX3BnQE5
— The BMJ (@bmj_latest) October 16, 2021
The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients.
7 Oct, 2021 | 10:18h | UTC
Imaging in non-bacterial osteomyelitis in children and adolescents: diagnosis, differential diagnosis and follow-up—an educational review based on a literature survey and own clinical experiences.
6 Oct, 2021 | 08:43h | UTC
Systematic Review: Is exercise an effective therapy to treat long-lasting low back pain?
3 Oct, 2021 | 22:32h | UTCSummary: Is exercise an effective therapy to treat long-lasting low back pain? – Cochrane Library
Original Study: Exercise therapy for chronic low back pain – Cochrane Library
Commentary on Twitter
https://twitter.com/CochraneUK/status/1444221879502483456
Guideline Synopsis: The Non-Surgical Management of Hip and Knee Osteoarthritis.
1 Oct, 2021 | 10:00h | UTC
Consensus paper: Clinical indications for image-guided interventional procedures in the musculoskeletal system—part V, knee.
23 Sep, 2021 | 09:59h | UTCSee other articles in the series: Consensus paper: Clinical indications for image-guided interventional procedures in the musculoskeletal system.
AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee.
21 Sep, 2021 | 09:03h | UTCNews release: AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee – American Academy of Orthopaedic Surgeons
Guideline summary: Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition) – American Academy of Orthopaedic Surgeons
Full paper: Management of Osteoarthritis of the Knee (Non-Arthroplasty) Evidence-Based Clinical Practice Guideline
Musculoskeletal complications following critical illness: A scoping review.
3 Sep, 2021 | 10:07h | UTC
Commentary on Twitter
Very pleased that our scoping review on MSK complications following critical illness has been published – first paper from my PhD! @mawilliamsinOx @helendawes2 @matthewjrowland @ouh_therapies @MOReS_OBU #icurehab https://t.co/f6kHDtMzrj pic.twitter.com/bOm3YvLP5U
— Owen Gustafson (@OxfordICUPhysio) August 26, 2021
Systematic review: Pain management after complex spine surgery.
24 Aug, 2021 | 08:50h | UTCPain management after complex spine surgery – European Journal of Anaesthesiology
RCT: A single-session of pain management skills intervention was noninferior to 8 sessions of cognitive behavioral therapy in adults with chronic low back pain.
24 Aug, 2021 | 08:39h | UTCCommentaries:
New approach effectively relieves chronic low back pain – Stanford Medicine
Commentary on Twitter
NEW STUDY: Our Empowered Relief trial just published!
A *single-session* pain relief skills class was non-inferior to 8-session CBT for pain & symptom reduction at 3 months post-treatmenthttps://t.co/HYmWNkxUoR via @JAMANetworkOpen part of @JAMANetwork
funded by @NIH_NCCIH
— Beth Darnall, PhD (@BethDarnall) August 16, 2021
ACOG Guideline: Osteoporosis prevention, screening, and diagnosis.
22 Aug, 2021 | 23:08h | UTC
Systematic review: Kinesio taping provides little or no benefit for rotator cuff disease.
16 Aug, 2021 | 00:52h | UTCKinesio taping for rotator cuff disease – Cochrane Library
Summary: Kinesio taping for rotator cuff disease – Cochrane Library
Commentary on Twitter
https://twitter.com/CochraneUK/status/1426468681677254658
Guideline: Non-surgical interventions for lumbar spinal stenosis leading to neurogenic claudication.
13 Aug, 2021 | 09:03h | UTC
Update on medical management of acute hip fracture.
10 Aug, 2021 | 08:50h | UTCUpdate on medical management of acute hip fracture – Cleveland Clinical Journal of Medicine
Commentary on Twitter
Nice review of Periop mgmt for hip Fx. Uses a modified CCS guideline approach-no stress testing,bypass BNP as pts are high risk,postop co-mgmt +troponin. Also discusses other aspects. Major take home point – AVOID DELAYING SURGERY or mortality increases. https://t.co/5DATCuKuqU
— Steven Cohn, MD (@preopconsult) August 9, 2021
Evidence-based approach to nailbed injuries: ED presentations, evaluation, and management.
10 Aug, 2021 | 08:47h | UTCEvidence-based Approach to Nailbed Injuries: ED Presentations, Evaluation, and management – emDocs
PIDS-IDSA Guideline on diagnosis and management of acute hematogenous osteomyelitis in pediatrics.
6 Aug, 2021 | 09:58h | UTC
RCT: Decompression alone is non-inferior to decompression with fusion in patients with degenerative lumbar spondylolisthesis.
6 Aug, 2021 | 09:54h | UTCCommentary: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay
AAOS Guideline: Pharmacologic, physical, and cognitive pain alleviation for musculoskeletal extremity/pelvis surgery.
5 Aug, 2021 | 08:49h | UTCEvidence summary: Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery
Olympic Pseudoscience – Tokyo Edition.
29 Jul, 2021 | 11:08h | UTCOlympic Pseudoscience – Tokyo Edition – Science Based Medicine
Cohort study: Evidence of a potentially inappropriate and harmful prescribing cascade of gabapentinoid followed by a diuretic among older adults with lower back pain.
29 Jul, 2021 | 11:02h | UTCEvidence of a gabapentinoid and diuretic prescribing cascade among older adults with lower back pain – Journal of the American Geriatrics Society (link to abstract – $ for full-text)
Related:
Are you the victim of a prescribing cascade?
Prescribing Cascade in a Cardiology Practice
New series from The Lancet: Physical Activity 2021.
23 Jul, 2021 | 10:37h | UTCHomepage: Physical Activity 2021 – The Lancet (free registration required for all articles)
Summary and commentary: Experts call for immediate action to ensure physical activity is built into everyday lives – News Medical
Commentary on Twitter (thread – click for more)
🆕 In the early stages of the #pandemic, #PhysicalActivity was considered *essential* for health by many governments—but inactivity remains a major issue.
Ahead of #Tokyo2020, we launch @TheLancet #PhysicalActivity21 Series 🤸♀️👨🦽
Access here: https://t.co/j0GhLGKAAD pic.twitter.com/mrcOnRPyR6
— The Lancet (@TheLancet) July 22, 2021