Orthopedics (all articles)
Randomized Trial: Hip Arthroscopy vs Best Conservative Care for the Treatment of Femoroacetabular Impingement Syndrome
18 Jun, 2018 | 23:16h | UTCCommentaries: Hip arthroscopy: an evidence-based approach – The Lancet (free) AND New surgery for groin pain found to be more effective than physiotherapy – University of Warwick (free)
Guideline: Conservative Treatment on Lower Limb Muscle Injuries in Athlete
18 Jun, 2018 | 14:05h | UTC
Randomized Trial: Duloxetine in Patients with Knee Osteoarthritis
18 Jun, 2018 | 10:08h | UTC
Randomized Trial: Negative Pressure Wound Therapy No Better Than Regular Dressing in Severe Open Fracture of the Lower Limb
15 Jun, 2018 | 02:20h | UTCEffect of Negative Pressure Wound Therapy vs Standard Wound Management on 12-Month Disability Among Adults With Severe Open Fracture of the Lower Limb: The WOLLF Randomized Clinical Trial – JAMA (free for a limited period)
Commentaries: High-tech treatment of open leg wounds no better than using regular dressings – University of Warwick (free) AND Negative-Pressure Therapy No Better for Open Fractures – Medscape (free registration required)
“Negative pressure wound therapy did not improve 12-month disability for patients with severe open fracture of the lower limb compared with standard wound dressing”
Randomized Trial: Aspirin Starting Five Days After Hip or Knee Arthroplasty for VTE Prophylaxis
7 Jun, 2018 | 23:29h | UTCSee Original Article: Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty – New England Journal of Medicine (link to abstract – $ for full-text) AND Quick Take Video Summary: Preventing VTE after Hip or Knee Arthroplasty (free)
Guideline: Investigation and Management of Periprosthetic Joint Infection in the Shoulder and Elbow
6 Jun, 2018 | 21:51h | UTC
Review: Orthopedic Traumatology for the Acute Care Surgeon
24 May, 2018 | 22:46h | UTCSource: Critical Care Reviews Newsletter
Comparative Effectiveness Trial: Chiropractic Care Improves Disability in Low Back Pain
23 May, 2018 | 12:38h | UTCCommentaries: Innovating to Improve Care for Low Back Pain in the Military: Chiropractic Care Passes Muster – JAMA Network Open (free) AND Chiropractic Care Improves Usual Management for Low Back Pain – Medscape (free registration required) AND Adding chiropractic to back pain care may reduce disability – Reuters (free)
EULAR Recommendations: Pain Management in Inflammatory Arthritis and Osteoarthritis
11 May, 2018 | 02:58h | UTCCommentary: EULAR Releases Recommendations for Pain Management in OA, Inflammatory Arthritis – Rheumatology Advisor (free)
Randomized Trial: Vertebroplasty vs. Sham Procedure for Acute Osteoporotic Vertebral Compression Fractures
11 May, 2018 | 02:53h | UTCEditorial: No more vertebroplasty for acute vertebral compression fractures? (free)
Related Systematic Review: Percutaneous vertebroplasty for osteoporotic vertebral compression fracture – Cochrane Library (link to abstract and summary)
Review: The Role of Imaging in Diagnosing Axial Spondyloarthritis
9 May, 2018 | 16:13h | UTCThe Role of Imaging in Diagnosing Axial Spondyloarthritis – Frontiers in Medicine (free)
Randomized Trial: Education Plus Exercise vs Corticosteroid Injection vs Wait and See Approach for Gluteal Tendinopathy
4 May, 2018 | 02:03h | UTCCommentary: The ongoing reduction in pain became the inspiration to never go back to “ground zero” – The BMJ Opinion (free)
Review: Lower Extremity Traumatic Amputations
23 Apr, 2018 | 21:04h | UTCSource: Critical Care Reviews Newsletter
Systematic Review: Exercise Interventions and Patient Beliefs for People with Hip, Knee or Hip and Knee Osteoarthritis
18 Apr, 2018 | 01:09h | UTC
Review: Musculoskeletal Ultrasonography Basics
14 Apr, 2018 | 19:41h | UTCMusculoskeletal ultrasonography basics – Cleveland Clinic Journal of Medicine (free)
Review: microbiology and antimicrobial therapy for diabetic foot infections
14 Apr, 2018 | 19:28h | UTCMicrobiology and Antimicrobial Therapy for Diabetic Foot Infections – Infection & Chemotherapy (free)
Systematic review: percutaneous vertebroplasty for osteoporotic vertebral compression fracture
12 Apr, 2018 | 01:07h | UTCPercutaneous vertebroplasty for osteoporotic vertebral compression fracture – Cochrane Library (link to abstract – $ for full-text)
Summary: Featured Review: Vertebroplasty for treating spinal fractures due to osteoporosis – Cochrane Library (free)
“High quality evidence shows that vertebroplasty does not provide more clinically important benefits than placebo but may cause people harm”.
Cost-effectiveness analysis: MRI after a normal CT for cervical clearance in blunt trauma
3 Apr, 2018 | 15:24h | UTCCost-effectiveness of Magnetic Resonance Imaging in Cervical Clearance of Obtunded Blunt Trauma After a Normal Computed Tomographic Finding – JAMA Surgery (link to abstract – $ for full-text)
Commentaries: Neck injury follow-up MRI may cost patients thousands in unnecessary exams – HealthImaging (free) AND No Benefit for MRI After Normal Cervical CT in Blunt Trauma – Physician’s Briefing (free)
Meta-Analysis: Efficacy of foot orthoses for the treatment of plantar heel pain
30 Mar, 2018 | 04:31h | UTCEfficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis – British Journal of Sports Medicine (link to abstract – $ for full-text)
Commentaries: Pricey orthotic insoles aren’t worth the cost – UPI (free) AND Custom-Made Foot Orthotics No Benefit for Plantar Heel Pain – Physician’s Briefing (free) AND Custom-made foot orthoses appear to be no better than over-the-counter insoles or other treatments – MedicalXpress (free) AND Foot orthotics may not be superior to conservative treatment for relieving plantar heel pain – ACP Internist (free)
Close Contact Casting vs Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults
30 Mar, 2018 | 03:10h | UTCThree-Year Follow-up of a Trial of Close Contact Casting vs Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults – JAMA (link to abstract – $ for full-text)
Commentary: Ankle Fracture Casting Stands Up Against Surgery at 3 Years – MedPage Today (free registration required)
Low Back Pain – New Series from The Lancet Journals
23 Mar, 2018 | 02:41h | UTCLow Back Pain – New Series from The Lancet Journals
– Homepage and Executive Summary (free)
– Article 1: What low back pain is and why we need to pay attention (free registration required)
– Article 2: Prevention and treatment of low back pain: evidence, challenges, and promising directions (free registration required)
– Invited Commentary: Low back pain: a major global challenge (free registration required)
– Viewpoint: Low back pain: a call for action (free registration required)
Commentaries: Low Back Pain Affects 540 Million People Worldwide, but Too Many Patients Receive the Wrong Care – University of Warwick, via NewsWise (free) AND Lower back pain being treated badly on a global scale, study says – The Guardian (free)
Meta-Analysis: Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis
16 Mar, 2018 | 01:32h | UTC
The Australian Rheumatology Association’s ‘top five’ list of investigations and interventions doctors and patients should question
8 Mar, 2018 | 22:12h | UTCEVOLVE: The Australian Rheumatology Association’s ‘top five’ list of investigations and interventions doctors and patients should question – Internal Medicine Journal (free) (via @RSiemieniuk)
See other lists of low-value practices in Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Another interesting list of commonly used low-value practices that should be questioned.
Randomized controled trial: Opioid vs Nonopioid Medications in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain
8 Mar, 2018 | 22:06h | UTCEffect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
Commentaries: Opioids Don’t Beat Other Medications For Chronic Pain – NPR (free) AND More Data Opioids No Better for Chronic Back, Arthritis Pain – Medscape (free registration required) AND Opioids no better than NSAIDs for chronic back or arthritis pain – Reuters (free)
Related: Opioid Wisely – Choosing Wisely Canada (free) AND Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)
Opioid Wisely – Choosing Wisely Canada
8 Mar, 2018 | 21:29h | UTCOpioid Wisely – Choosing Wisely Canada (free)
Related Guideline: Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)
See complete lists from Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
This campaign encourages thoughtful conversation between clinicians and patients to reduce harms associated with opioid prescribing, with recommendations relevant to different specialties.