Orthopedics (all articles)
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.
Research: Comparative cardiovascular safety of non-steroidal anti-inflammatory drugs in patients with hypertension
8 Mar, 2018 | 20:44h | UTCComparative cardiovascular safety of non-steroidal anti-inflammatory drugs in patients with hypertension: a population-based cohort study – British Journal of Clinical Pharmacology (link to abstract – $ for full-text)
Commentary: Cardiovascular Risk Compared Among COX-2 Selective, Nonselective NSAIDs – MPR (free)
Posterior Cruciate Ligament: Current Concepts Review
1 Mar, 2018 | 21:55h | UTCPosterior Cruciate Ligament: Current Concepts Review – The Archives of Bone and Joint Surgery (free)
Systematic Review: Surgery for Trigger Finger
27 Feb, 2018 | 17:10h | UTCSurgery for trigger finger – Cochrane Library (link to abstract – $ for full-text)
Research: Bedtime Low Dose Amitriptyline in Chronic Neck Pain
27 Feb, 2018 | 15:44h | UTCRandomized double-blind controlled study of bedtime low dose amitriptyline in chronic neck pain – European Journal of Pain (link to abstract – $ for full-text)
Commentary: Low-dose amitriptyline reduces idiopathic chronic neck pain – Univadis (free registration required)
Are you ready for the ATLS 10th Edition Updates?
23 Feb, 2018 | 01:11h | UTCAre you ready for the ATLS 10th Edition Updates? – emDocs (free)
Related: Infographic: ATLS Trauma Update 2018
Research: Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty
23 Feb, 2018 | 01:09h | UTCAspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty – New England Journal of Medicine (link to abstract – $ for full-text)
Quick Take Video Summary: Preventing VTE after Hip or Knee Arthroplasty (free)
“Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism”.
New Choosing Wisely Lists in Pediatrics: Things Physicians and Patients Should Question
22 Feb, 2018 | 23:19h | UTCNew Choosing Wisely Lists in Pediatrics: Four Things Physicians and Patients Should Question in Pediatric Infectious Diseases and Medical Microbiology – Choosing Wisely Canada (free) AND Five Things Physicians and Patients Should Question in Pediatric Orthopedics – Choosing Wisely U.S. (free)
Related: The Choosing Wisely initiative was launched 5 years ago, and now has over 490 recommendations from 18 countries (free)
See complete lists from Choosing Wisely U.S., Choosing Wisely UK, Choosing Wisely Australia AND Choosing Wisely Canada
Systematic Review: Comprehensive Geriatric Assessment for Older People Admitted to a Surgical Service
16 Feb, 2018 | 01:32h | UTCComprehensive geriatric assessment for older people admitted to a surgical service – Cochrane Library (free)
Summary: Does special assessment of older people getting surgery improve their recovery after surgery? – Cochrane Library (free)
Research: Intravenous and Topical Tranexamic Acid Alone vs Tourniquet Use for Primary Total Knee Arthroplasty
16 Feb, 2018 | 00:51h | UTCIntravenous and Topical Tranexamic Acid Alone Are Superior to Tourniquet Use for Primary Total Knee Arthroplasty: A Prospective, Randomized Controlled Trial – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts
Total Knee Arthroplasty: Improving Outcomes with a Multidisciplinary Approach
16 Feb, 2018 | 00:27h | UTC
Meta-Analysis: Tranexamic Acid Reduces Blood Loss in Intertrochanteric Fractures
16 Feb, 2018 | 00:26h | UTC