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Orthopedics (all articles)

Cohort Study | Early pregnancy exposure to NSAIDs is associated with slightly higher risks of neonatal and maternal adverse outcomes

7 Mar, 2023 | 12:56h | UTC

Summary:

A nationwide cohort study in South Korea, including 1.8 million pregnancies, investigated the association between the use of nonsteroidal anti-inflammatory drugs (NSAIDs) during early pregnancy and neonatal and maternal adverse outcomes.

The study revealed that pregnant women exposed to NSAIDs during early pregnancy were at increased risk of oligohydramnios and had a slightly higher likelihood of having an infant with major congenital malformations and low birth weight. These risks remained elevated when comparing NSAIDs against acetaminophen or past users.

The study suggests that clinicians should weigh the need to prescribe NSAIDs in early pregnancy against the modest but possible risk of neonatal and maternal outcomes and consider prescribing nonselective NSAIDs for <10 days, with continued careful monitoring for any safety signals.

Article: Neonatal and maternal adverse outcomes and exposure to nonsteroidal anti-inflammatory drugs during early pregnancy in South Korea: A nationwide cohort study – PLOS Medicine

 


M-A | Eccentric exercise vs. other exercises in the treatment of mid-portion Achilles tendinopathy

2 Mar, 2023 | 12:40h | UTC

Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis – BMC Sports Science, Medicine and Rehabilitation

 


M-A | Comparison of suture button and syndesmotic screw for ankle syndesmotic injuries

1 Mar, 2023 | 13:50h | UTC

Comparison of Suture Button and Syndesmotic Screw for Ankle Syndesmotic Injuries: A Meta-analysis of Randomized Controlled Trials – Orthopaedic Journal of Sports Medicine

 


SR | Surgical versus non‐surgical interventions for treating patellar dislocation

1 Mar, 2023 | 13:45h | UTC

Surgical versus non‐surgical interventions for treating patellar dislocation – Cochrane Library

 


Guidelines | Efficacy and safety of non-steroidal anti-inflammatory drugs for the treatment of acute pain after orthopedic trauma

28 Feb, 2023 | 13:48h | UTC

Efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of acute pain after orthopedic trauma: a practice management guideline from the Eastern Association for the Surgery of Trauma and the Orthopedic Trauma Association – Trauma Surgery & Acute Care Open

 


Chronic low back pain: a narrative review of recent international guidelines for diagnosis and conservative treatment

27 Feb, 2023 | 12:46h | UTC

Chronic Low Back Pain: A Narrative Review of Recent International Guidelines for Diagnosis and Conservative Treatment – Journal of Clinical Medicine

 


SR | Nonopioid pharmacological management of acute low back pain

27 Feb, 2023 | 12:42h | UTC

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review – Journal of Orthopedic Research

Commentary: Which Meds are Best for Acute Low Back Pain? – RheumNow

Related:

M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain

Guideline Interventions for the management of acute and chronic low back pain.

M-A: Little benefit from muscle relaxants for adults with non-specific low back pain.

 


Consensus Paper | Acute lower extremity fracture management in chronic spinal cord injury

23 Feb, 2023 | 13:36h | UTC

Acute Lower Extremity Fracture Management in Chronic Spinal Cord Injury: 2022 Delphi Consensus Recommendations – JBJS Open Access

Commentary: Updated spine fracture practice guidelines released – Orthopedics This Week

 


Updated Guideline | Management of hip fracture

17 Feb, 2023 | 13:17h | UTC

Hip fracture: management – National Institute for Health and Care Management

Quality Standard: Hip fracture in adults – National Institute for Health and Care Management

 


M-A | Foot orthoses for flexible flatfeet in children and adults

17 Feb, 2023 | 13:02h | UTC

Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes – BMC Musculoskeletal Disorders

 


Consensus on primary cam morphology and femoroacetabular impingement syndrome

15 Feb, 2023 | 16:01h | UTC

Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome – British Journal of Sports Medicine

Part 1: definitions, terminology, taxonomy and imaging outcomes

Part 2: research priorities on conditions affecting the young person’s hip

 


Guideline | Exercise-based knee and anterior cruciate ligament injury prevention

15 Feb, 2023 | 16:02h | UTC

Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention – Journal of Orthopaedic & Sports Physical Therapy

 


A guide to indoor rock climbing injuries

13 Feb, 2023 | 12:31h | UTC

A Guide to Indoor Rock Climbing Injuries – Current Sports Medicine Reports (free for a limited period)

 


Consensus Statement | Development of an Enhanced Recovery After Surgery (ERAS) surgical safety checklist

10 Feb, 2023 | 14:03h | UTC

Development of an Enhanced Recovery After Surgery Surgical Safety Checklist Through a Modified Delphi Process – JAMA Network Open

 

Commentary from the author on Twitter (thread – click for more)

 


Guideline for management of septic arthritis in native joints

10 Feb, 2023 | 14:00h | UTC

Guideline for management of septic arthritis in native joints (SANJO) – Journal of Bone and Joint Infection

 


Position Paper | Diagnosis, prevention and treatment of common shoulder injuries in sport

10 Feb, 2023 | 14:01h | UTC

Diagnosis, prevention and treatment of common shoulder injuries in sport: grading the evidence – a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF) – British Journal of Sports Medicine

 

Commentary on Twitter

 


Spinal cord injury: the global incidence, prevalence, and disability from the Global Burden of Disease Study 2019

9 Feb, 2023 | 13:20h | UTC

Spinal Cord Injury: The Global Incidence, Prevalence, and Disability From the Global Burden of Disease Study 2019 – Spine

Commentary: Measures needed to combat growing incidence and burden of spinal cord injury – Spinal News International

 


Guideline | Management of anterior cruciate ligament injuries

8 Feb, 2023 | 12:31h | UTC

Guideline: Management of Anterior Cruciate Ligament Injuries Evidence-Based Clinical Practice Guideline – Journal of the American Academy of Orthopaedic Surgeons

Summary: Academy of Orthopaedic Surgeons Clinical Practice Guideline Summary: Management of Anterior Cruciate Ligament Injuries – Journal of the American Academy of Orthopaedic Surgeons

Related:

Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction – British Journal of Sports Medicine

M-A | Optimal timing of anterior cruciate ligament reconstruction in patients with anterior cruciate ligament tear.

M-A | Primary surgery vs. primary rehabilitation for treating anterior cruciate ligament injuries.

RCT | Surgical reconstruction is superior to rehabilitation for patients with non-acute anterior cruciate ligament injury with persistent symptoms of instability.

Evaluating the diagnostic pathway for acute ACL injuries in trauma centres: a systematic review – BMC Musculoskeletal Disorders

Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG) – Orthopaedic Journal of Sports Medicine

Early surgical reconstruction versus rehabilitation with elective delayed reconstruction for patients with anterior cruciate ligament rupture: COMPARE randomised controlled trial – The BMJ

A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster–Randomized Controlled Trials With Meta-analysis – American Journal of Sports Medicine (link to abstract – $ for full-text)

Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture – Best Practice & Research Clinical Rheumatology

Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis – American Journal of Sports Medicine

 


Guideline on rehabilitation after anterior cruciate ligament reconstruction

8 Feb, 2023 | 12:30h | UTC

Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction – British Journal of Sports Medicine

Guideline: Management of Anterior Cruciate Ligament Injuries Evidence-Based Clinical Practice Guideline

Summary: Academy of Orthopaedic Surgeons Clinical Practice Guideline Summary: Management of Anterior Cruciate Ligament Injuries – Journal of the American Academy of Orthopaedic Surgeons

 

Commentary on Twitter

 


Guideline | Assessment and management of complex fractures

7 Feb, 2023 | 14:19h | UTC

Fractures (complex): assessment and management – National Institute for Health and Care Excellence

 


Consensus Paper | Physical therapy for upper cervical instability in patients with symptomatic generalized joint hypermobility

7 Feb, 2023 | 14:01h | UTC

Presentation and physical therapy management of upper cervical instability in patients with symptomatic generalized joint hypermobility: International expert consensus recommendations – Frontiers in Medicine

 


Opinion | Is it time to reconsider the indications for surgery in patients with tennis elbow?

7 Feb, 2023 | 13:51h | UTC

Is it time to reconsider the indications for surgery in patients with tennis elbow? – The Bone & Joint Journal

 


RCT | Higher complication rate after nail compared with plate fixation of ankle fractures in patients aged 60 years or older

7 Feb, 2023 | 13:50h | UTC

Higher complication rate after nail compared with plate fixation of ankle fractures in patients aged 60 years or older: a prospective, randomized controlled trial – The Bone & Joint Journal (link to abstract – $ for full-text)

 


M-A | Above elbow vs. below elbow immobilization for conservative treatment of distal end radius fracture in adults

7 Feb, 2023 | 13:49h | UTC

Comparison of above elbow and below elbow immobilisation for conservative treatment of distal end radius fracture in adults: A systematic review and meta-analysis of randomized clinical trials – Chinese Journal of Traumatology

 


M-A | Evaluation of comparative efficacy and safety of surgical approaches for total hip arthroplasty

6 Feb, 2023 | 13:01h | UTC

Evaluation of Comparative Efficacy and Safety of Surgical Approaches for Total Hip Arthroplasty: A Systematic Review and Network Meta-analysis – JAMA Network Open

 

Commentary on Twitter

 


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