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Orthopedics

News, opinions and meeting coverage in orthopedics.

ACR over a photo of Georgia World Congress Center in Atlanta, Georgia.

ACR: Draft OA Guidelines Stress Non-Drug Tx, Leave Opioid Door Open

But group comes down hard on stem cells, PRP, electrical therapy; downgrades hyaluronic acid shots

A longitudinal MRI of a human brain

Brain Injury After Concussion May Linger

Some effects persist a year after college athletes return to play

A computer illustration of an intra-articular injection

Joint Injections: Are They Worth the Risk?

Adverse outcomes hastening joint replacement have raised concerns

A photo of a doctor holding a placenta after childbirth

The Afterlife of Afterbirth

Placenta donations may be feeding stem-cell scams

ASBMR over a photo of the Orange County Convention Center in Orlando, FL

Which Anticoagulant Is Best for Bone Health?

Reduced osteoporosis risk observed for rivaroxaban and apixaban versus warfarin

Photo of John Elway throwing a football

John Elway鈥檚 Debilitating Hand Condition

Hall of Famer fights Dupuytren's contracture

A computer rendering of a vitamin D capsule over a computer rendering of bone density

High-Dose Vitamin D: No Help for Bone Health

Surprise in randomized trial: a hint of actual adverse effect from supplementation

A medical illustration of a normal femur and a femur with osteoporosis

Osteoporosis Tx: Good for Bones, but Not for Cutting Death Risk

Fracture risk reduction fails to translate to improved survival in large meta-analysis

A heartbeat icon over a man holding his painful wrist which is transparent showing the muscles and nerves.

Carpal Tunnel Syndrome: 'Red Flag' for Subsequent ATTR, Heart Failure

Goal is to catch cardiac amyloidosis early, clinicians say

Suppressed Testicular Function 'Mostly Reversible' After Steroid Abuse

But process can take upwards of 9 months

Two Knees at Once: More Clarity on Pluses and Minuses

Surgeons say it's feasible in even severely obese patients, but beware of complications

Elbow Injuries Up in Youth Baseball. Are Coaches to Blame?

Many admit "lack of desire" to count pitches as recommended

Concussions in Sports: Don't Neglect Rugby

Most playing for more than a few years suffer head trauma, and few get adequate treatment

Robotic Knee Surgery: Fewer Problems, More Expensive

Balancing benefits and costs now the challenge for physicians, patients and payers

Doing Shoulder Surgery in Denver (or La Paz)? Read This

40-fold (!) increase in 30-day pulmonary embolism risk with procedures performed at high altitude

Black History Month: Talking With Antonio Webb, MD

A challenging upbringing, then service in Iraq, now orthopedic surgery

'Not a Haircut': Two Knees, Same Day ... More Risk?

Evidence, experience mixed on simultaneous bilateral knee replacement

ACR: Can Tanezumab Be Revived for OA?

Low incidence of rapidly progressive OA seen with lower doses

ASBMR: High-Dose Forteo Plus Prolia Increased BMD

Responses greater than what was seen with either drug alone in high-risk women

ASBMR: Meeting to Focus on Fractures

Topics will include men's bone health, the use of burosumab, and bisphosphonate drug holidays

Repeat CRP Tests If Spine Disease Uncertain

Post-hoc analysis of patients with axial spondyloarthritis

Athletes and Hearts; Best Meds for ADHD: It's PodMed Double T!

This week's topics include secondhand smoke and adolescents, labor induction, screening young athletes for cardiac problems, and ADHD medicines.

Joint Replacements Linked to Gout?

Risk is elevated both before and after gout diagnosis

Lewy Body Disease Tied to Contact Sports

More than 8 years of play linked to Lewy bodies, parkinsonism

Proteinuria Flags Risk for Post-Op Kidney Injury

Even trace levels of urinary protein tied to elevated rate of acute renal impairment

MD<40: Finding Your Joy Spot

Sometimes, just one thing makes it all worthwhile

Make the Diagnosis: At Least this Groom Doesn鈥檛 have Cold Feet

Just a few days after returning from his honeymoon at a Brazilian beach resort, a 29-year-old man went to his primary care doctor complaining of extremely pruritic toes and feet. After he started scratching, he noticed some small black dots, umbilicated papules, and crusts on the soles and at the tip of his toes under the nail. He had been finding it uncomfortable to walk since the last day of the trip. Can you diagnose the patient?

RA Patients Pose Perioperative Challenges

Expert discusses risk evaluation, stopping antirheumatic drugs

Mumps and Boosters; Ecigs and Quitting: It's PodMed Double T!

This week's topics include sinusitis treatment, low back pain management, waning mumps immunity, and e-cigarettes and quitting attempts

Perioperative Beta Blockers Trade Fewer MIs for More Deaths

Issue of safety highlighted again in POISE analysis

Optimal Post-Op Pain Management: It's Complicated

Competing demands on nurses seen as biggest barrier to optimal care

NBA Players: Nearly 1 in 6 Has Abnormal ECG

Study raises questions of whether yet more specific criteria are needed

From Hopeless to Healer: Persecuted in Nigeria, Stonewalled by the NFL

Early struggles prepared Bennet Omalu for character assassination in the U.S.

How Do Bisphosphonates Cause Atypical Femoral Fractures?

With long-term use, bones become harder but also more shatter-prone

CTE Risk in Football Players Exaggerated? (Health News Review)

Media reports have run past the science

Handling Patients and Performance Enhancers

Even without evidence-based steroid treatment protocol

Study: Orthopedic Surgery Patients Given Too Many Opioids

Most don't take all they're prescribed

The Yips, Potential CTE-Depression Link and More

New sports psychology articles raise research questions

Pre-TKA Opioid Script Predicts Post-Op Prescription

Especially prevalent after 6 months post-op

Female Athletes More Prone to Recurrent Concussion

Reason unclear, study leader calls for more research

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