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Orthopaedics Medical and Health News Headlines
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All Recent Orthopaedics Medical News Headlines |
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Contents List
(Source: Gait and Posture)...
POSTED 07/01/2009 at 10:46 AM --
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FRAX tool could reduce osteoporosis undertreatment
Many patients miss out on osteoporosis treatment, say US researchers who believe that the World Health Organization fracture risk assessment tool could identify vulnerable individuals. (Source: MedWire News - Bone Health)...
POSTED 07/01/2009 at 10:46 AM --
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Deficits in peroneal latency and electromechanical delay in patients with functional ankle instability
The purpose of this study was to compare alterations in peroneal latency and electromechanical delay (EMD) following an inversion perturbation during walking in patients with functional ankle instability (FAI) and with a matched control group. Peroneal latency and EMD were measured from 21 patients with unilateral FAI and 21 controls. Latencies were collected during a random inversion perturbation while walking. EMD measures were collected during stance using a percutaneous stimulus. Two-way ANOVAs were used to detect differences between leg (affected, unaffected) and group (FAI, Control). Functionally unstable ankles displayed delayed peroneus longus (PL) latencies and EMD when compared to the unaffected leg and a matched control group. Peroneal latency and EMD deficits could contribute t......
POSTED 06/30/2009 at 06:00 PM --
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Relatively lower body mass index is associated with an excess of severe truncal asymmetry in healthy adolescents:
do white adipose tissue, leptin, hypothalamus and sympathetic nervous system influence truncal growth asymmetry?
DiscussionBMI is a surrogate measure for body fat and circulating leptin levels. The finding that girls with relatively lower BMI have significantly later menarche, and a significant excess of TAs, suggests a relation to energy homeostasis through the hypothalamus. The hypothesis we suggest for the pathogenesis of severe TA in girls and boys has the same mechanism as that proposed recently for AIS girls, namely: severe TAs are initiated by a genetically-determined selectively increased hypothalamic sensitivity (up-regulation, i.e. increased sensitivity) to leptin with asymmetry as an adverse response to stress (hormesis), mediated bilaterally mainly to the growing trunk via the sympathetic nervous system (leptin-hypothalamic-sympathetic nervous system (LHS) concept). The putative autonomic......
POSTED 06/29/2009 at 06:00 PM --
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Journal of Bone and Mineral Metabolism Best Paper Award 2008
Content Type Journal ArticleCategory AnnouncementDOI 10.1007/s00774-009-0106-2
Journal Journal of Bone and Mineral MetabolismOnline ISSN 1435-5604Print ISSN 0914-8779
Journal Volume Volume 27
Journal Issue Volume 27, Number 4 / July, 2009 (Source: Journal of Bone and Mineral Metabolism)...
POSTED 06/29/2009 at 08:56 AM --
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Biomechanical stability of an arthroscopic anterior capsular shift and suture anchor repair in anterior shoulder instability: a human cadaveric shoulder model
Abstract It was hypothesized that an arthroscopic Bankart repair with suture anchors supplies sufficient anterior shoulder stability,
which cannot be improved by an additional capsular shift. In an experimental biomechanical human cadaver study, we tested
ten fresh human cadaver shoulders in a robot-assisted shoulder simulator. External rotation and glenohumeral translation were
measured at 0° and 80° of glenohumeral abduction. All measurements were performed under the following conditions: on the non-operated
shoulder; following the setting of three arthroscopic portals; following an arthroscopic anterior capsular shift; following
a simulated Bankart lesion; and following an arthroscopic Bankart repair. The application of three arthroscopic portals resulted
in a signifi......
POSTED 06/29/2009 at 05:57 AM --
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Age-related changes in biochemical markers of bone turnover and gonadotropin levels and their relationship among Chinese adult women
Conclusions Gonadotropic hormone levels are correlated with the rate of bone turnover in Chinese women: the higher the serum gonadotropic
hormone levels in circulation, the higher the levels of bone turnover indicators. FSH has a greater influence on all types
of bone turnover indicator than LH; moreover, it has a greater influence on bone formation indicators than on bone resorption
indicators.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00198-009-0943-9Authors
X.-Y. Wu, Central South University Institute of Metabolism and Endocrinology, The Second Xiang-Ya Hospital 139 Renmin-Zhong Rd Changsha 410011 Hunan People’s Republic of ChinaX.-P. Wu, Central South University Institute of Metabolism and Endocrinology, The Second Xiang-Ya Hospital 139 ......
POSTED 06/29/2009 at 05:42 AM --
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Alendronate-related femoral diaphysis fracture—what should be done to predict and prevent subsequent fracture of the contralateral side?
We report a case of sequential, bilateral, femoral diaphysis fractures associated with prolonged alendronate therapy and the
failure to predict the subsequent fracture of the contralateral side despite radiological imaging.
Discussion We review the current literature and discuss potential management strategies.
Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00198-009-0986-yAuthors
M. H. Edwards, Queen Alexandra Hospital Rheumatology Department Portsmouth Hampshire UKF. C. McCrae, Queen Alexandra Hospital Rheumatology Department Portsmouth Hampshire UKS. A. Young-Min, Queen Alexandra Hospital Rheumatology Department Portsmouth Hampshire UK
Journal Osteoporosis InternationalOnline ISSN 1433-2965Print ISSN 0937-941X (Source: Osteoporosis Intern......
POSTED 06/29/2009 at 05:42 AM --
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How to Tango: a manual for implementing Spine Tango
Abstract The generic approach of the Spine Tango documentation system, which uses web-based technologies, is a necessity for reaching
a maximum number of participants. This, in turn, reduces the potential for customising the Tango according to the individual
needs of each user. However, a number of possibilities still exist for tailoring the data collection processes to the user’s
own hospital workflow. One can choose between a purely paper-based set-up (with in-house scanning, data punching or mailing
of forms to the data centre at the University of Bern) and completely paper-free online data entry. Many users work in a hybrid
mode with online entry of surgical data and paper-based recording of the patients’ perspectives using the Core Outcome Measures
Index (COMI) qu......
POSTED 06/29/2009 at 05:13 AM --
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Postural control in patients with lumbar disc herniation in the early postoperative period
Abstract Chronic spinal disc disease leads to disorders in postural movement coordination. An incorrect asymmetrical movement pattern
for the lower limbs loading impairs proprioception and deteriorates postural stability, particularly when the vision is occluded.
The standard surgical treatment improves biomechanical conditions in the lumbar spine, reduces pain, yet does it reduce the
stability deficit in the upright position? An answer to the latter question would help work out targeted therapy to improve
postural stability. We hypothesized that the standard surgical treatment would improve postural stability reflected by decreased
sway variability accounting for better use of proprioceptive inputs postoperatively. Thirty-nine patients with lumbar disc
herniation particip......
POSTED 06/29/2009 at 05:13 AM --
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Interspinous implants (X Stop®, Wallis®, Diam®) for the treatment of LSS: is there a correlation between radiological parameters and clinical outcome?
Abstract Neurogenic intermittent claudication, caused by lumbar spinal stenosis (LSS), usually occurs after the age of 50 and is one
of the most common degenerative spinal diseases in the elderly. Among patients over the age of 65 with LSS, open decompression
is the most frequently performed spinal operation. The recently introduced interspinous spacers are a new alternative under
discussion. In this retrospective study, we reviewed medical records and radiographs of patients with LSS and NIC treated
from June 2003 to June 2007. All included patients (n = 129) were treated with interspinous implants (X Stop® Wallis®, or Diam®). Evaluations of pain, using a visual analog scale (VAS), and radiographic signs, using two-plane X-rays of the lumbar spine,
were perfor......
POSTED 06/29/2009 at 05:13 AM --
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Effects of gender and cognitive-behavioral management of depressive symptoms on rehabilitation outcome among inpatient orthopedic patients with chronic low back pain: a 1 year longitudinal study
In this study,
a standard rehabilitation program for patients with CLBP and depressive symptoms was compared to a standard rehabilitation,
into which a cognitive-behavioral management training of depressive symptoms was integrated. Moreover, treatment effects of
this multidisciplinary standard rehabilitation program delivered to patients with either no or only mild depressive symptoms
were investigated. As a further aim of the present study, gender effects on rehabilitation outcomes were examined. Short-,
mid-, and long-term effects on individual global improvement as well as pain-related, psychological, and work-related measures
were evaluated among N = 199 consecutively admitted patients with CLBP, aged from 24 to 62 years. The standard rehabilitation program had no ......
POSTED 06/29/2009 at 05:13 AM --
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Spondylodiscitis of the lumbar spine in a non-immunocompromised host caused by Yersinia enterocolitica O:9
Abstract Here presented is an extremely rare case of a spinal osteomyelitis (L5–S1) with epidural empyema in a non-immunocompromised
62-year-old man caused by Yersinia enterocolitica O:9. The infection occurred acutely and required immediate surgical treatment. Y. enterocolitica was cultured from the empyema fluid, wound swabs of the intervertebral disc L5–S1 and stool cultures. Following the surgical
decompression and antibiotic treatment, the patient recovered completely, without neurological deficits. A review of the literature
revealed only sparse cases of spondylodiscitis due to other Y. enterocolitica serogroups. To our knowledge, we report here the first case of a spondylodiscitis of the lumbar spine caused by Y. enterocolitica serovar O:9 in a non-immunocompromise......
POSTED 06/29/2009 at 05:07 AM --
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Early results in the treatment of proximal humeral fractures with a polyaxial locking plate
Conclusions The NCB PH® combines conventional plating technique with polyaxial screw placement and angular stability. Although the complication rate
was 19%, with a reoperation rate of 12%, the early results show that the NCB PH® is a safe implant for the treatment of proximal humeral fractures.
Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-0924-7Authors
Johannes B. Erhardt, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen 9007 St. Gallen SwitzerlandG. Roderer, Universitätsklinik Ulm Abteilung für Unfallchirurgie Ulm GermanyK. Grob, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen 9007 St. Gallen SwitzerlandT. N. Forster, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen 9007 St. Gallen Switzerlan......
POSTED 06/29/2009 at 05:07 AM --
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Potential Mislead And Uselessness In Monitoring Bone Density In Older Women
A study published on bmj.com reports that monitoring bone mineral density in postmenopausal women taking osteoporosis drugs, such as bisphosphonates, is pointless and could be misleading. A major public health problem, osteoporosis particularly affects older women. Bone density drops after menopause because estrogen levels decline. Low bone mineral density importantly increases risk factor for fractures. (Source: Bones / Orthopaedics News From Medical News Today)...
POSTED 06/29/2009 at 02:00 AM --
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Thoracic spine pain in the general population: Prevalence, incidence and associated factors in children, adolescents and adults. A systematic review
Conclusions:
TSP is a common condition in the general population. While there is some evidence for biopsychosocial associations it is limited and further prospectively designed research is required to inform prevention and management strategies. (Source: BMC Musculoskeletal Disorders)...
POSTED 06/28/2009 at 06:00 PM --
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Reconstruction of the Acetabulum with Structured Bone Graft in Press-Fit Technique.
Authors: Halder A, Beier A, Neumann W
OBJECTIVE : Reconstruction of defects of the superior acetabular rim with structured bone grafts in press-fit technique before total hip replacement. INDICATIONS : Defects of the superior acetabular rim following hip dysplasia Crowe type II-IV, avascular necrosis of the femoral head Ficat stage IV, or aseptic loosening of the cup with acetabular defects Paprosky type 2a and 2b. CONTRAINDICATIONS : Acetabular defects Paprosky type 2c, 3a and 3b, septic loosening, severe osteoporosis. SURGICAL TECHNIQUE : Exposure of the acetabular defect and debridement with a spherical reamer to create a concave bleeding graft bed. Shaping of the bone graft with an inverted reamer of corresponding size and oscillating saw. Press-fit insertion of the bone graft into......
POSTED 06/28/2009 at 06:00 PM --
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"Clin Orthop Relat Res"[ta]; +121 new citations
121 new pubmed citations were retrieved for your search.
Click on the search hyperlink below to display the complete search results:
"Clin Orthop Relat Res"[ta]
These pubmed results were generated on 2009/06/27PubMed, a service of the National Library of Medicine, includes over 15 million
citations for biomedical articles back to the 1950's.
These citations are from MEDLINE and additional life science journals.
PubMed includes links to many sites providing full text articles and other related resources. (Source: Clinical Orthopaedics and Related Research)...
POSTED 06/27/2009 at 04:22 PM --
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"GirGet Janbaz" Shoe: A New Specific Shoe for Patients With Upper Limb Impairments.
This paper describes a new type of shoe equipped with an opening/closing mechanism to enable users with upper limb impairments to put on and remove the shoe without using their hands. Zippers enclosed in both side quarters facilitate opening and closing the shoe; users simply hit or apply pressure to the posterior part of the shoe.Page: 171DOI: 10.1097/JPO.0b013e3181b17376Authors: Salekzamani, Yagoub MD; Eivazi, Roya BS; Eivazi, Mohsen BS; Nezami, Nariman MD (Source: JPO Journal of Prosthetics and Orthotics)...
POSTED 06/27/2009 at 06:10 AM --
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Pectus Carinatum: To Brace or Not to Brace-A Picture Is Worth 1770 Words.
In this report we document success with orthotic treatment in two teenage boys with a significant pectus carinatum deformity and also describe the process of constructing a custom brace.Page: 167DOI: 10.1097/JPO.0b013e3181b2cd81Authors: Nehra, Deepika MD; Ein, Sigmund H. MD; Tlumacki, Mark CO; Masiakos, Peter T. MD (Source: JPO Journal of Prosthetics and Orthotics)...
POSTED 06/27/2009 at 06:10 AM --
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