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Osteoarthritis

Psoriatic? Osteoarthritis? Do You Know the Difference?

Failure to distinguish the very similar early symptoms "is not a reflection of poor clinical acumen,” say these authors, “but rather a failure to appreciate that the pathological process overlaps." The differences are ....

Osteoarthritis

Here Dr. DeMarco shows how to guide an injection of the hip using ultrasound. The trick is training yourself to identify the femoral neck and head and the trochanter, and then rotating the sensor to reveal the orientation of that particular joint, beneath all that tissue.

More careful patient selection is making knee replacement ever safer, judging from data in a huge British registry. But the analysis may generate an unfair bias favoring total over partial replacement.

Pfizer expects to release Embeda (morphine sulfate and naltrexone hydrochloride), approved in 2009 based on osteoarthritis studies but withdrawn by another firm in 2011 due to concerns over abuse, sometime early next year.

Neither needle nor laser acupuncture demonstrate a clinical benefit over placebo in older patients with moderate or severe chronic knee pain.

Overlaps between PsA and OA can produce diagnostic confusion. Multimodality imaging may help sort things out

osteoarthritis

Topical diclofenac and acetaminophen are the best bets for osteoarthritis pain, concludes a review in Medical Letter. Hyaluronic acid scores a moderately favorable vote.

Separate newly published assessments describe hyaluronic acid injections and debridement after meniscectomy of scant clinical value for longstanding relief of knee pain, whatever small statistical significance may turn up in some studies.

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