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The Journal of Musculoskeletal Medicine Vol 25 No 12

Recognizing and Managing the Musculoskeletal Manifestations of Sarcoidosis

December 02, 2008

Noncaseating epithelioid granuloma is the histological hallmark of sarcoidosis, which can masquerade as several other disorders, because multiple organs can be affected. This article describes amultifaceted approach to diagnosis, and reviews treatment options.

High ankle sprains require a high index of suspicion

December 01, 2008

ABSTRACT: High ankle sprains are not as common as low anklesprains, but they are a significant injury, and the diagnosis may bechallenging. The primary role of the syndesmosis is to maintain therelationship of the talus to the tibia under physiological loads.Toaccomplish this, the distal tibiofibular joint must maintain its stability.The syndesmosis is injured most often with external rotation at theankle joint while the foot is dorsiflexed and pronated. On physicalexamination, tenderness is located in the area of the anterior syndesmosis.There are several special tests for syndesmosis injuries.Radiographic assessment is helpful. The usefulness of classificationsystems is not well defined. The optimal rehabilitation programis unknown. Rehabilitation generally is divided into phases.(J Musculoskel Med. 2008;25:564-569)

Fibromyalgia patient assessment tool helps treatment strategies

November 25, 2008

van Wilgen CP, van Ittersum MW, Kaptein AA, van Wijhe M,University of Groningen, The Netherlands, and other centers.Illness perceptions in patients with fibromyalgia and their relationshipto quality of life and catastrophizing. Arthritis Rheum.2008;58:3618-3626.