The Journal of Musculoskeletal Medicine Vol 26 No 10

All About Gout and Pseudogout: Meeting a Growing Challenge

October 16, 2009

As the population ages and persons live longer with more medical comorbidities, the incidences of both gout and pseudogout will continue to increase. Uric acid metabolism is crucial to the pathogenesis of gout. Patients who have the arthritis associated with crystal-deposition disease typically present clinically with acute attacks of joint pain, swelling, and erythema and have asymptomatic periods between acute attacks.

Keeping acute rheumatic fever in the differential

October 04, 2009

Acute rheumatic fever (ARF) was a major cause of morbidity and mortality in past decades, but with the passage of time and medical advances, it faded from the forefront of clinical medicine and, in turn, from physicians' minds. However, a resurgence of ARF has been reported in the United States and the condition remains a significant health concern in the developing world.

Identifying pleomorphic hyalinizing angiectatic tumor: A case report

October 03, 2009

A pleomorphic hyalinizing angiectatic tumor (PHAT) is a rare soft tissue lesion that mainly affects superficial soft tissue in the lower extremities. PHAT is classified as a borderline/intermediate-grade soft tissue tumor because of the substantial risk of local recurrence.

Did pay for performance pay off in England?

October 02, 2009

A pay-for-performance (P4P) scheme based on meeting targets for the quality of clinical care introduced to family practice in England in 2004 accelerated improvements in quality for 2 of 3 chronic conditions in the short term. However, the initial acceleration in improvement was not sustained.

MRI helps guide rotator cuff tear management

October 02, 2009

MRI may be used to monitor rotator cuff changes and guide management in long-term follow-up of patients with tears who are treated nonoperatively. Factors associated with tear progression include age older than 60 years, a full-thickness tear, and fatty infiltration of the rotator cuff muscles.

A healthy lifestyle lowers lifetime risk of heart failure in men

October 02, 2009

Adherence to healthy lifestyle factors is associated with a lower lifetime risk of heart failure in apparently healthy men compared with the general population. The lifetime risk is higher in men who have hypertension than in those who do not.

Fibromyalgia-related issues extend to the gut

October 02, 2009

The severity scores of dyspepsia symptoms and dyspepsia-related quality of life disturbance are higher in patients with fibromyalgia syndrome (FMS) than in patients with rheumatoid arthritis (RA) and in healthy persons.

Remission after conventional treatment for RA is attainable

October 02, 2009

Sustained disease-modifying antirheumatic drug (DMARD)-free remission occurs in about 10% of patients with rheumatoid arthritis (RA). It can be predicted by several clinical variables that are assessed routinely in outpatient clinics.

Tumor necrosis factor inhibitors used for RA at lower threshold

October 02, 2009

Tumor necrosis factor (TNF) inhibitors are being used for rheumatoid arthritis (RA) more aggressively and at a lower level of disease activity than in the past. Their use is greater in patients with established RA than in those with early RA.

Fall risk in older persons increased by toe weakness and deformity

October 02, 2009

Reduced toe flexor strength and the presence of toe deformities increase the risk of falling in older persons, according to researchers at the Biomechanics Research Laboratory, University of Wollongong, in Australia

Prevent patellofemoral pain to prevent knee osteoarthritis?

October 02, 2009

Persons who have patellofemoral pain (PFP) exhibit higher peak levels of patellofemoral stress than those who do not, according to work conducted at the University of Southern California's Musculoskeletal Biomechanics Research Laboratory (MBRL), and a long-term history of PFP in older adults yields a higher probability that patellofemoral osteoarthritis (OA) will occur.

Musculoskeletal practice guidelines for general practitioners

September 30, 2009

New evidence-based musculoskeletal disease prevention and treatment guidelines for general practitioners have been issued by the Royal Australian College of General Practitioners (RACGP). Rheumatoid arthritis (RA), juvenile idiopathic arthritis, and osteoarthritis guidelines have been released, and osteoporosis guidelines were expected to be available soon.