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The Journal of Musculoskeletal Medicine Vol 26 No 12

Meeting the Challenge of the Vasculitides

December 10, 2009

The vasculitides are a heterogeneous group of disorders characterized by inflammation and necrosis of blood vessel walls resulting in impaired blood flow and organ damage. This article addresses some of the most frequently asked questions about these conditions.

Managing meniscal injuries: The treatment

December 09, 2009

Better understanding of meniscus anatomy and function has triggered a search for new and improved treatment options. Nonoperative treatment, including activity modification, rehabilitation, and use of NSAIDs, is directed at minimizing symptoms of pain and swelling.

Patellofemoral syndrome motor task interventions evaluated

December 07, 2009

We all know it well, and we have known about it since we were new grads: patients with anterior knee pain, worse with sitting and climbing stairs. It even has a nickname, “movie-goer’s knee.” The condition is patellofemoral syndrome.

Osteoporosis often overlooked in persons with wrist fracture

December 06, 2009

Fracture-managing physicians are less likely to evaluate and treat patients who have wrist fractures for osteoporosis than those who have hip or spine fractures. Although after a fragility fracture appropriate treatment can curtail the risk of a second fracture by about 50%, treatment often is inadequate, especially for persons who have nonvertebral fractures.

Coronary artery calcification common with lupus

December 06, 2009

The prevalence and extent of vascular calcification over the thoracic aorta and coronary and carotid arteries are greater in patients with systemic lupus erythematosus (SLE) than in healthy persons. Because the process of atherosclerosis related to SLE disease activity is diffuse and widespread rather than limited to the coronary arteries, coronary calcification used alone as a marker for atherosclerosis may not disclose the association.

Diabetes mellitus aid helps decision making

December 06, 2009

Use of the Diabetes Medication Choice cards can help patients with diabetes mellitus (DM) and their primary care physicians by increasing patients’ involvement in making decisions about DM medications.

Do “red flags” signal serious pathology with low back pain?

December 06, 2009

When patients present to primary care physicians with acute low back pain (LBP), a serious causative underlying pathology-cancer, fracture, or infection-is seldom identified. Some recommended “red flag” screening questions have high false-positive rates, casting doubt on the value of looking for bigger trouble when none is obvious.

Hip fractures going down but comorbidities going up

December 06, 2009

Hip fractures were almost twice as common in women as in men during the study period. The age-adjusted incidence of hip fracture increased between 1986 and 1995 (9% for women, 16.4% for men) but then decreased from 1995 to 2005 (24.5% for women, 19.2% for men).

Pilates promise prevention of neck and shoulder disorders

December 05, 2009

A Pilates training program was effective in improving arm-trunk posture, strength, flexibility, and biomechanical patterns during a functional shoulder flexion task in a study conducted by Canadian researchers. Emery and colleagues1 assessed 19 study participants; 10 persons in the experimental group entered a Pilates training program. The evaluation consisted of trials of seated posture, abdominal strength, shoulder range of motion, and maximal shoulder flexion; the investigators recorded neck, shoulder, and trunk kinematics and the activity of 16 muscles.