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The Journal of Musculoskeletal Medicine Vol 26 No 5

Sports injuries in weekend warriors: 20 Clinical pearls

May 08, 2009

As a consequence of playing the role of the weekend warrior, recreational athletes often present with knee or leg pain. Generally, these patients can be categorized in 1 of 3 age-related groups (although, paradoxically, the injuries are not necessarily age-dependent):

Allergy and immunology problems and musculoskeletal specialists

May 08, 2009

Clinicians caring for patients with musculoskeletal disorders may see patients who have underlying conditions that typically are evaluated and managed by allergy and immunology specialists. Although diagnosis of these conditions may be challenging, new insights into their pathogenesis have led to advances in diagnosis and therapy.

Wearable technology provides ready-made monitoring for musculoskeletal rehabilitation

May 06, 2009

Musculoskeletal rehabilitation student researchers at the Spaulding Rehabilitation Hospital in Boston are developing wearable monitoring systems that will allow physicians to monitor patient activity and physiology remotely over extended periods.

Biomechanics play key role in knee osteoarthritis

May 05, 2009

Researchers and clinicians often point to biomechanical elements, particularly aberrant biomechanical forces and pathological responses to them, as key factors in osteoarthritis (OA) disease progression.

Arm Pain, Weakness, and Bruising in an 82-Year-Old Homemaker

May 04, 2009

An 82-year-old right-handed woman, a homemaker, was evaluated for mild left upper arm pain, weakness, and bruising that had lasted for 4 days. Although she reported no previous history of rotator cuff injury or trauma per se, she did recall a sensation of "giving way" in the left upper arm while manually rolling up the driver's-side window in her car at the time of the initial event. Several hours later, a significant bruise appeared that extended from the middle of her upper arm toward the elbow, along with a mid-arm bulge that was more prominent with flexion. She denied having experienced an initial audible "pop," local corticosteroid injection, use of anticoagulants, or long-term fluoroquinolone treatment.

Poor prognosis with systemic sclerosis, pulmonary hypertension, and interstitial lung disease

May 04, 2009

Survival is reduced significantly in patients who have systemic sclerosis (SSc) with pulmonary hypertension (PH) combined with advanced interstitial lung disease (ILD) compared with patients with SSc who have isolated pulmonary arterial hypertension (PAH). The prognosis for patients in the former subset is extremely poor.

Tests help identify early cardiovascular disease

May 04, 2009

A carotid intima-media thickness (CIMT) evaluation can detect subclinical vascular disease in patients who have a low Framingham risk score (FRS) and a coronary artery calcium score (CACS) of 0. Two specific tests can identify early subclinical atherosclerosis: ultrasonography and CT.

Axial gout may be more common than it appears

May 04, 2009

The frequency of axial gout may be much higher than previously known, and it may occur in the absence of back pain. Physicians often are unaware of the potential existence of axial involvement in patients with gout, and the diagnosis may be missed even when CT scanning is obtained.

Chondroitins could be disease-modifying agents for knee osteoarthritis

May 04, 2009

Long-term administration of chondroitins 4 and 6 sulfate (CS) can prevent joint structure degradation in patients with knee osteoarthritis (OA). Reduced loss of joint-space width (JSW) might be predictive of better OA outcomes.

Osteoporotic fractures associated with increased mortality risk

May 04, 2009

There is increased mortality risk associated with all major osteoporotic fractures in patients of all ages and even with minor fractures in older patients for 5 to 10 years after the fracture. A subsequent fracture results in an increased risk for an additional period.

RA response criteria help decisions about continuing TNF inhibitors

May 04, 2009

The key predictors for continuation of anti–tumor necrosis factor a treatment in patients with rheumatoid arthritis (RA) are response and achievement of a state of low disease activity. Responses seen after 6 weeks and, significantly, after 3 months help decision making.

Lupus awareness campaign answers women's biggest questions

May 02, 2009

The National Lupus Awareness Campaign, the first-ever program of its kind, was launched recently in a cooperative effort between the US Department of Health & Human Services' Office on Women's Health and the Advertising Council. The "Could I have lupus?" campaign is designed to improve early diagnosis and treatment in persons at increased risk for lupus by raising recognition of the disease as a significant national public health problem and creating a sense of urgency about it.