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The Journal of Musculoskeletal Medicine Vol 27 No 1

A Diagnosis for the Doctor's Digits?

December 02, 2010

A 50 year-old physician experienced the abrupt onset of tenderness and swelling in the distal interphalangeal (DIP) joint of his right index finger. His only significant past medical history was Wolf-Parkinson-White syndrome, which was managed successfully with ablation. The same symptoms subsequently occurred in the DIP joints of his left index finger and fifth digits of both hands. No other digits were affected. The symptoms made it difficult for him to type on the computer. He denied trauma to the affected fingers, although he is an athlete and had had a left middle finger avulsion fracture, right middle finger dislocation, and left radial frac-ture. He had no systemic or other joint involvement.

Identifying and managing osteoporosis: An update

January 10, 2010

Osteoporosis is associated with significant morbidity and mortality. The fracture risk assessment tool (FRAX) calculates the contribution of significant clinical risk factors and bone mineral density to estimate the 10-year risk of major osteoporotic fracture and hip fracture.

Nonpharmacological treatment for low back pain

January 10, 2010

A serious underlying condition rarely is present in patients with low back pain (LBP), but the pain can be intense and severely limit home and work activities. For most patients with LBP, the cause is a nonspecific mechanical process; for those with acute symptoms, the course is self-limited. Initial treatments include activity modification, nonnarcotic analgesic agents, and patient education. For patients whose symptoms are not improving, referral for physical treatments is appropriate.

Obesity offensive tries behavioral slant

January 08, 2010

Obesity poses a significant public health challenge that increases the risk of type 2 diabetes mellitus, heart disease, hypertension, stroke, some cancers, osteoarthritis, and other conditions, according to the NIH. Therefore, the organization is leading a new obesity prevention initiative that will use findings from basic research on human behavior to develop more effective interventions to combat the problem.

Ankylosing spondyltitis instruments lacking in patient's perspective

January 07, 2010

The classic disease-specific instruments for evaluating ankylosing spondylitis (AS) are geared toward the needs of researchers and clinicians. Therefore, they often do not cover aspects of the disease that are important to patients and those factors are neglected.

Gait parameters impairedin women with fibromyalgia

January 06, 2010

The gait parameters of women affected by fibromyalgia syndrome (FMS) are severely impaired compared with those of healthy women, according to researchers in the department of physical education and sports at the University of Granada in Spain. Different factors (eg, lack of physical activity, bradykinesia, overweight, fatigue, and pain) together with a lower isometric force in the legs may be responsible for the alterations in gait and poorer quality of life in women with FMS.

Knowing ankle kinematics helpsassessment of osteoarthritis treatment

January 05, 2010

In persons with tibiotalar osteoarthritis (OA), subtalar joint motion during the stance phase of gait in the sagittal, coronal, and transverse rotational planes tends to occur in a direction opposite to that in persons who have normal ankles, according to researchers in the department of orthopedic surgery at Massachusetts General Hospital in Boston. This phenomenon represents a breakdown in the normal motion coupling seen in healthy ankle joints.

Top fitness trend: Working with experienced professionals

January 04, 2010

Greater emphasis placed on working with experienced and educated fitness professionals in developing better health will be the top fitness trend of 2010, according to a recent American College of Sports Medicine (ACSM) survey.