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The Journal of Musculoskeletal Medicine Vol 27 No 12

Diagnosis and management of inflammatory muscle disease

December 07, 2010

Idiopathic inflammatory myopathy is a term applied to a group of relatively rare diseases that present with the gradual onset of weakness of shoulder and pelvic girdle muscles. These diseases include polymyositis and dermatomyositis, as well as myositis associated with neoplastic disease, myositis associated with underlying collagen-vascular disease, and inclusion body myositis.

Managing stress fractures in athletes

December 06, 2010

The nature of fractures in athletics varies by the sport. This article describes a comprehensive approach to detection and management of the variety of fractures that can be incurred during play.

Poor Treatment Adherence in RA and Lupus Reported at Conference

December 05, 2010

Persons who have a rheumatologic disease, such as rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE), often do not take their medication on a regular basis, according to research findings presented recently at the American College of Rheumatology (ACR) Annual Scientific Meeting held in Atlanta.

An Unexpected Finding in a Patient With Osteoarthritis

December 04, 2010

DISH, a radiographic finding characterized by abnormal calcification and ossification in the axial skeleton and in ligaments and entheses,1 most often affects the thoracic spine. Of note, the findings almost always are more prominent on the right side (the left side may be spared because of aortic pulsations). The enthesopathy, also called“whiskering,” can affect the pelvic brim, ischial tuberosities, greater trochanters, and other features that have ligamentous attachments.2 Diagnosis often is made after an incidental finding in an asymptomatic patient.

Unequal leg length and osteoarthritis link is uncertain

December 03, 2010

The risk of progressive knee radiographic osteoarthritis (OA) is significantly higher in patients with limb length inequality (LLI); the risk of incident knee or hip radiographic OA and progressive hip radiographic OA,

Depression Linked with Cognitive Impairment in New-Onset Lupus

December 03, 2010

Depression is associated with significantly poorer cognitive function in patients with a new diagnosis of systemic lupus erythematosus (SLE) as well as in patients with established disease. Intervention trials of antidepressants for a Calgary Depression Scale (CDS) score higher than 6 are clearly indicated in depressed patients with SLE who have cognitive impairment.

Added RA relief with nighttime-release prednisone?

December 03, 2010

n an investigation of the effects of long-term low-dose chronotherapy with modified-release (MR) prednisone for rheumatoid arthritis (RA) on the hypothalamic-pituitary-adrenal (HPA) axis, treatment with nighttime-release prednisone did not change adrenocortical function over 12 months.

MRI Better Than Expected for Spondyloarthritis Diagnosis

December 03, 2010

MRI has much greater diagnostic utility for patients with spondyloarthritis (SpA) than was documented previously. Low-grade acute and structural sacroiliac (SI) joint lesions may be present in patients with nonspecific back pain and healthy persons.