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The Journal of Musculoskeletal Medicine Vol 27 No 2

Early Identification of Juvenile Idiopathic Arthritis

February 01, 2010

A description and guide to manifestations and differential diagnosis of the many subtypes of juvenile idiopathic arthritis (JIA): oligoarticular, polyarticular, systemic, enthesitis-related, and psoriatric JIA.

Osteoarthritis treatment update: Are NSAIDs still in the picture?

February 01, 2010

Although NSAIDs are the most effective treatment for persons who experience the pain of osteoarthritis (OA), the risk of adverse effects with NSAIDs may outweigh the benefits in many older patients. The GI risk is well known; increased attention has been paid recently to the cardiovascular risk. The goals of OA management are pain reduction and improvement or preservation of mobility. A multidisciplinary approach to treatment is recommended.

Chief Complaint: Intense Left Shoulder Pain

January 31, 2010

Pain in the neck and shoulder set in during labor for this 38-year-old woman. The diagnosis was Parsonage-Turner syndrome or neuralgia myopathy, a rare condition affecting the brachial plexus.

Do age and bone density alone predict fracture risk as well as FRAX?

January 29, 2010

A simple model based on age and bone mineral density (BMD) alone may predict 10-year risk of hip, major osteoporotic, and any clinical fracture in older women as well as more complex fracture risk assessment tool (FRAX) models with BMD.

Use adult RA assessment tools for juvenile idiopathic arthritis?

January 29, 2010

Continuous measures of disease activity used for assessment of adult rheumatoid arthritis may be valid measures in children with polyarticular-course juvenile idiopathic arthritis (JIA). The scores may be valid in larger cohorts of children with polyarticular-course JIA that include children with early JIA and with varying degrees of disease severity.

Autoantibodies put patients on watch list for cardiovascular disease

January 29, 2010

Both systemic inflammation and immune dysregulation, including autoantibody production, may occur even in the absence of autoimmune rheumatologic diseases, such as rheumatoid arthritis and systemic lupus erythematosus.

Lupus an independent risk factor for coronary artery disease

January 28, 2010

Women with systemic lupus erythematosus (SLE) are at increased risk for coronary artery disease (CAD) and mortality. The dominant risk factors are SLE itself, age, and high total triglyceride levels rather than the traditional Framingham risk factors.

Psoriasis more severe, with more psychological effects, in minorities

January 28, 2010

Psychological effects resulting from psoriasis and psoriatic arthritis (PsA) are more likely to occur in African Americans, Asians, and Latinos than in whites, according to a recent National Psoriasis Foundation (NPF) survey report. In addition, very severe disease is more common among members of these groups.

New glenohumeral osteoarthritis guidelines recommend arthroplasty

January 27, 2010

Total shoulder arthroplasty (TSA) is preferred over hemiarthroplasty in the treatment of patients who have glenohumeral osteoarthritis (GHOA) in the strongest of 16 recommendations in a new evidence-based clinical practice guideline developed by the American Academy of Orthopaedic Surgeons (AAOS). The AAOS guideline is designed to help physicians improve treatment of patients with shoulder pain by applying the best current evidence in making clinical decisions about GHOA.

ACL injury risk greater on the other side

January 26, 2010

The risk of sustaining a contralateral anterior cruciate ligament (ACL) injury is greater than the risk of sustaining a first-time ACL injury, according to investigators in the department of orthopedics at Lund University and Lund University Hospital, Lund, Sweden. The most important risk factor for sustaining a contralateral ACL injury is return to a high activity level after a unilateral ACL injury.