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The Journal of Musculoskeletal Medicine Vol 27 No 7

Gout pain “excruciating” but not always taken seriously

July 03, 2010

More than two-thirds of surveyed patients with gout described the pain of an attack as “miserable,” but one-fourth suggested that persons who do not have gout perceive them as overreacting to attacks and two-thirds think that others do not take the condition seriously.

Survey: Fewer older persons have osteoporosis

July 01, 2010

The number of older persons in the United States who have osteoporosis is declining, according to findings from the National Institute of Arthritis and Musculoskeletal and Skin Diseases–supported National Health and Nutrition Examination Survey (NHANES).

Achilles tendon rupture treatment guidelines: Exercise caution

June 30, 2010

Operative treatment for patients with an Achilles tendon rupture should be approached more cautiously in persons older than 65 years and in other patient groups, according to a consensus recommendation in an evidence-based clinical practice guideline, The Diagnosis and Treatment of Acute Achilles Tendon Rupture, recently released by the American Academy of Orthopaedic Surgeons (AAOS)

“Bag of nuts” in the knee

June 29, 2010

A 48–year–old woman was admitted to the division of rheumatology because of swelling and mild pain in her right knee. In the previous 3 months, she had experienced several episodes of locking of the knee; on palpation, the knee felt like a“bag of nuts.” On physical examination, hydrarthrosis and the appearance of loose bodies were documented.

Vitamin D results in more-not fewer-falls and fractures in older women

June 28, 2010

lder community-dwelling women who receive annual high-dose cholecalciferol (vitamin D) experience more falls and fractures-and more fractures unrelated to falls-than those who do not. This unexpected adverse outcome may be dose-related.

Current treatments are good medicine for children with Lyme arthritis

June 28, 2010

Children with Lyme arthritis have an excellent prognosis. Treatment of patients who have antibiotic-refractory Lyme arthritis with NSAIDs, intra-articular corticosteroid injections, or disease-modifying antirheumatic drugs (DMARDs) is safe and effective, with no evidence of chronic arthritis, permanent joint changes, or breakthrough cases of persistent infection.

RA trend reversal: Incidence on the rise in women

June 28, 2010

After a sharp decline in the incidence of rheumatoid arthritis (RA) over the previous 4 decades, it appears to have increased slightly in women in more recent years, along with an increase in prevalence.

Challenging the intervertebral disk degeneration paradigm

June 28, 2010

Traditionally recognized factors, such as age and biomechanics (abnormal physical loading), may play a role in the manifestation of intervertebral disk degeneration, according to researchers in the department of orthopaedics & traumatology at the University of Hong Kong. However, additional factors also may contribute.