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The Journal of Musculoskeletal Medicine Vol 27 No 8

Meeting the challenge of chronicshoulder pain: The diagnosis

July 31, 2010

Shoulder pain is complex and difficult for even experienced clinicians to diagnose. This article reviews how to use history, simple physical tests, and imaging to distinguish rotator cuff disorders and osteoarthritis from osteonecrosis, adhesive capsulitis, labral tears, or acromioclavicular joint pathology.

Low back pain management: Approaches to treatment

July 31, 2010

anagement of low back pain (LBP) includes a variety of approaches. The clinician should involve patients in the discussion and encourage them to become active participants. Bed rest has many deleterious effects; remaining active is more effective for patients with acute or subacute LBP.

Current concepts in corticosteroid-induced bone disease

July 31, 2010

The most common secondary form of osteoporosis is corticosteroid-induced disease. Cases of endogenous corticosteroid excess are few compared with the large number produced by exogenous use of the drug for management of many diverse diseases.

Broader osteoporosis screening guideline drafted

July 29, 2010

Screening for osteoporosis should be conducted for all women 65 years and older and for younger women whose fracture risk is equal to or greater than that of a 65-year-old woman who has no additional risk factors, according to a US Preventive Services Task Force (USPSTF) recommendation statement draft.

Evaluating RA disease severity: Patients and physicians do not see eye to eye

July 28, 2010

Close to one-third of patients with rheumatoid arthritis (RA) differ from their physicians in their assessment of disease severity, according a University of California, San Francisco study. Researchers found that patients who have depressive symptoms or poor overall function disagree with their physicians in their evaluation of RA activity more frequently than those who do not.

Glenohumeral osteoarthritis treatment guideline released

July 27, 2010

Total shoulder arthroplasty (TSA) should not be performed in patients with glenohumeral osteoarthritis (GHOA) who have an irreparable rotator cuff tear, and physicians should use perioperative mechanical or chemical venous thromboembolism prophylaxis for patients who have undergone shoulder arthroplasty.

Is online sports medicine information off base?

July 26, 2010

Patients with sports injuries frequently go online seeking help in making medical decisions, but the quality of information they obtain about the most common sports medicine diagnoses varies widely, according to a recent study.

Sjögren syndrome comorbidities diminish quality of life

July 24, 2010

The prevalence of several medical conditions, including cardiovascular, neurological, pulmonary, endocrine, GI, and psychological disorders, is higher in persons with primary Sjögren syndrome (pSS) than in the general population.

Letter to the editor:Body mass index proposed as a “vital sign”

July 22, 2010

The article “Physical activity plan recommends new 'vital sign'” (The Journal of Musculoskeletal Medicine, June 2010, page 233) caught my attention. Traditionally, every medical student introduced to physical examination and diagnosis as part of his or her clinical experience has been taught that the vital signs should be the recording of a patient’s body temperature, blood pressure, pulse, and respiration, as well as the noting of body weight and height measurements.