Patients admitted to the hospital on weekends for cervical spine fusion resulting from trauma have a greater length of stay and total hospital costs than their weekday counterparts.
The nerve root sedimentation sign, seen on magnetic resonance images, can differentiate lumbar spinal stenosis from asymptomatic controls.
Smaller micropolitan areas, mainly, have no practicing rheumatologists.
There were no significant differences between the referring groups in the mean total number of positive abnormality subtypes per image.
Patients with rheumatoid arthritis experience significantly less psychological stress and physical disability compared with two decades ago, which may be partially due to a reduction in disease activity.
Improvement in functionality, reduction in pain for athletes with Achilles or patellar tendinosis were seen.
Combo of hypoxia treatment, overground walking linked to gains in speed, endurance.
The addition of gabapentin to patient-controlled analgesia (PCA) protocol does not reduce morphine consumption, pain, or opioid-related side effects in patients undergoing total knee arthroplasty.
Sanofi and Regeneron announced that in the SARIL-RA-MOBILITY Phase 3 clinical trial, sarilumab in combination with methotrexate (MTX) improved disease signs and symptoms as well as physical function, and inhibited progression of joint damage in adult patients with active rheumatoid arthritis (RA) who were inadequate responders to MTX therapy.
Researchers find that greater milk consumption during teenage years is not associated with a lower risk of hip fracture in older adults.
Mean levels of total 25-hydroxyvitamin D and vitamin D-binding protein were significantly lower in blacks than in whites.
Pfizer announced that the FDA has approved the supplemental New Drug Application (sNDA) for Xeljanz (tofacitinib citrate) to include additional patient-reported outcomes data in the label.
Short-term chiropractic treatment was superior to sham; however, treatment effects were not clinically important.
BioSpecifics Technologies has announced positive results from its Phase 3b MULTICORD study evaluating Xiaflex (collagenase clostridium histolyticum) for the concurrent treatment of adult Dupuytren's contracture patients with multiple palpable cords.
Recommendations from health care providers are linked with adherence to guidelines for physical activity in adults with arthritis.
Surgeons have dissected and described a new structure in the human knee joint, the anterolateral ligament (ALL), which connects the femur with the anterolateral tibia.
Self-management education and appropriate physical activity can improve outcomes.
Beginning rehabilitation at six weeks as opposed to 12 weeks post-lumbar spinal fusion is associated with higher costs and poorer outcomes.
For Medicare patients with new vertebral compression fractures, kyphoplasty correlates with lower risk of death, but with increased likelihood of subsequent augmentation procedures compared with vertebroplasty.
The top five pediatric rheumatology-related issues that physicians and patients should question have been released by the American College of Rheumatology (ACR) as part of the Choosing Wisely campaign.
Health providers need to provide correct advice about how to swaddle infants safely, to reduce the risk of hip dysplasia.
Over the past decade, pediatric methicillin-resistant Staphylococcus aureus (MRSA) musculoskeletal infections have increased in frequency.
Patients meeting strict criteria benefit more from surgery for degenerative spondylolisthesis (DS), compared to non-operative care, although the treatment effect of surgery is modified by specific patient characteristics.
Musculoskeletal pain in the low back, hips, and the nonoperatively treated knee before total knee replacement is associated with poorer physical function at six months after surgery.
In patients who undergo total hip and knee arthroplasty, 5% have unplanned readmission within 90 days.
Recovery room radiographs provide no incremental clinical value above intraoperative images following lumbar fusion.
Genentech announced that the FDA has approved a subcutaneous (SC) formulation of Actemra (tocilizumab) for the treatment of adults with moderately-to-severely active rheumatoid arthritis (RA).
Disc herniations represent a substantial source of injury in the National Football League (NFL).
UCB announced that he FDA has approved Cimzia (certolizumab pegol) for the treatment of adults with active ankylosing spondylitis.
There are multiple independent risk factors for the development of deep venous thrombosis and/or pulmonary embolism after spine surgery.
The issues related to calcium supplementation in postmenopausal women are discussed.
Antares Pharma announced that the FDA has approved Otrexup injection, the first SC methotrexate for once-weekly self-administration with an easy-to-use, single-dose, disposable auto-injector.
Overall, six findings indicated significant benefit, two indicated significant detriment, and the remaining findings were non-significant.
Many male youths are using appearance and performance enhancing drugs, which include anabolic steroids and human growth hormone, and are finding them easily accessible online.
Unexplained pain after the six-month postoperative period occurs in 7% of patients undergoing surgery for adolescent idiopathic scoliosis (AIS).
Patient satisfaction with care received was a poor proxy and correlated poorly with outcomes, complications, and quality of life following surgery.
Patients receiving high-dose recombinant human bone morphogenetic protein-2 (rhBMP-2) as part of spine surgery have an increased risk of cancer and may be at risk for major complications.
Duavee (conjugated estrogens/bazedoxifene; Pfizer) has been approved for the treatment of moderate-to-severe vasomotor symptoms associated with menopause and the prevention of postmenopausal osteoporosis.
Elderly blacks and Hispanics have a greater risk of postoperative complications, which are largely explained by procedure type and health care status and differ between men and women.
UCB announced that the FDA has approved Cimzia (certolizumab pegol) for the treatment of adult patients with active psoriatic arthritis.
Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover.
Specific modifiable preoperative, intraoperative, and postoperative factors can be optimized to reduce the risk of surgical site infections (SSIs) for patients undergoing elective orthopedic surgery.
Postoperative mortality following total hip replacement has decreased in England and Wales.
Surgery with physical therapy results in a more rapid improvement during the first postoperative year for patients with cervical radiculopathy, compared to physical therapy alone, but similar outcomes are seen at two years.
Recommendations for treatment of systemic juvenile idiopathic arthritis (JIA), including those cases with or without active systemic features, have been updated.
Electromyographic signals can be used with mechanical sensor data to improve control of robotic leg prostheses.
The FDA has approved changes to the prescribing information for Arzerra (ofatumumab; GlaxoSmithKline) and Rituxan (rituximab; Genentech) to add a new warning about the risk of hepatitis B virus (HBV) infection reactivation.
For overweight and obese adults with knee osteoarthritis, 18 months of diet and diet + exercise interventions is better than an exercise only intervention.
For older adults, a second bone mineral density measure after four years does not improve prediction of hip or major osteoporotic fractures.
There was a statistically greater incidence of delirium in patients undergoing lumbar fusion, compared to patients undergoing lumbar decompression.
Janssen announced that the FDA has approved Stelara (ustekinumab) alone or in combination with methotrexate for the treatment of adults with active psoriatic arthritis.
Adverse events are common after chiropractic care, but seem to be due to non-specific effects and are mostly benign.
American Society of Anesthesiologists (ASA) class and age were the strongest predictors of major medical complications
A recent study showed that bracing in adolescent idiopathic scoliosis (AIS) reduces the likelihood that it will progress to the point of requiring surgery.
Spine injuries account for >11% of all casualties among U.S. combat-wounded military in Iraq and Afghanistan.
Dual continuous epidural analgesia (CEA) is the most effective pain control method following surgery for adolescent idiopathic scoliosis.
Routine screening can identify older adults at risk of mobility limitation, and addressing their functional deficits with mobility devices and exercise can lead to improvement in mobility limitation.
In patients with non-specific chronic low back pain (NSCLBP), postural training matched to the specific control impairment more effectively reduces pain and disability than generalized training.
In adults with neck pain, those with asymmetry in the range of motion (ROM) of the upper cervical spine (UCS) have increased postural sway compared with those with symmetry, but postural function does not differ between the groups.
For patients undergoing spine fusion for adult spinal deformity, unplanned hospital readmissions are relatively common and are often related to surgical site infections.
Middle-aged adults who participate in moderate weekly physical activity do not increase their risk of knee osteoarthritis.
Patients with spinal disorders undergoing hemodialysis can reliably achieve neurological and functional improvement from spinal surgery.
Pfizer Consumer Healthcare announced the availability of its latest fast acting pain relief medication, Advil (ibuprofen sodium) Film Coated tablets.
The FDA has accepted for filing the New Drug Application (NDA) for Pennsaid (diclofenac sodium topical solution; Mallinckrodt) 2% w/w in the treatment for pain associated with osteoarthritis of the knee.
Consumer cost sharing resulting from reference pricing redirects patient volumes and reduces hospital prices for orthopedic surgery.
Degenerative changes with hip dysplasia are similar in long-term maturity follow-up regardless of ultrasound screening approach.
For patients with knee osteoarthritis, the use of lateral wedges offers no significant benefit vs. a neutral insole comparator.
Vertebral compression fracture (VCF) is a common adverse effect in patients receiving spine stereotactic body radiotherapy (SBRT).
A rapid biomarker-based method using blood samples is able to accurately differentiate patients with fibromyalgia syndrome (FM) from those with rheumatoid arthritis (RA) or osteoarthritis (OA).
For patients with knee osteoarthritis, pain impacts spouses' sleep.
Ampio announced positive results from the SPRING study of Ampion for the treatment of osteoarthritis of the knee (OAK).
For individuals 8 years of age and older, total bone mineral density (BMD) varies by race/ethnicity and by age.
Regular consumption of dietary long-chain n-3 polyunsaturated fatty acids (PUFAs) in fish is associated with reduced risk of rheumatoid arthritis (RA) in women.
X-rays taken during postoperative visits following cervical fusion surgery are rarely of value when history and exam are normal.
For elderly patients, injury level and severity of spinal cord injuries are risk factors for mortality.
Aspirin is a cost-effective choice for VTE prophylaxis following total hip arthroplasty.
A study found males, whites, enlisted personnel, those serving in the Army and Marines, and individuals aged 20-24 or >40 to be at an increased risk of lumbar fracture.
Professional athletes may return to full contact sports following a single-level anterior cervical discectomy and fusion (ACDF).
Physical activity interventions for working adults with arthritis may be improved by taking into account the demands of an individual's multiple roles, including work, health, and other life responsibilities.
For postmenopausal women, height is positively associated with risk of all cancers and risk of specific cancers at numerous sites.
Patients with low bone mineral density (BMD), low body mass index (BMI), and intradiscal cement leakage are at risk for new osteoporotic vertebral compression fractures (VCFs) after vertebroplasty.
A cognitive-behavioral, self-help intervention can improve depression and anxiety in patients with rheumatic conditions.
There is an increased risk of cardiac complications in lumbar fusion surgeries compared to lumbar decompression surgeries, thus requiring careful monitoring.
Thromboembolic chemoprophylaxis seems to be safe and efficacious in at-risk trauma patients having spinal stabilization surgery.
Simponi Aria (golimumab for infusion; Janssen Biotech) has received approval from the FDA for the treatment of adults with moderately to severely active rheumatoid arthritis in combination with methotrexate.
For patients after hip fracture, stress-induced hyperglycemia is associated with an increased risk of acute myocardial infarction (AMI).
Smoking may play a role in prolonging hospital stay in patients undergoing elective spine surgery.
Parents should be educated about development of positional plagiocephaly before presenting at 2-month well-child visits.
Hypotension, hyperglycemia, and traumatic brain injury independently predict functional disability.
Short-term ultraviolet radiation (UVR) exposure may contribute to the development of juvenile myositis.
The FDA has granted Breakthrough Therapy designation to drisapersen, an exon-51 skipping compound for the potential treatment of patients with Duchenne Muscular Dystrophy, a lethal form of muscular dystrophy.
Ethnically diverse and economically disadvantaged patients with rheumatoid arthritis (RA) have low adherence to oral disease-modifying antirheumatic drugs (DMARDs) and poorer outcomes.
Patients with systemic lupus erythematosus (SLE) have an increased risk of cervical, but not trochanteric, hip fractures.
Most patients who undergo open carpal tunnel release are pleased with the results and free of symptoms more than a decade later.
Orthopedic trauma patients with isolated musculoskeletal injuries are significantly more likely than the general population to have used prescription opiates prior to injury, and pre-injury use predicts prolonged postoperative use.
Certain findings on MRI are linked with surgical outcome in patients with lumbar intervertebral disc herniation.
The FDA has accepted Pfizer's sNDA for review for an expanded indication for Xeljanz to include inhibition of progression of structural damage in the label. Xeljanz is a first in its class Janus Kinase inhibitor.
Spinal surgeons show considerable variability in imaging practices for elective lumbar spine surgery.
A recent Cochrane review concluded that there is a lack of high-quality evidence on the efficacy of scoliosis-specific exercise in adolescents with adolescent idiopathic scoliosis.
The rate of complications, length of stay, and costs associated with surgery for lumbar spinal stenosis differ for African-American patients compared with white patients.