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Honig, Stephen - - 2010
With the aging of the population, low bone mass states will be an increasing clinical issue for both men and women. More than 2 million osteoporotic fractures occur annually in the United States and it is estimated that nearly half of American Caucasian women over the age of 50 will ...
Solomon, Gary - - 2010
T cells play a prominent role in the pathogenesis of rheumatoid arthritis. Abatacept is the first FDA approved agent for rheumatoid arthritis that blocks the activation of T cells by interrupting the interaction between the CD28 ligand on the T cell and the CD80/86 ligand on the antigen presenting cell. ...
Solitar, Bruce - - 2010
Fibromyalgia is a chronic syndrome of diffuse musculoskeletal pain with tenderness at specific locations, often associated with persistent fatigue, cognitive and mood disorders, joint stiffness, and insomnia. Understanding the pathophysiology of fibromyalgia and the establishment of effective treatments have been complex endeavors that have not yielded simple answers. Nevertheless, recent ...
Yazici, Yusuf - - 2010
Nord, Russell - - 2010
The acceptance and rates of hip arthroscopy are increasing in the United States and abroad and the literature describing it is expanding. Indications for hip arthroscopy include labral tears, loose bodies, femoroacetabular impingement, ruptured ligamentum teres, chondral injuries, adhesive capsulitis, instability, synovial disease, disorders of the iliopsoas tendon, external coxa ...
Sanders, Samuel - - 2010
Hip dislocations are uncommon injuries that result from high-energy mechanisms. These patients require careful trauma evaluation to rule out concomitant injuries. Early closed or open reduction that is performed within 6 hours and close radiological follow-up is recommended to obtain the best possible results. It is also essential to educate ...
Jarit, Gregg - - 2010
Meniscus injuries are one of the most commonly encountered problems by orthopaedic surgeons today. Surgical techniques for the treatment of meniscal tears are evolving. While many tears can only be treated with partial menisectomy, there are an increasing number of surgical techniques to repair or reconstruct the meniscus. Because of ...
Golant, Alexander - - 2010
The issue of athletic participation after hip and knee arthroplasty has become more relevant in recent years, with an increase in the number of young and active patients receiving joint replacements. This article reviews patient-, surgery-, implant-, and sports-related factors, and discusses currently available guidelines that should be considered by ...
Kaplan, Kevin - - 2010
Femoroacetabular impingement results from an abnormal contact between the femur and the pelvis. This abnormal contact leads to developmental changes in the femoral neck, labrum, and acetabulum. Secondary to the altered hip joint mechanics, chondral damage occurs and initiates the degenerative process, eventually leading to osteoarthritis. Numerous etiologies have been ...
Yazici, Hasan - - 2010
Halsted R. Holman, in a 1994 Arthritis & Rheumatism editorial, discusses how "thought barriers" can make our understanding of rheumatic diseases more difficult. The medical teaching-practice has traditionally been centered on acute disease; however, most rheumatic diseases are chronic. There is also the prevailing notion of a single lesion for ...
Boers, Maarten - - 2010
The first definition of remission in rheumatoid arthritis was proposed by Pinals and colleagues in 1981. Although its development process was of high quality, the definition proved unfeasible and was not often applied. Subsequently many other definitions appeared, either as variations or as cutpoints of disease activity indices. The American ...
Pincus, Theodore - - 2010
Modern medical care is based largely on laboratory advances, such as microbiological cultures giving rise to antibiotics and hemoglobin A1c leading to "tight control" of diabetes, among many others. Development of a "gold standard" laboratory test has appeared attractive for care of patients with rheumatoid arthritis (RA) since rheumatoid factor ...
Yazici, Yusuf - - 2010
Informed consent is a legal document that summarizes what will take place in a study in a language the study subjects can understand and is the process by which a person decides whether or not to participate in a study. The document is not limited to explaining the intervention or ...
Boyer, Jason - - 2010
Surgical repair of the anterior cruciate ligament is a fairly common necessity in knee injuries, usually with good to excellent outcomes. However a successful repair and return to activities for a subpopulation of patients, 10% to 30%, remain elusive. Additionally, some athletes have arthritic changes, even with ligament repair. These ...
Quach, Tony - - 2010
Three percent of all biceps tendon ruptures occur at the distal aspect, where the tendon inserts into the radial tuberosity. Distal bicep tendon ruptures typically occur in middle-aged males after an eccentric extension load is applied to the elbow. Patients usually complain of a sudden, sharp, and painful tearing sensation ...
Hidalgo-Ovejero, Angel - - 2010
Vertebral dislocations are high energy injuries that rarely occur in the low back, but are found more frequently at the level of the thoracolumbar and sacrolumbar junctions. Dislocations of the mid-lumbar vertebrae are exceptional, with only 16 cases found in the literature. All previously reported cases were treated surgically. In ...
Villalobos, Camilo - - 2010
Osteoblastoma is an extremely rare entity that represents less than 1 % of all bone tumors, and affects twice as many males as females with peak incidence between 15 and 20 years. Osteoblastomas commonly affect axial bones, long bones, bones of the foot and hand, and less commonly the pelvis, ...
Rodriguez, Christopher - - 2010
Infection around the shoulder joint is rare. Clinical suspicion and diagnostic imaging are required for accurate diagnosis. We present three cases that emphasise particular diagnostic challenges when dealing with infection around the shoulder joint. Discussion includes the role of ultrasound as a screening tool and the importance of magnetic resonance ...
Hall, Michael - - 2010
Background: There has been an increasing number of arthroscopic surgeries performed in general orthopaedic surgery practice, as well as a rapid evolution of arthroscopic techniques. The objective of this investigation was to assess the adequacy of arthroscopic training in U.S. orthopaedic residency programs from a resident and program director perspective.
Grover, Raj Pal - - 2010
While hospitalized with polymyositis, a medically complex 56-year-old male experienced an acute exacerbation of gout. Both ultrasound and magnetic resonance imaging cross-sectional modalities were used to detect, localize, and characterize a soft tissue mass. The tumor was ultimately found to be secondary to gouty inflammation of the pes anserine bursa, ...
Smith, Daniel - - 2010
Stress fractures of the pubic rami are rare occurrences and most frequently occur in association with total hip arthroplasty (THA). Reported historically with both cemented and noncemented THA components, postoperative stress fractures likely occur secondary to a rapid postoperative increase in patient activity following years of disability. Though stress fractures ...
Garcia-Mata, Serafin - - 2010
A 4-month-old female infant was brought to our office by her parents, who had noticed a lump on the child's right elbow. Examination revealed a hard, painless lump in the anteroexternal region that was not reducible in flexion-extension or in pronation-supination. Neither palpation nor passive motion produced pain. Preoperative radiographs ...
Ruchelsman, David - - 2010
Coracoid fractures are uncommon injuries, in isolation or in association with other osseoligamentous injuries about the shoulder girdle. We report a case of successful operative management of symptomatic ipsilateral nonunions of a type I coracoid base fracture and a lateral one-third clavicular fracture, which developed following nonoperative treatment of this ...
Kummer, Frederick - - 2010
This study compared the sliding characteristics of three lag screw designs used with trochanteric nails and determined the effects of lubrication on sliding. They were tested by an established method to measure initiation and ease of lag screw sliding. These tests were then repeated with calf serum lubrication. There were ...
Khoury, Lisa - - 2010
Background: The addition of a lateral suture anchor fixation row to rotator cuff repairs has been shown to improve initial cuff reattachment strength and footprint area. This study evaluated the mechanical function of this lateral row by measuring suture tensions at the individual anchor sites.
Orbai, Ana-Maria - - 2010
Tricyclic antidepressants have not been explicitly studied in the conservative treatment of lumbar spinal stenosis. A retrospective chart review was conducted in a subset of patients with chronic low back pain and lumbar spinal stenosis managed with low dose tricyclic antidepressants. Of 26 patients, 20 reported improvement in back pain. ...
Davidovitch, Roy - - 2010
This report questions the cost and effectiveness of routinely sending explanted hardware to pathology for evaluation. Forty-six consecutive patients who had symptomatic hardware removed were enrolled in this study. Pathology reports following hardware removal were obtained, and charts were reviewed for these patients. The pathology department was contacted for related ...
Saygi, Baransel - - 2010
Background: Proximal femur fractures are one of the most common injuries necessitating operative treatment. The aim of this prospective study was to evaluate and compare the possible effects of the preoperative application of a skin traction device, with or without weights, on pain relief in patients with acute proximal femur ...
Vigler, Mordechai - - 2010
Background: The need for better durability and longevity in total hip arthroplasty in high demand patients is a constant challenge. For this purpose, a metal-on-metal prosthesis with improved tribology was developed. Our early results using this implant are presented.
Della Valle, Craig - - 2009
Geara, Abdallah - - 2009
A 53-year-old female was admitted to the intensive care unit for lupus cerebritis; she had a 15-year history of stable lupus. Over the prior 1 to 2 months, the patient visited a tanning salon and this triggered the exacerbation of lupus. Her initial symptoms were cutaneous in the form of ...
Sileo, Michael - - 2009
A case of an isolated popliteus tendon rupture occurring during sport in a skeletally immature athlete is presented. Treatment is not always clearly defined, as both nonoperative and operative have been successful. Because the outcome of rest from sports activity and failed trials of physical therapy allowed continued discomfort in ...
Capello, William - - 2009
Total hip arthroplasty (THA) has been shown to be highly effective in ameliorating pain and increasing function in adults with end stage arthritis of the hip. Early studies of cemented THA in children with advanced hip disease reported poor results, but, more recently, results of cementless THA show greatly improved ...
Glassner, Philip - - 2009
This study consists of a single case report of a patient who had an irreducible obturator dislocation of a total hip arthroplasty after a motor vehicle accident, not previously described in the English literature. In particular, the focus will be on offering an educated opinion on the risk factors for ...
Rodriguez, Christopher - - 2009
Glenohumeral septic arthritis is rare and usually a result of Staphylococcus aureus infection. Gram-negative septic arthritis is on the increase and is usually associated with intraabdominal pathology. We present a case of bilateral E. Coli glenohumeral septic arthritis associated with retroperitoneal abscess and discuss pitfalls in diagnosis and management.
Brief, James - - 2009
Foot drop has many etiologies. One rarely mentioned and often neglected reason for foot drop is an acute inversion sprain of the ankle. Over the past 14 years, a collection of 32 cases of foot drop have been compiled in our orthopaedic andphysiatric practices. All cases had appropriate evaluations, including ...
Sanders, Samuel - - 2009
Two cases are presented in which adult, precontoured, lower-extremity periarticular locking plates were utilized for fixation of subtrochanteric femur fractures in pediatric patients. Recognition of the fact that a distal tibial locking plate in a small child and a proximal tibial locking plate in an adolescent anatomically fit the proximal ...
Mor, Adam - - 2009
The most common drugs currently in use that may cause myopathies were reviewed using the Medline database (U.S. National Library of Medicine, Bethesda, Maryland). Our review included results from epidemiologic and database surveys, clinical trials, and case reports. The clinical spectrum is wide, and presentations range from asymptomatic elevations in ...
Ozkan, Feyza - - 2009
Osteoarthritis, the most common joint disease in the world, is characterized by joint pain, stiffness, and limitation of range of motion. Osteoarthritis is a slowly progressive disease and its morbidity increases with age. The most commonly involved sites are the spine, knee, hip, and hand joints. Although the ideal treatment ...
Singh, Jaspal - - 2009
Prior studies and techniques for harvesting iliac crest bone have shown significant postoperative pain, disability, and poor cosmesis. This retrospective study was conducted to examine bone graft donor-site morbidity by evaluating functional outcomes in patients who have undergone a modified anterior harvesting approach. The medical charts and hospital records of ...
Kummer, Frederick - - 2009
Previous studies have suggested that femoral component positioning in resurfacing arthroplasty may affect strains in the femoral neck that could lead to decreased implant longevity, A strain gaged, Sawbones[R] model was used to determine the femoral neck strains for a variety of resurfacing head translations and angulations. We found that ...
Kwon, Young - - 2009
The subscapularis tendon, coracohumeral ligament, and transverse humeral ligament are all believed to contribute to biceps tendon stability within the bicipital groove. In order to examine the relative contribution of these soft tissue structures to proximal biceps tendon stability, 11 fresh frozen cadaveric shoulder specimens were prepared and mounted onto ...
Golant, Alexander - - 2009
Background: The Bio-Transfix pin is a biodegradable device used for femoral tunnel anterior cruciate ligament (ACL) graft fixation. Recent clinical studies have suggested the possibility of the pin's postoperative failure.
Rizzello, Giacomo - - 2009
Results of arthroscopic management of chronic, recalcitrant calcific tendinopathy of the shoulder in 28 patients were evaluated. Twenty-six patients (average age, 44 years) were ultimately enrolled in the study. Postoperative radiographs were performed to determine the amount of calcium deposit removal. Radiographic examination 2 months after surgery was performed to ...
Falciglia, Francesco - - 2009
Background: The relationship of physiologic laxity to age has been reported in only cross-sectional studies. The current investigators suggest further investigations, to include Tanner staging in order to understand the extent to which increases in maturity influence alterations in laxity.
Davidovitch, Roy - - 2009
Ankle stability in ankle fractures is dependent on multiple factors. The medial malleolus and the associated deltoid ligament provide for ankle stability on the medial side. Over the years, the relative importance of this medial malleolar osteoligamentous complex (MMOLC) has been debated. This review will describe the evolution of ankle ...
Egol, Kenneth - - 2009
Background: Management of chronic posttraumatic osteomyelitis remains an important challenge in orthopaedics. In this investigation, 43 patients at a large university hospital were retrospectively identified who had been diagnosed with chronic osteomyelitis at 44 sites.
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