Orthopedics

Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial – Journal of Orthopaedic & Sports Physical Therapy (link to abstract – $ for full-text)

Source: EvidenceAlerts

 

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Review: Lumbar Spine Injuries in Sports

14 Jul, 2019 | 19:14h | UTC

Guideline: Arthroscopic Meniscal Surgery

24 Jun, 2019 | 01:38h | UTC

Tramadol for osteoarthritis – Cochrane Library (free)

Summary: Tramadol for osteoarthritis – Cochrane Library (free)

“tramadol alone or in combination with acetaminophen probably has no important benefit on mean pain or function in people with osteoarthritis, although slightly more people in the tramadol group report an important improvement”

 


Review: Hand Infections

20 May, 2019 | 15:24h | UTC

Review: Approach to Fingertip Injuries

20 May, 2019 | 15:20h | UTC

Spine Surgery and Disc Herniation – International Orthopaedics (selected free review articles from the supplement)

– Homepage

– Editorial: Disc herniation and disc disease: the present and the future of management

– Cervical disc herniation: which surgery?

– Evidence-based use of arthroplasty in cervical degenerative disc disease

– Cervical disc arthroplasty: tips and tricks

– Post-operative nerve injuries after cervical spine surgery

– Ossification of the posterior longitudinal ligament in the cervical spine: a review

– Surgical treatment of thoracic disc herniation: an overview

– Thoracic disc herniation, avoidance, and management of the surgical complications

– Intervertebral disc herniation in elite athletes

– Current concepts for lumbar disc herniation

– Lumbar disc herniation: what has the Spine Patient Outcomes Research Trial taught us?

– The relevance of high-intensity zones in degenerative disc disease

– Endoscopic spine discectomy: indications and outcomes

– Minimally invasive discectomy for lumbar disc herniation: current concepts, surgical techniques, and outcomes

– Factors that influence neurological deficit and recovery in lumbar disc prolapse—a narrative review

– Cauda equina syndrome—the questions

– The evidence-based approach for surgical complications in the treatment of lumbar disc herniation

– Failure of lumbar disc surgery: management by fusion or arthroplasty?

– Adjacent segment degeneration after fusion spinal surgery—a systematic review

– The future of disc surgery and regeneration

– Clinical trials of intervertebral disc regeneration: current status and future developments

– Cell therapy for intervertebral disc herniation and degenerative disc disease: clinical trials

– Autogenic mesenchymal stem cells for intervertebral disc regeneration

 


Paracetamol versus placebo for knee and hip osteoarthritis – Cochrane Library (free)

Summary: Paracetamol for treating people with hip or knee osteoarthritis – Cochrane Library (free)

Related: Paracetamol: widely used and largely ineffective (free)

 

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Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma – Neurosurgery (free articles)

– Executive Summary

– Classification of Injury

– Radiological Evaluation

– Neurological Assessment

– Pharmacological Treatment

– Prophylaxis and Treatment of Thromboembolic Events

– Hemodynamic Management

– Nonoperative Care

– Operative Versus Nonoperative Treatment

– Timing of Surgical Intervention

– Surgical Approaches

– Novel Surgical Strategies

 


When Is the Surgeon Too Old to Operate? – The New York Times (free)

Related: Perspective: Assessing the Performance of Aging Surgeons (free for a limited period) AND Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients (free study and commentary) AND The Elderly and Driving: When Is It Time to Hit the Brakes? – The New York Times (10 articles per month are free)

 

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Injuries Associated With Standing Electric Scooter Use – JAMA Network Open (free)

Invited Commentary: Shareable 2-Wheeled Vehicles—A New Public Health Problem? (free)

 

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Subacromial decompression surgery for rotator cuff disease – Cochrane Library (free)

Summary: Surgery for rotator cuff disease (free)

Related Studies: Subacromial Decompression vs Diagnostic Arthroscopy for Shoulder Impingement (free study and commentaries) AND Arthroscopic subacromial decompression for subacromial shoulder pain (free study and commentaries)

“The data in this review do not support the use of subacromial decompression in the treatment of rotator cuff disease manifest as painful shoulder impingement.”

 


Review: Overuse Injuries in Sport

6 Jan, 2019 | 21:43h | UTC

Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults: A Systematic Review and Meta-analysis – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentary: Meta-analysis: long-term exercise cuts fall, injury risk in elders – Univadis (free registration required)

Related Study: Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis – Sports Medicine Open (free)

 

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Review: Chronic Lateral Epicondylitis

20 Nov, 2018 | 14:55h | UTC

Graduated compression stockings for prevention of deep vein thrombosis – Cochrane Library (free)

Summary: Graduated compression stockings for prevention of deep vein thrombosis during a hospital stay – Cochrane Library (free)

“There is high-quality evidence that GCS are effective in reducing the risk of DVT in hospitalised patients who have undergone general and orthopaedic surgery”

 


Deep neural network improves fracture detection by clinicians – Proceedings of the National Academy of Sciences (free)

“How to reduce emergency doctor misinterpretation of wrist X-rays for fracture by nearly 50%? Deep learning AI, of course” (via @EricTopol see Tweet)

 


The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial – The Lancet (free)

Invited Commentary: Steroid injection or wrist splint for first-time carpal tunnel syndrome? (free)

“A single corticosteroid injection shows superior clinical effectiveness at 6 weeks compared with night-resting splints, making it the treatment of choice for rapid symptom response in mild or moderate carpal tunnel syndrome presenting in primary care.”

 


Should You Have Knee Replacement Surgery? – The New York Times (10 articles per month are free)

“Some experts question whether the surgery is being done too often or too soon on patients who have not adequately explored less invasive approaches.”

 


Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears: The ESCAPE Randomized Clinical Trial – JAMA (free for a limited period)

Commentary: PT an Alternative to Surgery for Some Meniscal Tears – Physician’s First Watch (free)

Related: Adverse Outcomes After Arthroscopic Partial Meniscectomy (free study, commentary and guideline on the subject)

“Our Dutch multi center RCT demonstrates noninferiority of physical therapy compared with early surgery with arthroscopic partial meniscectomy for improving self-reported knee function in patients with nonobstructive meniscal tears.” (via @RudolfPoolman see Tweet)

 


Guideline for the management of hip and knee osteoarthritis – Royal Australian College of General Practitioners (free PDF)

News Release: Updated osteoarthritis guideline designed to reduce unnecessary imaging and surgery (free)

Commentary: Australia hopes to reduce unnecessary imaging, surgery with updated osteoarthritis guidelines – Health Imaging (free)

““The Guideline for the management of knee and hip osteoarthritis,” offer up exercise and weight loss as a first line defense, and warn against costly treatments using glucosamine, opioids and arthroscopic surgery, said David Hunter, co-chair of the RACGP group responsible for the update.” (from Health Imaging)

 


Effect of Negative Pressure Wound Therapy vs Standard Wound Management on 12-Month Disability Among Adults With Severe Open Fracture of the Lower Limb: The WOLLF Randomized Clinical Trial – JAMA (free for a limited period)

Commentaries: High-tech treatment of open leg wounds no better than using regular dressings – University of Warwick (free) AND Negative-Pressure Therapy No Better for Open Fractures – Medscape (free registration required)

“Negative pressure wound therapy did not improve 12-month disability for patients with severe open fracture of the lower limb compared with standard wound dressing”

 


Percutaneous vertebroplasty for osteoporotic vertebral compression fracture – Cochrane Library (link to abstract – $ for full-text)

Summary: Featured Review: Vertebroplasty for treating spinal fractures due to osteoporosis – Cochrane Library (free)

High quality evidence shows that vertebroplasty does not provide more clinically important benefits than placebo but may cause people harm”.

 


Opioid Wisely – Choosing Wisely Canada (free)

Related Guideline: Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)

See complete lists from Choosing Wisely U.S. / Choosing Wisely UKChoosing Wisely Australia AND Choosing Wisely Canada

This campaign encourages thoughtful conversation between clinicians and patients to reduce harms associated with opioid prescribing, with recommendations relevant to different specialties.

 


Surgery for trigger finger – Cochrane Library (link to abstract – $ for full-text)

 


Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty – New England Journal of Medicine (link to abstract – $ for full-text)

Quick Take Video Summary: Preventing VTE after Hip or Knee Arthroplasty (free)

“Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism”.

 


Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial – British Journal of Sports Medicine (free)

“Neither labral repair nor biceps tenodesis had any significant clinical benefit over sham surgery for patients with SLAP II lesions in the population studied”.

 


Weekend Surgical Care and Postoperative Mortality: A Systematic Review and Meta-Analysis of Cohort Studies (free)

Commentary: Evidence Supports ‘Weekend Effect’ for Mortality after Surgery – Wolters Kluwer, via NewsWise (free)

“The odds of postoperative mortality were 27 percent higher for patients admitted to the hospital on Saturday or Sunday, compared to those hospitalized on a weekday” (from NewsWise).

 


Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study – The BMJ (free)

“The duration of treatment rather than dose is more strongly associated with opioid misuse after surgery, concludes this study” (via @bmj_latest see Tweet)