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Lifelong physical activity increases bone density in men
Source:
 Science Daily

Men have many reasons to add high-impact and resistance training to their exercise regimens; these reasons include building muscle and shedding fat. Now a researcher has determined another significant benefit to these activities: building bone mass. The study found that individuals who continuously participated in high-impact activities, such as jogging and tennis, during adolescence and young adulthood, had greater hip and lumbar spine bone mineral density than those who did not.

Read more

Hip dysplasia: When is surgery required?
Source:
 Mayo Clinic

Hip dysplasia is a condition in which the top portion of the thigh bone doesn't fit properly in the socket portion of the hip joint — either because it is out of place or it is not the correct shape. In many cases, this condition is present at birth. Some people may not be diagnosed during childhood, however, and only when symptoms appear later is the problem identified. Although some adults with hip dysplasia need surgery to correct the problem, total hip replacement isn’t always necessary.

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Newer UKR prosthesis for patients with osteoarthritis achieved satisfactory results
Source:
 Healio

Patients who received a newer prosthesis similar to the Miller-Galante knee design showed significantly better Knee Society function scores than patients who had a long-used prosthesis to which it was compared. However, the two implants performed about the same at short-term follow-up, according to a presenter.

Read more

Treatment of Locked Posterior Shoulder Dislocation With Bone Defect
Source:
 PubMed

Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock.

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Study on use of umbilical cord vs. biocellulose film for antenatal spina bifida repair
Source:
 Medical Xpress

In a study to be presented on Feb. 5 in an oral plenary session, at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, in Atlanta, researchers will present findings from a study titled, Cryopreserved Human Umbilical Cord (HUC) vs. Biocellulose Film (BCF) for Antenatal Spina Bifida Repair.

Read more

ORIF, new casting method showed similar results for unstable ankle fractures
Source:
 Healio

Treatment of overtly unstable malleolar fractures with close contact casting showed outcomes equivalent to those of open reduction and internal fixation among elderly patients and were associated with a cost reduction in results of a multicenter study presented at the Orthopaedic Trauma Association Annual Meeting, here.

Read more

Rates of Complications and Secondary Surgeries After In Situ Cubital Tunnel Release Compared With Ulnar Nerve Transposition: A Retrospective Review
Source:
 PubMed

Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder.

Read more

Care of Shoulder Pain in the Overhead Athlete
Source:
 Healio

Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder.

Read more

Patient-reported results, knee stability improved after all-inside double-bundle ACL reconstruction
Source:
 Healio

Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.

Read more

Study supports efficacy of closed reduction, percutaneous fixation of crescent-fracture dislocations
Source:
 Healio

Recently published data highlight the safety and efficacy of closed reduction and percutaneous screw fixation for the treatment of crescent fracture-dislocation of the sacroiliac joint and indicate satisfactory function and radiographic outcomes with the procedure.

Read more

Imaging identifies cartilage regeneration in long-distance runners
Source:
 RSNA

Using a mobile MRI truck, researchers followed runners for 4,500 kilometers through Europe to study the physical limits and adaptation of athletes over a 64-day period, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

Read more

Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty
Source:
 Healio

Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

Read more

Innovative tissue engineering strategies to repair spinal disc herniation
Source:
 EurekAlert!

New therapeutic approaches to repair herniated discs in the lumbar spine using novel tissue engineering and regenerative medicine strategies have shown promising outcomes in preclinical studies and target the underlying problem of disc injury or instability, unlike current nonsurgical and surgical treatments.

Read more

Revision Rate and Risk Factors After Lower Extremity Amputation in Diabetic or Dysvascular Patients
Source:
 PubMed

This article reports the revision rate and possible risk factors for lower extremity amputations in patients with diabetes mellitus or peripheral arterial disease (PAD). Data were collected from 421 patients with diabetes mellitus or PAD who underwent amputations of the lower extremity at the authors’ institution from 2002 to 2012.

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Anatomic Variation in Volar Tilt of the Scaphoid and Lunate Facet of the Distal Radius
Source:
 PubMed

The aim of distal radial fracture treatment is to achieve optimal function through the restoration of normal anatomy, including volar tilt. The accuracy of assessing volar tilt on standard lateral radiographs compared with anatomic tilt lateral (ATL) radiographs is uncertain.

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Martial arts can be hazardous to kids
Source:
 Medical Xpress

(HealthDay)—Perhaps there's a black belt in your child's future. But for safety's sake, kids should only engage in noncontact forms of martial arts, a new American Academy of Pediatrics report says.

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Hamstring injuries in baseball may be preventable
Source:
 Science Daily

Creating a program to prevent hamstring injuries in minor league and major league baseball players might be a possibility say researchers presenting their work today at the American Orthopaedic Society of Sports Medicine's (AOSSM) Annual Meeting in Colorado Springs, CO.

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Study to evaluate outcomes of different hip replacement techniques using mobile gait analysis system
Source:
 News Medical Net

Researchers at Hospital for Special Surgery (HSS) have launched a pilot study using a portable gait analysis mat to determine early outcomes of several different hip replacement techniques. Gait analysis provides information about the way an individual walks.

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Large variation found in 3-D UKA alignment analysis for femoral, tibial components
Source:
 Healio

Recently published results showed large variation in the rotational plane for both femoral and tibial components during 3-D unicompartmental knee arthroplasty component alignment analysis in the standing position, suggesting the importance of component positioning.

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Single image slice may not capture 3-D muscle measurements in rotator cuff tears
Source:
 Healio

Patients with rotator cuff tears experience fatty infiltration increased percentages of most likely caused primarily by muscle atrophy and a single image slice did not capture 3-D muscle measurements, according to recently published data.

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Mind over matter could reduce back pain anguish
Source:
 Medical Xpress

Could mindfulness and meditation be more powerful than opioids for lower back pain?
The University of Queensland School of Psychology's Dr Melissa Day is conducting a project that will test that possibility and could even save lives.
"Chronic pain is implicated in an estimated 20 per cent of suicides in Australia, and is experienced by millions nation-wide," Dr Day said.

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Biologic status, screw fit and position contribute to failed fifth metatarsal fracture treatment in athletes
Source:
 Healio

Team physicians who treat high-level athletes with fifth metatarsal fractures, ones that are in zone 2 at the proximal extent of the fifth metatarsal and known as Jones fractures, should focus on ways to avoid failed treatment if they decide to surgically fix the fracture, a presenter at the American Orthopaedic Society for Sports Medicine Annual Meeting, said here.

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Endovascular treatment of below-the-elbow arteries in critical hand ischemia.
Source:
 National Center for Biotechnology Information

Although uncommon, critical hand ischemia (CHI) represents a cause of significant disability because of its effect on hand function.

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Is traumatic brain injury associated with late-life neurodegenerative conditions?
Source:
 Medical Xpress

Traumatic brain injury (TBI) with loss of consciousness was not associated with late-life mild cognitive impairment, Alzheimer disease or dementia but it appeared to be associated with increased risk for other neurodegenerative and neuropathologic findings, according to a new article published online by JAMA Neurology.

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Improvements seen after reverse PAO for patients with FAI secondary to acetabular retroversion
Source:
 Healio

At mid- and long-term follow-up, clinical and radiographic results improved among young patients with either isolated retroversion or retroversion and hip dysplasia who underwent reverse periacetabular osteotomy for treatment of femoroacetabular impingement.

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Multiple risk factors, BMD associated with hip fracture in older men
Source:
 Healio

Older men with an increasing number of specific risk factures combined with decreased bone mineral density at the femoral neck are at elevated risk for hip fracture, according to study findings.

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Better fix for torn ACLs
Source:
 Science Daily

A torn anterior cruciate ligament, or ACL, is one of the most common knee injuries. Approximately 200,000 Americans experience a torn ACL each year, and more than half undergo surgical repairs. Now, researchers have developed a model to show that a newer surgical technique results in a stronger, more natural ACL repair.

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Preoperative opioid use linked with lower outcome scores after TSA
Source:
 Healio

Patients with a history of preoperative opioid use experienced significantly lower preoperative baseline and final outcome scores after total shoulder arthroplasty than patients who did not take opioids preoperatively, according to results.

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Low-dose CT of the whole spine found more sensitive than conventional radiographs in monitoring AS
Source:
 Healio

SIn patients with ankylosing spondylitis, low-dose CT of the whole spine delivered greater sensitivity than imaging with conventional radiographs, according to a study presented at the EULAR Annual Congress.

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Patients showed improved pain, functional outcome after total ankle replacement
Source:
 Healio

Since its launch in 2014, a low-profile fixed-bearing prosthesis that is implanted under fluoroscopic guidance has produced positive outcome data. According to results of a recent clinical study of the implant led by Ian Sharpe, FRCS (Tr&Orth), in Exeter, United Kingdom, patients who underwent the procedure have required no revision procedures to date.

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Carpal Tunnel Up With Increased Electronic Device Use
Source:
 HealthDay News

Extended use of smartphones and other hand-held electronic devices leads to an increased risk of carpal tunnel syndrome, according to a study published online June 21 in Muscle & Nerve.

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Comparable results seen with high- vs low-intensity plyometric exercise after ACL reconstruction
Source:
 Healio

Results from this randomized controlled trial showed both low- and high-intensity plyometric exercise for rehabilitation following ACL reconstruction positively affected knee function, knee impairments and psychological status among patients after 8 weeks of intervention.

Read more

Lifelong physical activity increases bone density in men
Source:
 Science Daily

Men have many reasons to add high-impact and resistance training to their exercise regimens; these reasons include building muscle and shedding fat. Now a researcher has determined another significant benefit to these activities: building bone mass. The study found that individuals who continuously participated in high-impact activities, such as jogging and tennis, during adolescence and young adulthood, had greater hip and lumbar spine bone mineral density than those who did not.

Read more

Hip dysplasia: When is surgery required?
Source:
 Medical Xpress

What causes hip dysplasia in adults, and can it be treated without a total hip replacement?.

Read more

Newer UKR prosthesis for patients with osteoarthritis achieved satisfactory results
Source:
 Healio

Patients who received a newer prosthesis similar to the Miller-Galante knee design showed significantly better Knee Society function scores than patients who had a long-used prosthesis to which it was compared. However, the two implants performed about the same at short-term follow-up, according to a presenter.

Read more

Treatment of Locked Posterior Shoulder Dislocation With Bone Defect
Source:
 Healio

Posterior shoulder dislocation is rare, and in most cases, it occurs secondary to violent trauma, seizures, or electric shock.1 Approximately 50% of these dislocations are associated with reverse Hill-Sachs lesions.2 Hill and Sachs3 described the lesion in an anterior shoulder dislocation caused by engagement of the humeral head into the glenoid edge and located posterosuperiorly in the head.

Read more

Study on use of umbilical cord vs. biocellulose film for antenatal spina bifida repair
Source:
 Medical Xpress

In a study to be presented on Feb. 5 in an oral plenary session, at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, in Atlanta, researchers will present findings from a study titled, Cryopreserved Human Umbilical Cord (HUC) vs. Biocellulose Film (BCF) for Antenatal Spina Bifida Repair.

Read more

ORIF, new casting method showed similar results for unstable ankle fractures
Source:
 Healio

Treatment of overtly unstable malleolar fractures with close contact casting showed outcomes equivalent to those of open reduction and internal fixation among elderly patients and were associated with a cost reduction in results of a multicenter study presented at the Orthopaedic Trauma Association Annual Meeting, here.

Read more

Rates of Complications and Secondary Surgeries After In Situ Cubital Tunnel Release Compared With Ulnar Nerve Transposition: A Retrospective Review
Source:
 JHS

The short-term complication rates of cubital tunnel surgery are low (3.2%), but higher for patients with chronic kidney disease. The secondary surgery rate after cubital tunnel surgery was 5.7% overall, but higher for patients with prior elbow trauma and for patients undergoing ulnar nerve transposition.

Read more

Care of Shoulder Pain in the Overhead Athlete
Source:
 Healio

Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder.

Read more

Patient-reported results, knee stability improved after all-inside double-bundle ACL reconstruction
Source:
 Healio

Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.

Read more

Study supports efficacy of closed reduction, percutaneous fixation of crescent-fracture dislocations
Source:
 Healio

Recently published data highlight the safety and efficacy of closed reduction and percutaneous screw fixation for the treatment of crescent fracture-dislocation of the sacroiliac joint and indicate satisfactory function and radiographic outcomes with the procedure.

Read more

Imaging identifies cartilage regeneration in long-distance runners
Source:
 RSNA News

Using a mobile MRI truck, researchers followed runners for 4,500 kilometers through Europe to study the physical limits and adaptation of athletes over a 64-day period, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

Read more

Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty
Source:
 Healio

Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

Read more

Innovative tissue engineering strategies to repair spinal disc herniation
Source:
 Medical Xpress

New therapeutic approaches to repair herniated discs in the lumbar spine using novel tissue engineering and regenerative medicine strategies have shown promising outcomes in preclinical studies and target the underlying problem of disc injury or instability, unlike current nonsurgical and surgical treatments.

Read more

Anatomic Variation in Volar Tilt of the Scaphoid and Lunate Facet of the Distal Radius
Source:
 JHS

This study aimed to investigate the anatomy of the articular surface of the distal radius, in particular measuring the angle between the dorsal and volar rims at several points from radial to ulnar, to ascertain whether volar tilt is uniform between the scaphoid and lunate facet and to explore consistency between standard lateral and ATL views.

Read more

Martial arts can be hazardous to kids
Source:
 Medical Xpress

Perhaps there's a black belt in your child's future. But for safety's sake, kids should only engage in noncontact forms of martial arts, a new American Academy of Pediatrics report says.

Read more

Rate of injuries among youth soccer players doubled, new study finds
Source:
 Science Daily

From 1990 through 2014, the number of soccer-related injuries treated in hospital emergency departments in the US each year increased by 78 percent and the yearly rate of injuries increased by 111 percent among youth 7-17 years of age, a new article reports.

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Morbidly obese, nonobese patients experienced similar outcomes after revision THA
Source:
 Healio

No differences found in incidence of complications or survivorship free of reoperation or rerevision.

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Study finds predictors for ACL injury are dissimilar between male and female athletes
Source:
 Healio

Except for increased anterior-posterior knee laxity, results from this study indicated female athletes and male athletes were not similar with regard to predictors for first-time noncontact ACL injury.

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Technique pearls for revision shoulder arthroplasty aid in preventing fracture, preserving bone stock
Source:
 Healio

We present simple techniques for revision shoulder arthroplasty using a telescoping osteotome technique for glenoid removal, an open-book (vertical) osteotomy technique for extraction of the humeral stem and the use of an ultrasonic device and carbide burr for clearing bone and cement mantles.

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Two biomarkers that contribute to spine osteoarthritis
Source:
 Science Daily

A research team has discovered a pair of tissue biomarkers that directly contribute to the harmful joint degeneration associated with spine osteoarthritis.

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Plantar pressures are higher in cases with diabetic foot ulcers compared to controls despite a longer stance phase duration
Source:
 MD Linx

The researchers motive behind this study was to survey if plantar pressures were higher in patients with active plantar diabetic foot ulcers (cases) compared to diabetic patients without a foot ulcer history (diabetes controls) and people without diabetes or a foot ulcer history (healthy controls).

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Surgery that restores hand and elbow function in quadriplegics is underused
Source:
 Science daily

A surgery for quadriplegics called tendon transfer can significantly improve hand and elbow function, but the procedure is greatly underused, according to an article in the journal Hand Clinics by Loyola Medicine hand surgeon Michael S. Bednar, MD, FAAOS.

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Pregnancy and gait: From foot pain to fall prevention
Source:
 Lower Extremity Review

Researchers are investigating how changes during pregnancy may affect the lower extremities in the long term, as well as ways to treat and prevent these issues.

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