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Orthopedics

News, opinions and meeting coverage in surgery.

ASBMR: High-Dose Forteo Plus Prolia Increased BMD

Responses greater than what was seen with either drug alone in high-risk women

ASBMR: Meeting to Focus on Fractures

Topics will include men's bone health, the use of burosumab, and bisphosphonate drug holidays

Repeat CRP Tests If Spine Disease Uncertain

Post-hoc analysis of patients with axial spondyloarthritis

Joint Replacements Linked to Gout?

Risk is elevated both before and after gout diagnosis

Proteinuria Flags Risk for Post-Op Kidney Injury

Even trace levels of urinary protein tied to elevated rate of acute renal impairment

MD<40: Finding Your Joy Spot

Sometimes, just one thing makes it all worthwhile

Make the Diagnosis: At Least this Groom Doesn鈥檛 have Cold Feet

Just a few days after returning from his honeymoon at a Brazilian beach resort, a 29-year-old man went to his primary care doctor complaining of extremely pruritic toes and feet. After he started scratching, he noticed some small black dots, umbilicated papules, and crusts on the soles and at the tip of his toes under the nail. He had been finding it uncomfortable to walk since the last day of the trip. Can you diagnose the patient?

RA Patients Pose Perioperative Challenges

Expert discusses risk evaluation, stopping antirheumatic drugs

Mumps and Boosters; Ecigs and Quitting: It's PodMed Double T!

This week's topics include sinusitis treatment, low back pain management, waning mumps immunity, and e-cigarettes and quitting attempts

Perioperative Beta Blockers Trade Fewer MIs for More Deaths

Issue of safety highlighted again in POISE analysis

Optimal Post-Op Pain Management: It's Complicated

Competing demands on nurses seen as biggest barrier to optimal care

How Do Bisphosphonates Cause Atypical Femoral Fractures?

With long-term use, bones become harder but also more shatter-prone

Study: Orthopedic Surgery Patients Given Too Many Opioids

Most don't take all they're prescribed

Pre-TKA Opioid Script Predicts Post-Op Prescription

Especially prevalent after 6 months post-op

Flag Football Has Higher Youth Injury Rates

But comparison to tackle leagues hampered by study limitations

Um, Excuse Me, Why Did You Stop My Post-Op Anticoagulant?

Cardiology writer learns firsthand about real-world practice

Knee Cartilage Repair Product Wins FDA Nod

First of its kind to be approved, agency says

10 Questions: Rep. Tom Price, MD (R-Ga.)

What's the biggest barrier to practicing medicine today? Medical decisions being made by nonmedical people, says Rep. Tom Price, MD (R-Ga.), an orthopedic surgeon who has served in Congress since 2005.

Pulmonary Emboli Frequent After Knee Surgery

Rapid heartbeat leading symptom of lung blood clots after replacement surgery

Podcast: 10th Anniversary for HealthNewsReview.org

Gary Schwitzer reflects on high points, low points, lessons learned

Here's Why You Can't Compare Healthcare to the Airline Industry

There are big differences between the two, says Suneel Dhand, MD

In NFL Players, Poor Outcomes With Tendon Repair

Only half who had patellar tendon repair returned to play

Ankle Steroid Shots Tied to Post-Op Infections

Study showed doubled rate of infections with intra-articular injections

Meniscal Tears in OA: Arthroscopy No Help

Patients with arthroscopy were 30% more likely to have joint replacement

Timing of Injections Affects Trigger Finger Outcome

Need for surgery high if steroid injections repeated within 6 months

Nasal Staph Linked With Post-Op Infection

Patients at risk include those with diabetes, immunosuppression, and renal insufficiency

Dedicating a Career to Diversity and Disparities

NMA president Edith Mitchell, MD, laments racial gaps in medicine

Ultrasound Shows Why Knuckles Are so Noisy

Cavitation allows gas to escape while cracking

'Failure to Communicate' Drives Misdiagnosis

Electronic medical records also need to be improved, says Mark Graber, MD

Teach Patients How to Communicate Symptoms Better

Patients should learn the eight characteristics of a symptom

Doctors Urged to Practice 'Conservative Diagnosis'

And sharing cell phone numbers is a good idea

HypeWatch: Cannabis Bone-Healing Study Oversold

Forget the headlines you read. Here's what you should know.

Novel Drug for Cramping Shows Promise in Early Trial

Could benefit patients with MS spasticity and cervical dystonia.

Crosslinks Unhelpful in Spinal Fusion for Scoliosis

Crosslinks didn't improve outcomes, but added bulk and cost.

New Rx Protocol Improves Knee Replacement Recovery

Total knee arthroplasty patients back on feet sooner with new approach to pain management.

Excerpt From 'The Secret Language of Doctors'

ED doc Brian Goldman investigates slang to "crack code of hospital culture."

Orthopedists' Financial Conflicts Can Hurt Patients, Surgeon Says

It's financially compelling for doctors to do things that don't help patients.

Stop DMARDs Before Orthopedic Surgery in RA Patients?

Deft medication management is important.

Knee Surgery Linked to Higher OA Risk

Can meniscus repairs actually worsen joint damage?

FDA Panel Wants Safer Epidural Steroid Shots

Majority votes to end epidural injections with "particulate" steroids.

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