Prevention of osteoporosis is essential to health, quality of life, and independence in the elderly. The accepted diagnostic method for evaluation of fracture risk after osteopenia and osteoporosis is the measurement of bone mineral density with dual-energy x-ray absorptiometry (DEXA). This method is limited because of its low accessibility, high capital costs, and low sensitivity. This study evaluated whether canal diameter is a reliable indicator as a major risk factor for hip fracture in the elderly.
Orthopaedic surgeons have become increasingly interested in the use of reverse total shoulder arthroplasty to manage massive rotator cuff tears. This has been due to the success we have had with the procedure as the rate of complications decreased, thanks to the significant knowledge we have gained over the course of the past 10 years of using the reverse prosthesis.
At Orthopedics Today Hawaii 2015, we convened a special Banyan Tree session to talk about injuries in youth athletes. This is a real problem that all orthopedic surgeons see on a regular basis — one that, I think, is still under-recognized. In this Orthopedics Today Round Table, we highlight the discussion, particularly as it relates to overhead sports, as well as how orthopedic surgeons can play a role in stemming the tide of injuries. We also talk about innovations to help with prevention and treatment, as well as the role of the STOP Sports Injuries and Pitch Smart programs.
All patients had postoperative, artifact-reduction 3D CT scans to evaluate glenoid position relative to the preoperative plan. No patients in this study were lost to follow up.
Both hemiarthroplasty and total shoulder arthroplasty offered lasting pain relief, and range of motion was improved at the long-term follow-up; however, unsatisfactory Neer ratings were high, according to study results.
A splint-based conservative treatment yielded the same high rate of anatomical and functional restoration of the ACL as seen in a smaller, previously reported study, according to results presented at the International Society for Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Biennial Congress, here.
Among patients who underwent cartilage repair of the knee, osteochondral autograft transplantation enabled a much higher rate of return to pre-injury athletics, according to results presented at the International Cartilage Repair Society Annual Meeting.
Source: Science Daily
In an analysis that included more than 70,000 participants from 13 studies, subclinical hyperthyroidism was associated with an increased risk for hip and other fractures including spine. Subclinical hyperthyroidism is a low serum thyroid-stimulating hormone concentration in a person without clinical symptoms and normal thyroid hormone concentrations on blood tests.
Source: Medical News Today
Injectable gel encourages self-healing of cartilage
Knee injuries are the bane of athletes everywhere, from professionals and college stars to weekend warriors. Current surgical options for repairing damaged cartilage caused by knee injuries are costly, can have complications, and often are not very effective in the long run. Even after surgery, cartilage degeneration can progress leading to painful arthritis.
Even after successful arthroscopic Bankart repair and capsular shift, women, elite athletes and patients with frequent dislocations were at high risk of capsular restretching, according to study results.