Orthopedics
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Major Orthopedic Trauma
Major orthopedic trauma is a common issue for the emergency medicine provider. Being able to make a timely diagnosis and optimize care improves patient outcomes.
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Fracture-Related Complications
The goal of this review is to familiarize emergency physicians with the initial assessment of fractures as well as the identification and management of immediate, early, and late-stage fracture complications.
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Walk! A Long-Term Observational Investigation of Knee Osteoarthritis
The results of an observational study of more than 1,000 individuals age 50 years and older with knee arthritis revealed regular walking for exercise correlated with fewer reports of new knee pain and slower disease progression, as verified by radiographic evidence at eight-year follow-up.
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Acute Shoulder Injuries in the Emergency Department
Shoulder injuries account for a significant portion of musculoskeletal injuries evaluated in the emergency department.The incidence is projected to increase dramatically over the next decade because of changing population characteristics. Emergency medicine clinicians must be prepared to care for shoulder injuries from direct trauma and overuse from sporting activities or occupational injuries.
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Researchers Dig Deeper Into Multimorbidity Surgical Risks
Knowing more about specific conditions that might raise risk could help clinicians better classify which older patients are good candidates for surgery.
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Do Spinal Cord Stimulators Really Help for Chronic Pain?
The results of a comprehensive analysis of a large clinical database regarding treatment of patients with chronic low back pain did not support the benefit of spinal cord stimulators compared to conventional medical management for chronic pain.
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Multidisciplinary Program Accelerates Care, Boosting Outcomes for Hip Fracture Patients
Returning Seniors to Orthopedic Excellence focuses on prioritizing early pain management and shortening the time to surgery for patients with confirmed hip fractures. Since implementation in early 2021, lengths of stay are shorter, time to surgery has declined, and attendance rates at follow-up appointments are higher.
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Selected Orthopedic Emergencies
Musculoskeletal complaints are among the most seen conditions presenting to the emergency department (ED), accounting for nearly 20% of all ED visits. The majority of these diagnoses involve significant patient discomfort but are not typically associated with significant morbidity. However, there are a few diagnoses that are considered true orthopedic emergencies. The emergency physician should be familiar with the evaluation and management of these critical diagnoses.
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Do Anti-Inflammatory Drugs Cause More Chronic Pain?
Acute inflammation may protect against the development of chronic pain through neutrophil activation. Using nonsteroidal anti-inflammatory drugs may blunt that response and contribute to chronic pain.
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AMA Asks to Remove Prescription Status from Naloxone
The request was made in the wake of a study that revealed expanded access to the opioid reversal agent is needed in almost every U.S. state.