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Orthopedics

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A supervised exercise program does not confer additional benefits in activity limitation or quality of life compared with advice alone for patients with isolated and uncomplicated ankle fracture

Rehab Not Necessary for Uncomplicated Ankle Fracture

Australian research shows similar results for either rehab program or advice only
The Guidelines International Network has developed principles for disclosure and management of conflicts of interest during the clinical practice guideline development process

Guidelines Developed for Managing Conflicts of Interest

Core principles developed for managing COIs during the clinical practice guideline development process
Modification of the traditional Subjective-Objective-Assessment-Plan presentation to consider value can help medical students learn to practice high-value

Modified SOAP Ups Student Awareness of Health Care Costs

Modification of traditional SOAP presentation to include discussion of value helps medical students
For new entries into health care with low back pain

Type of Provider Impacts Health Care Utilization in LBP

For new entries into care with low back pain, health care use up with physiatry versus primary care
Patients taking β-blockers may face heightened risks of cardiovascular complications during non-cardiac surgeries

β-Blockers May Up Risk of Surgical Complications for Some

Heightened risks of cardiovascular complications seen during non-cardiac surgeries
For patients undergoing total hip arthroplasty or total knee arthroplasty

Increased BMI Protective Against Blood Transfusions

Findings among patients undergoing total hip, knee arthroplasty
Patients with ankylosing spondylitis have lower serotonin levels than healthy controls and patients with rheumatoid arthritis

Serotonin Levels Low in Ankylosing Spondylitis

Further decrease in patients receiving TNFα blockers; serum levels impact osteoblast-like Saos-2 cells
In order to minimize risk when practicing telemedicine

Providers Must Understand Legal Limits of Telemedicine

Providers should ensure they hold proper medical license and have medical liability coverage
Most patients with acute lateral epicondylitis recover without physical therapy and steroid injections

No Benefit Seen With Physical Tx in Acute Lateral Epicondylitis

For most, PT plus placebo or steroid injection similar to no treatment at all

September 2015 Briefing – Orthopedics

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for September 2015. This roundup includes the latest...