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April 2017 Briefing – Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for April 2017. This roundup includes the latest...
Teleconcussion assessment with a remote neurologist assessing football players using a telemedicine robot is feasible for sideline concussion assessments

Teleconcussion Assessments Are Feasible for Football Players

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High level of agreement between remote and face-to-face providers with regard to examination findings
For patients undergoing posterior spinal fusion surgery

Intraoperative Methadone Cuts Post-Op Opioid Use in Spine Sx

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Median hydromorphone use was reduced in methadone group on postoperative days 1, 2, 3
Choosing Wisely, launched in April 2012

‘Choosing Wisely’ Linked to Small Drop in Back Pain Imaging

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At 2.5 years after start of the campaign, there was a 4 percent relative reduction in low-value imaging
Many older women have low awareness about osteoporosis and its contribution to fracture risk and a lack of understanding about the benefits of osteoporosis pharmacotherapy

Older Women Show Limited Understanding of Osteoporosis

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Even after an osteoporosis-related fracture, few women are on pharmacotherapy
Invited speakers at medical conferences tend to be disproportionately male

Meeting Organizers Overlooking Qualified Female Scientists

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Active generation of lists of potential speakers, assessment of qualifications can address bias
Physicians should take three essential steps to reduce the amount of unwanted

AMA Urges Doctors to Talk About Safe Opioid Storage, Disposal

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Experts recommend three steps to reduce non-medical uses of the drugs
Among patients reporting pain but no infection after total joint arthroplasty

Metal Sensitization More Likely for Women After Arthroplasty

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Among patients reporting pain, women also have greater severity of metal sensitization
Early treatment of rheumatoid arthritis (RA) is important for long-term outcomes

Early RA Treatment Important for Long-Term Outcomes

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Other study shows drop in mortality attributable to rheumatoid arthritis from 1987 to 2011
Health care professionals need to recognize exercise addiction and understand its risks

Clinician Awareness of Exercise Addiction May Be Lacking

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Screening questions should focus on emotional connection to exercise, whether it interferes with life