Musculoskeletal Disorders
Applied Evidence
Limp in children: Differentiating benign from dire causes
Key decision points in the stepwise approach presented here can make your investigation more efficient and productive.
Applied Evidence
Opioids for osteoarthritis? Weighing benefits and risks: A Cochrane Musculoskeletal Group review
Untreated pain is a major public health problem, but concerns about opioid misuse remain. This evidence-based look at when—or whether—opioids are...
Medical Verdicts
No tests ordered, despite baby's yellowing skin ... Amputation blamed on tardy Dx of compartment syndrome
Medical Verdicts
CT scan wasn’t ordered, diagnosis was delayed...Stroke symptoms blamed on food poisoning...
PURLs
An alternative to oral NSAIDs for acute musculoskeletal injuries
A topical NSAID can relieve acute musculoskeletal pain, with little risk of side effects.
Applied Evidence
Texting tendinitis in a teenager
Our patient spent 4 hours a day texting and, not surprisingly, developed tendinitis. Simple tips, though, can help patients avoid injury.
Applied Evidence
When do bisphosphonates make the most sense?
A Cochrane Musculoskeletal Group review Should you prescribe bisphosphonates for postmenopausal patients for primary as well as secondary...
Clinical Inquiries
Do NSAIDs impede fracture healing?
EVIDENCE-BASED ANSWER: NO, ALTHOUGH THE EVIDENCE VARIES. Nonsteroidal anti-inflammatory drugs (NSAIDs) don’t appear to impair clinical fracture...
Clinical Inquiries
Do intra-articular steroid injections affect glycemic control in patients with diabetes?
EVIDENCE-BASED ANSWER: YES, BUT THE CLINICAL IMPORTANCE IS MINIMAL. A single intra-articular steroid injection into the knee produces acute...