Musculoskeletal Disorders
Photo Rounds
Sequential bilateral hip deformities
The patient’s age (10 years) and her size (she was overweight) shed light on her diagnosis.
Original Research
Nursemaid’s elbow: Its diagnostic clues and preferred means of reduction
This systematic review revealed that correcting the injury with pronation is more successful and less painful than supination.
PURLs
Help patients prevent repeat ankle injury
Tell patients that a simple home-based exercise regimen can help them avoid recurrent ankle sprains.
PURLs
Vertebroplasty for osteoporotic fracture? Think twice
Two new studies suggest that this widely used procedure should be used less often—and more cautiously.
PURLs
Bisphosphonate therapy: When not to monitor BMD
Monitoring bone density within the first 3 years of therapy does not provide useful information—and it is costly besides.
Applied Evidence
Cochrane Musculoskeletal Group review: Acute gout
Steroids or NSAIDs? Let this overview from the Cochrane Group help you decide what’s best for your patient.
PURLs
Arthroscopic surgery for knee osteoarthritis? Just say no
For most patients with osteoarthritis of the knee, arthroscopic surgery offers little benefit.
PURLs
Annual zoledronic acid infusion lowers risk of fracture, death
Photo Rounds
Nodulo-cystic eruption with musculoskeletal pain
Clinical Inquiries
What is the appropriate evaluation and treatment of children who are “toe walkers”?
EVIDENCE-BASED ANSWER: The evaluation of toe-walking focuses on differentiating normal children from those with mild cerebral palsy. Gait analysis...
Clinical Inquiries
For fibromyalgia, which treatments are the most effective?
EVIDENCE-BASED ANSWER: There is no single most effective modality for the treatment of fibromyalgia syndrome, and no objective comparison of the...