Fragility Fractures: Introduction

Fragility Fractures: Introduction

Osteoporosis is a disease that is the most common bone disease in humans and is characterized by low bone mass and skeletal fragility, which results in an increased risk of fracture. Annually, two million fractures are attributed to osteoporosis, causing more than 432,000 hospital admissions, almost 2.5 million medical office visits, and about 180,000 nursing home admissions in the USA

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ACL Prevention Programs: Can We Do More to Prevent this Catastrophic Injury?

ACL Prevention Programs: Can We Do More to Prevent this Catastrophic Injury?

The ACL, or anterior cruciate ligament, extends from the lateral femoral condyle to the anterior medial aspect of the tibia.  The bands of the ACL act as a biomechanical restraint for rotation and limits anterior translation of the tibia on the femur. It assists with knee stability during running, jumping, cutting or pivoting.  

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Persistent Post-concussive Symptoms (PPCS): Treatment strategies

Persistent Post-concussive Symptoms (PPCS): Treatment strategies

After covering introduction and imaging of persistent post-concussive symptoms (PPCS), also termed  post-concussion syndrome, we continue moving forward to examine treatment strategies.  The recommendations have been evolving over time and treatment for both acute and persistent concussive symptoms and has changed substantially from original strategies.

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Evidence Behind Corticosteroid Injections of the Hip and Knee

Evidence Behind Corticosteroid Injections of the Hip and Knee

Next in the series, we will continue to discuss the evidence related to corticosteroid injections by moving distally to the hips and knees.  As with others, we will cover randomized controlled trials and systematic reviews on corticosteroid injections for issues common to orthopedics such as trochanteric bursitis, hip osteoarthritis and knee osteoarthritis.

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Evidence Behind Injections on the Elbow, Wrist and Hand

Evidence Behind Injections on the Elbow, Wrist and Hand

 This article will cover some of the randomized trials and reviews on corticosteroid injections for some of the most common issues that present to a sports medicine practice including lateral and medial epicondylitis, de Quervain’s tenosynovitis,  trigger finger, carpal tunnel syndrome.

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Review of Evidence Behind Corticosteroid Injections of the Shoulder

Review of Evidence Behind Corticosteroid Injections of the Shoulder

This article will cover some of the randomized controlled trials behind shoulder injections including adhesive capsulitis, subacromial impingement and biceps tendonitis.  Injections with depot corticosteroids are used by many to provide both therapeutic and diagnostic value. They can also serve to delay or possibly avoid the need for surgery in some situations.

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Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections

Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections

Many orthopedic practices in the United States will perform injections in 3-month intervals or more spaced out if possible.  The main reasoning behind the limitation of injections is preservation of cartilage and avoidance of side effects. There is contrasting evidence regarding repeated corticosteroid joint injections and cartilage damage.

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Introduction and Comparison of Corticosteroids

Introduction and Comparison of Corticosteroids

Corticosteroids are medications that are commonly injected and many people refer to these injections as “cortisone” injections.  The first corticosteroid injection was performed in 1953 and the first clinical trial was performed in 1958 1,8.  The medications are synthetically formulated to mimic the steroid hormone cortisone, which is produced by the adrenal gland and released in response to stress

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