ITEMS IN AFP WITH KEYWORD:
Vertebral compression fractures can lead to chronic pain, disfigurement, height loss, impaired activities of daily living, increased risk of pressure sores, pneumonia, and psychological distress. Find out which patients are most likely to benefit from conservative therapy, and when to consider surgery.
Find out which types of fractures can be treated conservatively and which ones require orthopedic referral, as well as typical healing times for the most common types of foot fractures seen in primary care: metatarsal shaft fractures, proximal fifth metatarsal fractures, and toe fractures.
Learn the most significant risk factors, the preferred diagnostic test, and recommended management strategies. Review the roles of rehabilitation and bisphosphonate therapy.
Jun 1, 2014 Issue
Vitamin D and Calcium Supplementation to Prevent Fractures in Adults [U.S. Preventive Services Task Force]
Jun 1, 2014 Issue
Vitamin D and Calcium Supplementation to Prevent Fractures in Adults [Putting Prevention into Practice]
A 55-year-old woman presents to your office for a refill of her blood pressure medication. She is otherwise healthy and does not take other medications. She states that her older sister has been taking vitamin D and calcium supplements for several years “to keep her bones strong,” and asks whether she should take vitamin D and calcium as well.
Finger fractures and dislocations are common injuries that are often managed by family physicians. A systematic physical examination is imperative to avoid complications and poor outcomes following these injuries. Radiography (commonly anteroposterior, true lateral, and oblique views) is required in...
Stress fractures are common injuries in athletes and military recruits. These injuries occur more commonly in lower extremities than in upper extremities. Stress fractures should be considered in patients who present with tenderness or edema after a recent increase in activity or repeated activity w...
Many forearm fractures are managed in the primary care setting. Definitive treatment ranges from functional bracing to surgical fixation. Indications for referral include open fractures, joint dislocation or instability, and neurovascular injury.
Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint. Splints are noncircumferential immobilizers that accommodate swelling. This quality makes splints ideal for the management of a variety of acute musculoskeletal conditions in which swelling is anticipate...
The ability to properly apply casts and splints is a technical skill easily mastered with practice and an understanding of basic principles. The initial approach to casting and splinting requires a thorough assessment of the injured extremity for proper diagnosis. Once the need for immobilization is...