Musculoskeletal Care

Feb 1, 2016 Issue
Quinine for Leg Cramps [Cochrane for Clinicians]

Quinine is moderately effective in decreasing the frequency and intensity of muscle cramps, but it is also associated with an increase in minor adverse effects. In addition, there is a risk of rare but serious adverse effects.

Feb 1, 2016 Issue
Diagnosis and Management of Common Foot Fractures [Article]

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.

Nov 15, 2015 Issue
Nonsurgical Management of Knee Pain in Adults [Article]

Get the latest information on nonsurgical treatments for common causes of knee pain: osteoarthritis; patellofemoral pain syndrome; and ligament, tendon, and meniscal injuries. Find out which types of exercise are best for improving function and decreasing pain, and whether glucosamine/chondroitin supplementation is effective for osteoarthritis.

Oct 15, 2015 Issue
Corticosteroid Injections for Common Musculoskeletal Conditions [Article]

Get the latest evidence on the effectiveness of corticosteroid injections in patients with adhesive capsulitis; subacromial impingement syndrome; lateral and medial epicondylitis; carpal tunnel syndrome; de Quervain tenosynovitis; trigger finger; hand, wrist, hip, and knee osteoarthritis; greater trochanteric bursitis; and Morton neuroma.

Sep 15, 2015 Issue
Spinal Stenosis: Physical Therapy Before Surgery [POEMs]

Assigning patients to six weeks of physical therapy is as effective as initially sending them for decompression surgery, with fewer complications, even in patients who have a strong preference for surgery. A trial of six weeks of physical therapy makes sense for many patients with confirmed spinal stenosis before getting out the scalpel.

Aug 1, 2015 Issue
Management of ACL Injuries: Clinical Practice Guideline from the AAOS [Practice Guidelines]

Anterior cruciate ligament (ACL) injuries, which are usually related to sports, have an incidence of approximately 252,000 yearly. The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance in determining the best options for treating an ACL injury.

Jul 15, 2015 Issue
A Bump on the Knee [Photo Quiz]

A 13-year-old girl presented with a painless bump on her knee that had been present for two weeks; Plain radiography was performed.

Jun 15, 2015 Issue
Diagnosis and Nonsurgical Treatment of DDH in Infants Up to Six Months of Age: Recommendations from the AAOS [Practice Guidelines]

The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance, based on limited and moderate evidence, on diagnosing and nonsurgical treatments for developmental dysplasia of the hip in infants up to six months of age.

Jun 1, 2015 Issue
Management of Acute Achilles Tendon Rupture [FPIN's Clinical Inquiries]

There are no clear evidence-based criteria to decide which patients should undergo operative vs. nonoperative management of acute Achilles tendon rupture.

May 1, 2015 Issue
No Long-Term Benefit of Arthroscopic Surgery for Meniscal Tears in Middle-Aged Persons [POEMs]

Arthroscopic repair of degenerative meniscal tears in middle-aged adults does not significantly improve long-term pain or function. Patients should do physical therapy and try to avoid surgery if possible.

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