ITEMS IN AFP WITH KEYWORD:

Musculoskeletal Care

Feb 1, 2001 Issue
Treatment of Plantar Fasciitis [Article]

Plantar fasciitis is a common cause of heel pain in adults. The disorder classically presents with pain that is particularly severe with the first few steps taken in the morning. In general, plantar fasciitis is a self-limited condition. However, symptoms usually resolve more quickly when the interv...


Jan 1, 2001 Issue
Management of Ankle Sprains [Article]

Without adequate care, acute ankle trauma can result in chronic joint instability. Use of a standardized protocol enhances the management of ankle sprains. In patients with grades I or II sprains, emphasis should be placed on accurate diagnosis, early use of RICE (rest, ice, compression and elevatio...


Nov 1, 2000 Issue
Acute Brachial Plexus Neuritis: An Uncommon Cause of Shoulder Pain [Article]

Patients with acute brachial plexus neuritis are often misdiagnosed as having cervical radiculopathy. Acute brachial plexus neuritis is an uncommon disorder characterized by severe shoulder and upper arm pain followed by marked upper arm weakness. The temporal profile of pain preceding weakness is i...


Aug 1, 2000 Issue
Intra-articular Hyaluronic Acid Injections for Knee Osteoarthritis [Article]

Knee osteoarthritis is a common but often difficult problem to manage in primary care. Traditional nonsurgical management, consisting of lifestyle modification, physical therapy and pharmacologic therapy (e.g., analgesics, anti-inflammatory medications), is often ineffective or leaves residual sympt...


Jun 1, 2000 Issue
The Painful Shoulder: Part II. Acute and Chronic Disorders [Article]

Fractures of the humerus, scapula and clavicle usually result from a direct blow or a fall onto an outstretched hand. Most can be treated by immobilization. Dislocation of the humerus, strain or sprain of the acromioclavicular and sternoclavicular joints, and rotator cuff injury often can be managed...


Apr 15, 2000 Issue
Acute Knee Effusions: A Systematic Approach to Diagnosis [Article]

Knee effusions may be the result of trauma, overuse or systemic disease. An understanding of knee pathoanatomy is an invaluable part of making the correct diagnosis and formulating a treatment plan. Taking a thorough medical history is the key component of the evaluation. The most common traumatic c...


Feb 15, 2000 Issue
Evaluation of the Acutely Limping Child [Article]

A limp may be defined as any asymmetric deviation from a normal gait pattern. The differential diagnosis of a limp includes trauma, infection, neoplasia and inflammatory, congenital, neuromuscular or developmental disorders. Initially, a broad differential diagnosis should be considered to avoid ove...


Feb 1, 2000 Issue
Evaluation of Overuse Elbow Injuries [Article]

The evaluation of elbow pain can be challenging because of the complexity of the joint and its central location in the upper extremity. Diagnosing the injury correctly requires an understanding of the anatomy of the elbow, which includes three articulations, two ligament complexes, four muscle group...


Jan 1, 2000 Issue
Osteochondritis Dissecans: A Diagnosis Not to Miss [Article]

Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. Because clinical findings are often subtle, diagnosis requires a high index of suspicion. Limited range of motion may be the only notable clinical sign. The diagnosis is made by radiographic...


Dec 01, 1999 Issue
Acute Knee Injuries: Use of Decision Rules for Selective Radiograph Ordering [Article]

Family physicians often encounter patients with acute knee trauma. Radiographs of injured knees are commonly ordered, even though fractures are found in only 6 percent of such patients and emergency department physicians can usually discriminate clinically between fracture and nonfracture. Decision ...


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