Musculoskeletal Care

Feb 1, 2019 Issue
Decompression Surgery No More Effective Than Exercise for Shoulder Impingement Syndrome [POEMs]

Despite being one of the most common orthopedic surgeries performed, subacromial decompression is not significantly better than physical therapy to treat patients with pain and limited function caused by shoulder impingement.

Nov 15, 2018 Issue
Braces and Splints for Common Musculoskeletal Conditions [Article]

Find out how to choose the appropriate brace or splint for your patient’s condition, and to determine the correct size, fit, and duration of use. Selecting an inappropriate brace or splint may lead to delayed healing or further injury.

Oct 15, 2018 Issue
Newborn with a Hyperextended Knee [Photo Quiz]

The initial examination of an infant was notable for passive hyperextension at right knee but otherwise full range of motion.

May 15, 2018 Issue
Hyperpronation Method for Reduction of Nursemaid's Elbow [Medicine by the Numbers]

Although data are limited, the results have consistently shown a higher rate of success with first attempt reduction of nursemaids' elbow when the hyperpronation method was used. For other outcomes, including pain and adverse effects such as bruising, no conclusions could be drawn because the quality of evidence was poor.

May 1, 2018 Issue
Top 20 Research Studies of 2017 for Primary Care Physicians [Article]

The latest installment of the top 20 research studies for primary care physicians includes studies on cardiovascular disease and hypertension, infections, diabetes mellitus, musculoskeletal problems, and cancer screening, among other topics. The five highest-rated practice guidelines are also summarized.

May 1, 2018 Issue
Lumbar Fusion of Variable Value Based on Treating Diagnosis, with Significant Complication Rates [POEMs]

Lumbar fusion for degenerative spinal disease appears to be most beneficial for patients undergoing the procedure for spondylolisthesis, but it is of little clear benefit for patients with other indications, such as spinal stenosis or chronic back pain.

Apr 15, 2018 Issue
Common Running Injuries: Evaluation and Management [Article]

Most running injuries are due to overuse and typically respond to conservative treatment. Learn which tests can help diagnose patellar tendinopathy, patellofemoral pain syndrome, iliotibial band syndrome, Achilles tendinopathy, plantar fasciopathy, and tibial and hamstring injuries, and the recommended treatments for each condition.

Oct 1, 2017 Issue
Treatments for Nocturnal Leg Cramps [FPIN's Help Desk Answers]

Calcium channel blockers or B vitamins may lead to short-term improvement in nocturnal leg cramps. Stretching has mixed results. Quinine is effective but is no longer recommended, and it is not approved for treatment of leg cramps because of potential toxicity.

Aug 15, 2017 Issue
Lower Extremity Abnormalities in Children [Article]

Although childhood leg and foot problems are a common concern for parents, most are normal variants of growth that resolve without treatment. The musculoskeletal examination should include evaluation for hip dysplasia, leg length discrepancy, and joint laxity; assessment of passive range of motion and rotational positioning of the lower extremities (i.e., torsional profile); and a gait analysis. Learn when parental reassurance is sufficient and when to refer to an orthopedist for further evaluation and treatment.

Jul 15, 2017 Issue
Treatment for Calcaneal Apophysitis [FPIN's Clinical Inquiries]

Several treatments for calcaneal apophysitis may produce modest short-term improvements in pain scores. Heel inserts and prefabricated orthotics may initially improve pain scores and dysfunction, but patients have equal improvement by three months with or without therapy.

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