Musculoskeletal Disorders
Applied Evidence
A practical guide to shoulder injuries in the throwing athlete
Repeatedly throwing a ball can take a toll on an athlete’s shoulder. Prompt diagnosis and treatment hinges on asking some targeted questions and...
Applied Evidence
When is a conservative approach best for proximal biceps tendon rupture?
This case demonstrates that when a patient’s occupation and lifestyle do not require a high degree of supination and upper arm strength,...
Applied Evidence
Carpal tunnel syndrome—try these diagnostic maneuvers
Physical maneuvers are an essential step in diagnosing carpal tunnel syndrome. This update can help you get up to speed on diagnosis and treatment...
Applied Evidence
Hip pain in active patients: What you may be missing
When a patient who’s physically active complains of hip pain, don’t be too quick to label it a “hip pointer” that requires time and rest to heal....
Medical Verdicts
Inattention to history dooms patient to repeat it ... Persistent breast lumps but no biopsy ... more
Applied Evidence
Rhabdomyolysis after spin class?
Two case reports involving the increasingly popular activity of “spinning” underscore the need for proper conditioning and adequate hydration...
Photo Rounds
Hyperpigmentation and atrophy
We suspected a malignancy, but a conversation with the patient provided a telling clue.
PURLs
DEXA screening—are we doing too much?
For many postmenopausal women, screening for osteoporosis can be done much less frequently.
Clinical Inquiries
Do inhaled steroids reduce bone mineral density and increase fracture risk?
EVIDENCE-BASED ANSWER: NO, except perhaps at high doses. Inhaled corticosteroids (ICS) at low to medium doses (<1500 mcg beclomethasone...
PURLs
Injection may be the best bet for young athletes’ knee pain
Closure of the tibial growth plate—the definitive remedy for Osgood-Schlatter disease—may be years away. Adolescent athletes sidelined by pain...