A computer-simulation study finds that patellar dislocation is more likely to recur if the knee has a flat trochlea, patella alta or poor rotational alignment.
Read MoreSocioeconomic Disadvantage — Not Race — Drives Poor Outcomes in Joint Replacement, Shows Study
Patients with higher Area Deprivation Index (ADI) scores are more likely to have a nonhome discharge and a longer hospital stay after total knee arthroplasty, according to a Cleveland Clinic study. Socioeconomic status, as indicated by ADI score, should be considered when preparing patients for surgery.
A Team Approach to Intractable Patellofemoral Pain
Most patients with anterior knee pain improve with conservative treatment. For the others, collaborating specialists can develop effective strategies.
Ruptured Patellar or Quad Tendon: Which Has Better Repair Outcomes?
New data on patellar and quad tendon ruptures may change expectations for recovery. A study finds that both injuries require significant rehabilitation time, and many patients never fully recover.
Crucial Concepts in Managing Patients with Metastatic Bone Disease
When a patient with a history of cancer presents with musculoskeletal pain, heightened awareness of the risk of bone metastasis should prompt immediate referral to an orthopaedic specialist. A multidisciplinary approach is needed to identify an appropriate treatment plan based on prognosis, fracture status and extent of skeletal disease.
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Surgery After First-Time Patellar Dislocation May Be the Right Approach in Younger Patients
Recurring patellar dislocation is very high in certain patient populations. Determining risk of recurrence, which is possible with X-ray and MRI after a first-time dislocation, can help physicians guide patients when to consider surgery instead of conservative treatment.
‘Osteobesity’: How We’re Optimizing Patients with High BMI, Diabetes for Orthopaedic Surgery
The Get Ready program helps patients reduce BMI and control diabetes in preparation for orthopaedic procedures. Patients are referred by orthopaedic providers and fast-tracked to a specialized team in Cleveland Clinic’s Endocrinology & Metabolism Institute.
Study Quantifies Link Between Mental Health and Outcome of Total Knee Arthroplasty
A study has quantified the link between mental health and outcome of total knee arthroplasty. Patients who score lower than 40 on the Veterans RAND 12-Item Health Survey (VR-12) Mental Component Summary (MCS) have longer hospital stays and a higher risk of nonhome discharge.
Opioid Study Finds Four Pills Is Enough for Most Patients After Simple Knee Surgery
Scientific evidence has been lacking for opioid prescribing practices. While physicians often prescribe 10 to 20 opioid pills after simple arthroscopic knee surgery, most patients take no more than four, reports a recent pain management study.
Cervical Kyphosis in a Geriatric Patient: A Case Study
Although surgery is uncommon for older patients with “bent forward deformity,” this athletic woman’s fitness argued for an attempt at multilevel cervical fusion.
Diagnostic and Interventional Ultrasound Advance Hip Abductor Tendinopathy Care
Cleveland Clinic Florida first in region to use patented hydroresection technology to treat tendinosis