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Ankle sprains are the most common sports injuries, with an estimated 25,000 occurring every day in the US. Sprains can happen with any sport, including just walking across the yard! Ankle sprains are most common in ball sports such as basketball, soccer, volleyball and others.
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Elbow fractures are common childhood injuries, accounting for about 10% of all childhood fractures. In many cases, a simple fracture will heal well with conservative cast treatment. Some types of elbow fractures, however, including those in which the pieces of bone are significantly out of place, may require surgery. Other structures in the elbow—such as nerves, blood vessels, and ligaments—may also be injured when a fracture occurs and may require treatment, as well.
For as long as she can remember, Janis McClain loves to swim. “I love the water – I love swimming!” exclaims McClain. “I feel it’s totally part of relaxing. It’s the best on my joints – that’s the reason I do it.”Read more
Data presented at the American Association of Hip and Knee Surgeons Annual Meeting showed total hip arthroplasty performed with a highly crosslinked acetabular liner in patients younger than 50 years of age was associated with Kaplan-Meier overall survivorship of 93% at 15 years when revision due to failure was the endpoint.
“The non-highly crosslinked group showed 87% [survivorship]. This was significantly different,” said Andrew J. Bryan, MD, who presented the results.
Six patients in the group treated with non-highly crosslinked polyethylene and no patients in the group treated with highly crosslinked polyethylene underwent revision surgery, according to Bryan’s presentation.
THA was performed in 273 patients in the study for indications that included osteoarthritis (62%), avascular necrosis (22%) and dysplasia (5%).
“There was no wear in the highly crosslinked group as noted by our method, and there was no osteolysis in the highly crosslinked group,” Bryan said.
The six revisions performed in the non-highly crosslinked polyethylene group (10.5%) were for wear.
According to Bryan, the two groups’ clinical outcomes were similar.
“The use of highly crosslinked polyethylene led to a significant reduction in risk of failure in patients less than 50 years old,” he said. – by Susan M. Rapp
Bryan AJ, et al. Paper 22. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 1-4, 2018; Dallas.
Disclosure: Bryan reports no relevant financial disclosures.
Steroid injections can be used to treat some problems in the arm and hand. These can include trigger fingers, tendonitis, carpal tunnel syndrome, arthritis, tennis elbow and rotator cuff tendonitis. These injections usually contain cortisone and a numbing medicine.
The olecranon (oh-LEH-cruh-nahn) is the pointy bone at the tip of the elbow. The bursa is the thin sac of fluid that lies between this boney tip and the skin. It helps the skin slide over the bone smoothly. Normally, this sac has only a tiny bit of fluid inside of it and lays flat. However, the bursa can become irritated or inflamed and fill with extra fluid (see Figure 1). When this happens, a painful swelling develops at the back of the elbow. This swelling is olecranon bursitis.
Hand bones are called metacarpals. The finger bones are called phalanges. The metacarpophalangeal joint (MP joint), or knuckle, is where the finger bones meet the hand bones. At the MP joints, the fingers can move in multiple directions. They can bend, straighten, spread apart and move together. MP joints are important for both pinching and gripping.
The shoulder (Figure 1) is a ball and socket joint that allows a wide range of movement. Because it is composed of several key structures such as tendons, cartilage and bone, the shoulder can be affected by a variety of conditions.