The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Mar 2020
Case ReportsPosttraumatic Malunion Following Comminuted Scapular Fracture.
A 42-year-old male police officer sustained multiple injuries in a motorcycle accident, including a comminuted fracture of the scapula and several rib fractures. Four months after his injury, the patient was prescribed outpatient physical therapy, after 2 months of which the patient's cervical and lumbar spine function were restored but his shoulder mobility deficits persisted. ⋯ Given his functional deficits, including an inability to return to work, he was referred to an orthopaedist for additional imaging and consultation, which revealed scapular malunion. J Orthop Sports Phys Ther 2020;50(3):167. doi:10.2519/jospt.2020.8927.
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J Orthop Sports Phys Ther · Mar 2020
Case ReportsScapular Osteochondroma in a Skeletally Mature Man.
A 27-year-old man was referred to physical therapy by his primary care physician for chronic, intermittent right shoulder girdle pain. Radiographs of the shoulder were noncontributory. ⋯ Radiographs of the scapula demonstrated an osseous lesion projecting from the ventral inferior scapula. J Orthop Sports Phys Ther 2020;50(3):168. doi:10.2519/jospt.2020.9325.
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J Orthop Sports Phys Ther · Mar 2020
Meta AnalysisTo Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? A Systematic Review With Meta-analysis.
To evaluate whether lumbar spine flexion during lifting is a risk factor for low back pain (LBP) onset/persistence or a differentiator of people with and without LBP. ⋯ There was low-quality evidence that greater lumbar spine flexion during lifting was not a risk factor for LBP onset/persistence or a differentiator of people with and without LBP. J Orthop Sports Phys Ther 2020;50(3):121-130. Epub 28 Nov 2019. doi:10.2519/jospt.2020.9218.
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J Orthop Sports Phys Ther · Mar 2020
EditorialOvercoming Overuse: Improving Musculoskeletal Health Care.
This is the first article in a series on "Overcoming Overuse" in musculoskeletal health care. Overuse is the use of services that are unlikely to improve patient outcomes, result in more harm than benefit, and would not be desired by an informed patient. ⋯ We focus on strategies to promote guideline-concordant care in rehabilitation practice and strategies to overcome overuse. J Orthop Sports Phys Ther 2020;50(3):113-115. doi:10.2519/jospt.2020.0102.