The Iowa orthopaedic journal
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There is some concern that non-steroidal anti-inflammatory drugs (NSAIDs) may impair the healing of certain musculoskeletal tissues. However, the effect of NSAIDs on the specialized fibrocartilaginous transition at the tendon-to-bone interface remains largely unknown. Thus, the purpose of the present study is to investigate the effect of NSAIDs on tendon-to-bone healing following acute injury or surgery. ⋯ The current literature does not provide sufficient evidence for or against the use of NSAIDs following acute injury or surgical repair of the tendon-bone interface.Level of Evidence: IV.
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Comparative Study
Use of CT Vs. MRI for Diagnosis of Hip or Pelvic Fractures in Elderly Patients After Low Energy Trauma.
Elderly patients who fall account for more than two million emergency department visits each year. In 4-10 % of these patients, initial plain radiographs do not identify a hip or pelvis fracture later diagnosed with advanced imaging. No consensus exists about what type of imaging, CT or MRI, should be obtained in elderly patients with hip or pelvic pain after a low energy trauma. The purpose of this study was to determine whether CT or MRI is more likely to result in a definitive fracture diagnosis in elderly patients with hip or pelvic pain after low energy trauma. ⋯ Our study suggests CT may be adequate to rule out hip and pelvic fractures in this patient population. CT may be preferable to MRI based on decreased time spent in the ED and the large percentage of elderly patients with contraindications to MRI.Level of Evidence: III.
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Comparative Study
Factors Impacting Initial Arthroscopy Performance and Skill Progression in Novice Trainees.
Arthroscopy is one of the cornerstone skills learned during orthopaedic residency training. Previous studies have attempted to identify characteristics of arthroscopy naive individuals leading to superior initial arthroscopic performance with conflicting findings. Furthermore, other virtual reality simulator studies consisting of beginner trainees, have noted that certain individuals fail to progress at the rate of their peers despite rigorous training. Therefore the purpose of this study was to 1) identify trainee characteristics that may have an impact on initial arthroscopy skill and performance and 2) identify trainee characteristics affecting their ability to improve through training on an arthroscopy simulator. ⋯ Our study demonstrates that baseline arthroscopy performance correlates most highly with 3D video game experience. The ability of trainees to learn arthroscopy using a virtual reality simulator appears to be influenced more by those who have regularly participated in sports requiring hand eye coordination rather than video game use.Level of Evidence: III.