Bmc Musculoskel Dis
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Bmc Musculoskel Dis · Jan 2008
Comparative StudyMovement control tests of the low back; evaluation of the difference between patients with low back pain and healthy controls.
To determine whether there is a difference between patients with low back pain and healthy controls in a test battery score for movement control of the lumbar spine. ⋯ This is the first study demonstrating a significant difference between patients with low back pain and subjects without back pain regarding their ability to actively control the movements of the low back. The effect size between patients with low back pain and healthy controls in movement control is large.
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Bmc Musculoskel Dis · Jan 2008
The effect of time-to-surgery on outcome in elderly patients with proximal femoral fractures.
Whether reducing time-to-surgery for elderly patients suffering from hip fracture results in better outcomes remains subject to controversial debates. ⋯ Although this study found a trend toward more frequent post-operative complications in the longest time-to-surgery group, there was no effect of time-to-surgery on mortality. Shorter time-to-surgery may be associated with somewhat lower rates of post-operative complications such as decubitus ulcers, urinary tract infections, thromboses, pneumonia and cardiovascular events, and with somewhat higher rates of others such as post-operative bleeding or implant complications.
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Bmc Musculoskel Dis · Jan 2008
Natural course of intra-articular shifting bone marrow edema syndrome of the knee.
Intra-articular shift (migration) of bone marrow edema syndrome (BMES) is a very rare disease. Only a few cases have been reported thus far. The condition may cause the clinician to suspect an aggressive disease. ⋯ Intra-articular shifting BMES is a very rare condition. As the disease is self-limiting, conservative therapy may be recommended.
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Bmc Musculoskel Dis · Jan 2008
Outcome analysis following removal of locking plate fixation of the proximal humerus.
Concerning surgical management experience with locking plates for proximal humeral fractures has been described with promising results. Though, distinct hardware related complaints after fracture union are reported. Information concerning the outcome after removal of hardware from the proximal humerus is lacking and most studies on hardware removal are focused on the lower extremity. Therefore the aim of this study was to analyze the functional short-term outcome following removal of locking plate fixation of the proximal humerus. ⋯ A significant improvement of clinical outcome following removal was found. However, a general recommendation for hardware removal is not justified, as the risk of an anew surgical and anesthetic procedure with all possible complications has to be carefully taken into account. However, for patients with distinct symptoms it might be justified.
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Bmc Musculoskel Dis · Jan 2008
Negative beliefs about low back pain are associated with high pain intensity and high level disability in community-based women.
Although previous studies have investigated beliefs about back pain in clinical and employed populations, there is a paucity of data examining the beliefs of the broader community. We aimed to characterize the beliefs that community-dwelling women have about back pain and its consequences, and to determine whether those with varying levels of pain intensity and disability differ in their beliefs. ⋯ This study highlights that although women living in the community were generally positive about back pain, subgroups of women with high pain intensity and high level disability were identified who had more pessimistic views. While a causal relationship cannot be inferred from these cross-sectional data, the results suggest that negative beliefs individuals have about back pain may be predictive of chronic, disabling spinal pain.