Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Nov 2013
Review Meta AnalysisExtracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs.
Plantar fasciitis is the most common cause of heel pain. It may remain symptomatic despite conservative treatment with orthoses and analgesia. There is conflicting evidence concerning the role of extracorporeal shock wave therapy (ESWT) in the management of this condition. ⋯ ESWT is a safe and effective treatment of chronic plantar fasciitis refractory to nonoperative treatments. Improved pain scores with the use of ESWT were evident 12 weeks after treatment. The evidence suggests this improvement is maintained for up to 12 months. We recommend the use of ESWT for patients with substantial heel pain despite a minimum of 3 months of nonoperative treatment.
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Clin. Orthop. Relat. Res. · Nov 2013
Multicenter StudyValidation of PROMIS ® Physical Function computerized adaptive tests for orthopaedic foot and ankle outcome research.
In 2012, the American Orthopaedic Foot & Ankle Society(®) established a national network for collecting and sharing data on treatment outcomes and improving patient care. One of the network's initiatives is to explore the use of computerized adaptive tests (CATs) for patient-level outcome reporting. ⋯ The PROMIS(®) PF CAT appears to be an excellent method for measuring outcomes for patients with foot and ankle surgery. Further validation of the PROMIS(®) item banks may ultimately provide a valid and reliable tool for measuring patient-reported outcomes after injuries and treatment.
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Clin. Orthop. Relat. Res. · Nov 2013
Comparative StudyTranslation and validation of the Dutch new Knee Society Scoring System ©.
A new version of The Knee Society Knee Scoring System(©) (KSS) has recently been developed. Before this scale can be used in non-English-speaking populations, it has to be translated and validated for a particular population. ⋯ As demonstrated by the validation procedure, the Dutch New KSS is an excellent instrument to evaluate TKA outcome in Dutch-speaking patients.
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Clin. Orthop. Relat. Res. · Nov 2013
The phosphaturic mesenchymal tumor: why is definitive diagnosis and curative surgery often delayed?
Tumor-induced osteomalacia is a paraneoplastic syndrome resulting in renal phosphate wasting and decreased bone mineralization. Phosphaturic mesenchymal tumors represent a rare etiology of tumor-induced osteomalacia. Nonspecific symptoms of fatigue, bone pain, and musculoskeletal weakness make the diagnosis elusive and lead to a delay in surgical treatment. ⋯ Although uncommon, the diagnosis of phosphaturic mesenchymal tumor should be considered in any patient who presents with hypophosphaturic osteomalacia and no other physiologic cause. Definitive treatment is early, wide surgical resection.