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The latest orthopaedic news from Medical News Today and local news publishers.

In a study of patients with Paget's disease of bone - a common skeletal disorder that can lead to bone deformity, fractures, osteoarthritis, and bone pain - long-term intensive bisphosphonate therapy conferred no clinical benefit over giving bisphosphonates only when patients felt bone pain. Also, long-term bisphosphonate therapy was linked with a non-significant increase in the risk of fractures and serious adverse events. Although bisphosphonates are effective at suppressing the elevated bone turnover and bone pain that are characteristic of Paget's disease of bone, the study's results suggest that the drugs should be used to control symptoms rather than to suppress bone turnover.

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A new study has found that poor strength in the thigh muscles may increase the risk of knee osteoarthritis in women but not men. This relationship was confounded by body mass index (BMI), which itself is known as a risk factor for knee osteoarthritis. The study's investigators noted that there may be more contractile tissue (and strength) present in men with greater BMI and more non-contractile (fat) tissue in women with greater BMI. The sex-specific relationship between muscle strength and BMI provides a possible explanation for why women with muscle strength deficits typically have a poorer prognosis than men with similar deficits.

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Hammer toe is the most common deformity of the second, third, or fourth toe. It is often caused by wearing narrow shoes with little to no arch support. The condition can be extremely painful but there are many treatments available to ease the pain. A hammer toe is a toe that has an abnormal bend in its middle joint, making the toe bend downward to look like a hammer. Hammer toe affects the second, third, or fourth toes. This painful condition forms due to an imbalance in the surrounding muscles, tendons, or ligaments that normally keep the toe straight.

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Seronegative rheumatoid arthritis is one of two types of rheumatoid arthritis, an autoimmune condition that causes pain, swelling, and stiffness at the joints. The other, and most common, kind of rheumatoid arthritis (RA) is seropositive RA. Seronegative RA is the least common of the two types of RA and does not have the same markers that usually characterize the condition. These markers, which are found in the blood, are anti-cyclic citrullinated peptide (anti-CCP) antibodies or rheumatoid factor.

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The fibula and tibia are the two long bones of the lower leg. The fibula, or calf bone, is a small bone located on the outside of the leg. The tibia, or shinbone, is the weight-bearing bone and is in the inside of the lower leg. The fibula and the tibia join together at the knee and ankle joints. The two bones help to stabilize and support the ankle and lower leg muscles. A fibula fracture is used to describe a break in the fibula bone.

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For teens with scoliosis, a new study shows specialized physical therapy exercises can improve the curve of the spine, muscle endurance and quality of life, as researchers advocate for conservative management to be added to the standard of care for patients in Canada. "Currently patients diagnosed with scoliosis are either monitored for progression, treated with a brace, or, in severe cases, offered surgery," explained Sanja Schreiber from the University of Alberta's Faculty of Rehabilitation Medicine. "Our study showed that 88 per cent of patients who did the Schroth physiotherapeutic scoliosis-specific exercises showed improvements or prevented progression in their scoliosis curves over six months compared to 60 per cent in the group receiving only standard of care.

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A new analysis of numerous studies indicates that men and women aged 60 years and older who have experienced a hip fracture are at increased risk of dying not only in the short term after the fracture, but also a number of years later. The analysis included eight studies with 122,808 participants in the Consortium on Health and Ageing: Network of Cohorts in Europe and United States (CHANCES) project, a large collaboration of European and US studies coordinated by the Hellenic Health Foundation, investigating the effects of ageing on health. Although the risk of death was highest in the first year after the hip fracture, fractures were also linked with a nearly twofold increased risk of dying eight years or more after the injury, noted co-lead author Dr.

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Here's what you need to know: 1. With this agreement, Intermountain Healthcare will assign a certified athletic trainer to cover all of the university's athletic events, including those on and off campus. 2. This contract brings four Intermountain Healthcare trainers to the university's athletic staff. 3. Southern Utah University graduate assistants in sports medicine will be hired on a part-time basis, in an effort to support hands-on education. More articles on sports medicine: US House of Representatives passes Sports Medicine Licensure Clarity Act: 3 things to know

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He is one of three fellowship-trained orthopedic trauma surgeons at the level 1 trauma center, which is based on the campus of Baylor University Medical Center, and his clinical interests include complex articular joint fracture and joint revision surgery. He holds memberships with Orthopaedic Trauma Association, Texas Medical Association and Dallas County Medical Society. Dr. Cates earned his medical degree at University of Texas Health Science Center at San Antonio. He went on to complete residency training at Dallas-based University of Texas Southwestern Medical Center and an orthopedic trauma fellowship at Charlotte, N.C.

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Here's what you need to know: 1. The Gold Seal of Approval for Advanced Certification for Total Hip and Total Knee Replacement is awarded for a two-year period. 2. The Joint Commission-accredited hospitals and ambulatory surgery centers can seek this advanced certification to demonstrate the quality and safety of their total joint replacement services. 3. St. Mary's Regional Medical Center is the first healthcare facility in Oklahoma to earn the Gold Seal of Approval for Advanced Certification for Total Hip and Total Knee Replacement.

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