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Chapter 26 Physical Examination

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Cracking the Code of the Musculoskeletal Exam: A Hands-On Guide

Ever wonder what goes on during a musculoskeletal exam? It’s more than just “bend and touch your toes!” This chapter dives deep into the techniques and assessments used by healthcare professionals to evaluate the health of your bones, joints, and muscles. From head to toe, a thorough physical exam can reveal a lot about what’s going on beneath the surface.

The Art of Observation:

The exam begins with careful observation. Doctors look for visual cues like swelling, redness, or deformities. They also pay close attention to how you move, noting … Read more

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PROMs in Joint Arthroplasty Evaluation

Patient-Reported Outcome Measures in Joint Arthroplasty

Total joint arthroplasty (TJA) is a common and effective surgical procedure for treating end-stage joint diseases like osteoarthritis. Traditionally, the success of TJA was primarily evaluated based on objective measures such as implant survival, range of motion, and radiographic findings. However, with the shift towards patient-centered care, there is increasing emphasis on incorporating patient-reported outcome measures (PROMs) to assess the true impact of TJA on patients’ lives. PROMs are standardized, validated questionnaires completed by patients to provide subjective assessments of their health status, functional abilities, and quality of life. This article will discuss the … Read more

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Outpatient Total Joint Arthroplasty

Outpatient Total Joint Arthroplasty: A Comprehensive Review of Feasibility and Safety in Carefully Selected Patients

Total joint arthroplasty (TJA) has traditionally been performed as an inpatient procedure, requiring patients to stay in the hospital for several days after surgery. However, the projected increase in primary total hip arthroplasty (THA) by 71% to 635,000 procedures and primary total knee arthroplasty (TKA) by 85% to 1.26 million procedures by 2030 in the USA 1 highlights the growing importance of outpatient procedures. Advances in surgical techniques, anesthesia, and pain management have made it possible for some patients to undergo TJA on an outpatient … Read more

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