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Current Reviews in Musculoskeletal Medicine

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https://www.readbyqxmd.com/read/30353479/current-clinical-recommendations-for-use-of-platelet-rich-plasma
#1
REVIEW
Adrian D K Le, Lawrence Enweze, Malcolm R DeBaun, Jason L Dragoo
PURPOSE OF REVIEW: This review evaluates current clinical literature on the use of platelet-rich plasma (PRP), including leukocyte-rich PRP (LR-PRP) and leukocyte-poor PRP (LP-PRP), in order to develop evidence-based recommendations for various musculoskeletal indications. RECENT FINDINGS: Abundant high-quality evidence supports the use of LR-PRP injection for lateral epicondylitis and LP-PRP for osteoarthritis of the knee. Moderate high-quality evidence supports the use of LR-PRP injection for patellar tendinopathy and of PRP injection for plantar fasciitis and donor site pain in patellar tendon graft BTB ACL reconstruction...
October 23, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30350299/clinical-update-why-prp-should-be-your-first-choice-for-injection-therapy-in-treating-osteoarthritis-of-the-knee
#2
REVIEW
Corey S Cook, Patrick A Smith
PURPOSE OF REVIEW: The purpose of this review is to update the reader on the current applications of platelet-rich plasma (PRP) in the treatment of knee osteoarthritis (KOA). This review will focus on PRP's effect on the osteoarthritic joint, how PRP compares to traditional treatments of KOA, and provide clinical feedback on the use of PRP in an orthopedic and sports medicine practice. RECENT FINDINGS: Recent research into the applications of PRP for KOA has further indicated both the efficacy and safety of PRP treatment...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30343400/treatment-of-muscle-injuries-with-platelet-rich-plasma-a-review-of-the-literature
#3
REVIEW
Kian Setayesh, Arturo Villarreal, Andrew Gottschalk, John M Tokish, W Stephen Choate
PURPOSE OF REVIEW: This review discusses the current literature regarding the use of platelet-rich plasma (PRP) in the treatment of muscle strain injuries. Case series as well as experimental trials for both human and animal models are covered. RECENT FINDINGS: Multiple studies have examined outcomes for the use of PRP in the treatment of muscle strain injuries. PRP has been shown to promote muscle recovery via anabolic growth factors released from activated platelets, and in doing so, potentially reduces pain, swelling, and time for return to play...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30343399/evolution-in-management-of-tibial-pilon-fractures
#4
REVIEW
Jessica Bear, Natalie Rollick, David Helfet
PURPOSE OF REVIEW: Tibial plafond, or pilon, fractures can be some of the most difficult fractures to manage. As they are often associated with high-energy trauma, both the soft tissue involvement and the comminuted fracture pattern pose challenges to fixation. Furthermore, the complex anatomy and trauma to the cartilage at the time of injury predispose pilon fractures to poor functional outcomes and high rates of posttraumatic arthritis. This review will discuss the recent developments in the treatment of tibial pilon fractures...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30327933/management-of-posttraumatic-ankle-arthritis-literature-review
#5
REVIEW
Samuel O Ewalefo, Malcolm Dombrowski, Takashi Hirase, Jorge L Rocha, Mitchell Weaver, Alex Kline, Dwayne Carney, MaCalus V Hogan
PURPOSE OF REVIEW: Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications. RECENT FINDINGS: Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30280287/evaluation-and-management-of-pyogenic-and-tubercular-spine-infections
#6
REVIEW
Barrett S Boody, Daniel A Tarazona, Alexander R Vaccaro
PURPOSE OF REVIEW: To review the most current diagnostic tools and treatment options for pyogenic and tubercular spine infection. RECENT FINDINGS: Recent studies have focused on risk factors for failed nonoperative management in order to improve patient selection. Also, spine instrumentation and different grafting options have been safely utilized in the setting of an active infection without increasing the incidence of reoccurrence. However, the optimal surgical technique has yet to be established and instead should be patient specific...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30259330/platelet-rich-plasma-in-the-foot-and-ankle
#7
REVIEW
Peter R Henning, Benjamin J Grear
PURPOSE OF REVIEW: Platelet-rich plasma has become an increasingly popular treatment option within the orthopedic community to biologically enhance and stimulate difficult-to-heal musculoskeletal tissues. This review evaluates the recent literature on platelet-rich plasma use in the treatment of foot and ankle pathologies. RECENT FINDINGS: Recent literature has demonstrated platelet-rich plasma to have a possible benefit in the treatment of Achilles pathology, chronic plantar fasciitis, osteochondral lesions of the talus, ankle osteoarthritis, and diabetic foot ulcers...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30255288/platelet-rich-plasma-for-elbow-pathologies-a-descriptive-review-of-current-literature
#8
REVIEW
Adam Kwapisz, Sharad Prabhakar, Riccardo Compagnoni, Aleksandra Sibilska, Pietro Randelli
PURPOSE OF REVIEW: Platelet-rich plasma is used in many orthopedic pathologies such as tendinopathies and ligament injuries. The clinical results reported in the scientific literature are, however, confusing. The aim of this manuscript is to provide a narrative literature review regarding the role of PRP in the most common elbow soft tissue pathologies. RECENT FINDINGS: The response to PRP seems to be favorable when compared to steroid injection for pain management and for patient-reported outcomes in lateral epicondylitis...
September 25, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30215165/platelet-rich-plasma-and-the-knee-applications-in-orthopedic-surgery
#9
REVIEW
Alexander Wasserman, Graeme Matthewson, Peter MacDonald
PURPOSE OF REVIEW: To consolidate and synthesize the most recent evidence on the effects of platelet-rich plasma (PRP) in the knee with respect to osteoarthritis, meniscal injuries, ACL reconstruction, total knee arthroplasty (TKA), and high tibial osteotomy. RECENT FINDINGS: PRP has been shown to be more beneficial in the context of knee osteoarthritis compared to both placebo and hyaluronic acid. Direct comparison with corticosteroid injections has been sparsely studied...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30203334/platelet-rich-plasma-review-of-current-literature-on-its-use-for-tendon-and-ligament-pathology
#10
REVIEW
Cameron Kia, Joshua Baldino, Ryan Bell, Alim Ramji, Colin Uyeki, Augustus Mazzocca
PURPOSE OF REVIEW: Platelet-rich plasma (PRP) contains numerous growth factors and cytokines that potentially offer an alternative treatment modality to assist in the healing of multiple musculoskeletal issues. The purpose of this review was to examine the latest literature on the use of PRP for various ligament and tendon pathologies. RECENT FINDINGS: Recent literature has shown moderate- to high-quality evidence that PRP can have positive clinical effects in certain conditions such as lateral epicondylitis and rotator cuff tendinopathy...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30203333/platelet-rich-plasma-and-cartilage-repair
#11
REVIEW
Mitchell I Kennedy, Kaitlyn Whitney, Thos Evans, Robert F LaPrade
PURPOSE OF REVIEW: To assess the utilization and efficacy of platelet-rich plasma (PRP), for the treatment of articular cartilage injury, most commonly characterized by progressive pain and loss of joint function in the setting of osteoarthritis (OA). RECENT FINDINGS: PRP modulates the inflammatory and catabolic environment through a locally applied concentrate of platelets, leukocytes, and growth factors. Clinically, PRP has been shown to be possibly a viable treatment adjuvant for a variety of inflammatory and degenerative conditions...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30196386/management-of-midfoot-fractures-and-dislocations
#12
REVIEW
Atif Ahmed, Edward Westrick
PURPOSE OF REVIEW: To outline the classic and recent literature of midfoot fractures and dislocations. RECENT FINDINGS: There has been an evolution of implant technology to include mini-fragment fixation, suture fixation, and staples. Their efficacy is still being elucidated in the literature. Also, there has been a recent push for primary fusion, which we will discuss. Open reduction internal fixation of the midfoot remains to be the gold standard treatment, to which all other treatments are compared...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30196385/platelet-rich-plasma-and-the-shoulder-clinical-indications-and-outcomes
#13
REVIEW
Andrew Schneider, Rebecca Burr, Nickolas Garbis, Dane Salazar
PURPOSE OF REVIEW: The orthopedic community has seen a rapid rise in the clinical use of platelet-rich plasma (PRP) in the management of shoulder pathologies over the past decade. The purpose of this paper is to review the current literature regarding the indications and outcomes of PRP for the surgical and non-surgical management of common shoulder pathologies, including rotator cuff tears. RECENT FINDINGS: Multiple studies have been published recently regarding the use of PRP for the operative and non-operative treatment of rotator cuff tears...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30116992/the-economics-and-regulation-of-prp-in-the-evolving-field-of-orthopedic-biologics
#14
REVIEW
Ian A Jones, Ryan C Togashi, C Thomas Vangsness
PURPOSE OF REVIEW: This review provides an update on the current status of platelet-rich plasma (PRP). Topics covered include the current regulatory environment, economic outlook, and current clinical evidence. RECENT FINDINGS: The global PRP market is expected to grow to between 380 million and 4.5 billion (USD) over the next 5-10 years. The cost of a single treatment, which is not covered by most insurance, is roughly $500-$2500, with patients often returning for additional treatments...
December 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30062484/current-recommendations-for-the-diagnosis-of-acute-and-chronic-pji-for-hip-and-knee-cell-counts-alpha-defensin-leukocyte-esterase-next-generation-sequencing
#15
REVIEW
Karan Goswami, Javad Parvizi, P Maxwell Courtney
PURPOSE OF REVIEW: Despite significant progress in recent years, the diagnosis of periprosthetic joint infection (PJI) remains a challenge and no gold standard test exists. A combination of serological, synovial, microbiological, histological, and radiological investigations is performed that are expensive, often invasive, and imperfect. Novel biomarkers and molecular methods have shown promise in recent years. The purpose of this review is to provide an update about the diagnostic recommendations for PJI and cover a selection of emerging diagnostic tools...
September 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30054808/the-role-of-biologic-in-foot-and-ankle-trauma-a-review-of-the-literature
#16
REVIEW
Emily Zhao, Dwayne Carney, Monique Chambers, Samuel Ewalefo, MaCalus Hogan
PURPOSE OF REVIEW: The use of biologics in orthopedics is becoming increasingly popular as an adjuvant in healing musculoskeletal injuries. Though many biologics involved in the management of foot and ankle injuries are used based on physician preference, reports of improved outcomes when combined with standard operative treatment has led to further clinical interest especially in foot and ankle trauma. RECENT FINDINGS: The most recent studies have shown benefits for biologic use in patients predisposed to poor bone and soft tissue healing...
September 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/30047003/retrograde-hindfoot-nailing-for-acute-trauma
#17
REVIEW
Ivan S Tarkin, Mitchell S Fourman
PURPOSE OF REVIEW: The role of retrograde hindfoot nailing in the treatment of acute orthopedic trauma is explored. RECENT FINDINGS: Tibio-talar calcaneal (TTC) nailing is an acceptable treatment alternative for the low-demand geriatric patient with peri-articular ankle trauma permitting immediate weight-bearing with low rates of complication and return to functionality. Hindfoot nailing can be used for limb salvage in the younger active patient; yet, joint-preserving reconstruction is preferred when feasible...
September 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29974403/special-considerations-in-the-management-of-diabetic-ankle-fractures
#18
REVIEW
Jeffrey M Manway, Cody D Blazek, Patrick R Burns
PURPOSE OF REVIEW: Ankle fractures and diabetes mellitus are both increasing in prevalence. Patients with both diabetes and an ankle fracture have been shown to have an increased rate of complications which can be catastrophic. The purposes of this review are to identify factors placing patients at an increased risk and offer guidance on the management of these injuries, in order to reduce potential complications. RECENT FINDINGS: Non-operative management of unstable ankle fractures in patients with diabetes results in an unacceptably high rate of complications...
September 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29974334/current-concepts-in-talar-neck-fracture-management
#19
REVIEW
Colin Whitaker, Blake Turvey, Emmanuel M Illical
PURPOSE OF THE REVIEW: Talar neck fractures are a rare but potentially devastating injury, which require a comprehensive understanding of the unique osteology, vasculature, and surrounding anatomy to recognize pathology and treat correctly. The purpose of this article is to describe both classic and current literature to better understand the evolution of talar neck fracture management. RECENT FINDINGS: Urgent reduction of displaced fractures and dislocations remains the standard of care to protect the soft tissue envelope and neurovascular structures...
September 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29971613/the-use-of-antibiograms-in-orthopedic-surgery
#20
REVIEW
Scott R Nodzo, Nicholas B Frisch
PURPOSE OF REVIEW: Organism identification and antibiotic selection remain a critical component of periprosthetic joint infection (PJI) treatment. Prior to organism identification and/or the availability of antibiotic sensitivities, empiric antibiotics are routinely started. A basic understanding of a region or institutions antibiogram is paramount for selection of an empiric treatment regimen. Evolving antibiogram results and regional antibiotic resistance are important to follow as this may change antibiotic selection in some patient populations...
September 2018: Current Reviews in Musculoskeletal Medicine
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