Discover and read the best of Twitter Threads about #hip
Most recents (4)
As the year ends, it's time once again to discuss some of the best clinical papers in the 🦴 #bone field in 2022!
A long 🧵
@Sandroppa @ECTS_science @larsfolkestad
A long 🧵
@Sandroppa @ECTS_science @larsfolkestad
Nr. 1: Supplemental #VitaminD and Incident #Fractures in Midlife and Older Adults @NEJM
No effect in the VITAL trial although confidence intervals do not exclude meaningful reduction in patients on osteoporosis meds or with fracture history
nejm.org/doi/full/10.10…
No effect in the VITAL trial although confidence intervals do not exclude meaningful reduction in patients on osteoporosis meds or with fracture history
nejm.org/doi/full/10.10…
#VitaminD Deficiency Increases Mortality Risk in the UK Biobank
A Nonlinear Mendelian Randomization Study
Risk increased steeply < 50 nmol/L and was greater with genetic than phenotypic vitamin D deficiency
@AnnalsofIM
acpjournals.org/doi/10.7326/M2…
A Nonlinear Mendelian Randomization Study
Risk increased steeply < 50 nmol/L and was greater with genetic than phenotypic vitamin D deficiency
@AnnalsofIM
acpjournals.org/doi/10.7326/M2…
Longer daily #sedentary time increases the risk of #Knee, #Hip and #back #pain
1. 20-25% of people aged 50 or more suffer from orthopedic problems such as knee joint pain, hip joint pain, back pain and knee stiffness. Sedentary lifestyle is a major risk factor for them.
1. 20-25% of people aged 50 or more suffer from orthopedic problems such as knee joint pain, hip joint pain, back pain and knee stiffness. Sedentary lifestyle is a major risk factor for them.
2. In a recent study, men with sedentary time of 7.5 hours or more/day had 45% higher risk of orthopedic problems as compared to those with daily sedentary time of <7.5 hours.
#MedTwitter #ortho
#MedTwitter #ortho
3. A pink-collar job, physical inactivity during leisure time, and passive (e.g. riding in a car or train) versus active (e.g. walking or riding a bicycle) transportation- were more commonly associated with orthopedic problems in people with daily sedentary time >7.5 hours.
An in-depth review of Slipped Capital Femoral Epiphysis (SCFE).
If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!
1/
If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!
1/
SCFE’s are an adolescent hip pathology with an average age of onset of 11-12.
The diagnosis may be initially missed because the patient may present with thigh or knee pain.
The diagnosis may be initially missed because the patient may present with thigh or knee pain.
Risk factors include:
✯ Obesity
✯ Male gender
✯ Prior radiation
✯ Endocrine abnormalities
✯ Certain ethnicities (e.g. African American)
Obesity is one of the most important and modifiable risk factors.
✯ Obesity
✯ Male gender
✯ Prior radiation
✯ Endocrine abnormalities
✯ Certain ethnicities (e.g. African American)
Obesity is one of the most important and modifiable risk factors.
Refreshing that the Boston U report described in this article supports what many physicians tell me in the clinic 👉 Immunosuppressive drugs palliate inflammatory symptoms short-term...but can exacerbate many of these same symptoms over longer time periods:nbcnews.com/news/amp/ncna1…
2/2 The report found that #corticosteroid shots in the hips and knees may accelerate the progression of #osteoarthritis and potentially even hasten the need for #joint replacement surgeries in the long run
3/3 “While patients may report temporary pain relief from the #corticosteroid injections, injections may be detrimental in the long run...They may actually harm your knee or your #hip” - Dr. Ali Guermazi, Professor of radiology at Boston University School of Medicine
