Physicians Responsibility

June 3, 2014

Physicians Responsibility in Making Medical Legal-Decision I have a hard time believing that board-certified doctors can’t clarify issues with patients when they come in to be seen accurately and honestly reporting that the complaints and the physicians’ findings in such a way that the answers are cut and dry with…

Radiofrequency Lesioning for Tennis Elbow

May 24, 2014

Radiofrequency Lesioning for Tennis Elbow (lateral epicondylalgia) Tasto, et al in the Journal of Arthroscopic-Related Surgery, July 2005, reported on 13 patients in whom a 1-inch incision was used to expose the forearm extensor muscle origin at the elbow. They cauterized the extensor origin with a radiofrequency probe and achieved…

Too Large for a Total Knee Replacement?

May 1, 2014

Baker, et al, reported on the association between body mass index (obesity or not) and the outcomes of total knee joint replacement. The researchers found that patients derive equivalent functional benefit following total knee replacement irrespectively of their preoperative BMI. The significance of this is that the study argues against…

Fingertip Amputation

April 16, 2014

Fingertip Amputation The benefit of a simple reattachment in patients not candidates for microvascular reimplantation. Treatment Options for Damaged Fingertips Treatment options for freshly damaged fingertips that are completely detached range from noninvasive wound cleansing, simple bandaging and observation, to shortening the end of the finger or thumb and closing…

Shoulder Diagnoses

February 19, 2014

“Which physical examination tests provide clinicians with the most value when examining the shoulder?” Update of a systematic review with metanalysis of individual tests. An extremely thorough analysis of the all of the medical literature on medical tests for shoulder problems was published in the British Journal of Sports Medicine,…