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Therapy for elbow instability injuriesABSTRACT: Elbow instability often results in chronic overuse injuries,especially with overhead throwing in athletes. Initial managementof medial collateral ligament (MCL) injuries often is conservative,but surgery may be required. In several studies, nearly half ofthrowing athletes with MCL injuries who were treated conservativelywere able to return to their previous level of competition. Surgicaltreatment for MCL tears has evolved. Eight to 12 weeks of functionalrehabilitation include advanced core-strengthening exercises, progressiveneuromuscular exercises, and plyometric upper extremitytraining. Athletes who present with valgus extension overloadshould be evaluated thoroughly and considered for MCL reconstruction.Many lateral collateral ligament (LCL) complex injuries do notrequire surgery. Surgical reconstruction is less well defined withrecurrent LCL instability. (J Musculoskel Med. 2008;25:342-344)
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Early Diabetic Ketoacidosis may Impact Brain DevelopmentIn very young children with type 1 diabetes, even a single episode of moderate/severe diabetic ketoacidosis (DKA) can potentially have long-term effects on cognitive abilities and brain growth, a study shows.
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Physician–patient interaction may influence prescribing patterns in hypothyroidismDespite conflicting guidelines on how to treat hypothyroidism, U.S. physicians prescribe combination therapy more often than physicians around the world.
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Pediatric fractures in sports: Epidemiology and strategies for preventionABSTRACT: Sports activities are becoming increasingly popularamong children in the United States. The number of pediatric injuriescontinues to grow with the number of participants; up to25% of the injuries are fractures. The authors used a broad searchof databases and analyzed the current literature to help define theepidemiology and identify possible prevention strategies. Commonfracture locations include the distal radius, hand, elbow, and clavicle;90% of fractures involve the upper limb. Males sustain fracturestwice as often as females. The highest numbers of injuries occur inbicycle riding, basketball, football, and roller sports. Prospectivestudies of preventive strategies for pediatric sport fractures areurgently needed. (J Musculoskel Med. 2008;25:230-234, 254)
