Handpicked Reviews of Contemporary Literature
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Osteonecrosis
Osteonecrosis, also called avascular necrosis or aseptic necrosis, is a condition in which the death of bone cells (due to decreased blood flow) can lead to pain and collapse of areas of bone. This collapse of bone, in turn, can lead to degenerative arthritis of nearby joints, most commonly the hips and knees. Less frequently affected are the shoulders, hands, and feet. In rare instances, osteonecrosis can occur in the jaw— resulting in pain and mouth ulceration. Osteonecrosis is not fatal, but can lead to pain, arthritis, problems with physical activity, and even the need for joint replacement. Most of the 10,000 to 20,000 Americans developing osteonecrosis annually are between age 20 and 50. These individuals usually have a history of serious trauma, corticosteroid use, excess alcohol intake, or other conditions including systemic lupus erythematosus, dysbarism (“the bends” that occur with scuba diving), blood disorders, HIV infection, and radiation therapy.
Coding Corner Question: February 2008
February’s Coding Challenge
Rehabilitation and Myositis
Physical therapy to manage inflammatory muscle disease
Keep Kids on the Move
How to encourage physical activity and exercise in juvenile idiopathic arthritis
Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is possibly the most common nerve disorder experienced today. It affects 3% to 7% of the population and is usually treatable. Middle-age and older individuals are more likely to develop CTS than younger people, and women develop CTS three times more frequently than men.
Pursue Remission
Disease remission should be the goal for all rheumatologists treating childhood arthritis
A Better Family Plan
How to minimize the risks of pregnancy for women with SLE
Science from our Sisters
Recommended reading from A&R and AC&R
Sex and Arthritis
Sexuality is an integral part of being human. It is linked to our quality of life and self-identity. Yet living with the pain, stiffness, fatigue, limited movement, decreased strength, and depression associated with arthritis can reduce a patient’s capacity for sexual expression and enjoyment.