Rheumatology and Orthopedics

SMJ Article | Original Article

The Aftermath of Hurricane Helene: Orthopedic Injury Epidemiology at a Level I Trauma Center

Objectives: Hurricane Helene was one of the most devastating natural disasters in US history, with 249 known fatalities and damages exceeding US$75 billion. This study evaluates the impact of Hurricane Helene on orthopedic injury epidemiology and patterns at a level I trauma center. Methods: A retrospective review was conducted of...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Medicare Insurance Is Associated with Reduced Hip Arthroscopy Patient–Reported Outcome Measures

Objective: The purpose of this study was to evaluate the difference in patient-reported outcome measures (PROMs) after hip arthroscopy (HA) among patients with commercial insurance as compared with those with government-provided insurance, such as Medicare, Medicaid, and TRICARE or Veterans Affairs (VA). Methods: This retrospective cohort study queried an institutional...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Disability Related to Carpal Tunnel Syndrome May Be Greater Than Related Chronic Hand Conditions

Objectives: This study used a novel patient disability assessment, the Mississippi Qualitative Hand Pain Questionnaire (MQHPQ), to compare carpal tunnel syndrome (CTS) with other hand pain diagnoses (non-CTS) and then to the levels of impairment in the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment (ie, AMA...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Comparing Speed and Accuracy of Artificial Intelligence Large Language Models on the Orthopedic In-Training Examination

Objectives: Large language models (LLMs), such as Open AI's Chat Generative Pre-Trained Transformer (GPT)-4 and Google Gemini, have gained significant attention for their ability to process complex language patterns and are being used increasingly in fields such as medicine, where they assist in learning, collaboration, and patient care. Although prior...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Insurance Type Affects Access to Care for Young Football Athletes with Hip Labrum Tears

Objectives: Patients with Medicaid compared with private insurance have increased difficulty gaining access to orthopedic care. How insurance status affects access to care for young athletes (football; from here, all "young athletes" are football players) with hip labrum tears has yet to be assessed. The purpose of this study was...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Pilot Cross-Sectional Study Assessing the Correlation between Marijuana Use and Rheumatoid Arthritis and Systemic Lupus Erythematosus Exacerbations

Objective: Cannabis use is increasing among patients with autoimmune rheumatic diseases, often for symptom relief; however, its impact on disease activity remains unclear. This pilot study assessed whether cannabis use was associated with differences in flare frequency or duration among patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), or...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Self-Reported Pain Rating during Clinical Testing and De Quervain Tenosynovitis

Objectives: Hand maneuvers commonly used to clinically diagnose De Quervain tenosynovitis (DQT) possess differing intrinsic levels of discomfort. We hypothesized that assessing the degree of pain would better differentiate replication of condition-related pain than a binary “yes or no” assessment, and we hope to use these data to establish thresholds...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Comparing ACL Reconstruction Postoperative Outcomes in Medicaid versus Private Insurance Patients: Is There a Difference?

Objectives: There has been growing evidence that insurance status is a major indicator of postoperative outcomes, which has been extensively reported in orthopedic procedures such as shoulder and knee arthroplasty. Patients with Medicaid public insurance had increased complications, longer lengths of stay, and increased costs compared with patients who had...

Posted in: Rheumatology and Orthopedics30

SMJ Article | Original Article

Evaluation of Top-Ranked Search Engine Web-Based Osteoporosis Materials

Objective: The purpose of this study was to examine the health literacy and quality of information on online Web sites about osteoporosis using the suitability assessment of materials (SAM) method. Methods: The search terms “osteoporosis” and “weak bones” were entered separately into three different search engines: Google, Bing, and Yahoo....

Posted in: Metabolic & Other Bone Disease (Osteoporosis)5

SMJ Article | Perspectives

Know Your Guidelines: EULAR Management of Fatigue in Patients with Inflammatory Rheumatic and MSK Diseases Guideline Synopsis and Review

Clinically significant fatigue occurs in nearly half of patients with inflammatory rheumatic diseases.1,2 Prior clinical practice guidelines highlight fatigue as essential in defining remission of several inflammatory rheumatic and musculoskeletal diseases (I-RMDs).

Posted in: Rheumatology and Orthopedics30

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