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Section Editors' highlights

New Content ItemWelcome to the BMC Musculoskeletal Disorders Section Editors' highlights page. Here, the Section Editors have chosen recent papers published in their section of the journal that are of particular importance or interest to highlight to a wider audience.

Intensive therapy and remissions in rheumatoid arthritis

Chosen by: Jeffrey Driban

Remission has become a key treatment goal in rheumatoid arthritis (RA). In this paper, the authors have systematically reviewed RA clinical trials that report remissions and have found that intensive treatment with combination DMARDs, biologics or JAK inhibitors increases the frequency of remission compared to control non-intensive strategies. Furthermore, these benefits are observed in both early and established RA.

MRI-detected injuries in athletes at the Rio Summer Olympics 2016

Chosen by: Anita Wluka

Shoulder injuries constitute a small subset of all injuries at the Olympic Games, but can result in significant pain symptoms and an inability to compete. Guermazi and colleagues retrospectively analysed MRI scan from Olympic athletes and their findings revealed that there was a high prevalence of both acute and chronic shoulder injuries, likely due to to fatigue and overuse of the dynamic stabilizers.

Does kinesiotape have any clinical benefit following rotator cuff surgery?

Chosen by: Bart Staal

Kinesiotape is widely used in musculoskeletal rehabilitation but there is limited evidence to support its use. In this randomized cross-over clinical trial, Reynard and colleagues have investigated the immediate and short-term effects of kinesiotape on muscular activity, mobility, strength and pain after rotator cuff surgery. Although a decrease in over-activity of the upper trapezius was observed, kinesiotape appears to have limited clinical benefits in rotator cuff injuries.

5-alpha reductase inhibitors on osteoporosis and fracture risk

Chosen by: Jeffrey Driban

Dutasteride and finasteride are used in prostate cancer treatment, but a comparison of their effects on bone health have not been examined. A large Canadian cohort of men treated with either dutasteride or finasteride has been used the risk of osteoporosis or fractures examined. Despite differential effects, dutasteride was not associated with an increased risk relative to finasteride, suggesting that dutasteride does not adversely affect bone health.

Does compression therapy reduce post-operative knee swelling?

Chosen by: Bart Staal

Compression therapy is commonly used to reduce lower limb swelling and blood loss after knee surgery. Here an RCT was performed to investigate the effect of modified Robert Jones bandage (MRJB) compared with controls. The results suggest that controls had improved comfort without increasing swelling, blood loss, severity of pain or damaging knee function, indicating that MRJB treatment may not be necessary for enhanced recovery after primary total knee arthroplasty.

Why tibial plateau fractures are overlooked

Chosen by: Daichi Hayashi

Tibial plateau fractures (TPFs) are sometimes overlooked in the emergency room. In this study the authors have used the Pittsburgh Knee Rules, a radiographic decision rule, to determine how many of these fractures are overlooked. The results suggest that additional radiographic scans, such as oblique X-rays, MRI and CT, should be considered as part of the diagnostic workup.

Bone loss and recovery during hindlimb unloading and reloading in aging rats

Chosen by:  Ali Mobasheri

Bone structure/strength are lost during decreased mechanical loading, and aged bones have a reduced ability to adapt to increased mechanical loading.  In this study, adult and aged rats were used to investigate effects on bone structure and biomechanics with age. Compared with adults, aged bone is less responsive to increased and decreased mechanical loading, and acute periods of disuse may leave older subjects with a long-term deficit in trabecular bone mass.

Long-term evaluation of outcomes and survivorship in a TKA cohort

Chosen by: Giuseppe Longo

In this paper, the authors presents the results of a prospective non-comparative study evaluating the long-term performance of a rotating platform TKA using predominantly cementless fixation and without patellar resurfacing. They found that this technique had an excellent survivorship at a minimum 10-year follow-up with the expectation that longer-term follow-up may be superior to cemented TKA.