Wednesday, 28 September 2011

Musculoskeletal Current Awareness September 2011


Clinical Librarian Service
Current Awareness Bulletin
Musculoskeletal
September 2011


Contents:

1. NICE Guidelines:


Please click on the title to see full text:



2. New and Updated Cochrane Systematic Reviews:


For the full text of the Cochrane Systematic Reviews please click on the title. We have included the Author’s Conclusion so you can speedily see if a therapy change is indicated. Author’s Conclusions are taken directly from the Cochrane Website  and represent the work of the author.


Author’s conclusions: The evidence from randomised controlled trials is currently too limited to draw definitive conclusions about the use of non-surgical interventions for paediatric pes planus. Future high quality trials are warranted in this field. Only limited interventions commonly used in practice have been studied and there is much debate over the treatment of symptomatic and asymptomatic pes planus

Rome K, Ashford RL, Evans A. Non-surgical interventions for paediatric pes planus. Cochrane Database of Systematic Reviews 2010, Issue 7

Author’s conclusions: There is insufficient evidence to draw conclusions on differences between the two grafts for long-term functional outcome. While PT reconstructions are more likely to result in statically stable knees, they are also associated with more anterior knee problems.

Mohtadi NGH, Chan DS, Dainty KN, Whelan DB. Patellar tendon versus hamstring tendon autograft for anterior cruciate ligament rupture in adults. Cochrane Database of Systematic Reviews 2011, Issue 9


Author’s conclusions: There is insufficient evidence to give clear recommendations for practice. There is inconsistent evidence that universal ultrasound results in a significant increase in treatment compared to the use of targeted ultrasound or clinical examination alone. Neither of the ultrasound strategies have been demonstrated to improve clinical outcomes including late diagnosed DDH and surgery. The studies are substantially underpowered to detect significant differences in the uncommon event of late detected DDH or surgery. For infants with unstable hips or mildly dysplastic hips, use of delayed ultrasound and targeted splinting reduces treatment without significantly increasing the rate of late diagnosed DDH or surgery.

Shorter D, Hong T, Osborn DA. Screening programmes for developmental dysplasia of the hip in newborn infants. Cochrane Database of Systematic Reviews 2011, Issue 9


3. Economic Evaluations:


For abstracts of the economic evaluations below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.

If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.      






4. Health Technology Assessments:

For abstracts of the Health Technology Assessments below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.

If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.      



5. Other relevant articles:

For abstracts of the articles below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.

If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.      














6. Latest Journal Table of Contents:

If you would like full text of any of the articles listed in the below journals then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.      














For more information please contact the
Musculoskeletal Clinical Librarian: Pip Divall
Education Centre Library
Leicester General Hospital
, LE5 4PW
Telephone: 0116 2588124



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