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41. The treatment of Glenohumeral Joint Osteoarthritis

, IL 60018 Janet L. Wies MPH AAOS Clinical Practice Guideline Manager Sara Anderson MPH – Lead Analyst Kevin Boyer Laura Raymond MA Patrick Sluka MPH AAOS v1.0 12.05.09 x Peer Review The following organizations participated in peer review of this clinical practice guideline: Arthroscopy Association of North America American Academy of Family Physicians American Academy of Physical Medicine and Rehabilitation American Orthopaedic Society for Sports Medicine American Physical Therapy Association (...) common. 2 The shoulder is, after knee and hip, the third most common joint to require surgical reconstruction. 3 BURDEN OF DISEASE “The estimated annual cost for medical care of arthritis and joint pain for patients with any diagnosis in 2004 was $281.5 billion dollars. This is an average of $7500 for each of the 37.6 million persons who reported having arthritis or joint pain.” 3 ETIOLOGY Arthritis of the glenohumeral joint can be the result of primary osteoarthritis, post- traumatic deformity

2009 American Academy of Orthopaedic Surgeons

42. Clinical Practice Guideline on the Management of Anterior Cruciate Ligament Injuries

extremities, because these are effective diagnostic tools for ACL injury. Strength of Recommendation: Strong Description: Evidence from two or more “High” strength studies with consistent findings for recommending for or against the intervention. ACL RADIOGRAPHS In the absence of reliable evidence, it is the opinion of the work group that in the initial evaluation of a person with a knee injury and associated symptoms [giving way, pain, locking, catching] and signs [effusion, inability to bear weight (...) , bone tenderness, loss of motion, and/or pathological laxity] that the practitioner obtain AP and lateral knee xrays to identify fractures or dislocations requiring emergent care. Strength of Recommendation: Consensus Description: There is no supporting evidence. In the absence of reliable evidence, the work group is making a recommendation based on their clinical opinion. Consensus recommendations can only be created when not establishing a recommendation could have catastrophic consequences. ACL

2014 American Academy of Orthopaedic Surgeons

43. Clinical Practice Guideline on Management of Hip Fractures in the Elderly

Research 254 Results 255 Rehabilitation 258 Sub-Recommendation Summary 258 Risks and Harms of Implementing these Recommendations 258 Future Research 258 Occupational and Physical Therapy 259 Rationale 259 Intensive Physical Therapy 260 Rationale 260 Nutrition 261 Rationale 261 Interdisciplinary Care Program 262 Rationale 262 Results 263 Postoperative MultiModal Analgesia 346 Rationale 346 Risks and Harms of Implementing this Recommendation 346 Future Research 346 Results 347 Calcium and Vitamin D

2014 American Academy of Orthopaedic Surgeons

44. Clinical Practice Guideline on the Management of Rotator Cuff Injuries

cause of musculoskeletal disability in the United States. Chronic shoulder pain has been estimated to affect approximately 8% of all American adults, second only to chronic knee pain in our society’s burden of musculoskeletal disease. Rotator cuff pathology is the leading cause of shoulder-related disability seen by orthopaedic surgeons, and surgical volume is on the rise (Narvy 2016). One study, for example, notes a 141% increase in rotator cuff repairs from 1996 to 2006 in the United States

2020 American Academy of Orthopaedic Surgeons

45. Management of acute compartment syndrome

system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from METRC. If you wish to request permission please contact METRC by clicking here or AAOS by clicking here. Published 12/7/18 by the Major Extremity Trauma and Rehabilitation Consortium (METRC) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS) 9400 W Higgins Rosemont, IL First Edition Copyright 2018 by the Major Extremity (...) Trauma and Rehabilitation Consortium (METRC) and the American Academy of Orthopaedic Surgeons (AAOS) 3 To View All AAOS and AAOS-Endorsed Evidence-Based clinical practice guidelines and Appropriate Use Criteria in a User-Friendly Format, Please Visit the OrthoGuidelines Web-Based App at www.orthoguidelines.org or by downloading to your smartphone or tablet via the Apple and Google Play stores! 4 Table of Contents Summary of recommendations 7 Biomarkers 7 Serum Biomarkers in Late/Missed ACS 7 Pressure

2018 American Academy of Orthopaedic Surgeons

47. Diagnosis and Treatment of Low Back Pain

. Gilbert, MD Joseph Gjolaj, MD Matthew Smuck, MD, Stakeholder Representative, American Academy of Physical Medicine and Rehabilitation (AAPM&R)Diagnosis & Treatment of Low Back Pain | Preface Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting literature which excluded conditions such as presence of a neurological deficit or leg pain experienced below the knee, among others. Given the exclusion criteria, these guideline rec- ommendations (...) not necessarily imply endorsement) ? American Academy of Physical Medicine and Rehabilitation (AAPM&R) ? American Physical Therapy Association (APTA)Diagnosis & Treatment of Low Back Pain | Preface Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting literature which excluded conditions such as presence of a neurological deficit or leg pain experienced below the knee, among others. Given the exclusion criteria, these guideline rec- ommendations address

2020 North American Spine Society

49. Clinical Practice Guideline on the Management of Osteoarthritis of the Hip

indication for joint replacement surgery; 905,000 knee and hip replacements were performed in 2009 at a cost of 42.3 billion dollars (Murphy & Helmick, 2012). Estimated trends in hip replacement procedures from 1992 to 2010 or 2011 show a steady increase in all types of replacements, with total hip replacements more than doubling by 2010/2011 (USBJI, 2014). Costs to be considered include: 1.Direct Medical Cost 2. Long-term Medical Cost 3.Home Modification Costs 4.Nursing Home Costs ETIOLOGY Patients who (...) must be published in or after 1990 for surgical treatment, rehabilitation, bracing, prevention and MRI Study must be published in or after 1990 for x-rays and non-operative treatment Study must be published in or after 1990 for all others non specified Study should have 10 or more patients per group (Work group may further define sample size) Study must have at least 90% OA Patients 20 Standard Criteria for all CPGs Article must be a full peer-reviewed published article report of a clinical study

2017 American Academy of Orthopaedic Surgeons

50. Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances

Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances 1 Quality Department Guidelines for Clinical Care Ambulatory Chronic Pain Management Guideline Team Team Leads Daniel W Berland, MD General Medicine / Anesthesiology Phillip E Rodgers, MD Family Medicine Team Members Carmen R Green, MD Anesthesiology R Van Harrison, PhD Medical Education Randy S Roth, PhD Physical Medicine & Rehabilitation Consultants Daniel J. Clauw, MD Rheumatology Jennifer A. Meddings (...) Checklist for Patients with Chronic Pain Initial Visit (See outline in Appendix A) Assessment Detailed pain history: quality, location, radiating patterns, exacerbating factors, associated injuries/events at original onset Pain treatment history: consultants seen, interventions or surgeries performed, medications tried and their perceived effectiveness, rehabilitation therapy completed, reasons for leaving previous providers Complete psychosocial history: psychiatric evaluations and/or diagnoses, family

2017 University of Michigan Health System

52. Management Of Haemophilia

: Physiotherapy Management xii 1. INTRODUCTION 1 2. CLINICAL PRESENTATION 2 3. INVESTIGATIONS 4 3.1 Laboratory Tests 4 3.2 Genetic Tests 5 4. GENERAL PRINCIPLES OF CARE 7 4.1 Stratification of Haemophilia Centre with regards to 7 Haemophilia Services 4.2 National Haemophilia Registry 8 5. TREATMENT 10 5.1 Pharmacological Treatment 10 5.1.1 Factor Replacement Therapy 10 5.1.2 Adjunct Therapies 14 5.1.3 Analgesia 16 5.2 Non-pharmacological Treatment 18 5.2.1 Rehabilitation of Musculoskeletal System 18 5.2.2 (...) mother. • Cascade screening for haemophilia should be offered to at least first- and second-degree female relatives if the mother of persons with haemophilia is a confirmed carrier. Pharmacological Treatment • Prophylactic factor infusion should be given to ALL persons with severe haemophilia. • Analgesia should be offered for pain relief according to its severity in haemophilia. Non-pharmacological Treatment • Rehabilitation should be offered in PWH during acute or sub-acute bleeds and those

2018 Ministry of Health, Malaysia

53. Global Vascular Guidelines for patients with chronic limb-threatening ischemia Full Text available with Trip Pro

The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China 2, 3, 8 Gore, Bayer (consultant) Table of abbreviations and acronyms ABI Ankle-brachial index AFS Amputation-free survival AI Aortoiliac AKA Above-knee amputation AP Ankle pressure AT Anterior tibial BKA Below-knee amputation BMI Body mass index BMMNCs Bone marrow mononuclear cells CAD Coronary artery disease CE-MRA Contrast-enhanced MRA CFA Common femoral artery CKD Chronic kidney disease CLI Critical limb ischemia CLTI Chronic (...) controlled trial SCS Spinal cord stimulation SF-12 12-Item Short-Form Health Survey SFA Superficial femoral artery SLI severe limb ischemia SCLI subcritical limb ischemia SVS Society for Vascular Surgery SYNTAX [System for coronary disease] TAP Target arterial path TBI Toe-brachial index TcP o 2 Transcutaneous oximetry TKA Through-knee amputation TP Toe pressure VascuQoL Vascular Quality of Life tool WFVS World Federation of Vascular Societies WIfI Wound, Ischemia, foot Infection Introduction Rationale

2019 Society for Vascular Surgery

54. Spasticity in under 19s: management

or V) to improve foot position for sitting, transfers between sitting and standing, and assisted standing. 1.3.11 Be aware that in children and young people with secondary complications of spasticity, for example contractures and abnormal torsion, ankle–foot orthoses may not be beneficial. 1.3.12 For children and young people with equinus deformities that impair their gait consider: a solid ankle–foot orthosis if they have poor control of knee or hip extension a hinged ankle–foot orthosis (...) if they have good control of knee or hip extension. 1.3.13 Consider ground reaction force ankle–foot orthoses to assist with walking if the child or young person has a crouch gait and good passive range of movement at the hip and knee. 1.3.14 Consider body trunk orthoses for children and young people with co-existing scoliosis or kyphosis if this will help with sitting. 1.3.15 Consider the overnight use of orthoses to: improve posture prevent or delay hip migration prevent or delay contractures. 1.3.16

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

55. Fractures (non-complex): assessment and management

if the suspected fracture is above the knee a vacuum splint for all other suspected long bone fractures. F Femor emoral nerv al nerve blocks in children (under 16s) e blocks in children (under 16s) 1.1.11 Consider a femoral nerve block or fascia iliaca block in the emergency department for children (under 16s) with suspected displaced femoral fractures. Fractures (non-complex): assessment and management (NG38) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms (...) -and- conditions#notice-of-rights). Page 6 of 181.2 Acute stage assessment and diagnostic imaging Use of clinical prediction rules for suspected knee fr Use of clinical prediction rules for suspected knee fractures actures 1.2.1 Use the Ottawa knee rules to determine whether an X-ray is needed in people over 2 years with suspected knee fractures. Use of clinical prediction rules for suspected ankle fr Use of clinical prediction rules for suspected ankle fractures actures 1.2.2 Use the Ottawa ankle and foot

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

56. Fractures (complex): assessment and management

-hospital setting, consider the following for people with suspected long bone fractures of the legs: a traction splint or adjacent leg as a splint if the suspected fracture is above the knee a vacuum splint for all other suspected long bone fractures. Destination for people with suspected fr Destination for people with suspected fractures actures 1.1.12 Transport people with suspected open fractures: directly to a major trauma centre [1] or specialist centre that can provide orthoplastic care if a long (...) the person and their family members or carers (as appropriate) in a full discussion of the options if this is possible. 1.2.25 Base the decision whether to perform limb salvage or delayed primary amputation on multidisciplinary assessment involving an orthopaedic surgeon, a plastic surgeon, a rehabilitation specialist and the person and their family members or carers (as appropriate). 1.2.26 When indicated, perform the delayed primary amputation within 72 hours of injury. Debridement, staging of fix

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

57. Osteoarthritis: care and management

' (NICE clinical guideline 59). The recommendations are labelled according to when they were originally published (see Update information for details). Osteoarthritis refers to a clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life. It is the most common form of arthritis, and one of the leading causes of pain and disability worldwide. The most commonly affected peripheral joints are the knees, hips and small hand joints. Pain, reduced (...) ; this might be thought of as 'joint failure' . This in part explains the extreme variability in clinical presentation and outcome that can be observed between people, and also at different joints in the same person. There are limitations to the published evidence on treating osteoarthritis. Most studies have focused on knee osteoarthritis, and are often of short duration using single therapies. Although Osteoarthritis: care and management (CG177) © NICE 2019. All rights reserved. Subject to Notice

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

58. Improving outcomes for people with sarcoma

treatment: bone sarcomas 62 1 Improving Outcomes for People with Sarcoma Contents7. Improving treatment: soft tissue sarcomas 68 Limb, limb girdle and truncal soft tissue sarcomas 68 Retroperitoneal and pelvic soft tissue sarcomas 73 Soft tissue sarcomas requiring shared management 76 8. Supportive and palliative care 81 The key worker 82 Physiotherapy, occupational therapy and rehabilitation 83 Orthotic and prosthetic appliance provision 86 Specialist palliative care 88 9. Follow-up of patients 92 10 (...) is recognised and underpinned by government targets, the support both to the individual patient with a key worker and to the MDT with administrative input is vital. For patients requiring limb amputation, the recommendations about the provision of high-quality prostheses and rehabilitation is another important aspect of this guidance. We have included advice on follow-up and on supportive and palliative care, where the recommendations complement the NICE guidance on ‘Improving supportive and palliative care

2006 National Institute for Health and Clinical Excellence - Clinical Guidelines

59. Recommendations on screening for cognitive impairment in older adults

on Preventive Health Care is available at http://canadiantaskforce.ca/ about-us/members/ Correspondence to: Canadian Task Force on Preventive Health Care, info@canadiantaskforce.ca CMAJ 2015. DOI:10.1503 /cmaj.141165 • No randomized trials have evaluated the benefits of screening for cognitive impairment. • Available data suggest that pharmacologic treatments are not effective in people with mild cognitive impairment and that nonpharmacologic therapies (e.g., exercise, cognitive training and rehabilitation (...) interventions approved for use in Canada (e.g., cholinesterase inhibitors, such as donepezil, rivastigmine and galantamine), dietary supplements or vitamins and nonpharmacologic interventions (e.g., exer- cise, cognitive training and rehabilitation). The task force workgroup decided to treat the key question regarding the accuracy of screening tools (key question 6 in Appendix 2) as a contex- tual question. This was because there were no trials of screening programs and there was evi- dence that treatment

2015 CPG Infobase

60. Patellofemoral Pain

) in a flexed position, such as stair climbing or descent, as diagnostic tests for PFP . B Clinicians should make the diagnosis of PFP using the fol- lowing criteria: (1) the presence of retropatellar or peri- patellar pain, (2) reproduction of retropatellar or peripatellar pain with squatting, stair climbing, prolonged sitting, or other func- tional activities loading the PF J in a flexed position, and (3) exclu - sion of all other conditions that may cause anterior knee pain, including tibiofemoral (...) level of certainty when the patient presents with a history suggesting an increase in magnitude and/ or frequency of PF J loading at a rate that sur- passes the ability of his or her PF J tissues to recover . 2. Muscle performance deficits: a subcategory of individuals with PFP may respond favorably to hip and knee resistance exercises. Classification into the muscle performance deficits subcategory is made with a fair level of certainty when the patient presents with lower extremity muscle

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

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