BONE SCAN MAY BE UNNECESSARY FOR SOME MEN WITH PROSTATE CANCER

NEW YORK (Reuters Health) Mar 12 - Men with newly diagnosed prostate cancer whose prostate specific antigen (PSA) levels are low may not need a bone scan, according to a report in the February 15th issue of Cancer. Dr. Shigeru Kosuda from National Defense Medical College in Tokorozawa, Japan and colleagues retrospectively assessed 1294 patients with newly diagnosed, untreated prostate carcinoma to determine whether serum PSA levels of 10 ng/mL or below might allow bone scans to be eliminated as part of the staging procedure. Though the bone scans were positive in 287 patients (22.2%), the authors report, only 4 of 300 patients (1.33%) w ...

NEW ACHILLES TENDON REPAIR PROCEDURE SHOWS PROMISE

NEW YORK (Reuters Health) Mar 07 - A new Achilles tendon repair procedure, which allows precise control of the tendon ends while avoiding excessive dissection, is associated with a high success rate and minimal morbidity, according to a recent report. Surgeons often favor an open repair method to reduce the risk of rerupture. However, such an approach involves much soft tissue dissection and has been associated with wound-healing problems and infection. To overcome these problems, Dr. Richard Stern, from Hopital Cantonal Universitaire in Geneva, and colleagues performed a cadaver study to develop an instrument and technique that would p ...

HIP REPLACEMENT SURGERY A VIABLE OPTION FOR YOUNGER PATIENTS

NEW YORK (MedscapeWire) Feb 19 — Orthopaedic surgeons are rethinking traditional wisdom about who is and who isn't a good candidate for total hip replacement surgery (THR). Once reserved primarily for patients older than 60 years, the surgery offers a more desirable option for younger patients with disabling arthritis than previously believed, John J. Callaghan, MD, reported at the 69th Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Only 5% to 10% of the 150,000 to 200,000 total hip replacements performed each year are in patients younger than 50 years. "That could change," said Dr. Callaghan, professor and L ...

COMPUTER-AIDED 'TOOLS' TO USHER IN NEXT SURGICAL REVOLUTION COMPUTER-AIDED 'TOOLS' TO USHER IN NEXT SURGICAL REVOLUTION

NEW YORK (MedscapeWire) Feb. 18 — Orthopaedic surgeons are pioneering the application of robotics and other computer technologies to the repair of bones, joints, muscles, tendons, and ligaments. The orthopaedic "toolbox of the future" will incorporate robotic devices as well as imaging systems that let surgeons "see inside" patients during operations using image-guided navigational systems and simulators borrowed from the military, and industry according to Anthony M. DiGioia III, MD, founder and director of the Western Pennsylvania Hospital and Carnegie Mellon's Institute for Computer Assisted Orthopaedic Surgery, who spoke last week at a ...

SURVEY: MULTIPLE SCLEROSIS PAIN UNDERTREATED

NEW HAVEN, Conn. (Reuters Health) - A large-scale survey of more than 7,000 multiple sclerosis (MS) patients shows that most MS patients are undertreated and often unrecognized for pain management. Yale University neurologist Dr. Marco Rizzo presented these findings last week here at the 15th Yale Neuroimmunology Symposium. ``MS patients experience migraine headaches, eye, leg, facial, bladder and skin pain. Muscular spasms and prickling or tingling sensations of the skin are common, and the pain is chronic,'' Rizzo explained. MS is a central nervous system disorder in which the thin protective coating called myelin that insulates ne ...

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