Association of handgrip strength with patient-reported outcome measures after total hip and knee arthroplasty.

About 33% patients with osteoarthritis undergoing total hip/knee arthroplasty are not satisfied with the outcome, warranting the need to improve patient selection. Handgrip strength (HGS) has been suggested as a proxy for overall muscle strength and may be associated with post-arthroplasty function. This study aims to assess the association of pre-operative HGS with change in hip/knee function and quality of life in patients with arthroplasty.

Non-steroidal anti-inflammatory drugs (NSAIDs) for treating acute ankle sprains in adults: benefits outweigh adverse events.

Purpose: In the recent clinical guideline for acute lateral ankle sprain, the current best evidence for diagnosis, treatment and prevention strategies was evaluated. Key findings for treatment included the use of ice and compression in the initial phase of treatment, in combination with rest and elevation. A short period of taking non-steroidal anti-inflammatory drugs (NSAIDs) may facilitate a rapid decrease in pain and swelling can also be helpful in the acute phase.

[A woman with a duodenal prolapse].

A 83-year-old woman suffering from Alzheimer s disease, was admitted to the hospital because of a rectal prolapse for which she underwent a perineal rectosigmoidectomy (Altemeier's procedure). In less then three months the patient was readmitted because of a massive small intestinal prolapse through a rectal perforation at the site of the previous anastomosis.