The combination of home exercises and physical-therapy sessions results in greater pain reduction over a period of 3 months than home exercises alone in the treatment of patients 45-85 years of age with imaging evidence of osteoarthritis and a meniscal tear.
Which one of the following statements about plantar fasciitis is false?
Which one of the following statements about Achilles tendon injury is false?
For small-to-medium sized full-thickness rotator cuff tears, long-term physiotherapy with optional secondary surgical repair was found to be superior to primary surgical repair at 15-year follow up.
A removable boot without scheduled physician follow-up is noninferior to circumferential casting in children with toddler’s fracture at 4 weeks post injury with respect to pain scores.
Which one of the following statements regarding the management of mallet finger is false?
Which one of the following statements about cervical fractures in older adults is false?
In the treatment of chronic non-cancer axial spine pain, epidural injection of local anaesthetic and steroids provides significant relief.
When compared to sham acupuncture, acupuncture resulted in less pain in patients with chronic sciatica from herniated disk.
A clicking sound on physical examination is associated with an increased likelihood of a dislocated hip in infants.
Zoledronate reduces the incidence of vertebral fractures in early postmenopausal women (50-60 years of age) when administered every five years, during a ten-year period.
Which one of the following statements about orthopedic trauma is true?
Experienced health care practitioners demonstrate high accuracy in diagnosing pediatric elbow fractures on x-ray.
A single nondeceptive placebo injection for chronic back pain reduces pain intensity more than usual care.
Patients should be advised that a steroid flare-up may occur in the first 24 to 48 hours after knee joint injection.
Children with minimally displaced metaphyseal both-bone forearm fractures should be treated with a below-elbow cast.
In older patients undergoing hip fracture surgery, use of regional anesthesia without sedation rather than general anesthesia reduces post-operative delirium.
Which one of the following statements regarding osteoarthritis and knee/hip pain among long-distance runners is false?
Among patients with rheumatoid arthritis in remission taking conventional disease modifying therapy, treatment with half-dose vs stable-dose therapy results in significantly more disease flares.
In cases of Achilles tendon rupture, surgical management reduces the risk of rerupture injuries compared to nonsurgical management.
Which one of the following statements about lumbar spinal stenosis is false?
A 42 year old woman presents to the ER with a five day history of low back pain with burning pain radiating into her right foot. She has a 12 year history of chronic low back pain with intermittent left sided “sciatica” pain in her thigh. She notes “tingling” in her genital area. There is no incontinence. On examination, you find that her anal tone and perianal sensation are normal, as are power, tone, reflexes, and sensation in the legs. You recommend analgesics and advise her to seek review if she develops bilateral sciatica, becomes incontinent, or develops leg weakness. Three days later, she returns with cauda equina syndrome (CES) and undergoes surgical decompression. She is left with lower limb weakness, numbness of the genitalia, loss of sexual function, and urinary and faecal incontinence.
For patients with knee osteoarthritis triamcinolone administered intra–articularly every 3 months, results in greater loss of cartilage volume than saline injections.
For lateral epicondilytis, no treatment has been shown to be better than placebo in the intermediate or long term.
Children aged less than three years presenting with rib fractures require specific evaluation for child abuse.
Ultrasound has an excellent diagnostic accuracy for non-elbow upper extremity fractures in children:
Most patients who undergo medial opening wedge high tibial osteotomy will undergo total knee replacement within 10 years.
A 60-year-old woman in your practice has a medical history of rheumatoid arthritis and diabetes. Her medications include an anti-tumor necrosis factor biologic. She presents with an acutely painful, warm, swollen knee and you are concerned about septic arthritis.
In patients aged 60 years and older with unstable distal radius fractures, there are no clinically meaningful patient-reported outcome differences 24 months after injury between patients choosing surgical treatment and those opting for closed reduction and casting.
Intra-articular hyaluronic acid for knee osteoarthritis results in a small, non-clinically important reduction in pain intensity.
Which one of the following statements about thumb carpometacarpal joint arthritis is false?
For patients with non-acute anterior cruciate ligament injury and persistent symptoms of instability, rehabilitation management is as effective as surgical reconstruction.
Which one of the following statements about de Quervain tenosynovitis is false?
Over a period of five years, for self-reported knee function, exercise-based physical therapy is non-inferior to arthroscopic partial meniscectomy for degenerative meniscal tears.
In patients with osteoarthritis and/or chronic low back pain, wearable activity trackers increase physical activity in addition to counseling and education.
Metformin use in type 2 diabetes is associated with a lower risk of total knee replacement.
Which one of the following statements about using the Canadian clinical Fracture Risk Assessment Tool (FRAX) to prevent fragility fractures in females aged 65 years or older is false?
In children and adolescents with a distal forearm injury without clinically visible deformity, the use of ultrasonography as the initial diagnostic imaging method is inferior to radiography with regard to the outcome of physical function of the arm at 4 weeks.
Patient satisfaction with medical care for chronic low back pain is strongly associated with physician empathy.
A high physical activity level after total knee arthroplasty does not increase the risk of revision surgery during the first twelve years.
Intra-articular lidocaine may be a safe and effective alternative to intravenous sedation for facilitating reduction of anterior shoulder dislocations in the emergency department.