I’ve been an Associate Editor for CJSM now for six months, and so some of you in the blog world may already know a little bit of my background as it has come out over time in my various posts.
For those of you who may be new readers of this blog, I thought for today’s post it was important for me to let you know that I work at Nationwide Children’s Hospital, the pediatric hospital affiliate of Ohio State University, and my specialty is pediatric sports medicine.
So……I don’t manage a lot of osteoarthritis (OA) in my current practice.
Adult OCD of the knee,
unstable lesion: destined for osteoarthritis?
However, I didn’t narrow my clinical scope of practice to the younger crowd until 2010, and I have managed my fair share of OA in my career, injecting plenty of knees with hyaluronic acid derivatives, encouraging weight management and low impact exercise…….Now, I suppose I’m more on the end of the spectrum of primary prevention of the disease: if I manage my young patients’ knee osteochondritis dissecans properly, perhaps I can spare them from degenerative joint disease later in life.
I’m not telling anyone reading this something they don’t know already when I write that career paths are varied in modern medicine. There’ s no telling if I’ll be taking care of kids exclusively in 10 years. We all have mandates from Certification Boards requiring us to stay abreast of the current medical literature; we’re tested on it every few years now, as Maintenance of Certification is a phenomenon here to stay. Forces like these make it incumbent that I read and ‘stay on top of’ developments in the world of OA diagnosis and management, even if I am not seeing much of this disease in my current practice.
After all, OA is the leading cause of chronic disability among older adults in the United States. That’s a disease worth knowing about.
I thought, therefore, that I would share with you a couple of interesting studies that have come out recently on major issues in the world of osteoarthritis. Both studies were just published within the last month: the first, “Shared Decision Making in Patients with Osteoarthritis of the Hip and Knee,” published in the Journal of Bone and Joint Surgery (JBJS), I will discuss in my next blog post. And the second, “Effects of Intensive Diet and Exercise on Knee Joint Loads, Inflammation, and Clinical Outcomes Among Overweight and Obese Adults with Knee Osteoarthritis,” published in the Journal of the American Medical Association (JAMA), I will review now. They are both large, high quality evidence (Level 1) studies which focus on low tech, low cost interventions that have the potential of having major clinical impact. They are both studies primary care sports/MSK clinicians like myself might be expected to be aware of. Read more of this post