http://medicalxpress.com/ en-us Medical Xpress provides the latest news from Hospital for Special Surgery Metal-on-metal hip implants can cause inflammation of the joint lining (synovitis) long before symptoms appear, and magnetic resonance imaging (MRI) can be used to identify this inflammation, according to a new study by researchers at Hospital for Special Surgery. The study, which appears in an upcoming issue of the Journal of Bone & Joint Surgery, demonstrates that MRI can be used to identify implants that are going to fail before people become symptomatic. http://medicalxpress.com/news/2013-05-tissue-metal-on-metal-hip-implants-pain.html Surgery Wed, 15 May 2013 13:34:28 EST news287843659 A highly underutilized anesthesia technique called neuraxial anesthesia, also known as spinal or epidural anesthesia, improves outcomes in patients undergoing hip or knee replacement, according to a new study by researchers at Hospital for Special Surgery. The study, which appears in the May issue of the journal Anesthesiology, found that neuraxial anesthesia, a type of regional anesthesia, reduced morbidity, mortality, length of hospital stay and costs when compared with general anesthesia. http://medicalxpress.com/news/2013-04-regional-anesthesia-technique-significantly-outcomes.html Surgery Wed, 01 May 2013 00:00:07 EST news286563849 A study by researchers at Hospital for Special Surgery (HSS) challenges a widely held belief that long nerve grafts do poorly in adults with an axillary nerve injury. Investigators found that the outcomes of long nerve grafts were comparable to those of modern nerve transfers. Both procedures restored function. The axillary nerve supplies the deltoid muscle of the shoulder and an important rotator cuff muscle. It's part of the brachial plexus, a network of nerves that runs down from the neck and across the shoulder. http://medicalxpress.com/news/2013-03-nerve-grafts-function-patients-brachial.html Surgery Fri, 22 Mar 2013 01:00:03 EST news283106977 A study at Hospital for Special Surgery (HSS) found that a surgical procedure known as the "docking technique" to repair a torn elbow ligament in teenage athletes yielded favorable results. The outcomes were better than those in previously published reports on reconstruction of the ulnar collateral ligament (UCL), also known as Tommy John surgery, in this age group and may be attributed to technique-specific factors, according to the study authors. http://medicalxpress.com/news/2013-03-docking-technique-torn-elbow-ligament.html Surgery Thu, 21 Mar 2013 01:00:03 EST news283024834 When you think of knee replacement surgery, you generally envision an older adult with painful arthritis. But the procedure is also used for younger patients with juvenile idiopathic arthritis (JIA) whose joints have been severely damaged by the disease. Because the surgery in younger patients is relatively rare, little data exist on the longevity of knee replacements in JIA patients. http://medicalxpress.com/news/2013-03-longevity-total-knee-younger-patients.html Arthritis & Rheumatism Wed, 20 Mar 2013 10:08:22 EST news282992878 The cause of unexplained pain among metal-on-metal hip implant patients is more likely to be tissue damage than wear of the implant, Hospital for Special Surgery researchers have found. The study, performed by Dr. Danyal Nawabi, orthopedic surgery fellow, and research collaborators at HSS, will be reported at the upcoming annual meeting of the American Academy of Orthopaedic Surgeons, March 19-23, in Chicago. http://medicalxpress.com/news/2013-03-hip-implant-patients-unexplained-pain.html Surgery Wed, 20 Mar 2013 01:00:03 EST news282938974 A study by researchers from Hospital for Special Surgery has shown that platelet-rich plasma (PRP) holds great promise for treating patients with knee osteoarthritis. The treatment improved pain and function, and in up to 73% of patients, appeared to delay the progression of osteoarthritis, which is a progressive disease. The study appears online, ahead of print, in the Clinical Journal of Sports Medicine. http://medicalxpress.com/news/2013-02-platelet-rich-plasma-treatment-potential-knee.html Diseases, Conditions, Syndromes Wed, 13 Feb 2013 10:00:04 EST news279971384 Roughly a quarter of recreational skiers who tear their anterior cruciate ligament (ACL) while hitting the slopes can be successfully treated without surgery, according to a new study. The study, conducted by researchers at Hospital for Special Surgery in New York City, appears online ahead of print in the journal Knee Surgery Sports Traumatology Arthroscopy. http://medicalxpress.com/news/2013-02-skiers-successfully-surgery-acl.html Surgery Wed, 06 Feb 2013 11:29:11 EST news279372535 Researchers at Hospital for Special Surgery have identified a potential new target for drugs to treat patients with rheumatoid arthritis (RA), a protein known as IRHOM2. The finding could provide an effective and potentially less toxic alternative therapy to tumor necrosis factor-alpha blockers (TNF-blockers), the mainstay of treatment for rheumatoid arthritis, and could help patients who do not respond to this treatment. Efforts to develop drugs that hone in on this new target are underway. http://medicalxpress.com/news/2013-01-rheumatoid-arthritis.html Arthritis & Rheumatism Fri, 25 Jan 2013 12:00:04 EST news278334739 Rituximab, a drug used to treat cancer and arthritis, may help patients with antiphospholipid antibodies (aPLs) who suffer from aPL-related clinical problems that do not respond to anticoagulation, such as cardiac disease and kidney disease, according to a new study by rheumatology researchers at Hospital for Special Surgery. The study appears online ahead of print, in the journal Arthritis and Rheumatism. http://medicalxpress.com/news/2012-11-rituximab-clinical-problems-tied-antiphospholipid.html Arthritis & Rheumatism Tue, 20 Nov 2012 09:47:07 EST news272627178 New research suggests that statins, traditionally used for cholesterol lowering, could be used in the management of individuals who are at risk for developing clotting because they have autoimmune antiphospholipid antibodies (aPL). The research will be presented in two presentations at the annual meeting of the American College of Rheumatology/Association of Rheumatology Health Professionals (ACR/ARHP). The meeting will be held Nov. 9-14, in Washington D.C. http://medicalxpress.com/news/2012-11-statins-potential-autoimmune-clotting-disorder.html Immunology Sun, 11 Nov 2012 08:29:13 EST news271844930 After total knee replacement (TKR) surgery, patients who are morbidly obese have similar pain and function outcomes as patients who do not fall into this weight category, according to a new study by researchers at Hospital for Special Surgery. The finding is surprising given that numerous studies have shown that obese patients have worse outcomes. The study will be reported at the annual meeting of the American College of Rheumatology/Association of Rheumatology Health Professionals, to be held Nov. 9-14, in Washington D.C. http://medicalxpress.com/news/2012-11-overturns-common-assumption-knee-morbidly.html Arthritis & Rheumatism Sun, 11 Nov 2012 08:25:41 EST news271844685 Two new studies by researchers at Hospital for Special Surgery have overturned common beliefs about joint replacement in patients with lupus and rheumatoid arthritis (RA). http://medicalxpress.com/news/2012-11-impact-rheumatoid-arthritis-lupus-joint.html Arthritis & Rheumatism Sun, 11 Nov 2012 08:22:19 EST news271844507 A low-cost exercise program run by Hospital for Special Surgery in New York City has significantly improved pain, function and quality of life in participants with osteoarthritis, according to new research. http://medicalxpress.com/news/2012-11-hospital-based-benefit-people-osteoarthritis.html Arthritis & Rheumatism Sun, 11 Nov 2012 08:20:37 EST news271844417 A randomized, double-blind clinical trial by researchers at Hospital for Special Surgery has revealed that corticosteroids are more effective than the more expensive treatment, hylan G-F 20 (Synvisc One, Genzyme Biosurgery), in providing pain relief to patients with thumb arthritis. The study also showed that both of these commonly used treatments provided clinically meaningful pain relief, but so did a placebo injection. http://medicalxpress.com/news/2012-11-expensive-arthritis-treatment-steroid-therapy.html Arthritis & Rheumatism Sun, 11 Nov 2012 08:19:39 EST news271844364