Should all acromioclavicular joint injections be performed under image guidance?

Whether all patients with Central precocious puberty should be treated?

Extended Abstract   Precocious puberty is the appearance of secondary sexual characteristics before 8 years old in girls and 9 years old in boys. Precocious puberty is divided into 3 groups of central, peripheral and normal variants. Central precocious puberty is accompanied by activation of hypothalamic-pituitary-gonadal axis which causes increase in secretion of GnRH, and in turn increase i...

How should musculoskeletal biopsies be performed?

585 Biopsy refers to tissue sampling for histological examination, diagnosis, classification, and grading of a tumor. The goal of biopsy is to obtain a diagnostic tissue sample without complications, tumor spread, and compromise of future treatments.1,2 As a rule, all lesions should be biopsied as if they were malignant,2,3 and all soft tissue masses 3 cm or larger in diameter or growing lesion...

Ultrasound guidance should be the standard of care for most invasive procedures performed by clinicians

In this issue of the journal Rudas publishes a review describing the utility and efficacy of ultrasound when used to guide the performance of percutaneous tracheostomy placement. An Australasian Society for Ultrasound in Medicine (ASUM) grant funded research completed by the same authors, and presented at the recent 2012 ASUM meeting in Sydney. This demonstrated that ultrasound improves first-p...

Should we all be vegetarians?

Should routine platelet testing be done on all patients undergoing percutaneous coronary intervention? Routine Platelet Testing Should Not Be Performed on All Patients Undergoing Percutaneous Coronary Intervention

We all know that clopidogrel reduces thrombotic complications during and after a percutaneous coronary intervention (PCI) procedure. Because clopidogrel is a prodrug and only 2% of ingested clopidogrel is ultimately bound to platelets, it is entirely possible, even likely, that small differences in metabolism that lead to a reduction in the formation of the active metabolite could potentially h...