diff --git a/clinical-orthopaedics-and-related-research.csl b/clinical-orthopaedics-and-related-research.csl
index 6ae7d7b1e92..f0507271a37 100644
--- a/clinical-orthopaedics-and-related-research.csl
+++ b/clinical-orthopaedics-and-related-research.csl
@@ -57,7 +57,7 @@
   <macro name="title">
     <choose>
       <if type="bill book graphic legal_case legislation motion_picture report song" match="any">
-        <text variable="title" font-style="italic"/>
+        <text variable="title" font-style="italic" text-case="title"/>
       </if>
       <else>
         <text variable="title"/>
@@ -119,7 +119,7 @@
           <group prefix=" ">
             <text term="in" text-case="capitalize-first" suffix=": "/>
             <text macro="editor"/>
-            <text variable="container-title" font-style="italic" prefix=" " suffix="."/>
+            <text variable="container-title" font-style="italic" prefix=" " suffix="." text-case="title"/>
             <text variable="volume" prefix="Vol " suffix="."/>
             <text macro="edition" prefix=" "/>
             <text variable="collection-title" prefix=" " suffix="."/>
@@ -140,7 +140,7 @@
             <text macro="editor" prefix=" "/>
           </group>
           <group prefix=" " suffix=".">
-            <text variable="container-title" font-style="italic" form="short" suffix="."/>
+            <text variable="container-title" font-style="italic" form="short" strip-periods="true" suffix="."/>
             <group delimiter=";" prefix=" ">
               <date variable="issued">
                 <date-part name="year"/>