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Knee XRay

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1. Knee XRay Indications in Acute Injury

Knee XRay Indications in Acute Injury Knee XRay Indications in Acute Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee XRay (...) Indications in Acute Injury Knee XRay Indications in Acute Injury Aka: Knee XRay Indications in Acute Injury , Ottawa Knee Rule , Pittsburgh Knee Rules II. Epidemiology s occur in only 6% of knee cases III. Indications Acute s are validated for age 2 years old and older IV. Efficacy: Accuracy for Acute Knee XRay Indications Pittsburgh Knee Rules (Pittsburgh Decision Rules) : 99% : 60% Reduced the use of s by 52% Ottawa Knee Rules : 97% : 27% Reduced the use of s by 28% Pretest probability determines

2018 FP Notebook

2. Knee XRay

Knee XRay Knee XRay Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee XRay Knee XRay Aka: Knee XRay II. Indications See III. Views (...) ) These images are a random sampling from a Bing search on the term "Knee XRay." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Radiology About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic

2018 FP Notebook

3. Knee XRay in Osteoarthritis

Knee XRay in Osteoarthritis Knee XRay in Osteoarthritis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee XRay in Osteoarthritis (...) Knee XRay in Osteoarthritis Aka: Knee XRay in Osteoarthritis , Osteoarthritis Knee XRay II. Indications Knee Significant joint effusion No prior knee disease diagnosis Loss of knee range of motion Pain not explained by ligament strain or Severe or persistent Failed conservative therapy III. Views Standing anteroposterior (weight bearing) Lateral Notch r views (Sunrise view) Posteroanterior intracondylar (PAIC) Tangential r IV. Findings Joint space narrowing Medial tibiofemoral joint space narrowing

2018 FP Notebook

4. CRACKCast E057 – Knee and Lower Leg

classification I: hinged up with no displacement from the proximal base II: tubercle avulsed III: extend into the articular surface Xray Type 1: cast immobilization with knee in extension Type 2-3 usually need reduction, possible ORIF and immobilization Osgood-Schlatter Disease “Osteochondritis of the tibial tuberosity” Traction apophysitis Usually occurs in athletic adolescents Painful swelling over the tibial tubercle – relieved by rest May be bilateral Pain with resisted knee extension Clinical dx, an x (...) CRACKCast E057 – Knee and Lower Leg CRACKCast E057 – Knee and Lower Leg - CanadiEM CRACKCast E057 – Knee and Lower Leg In , by Adam Thomas January 9, 2017 This episode of CRACKCast covers Chapter 57 of Rosen’s Emergency Medicine, Knee and Lower Leg. Continuing on with the orthopaedic chapters and objectives, this episode reviews the relevant approaches to knee and lower leg injuries that are actionable in the emergency department setting. Shownotes – Also check out the EM Cases Rapid Review

2017 CandiEM

5. Knee XRay

Knee XRay Knee XRay Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee XRay Knee XRay Aka: Knee XRay II. Indications See III. Views (...) ) These images are a random sampling from a Bing search on the term "Knee XRay." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Radiology About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic

2015 FP Notebook

6. Knee XRay Indications in Acute Injury

Knee XRay Indications in Acute Injury Knee XRay Indications in Acute Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee XRay (...) Indications in Acute Injury Knee XRay Indications in Acute Injury Aka: Knee XRay Indications in Acute Injury , Ottawa Knee Rule , Pittsburgh Knee Rules II. Epidemiology s occur in only 6% of knee cases III. Indications Acute s are validated for age 2 years old and older IV. Efficacy: Accuracy for Acute Knee XRay Indications Pittsburgh Knee Rules (Pittsburgh Decision Rules) : 99% : 60% Reduced the use of s by 52% Ottawa Knee Rules : 97% : 27% Reduced the use of s by 28% Pretest probability determines

2015 FP Notebook

7. Knee XRay in Osteoarthritis

Knee XRay in Osteoarthritis Knee XRay in Osteoarthritis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee XRay in Osteoarthritis (...) Knee XRay in Osteoarthritis Aka: Knee XRay in Osteoarthritis , Osteoarthritis Knee XRay II. Indications Knee Significant joint effusion No prior knee disease diagnosis Loss of knee range of motion Pain not explained by ligament strain or Severe or persistent Failed conservative therapy III. Views Standing anteroposterior (weight bearing) Lateral Notch r views (Sunrise view) Posteroanterior intracondylar (PAIC) Tangential r IV. Findings Joint space narrowing Medial tibiofemoral joint space narrowing

2015 FP Notebook

8. Primary Care Corner with Geoffrey Modest MD: Against arthroscopy for DJD of knees

to specific MRI or xray findings (and I get MRIs of patients with typical chronic knee pain only quite rarely; and in general the utility of xray itself is questioned, since there is a pretty poor correlation with symptoms per the Framingham Study), or even to specific clinical findings, but seems to apply simply to those with undifferentiated chronic knee pain not responsive to conservative treatment, but affecting quality of life. (Visited 32 times, 1 visits today) Post navigation 27 March 2019 Original (...) Primary Care Corner with Geoffrey Modest MD: Against arthroscopy for DJD of knees Primary Care Corner with Geoffrey Modest MD: Against arthroscopy for DJD of knees | BMJ EBM Spotlight by by Dr Geoffrey Modest The BMJ just published a systematic review comparing knee arthroscopy versus conservative management in patients with degenerative knee disease (see doi:10.1136/bmjopen-2017- 016114), an update of a prior review, adding ten new studies. Details: — 13 RCTs and 12 observational studies were

2017 Evidence-Based Medicine blog

9. Primary Care Corner with Geoffrey Modest MD: Steroid knee injections: do they help??

Primary Care Corner with Geoffrey Modest MD: Steroid knee injections: do they help?? Primary Care Corner with Geoffrey Modest MD: Steroid knee injections: do they help?? | BMJ EBM Spotlight by by Dr Geoffrey Modest A recent article in JAMA found that regular injections of intra-articular steroids was associated with decreased knee cartilage volume and no real improvement in pain in patients with knee osteoarthritis (see doi:10.1001/jama.2017.5283). ​Details: –140 patients with symptomatic knee (...) osteoarthritis as well as synovitis by ultrasound (evidence of effusion synovitis, with suprapatellar pouch depth >2mm) were randomized to receiving intra-articular 1cc triamcinolone 40mg vs 1cc saline every 3 months for 2 years, both without local anesthetic –mean age 58, 54% women, BMI 31, 65% white, mean hemoglobin A1c=6%, CRP 0.5 –all patients had radiographic evidence of Kellgren-Lawrence knee OA grade 2 or 3 (grade 2= definite osteophytes and possible joint space narrowing on anteroposterior weight

2017 Evidence-Based Medicine blog

10. Lateral Knee Pain Explained

although this seems to be getting better. I can’t lift my right leg vertically with foot pointing right without pain or sensitivity although that seems to be getting better too! After standing the knee gets stiff and visa versa. I went to Doctor after 2 weeks had an xray everything in line nothing broken she said knee sprain. I would say majority of pain when present right inside of right knee. As we speak I bumped my foot from right to left against a stationary object and it didn’t hurt. Thanks (...) Lateral Knee Pain Explained Lateral Knee Pain Explained - Howard J. Luks, MD | Search for: Lateral Knee Pain Explained Last Updated August 1, 2018 by Howard J. Luks, MD The lateral meniscus is one of the two cartilage discs in our knee. The lateral meniscus serves as a cushion or shock absorber. Meniscus tears can occur due to sports injuries or wear and tear. Medial meniscus tears, or tears of the meniscus on the inner side of her knee is more common than lateral tears. Tears of the lateral

2018 Howard J. Luks, MD blog

11. GAE for the Treatment of Knee Osteoarthritis

Life expectancy greater than 12 months Ineligibility for or refusal of surgical management Moderate-severe knee pain as determined by visual analog scale > 4 Osteoarthritis based on xray Local knee tenderness Resistant/failed conservative treatment (e.g. NSAIDS/physical therapy/steroid joint injection) Exclusion Criteria:• Mild knee pain as determined by visual analog scale < 4 Chronic renal insufficiency (serum creatinine >2 mg/dL) Uncorrectable bleeding diathesis: INR >1.6, Platelets <50,000 (...) GAE for the Treatment of Knee Osteoarthritis Genicular Artery Embolization for the Treatment of Knee Osteoarthritis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Genicular Artery Embolization

2018 Clinical Trials

12. Downhill Skiing Related Knee Injury

occurs with valgus and external rotation stress Tibial Spine Avulsion (rare) Bone avulsion at ACL or PCL attachment Requires knee immobilization and surgical Initial CT may be required for diagnosis (outpatient MRI for associated ) Requires knee immobilization and surgical V. Causes: Uncommon ski injuries Lateral Collateral Ligament Tear (LCL Tear) ( ) VI. Imaging AP and Lateral XRay Indicated in nearly all ski related knee injuries Consider additional views (e.g. Tunnel View, Sunrise View) CT (...) Downhill Skiing Related Knee Injury Downhill Skiing Related Knee Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Downhill

2019 FP Notebook

13. Severe Medial Knee Pain Explained: The Terrible Triad

Severe Medial Knee Pain Explained: The Terrible Triad Severe Knee Pain Explained: The True Terrible Triad | Search for: Severe Medial Knee Pain Explained: The Terrible Triad Last Updated April 11, 2018 by Howard J. Luks, MD (Radial tear) of the medial meniscus mild or moderate knee arthritis n inner part of the knee. Those three findings on your MRI are related to one another… one caused the next to occur and so on. This is what I refer to as the Terrible Triad of (medial) knee pain (...) . It is often over-treated, under-recognized and poorly understood by patients I see for second opinions. The Terrible Triad: Part I – Meniscus Root Tear The meniscus plays a very important role as a cushion inside the knee. It distributes the stresses of walking very efficiently. The meniscus root is where the meniscus is actually attached or anchored to the bone. The meniscal root attachment degenerates (or wears out) in our knee just like many other tissues in our body. That’s why it will pop and tear

2017 Howard J. Luks, MD blog

14. Intra-articular injection in the knee of adipose derived stromal cells (stromal vascular fraction) and platelet rich plasma for osteoarthritis (PubMed)

Intra-articular injection in the knee of adipose derived stromal cells (stromal vascular fraction) and platelet rich plasma for osteoarthritis Stromal vascular fraction (SVF) can easily be obtained from a mini-lipoaspirate procedure of fat tissue and platelet rich plasma (PRP) can be obtained from peripheral blood. We evaluated the safety and preliminary efficacy of administering SVF and PRP intra-articularly into patients with osteoarthritis grade 1 and 2.A total of ten patients underwent (...) a local tumescent liposuction procedure to remove approximately 100 ml of fat tissue from the abdomen. SVF was isolated using an enzyme digestion and resuspended in PRP for intra-articular injection in the knee. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and six-minute walk distance (6MWD) were used to evaluate clinical effects and included measure of patient's subjective assessment of pain, joint mobility, and physical disability. WOMAC score, 6MWD and laboratory

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2017 Journal of translational medicine

15. Use of Adipose Tissue Derived Mesenchymal Stem Cells for Knee Osteoarthrosis

about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 42 Years to 75 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Severe KOA stage III or IV by Laurance & Kellgren staging as judged by Posterioranterior (PA) Xray of the knee joint. Willing (...) Use of Adipose Tissue Derived Mesenchymal Stem Cells for Knee Osteoarthrosis Use of Adipose Tissue Derived Mesenchymal Stem Cells for Knee Osteoarthrosis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Use

2016 Clinical Trials

16. Use of Wharton Jelly Derived Mesenchymal Stem Cells for Knee Osteoarthrosis

to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 42 Years to 75 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Severe KOA stage III or IV by Laurance & Kellgren staging as judged by Posterioranterior (PA) Xray of the knee joint. Willing to participate (...) Use of Wharton Jelly Derived Mesenchymal Stem Cells for Knee Osteoarthrosis Use of Wharton Jelly Derived Mesenchymal Stem Cells for Knee Osteoarthrosis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Use

2016 Clinical Trials

17. Why Can’t I Straighten My Knee?

? I’m sorry Allison, this sounds complicated. I would only be able to offer you an opinion after I saw you in the office. Can straighten my knee but is a little painful. Walking on it hurts more and I limp. Could this be something that will pass with time? Should I wrap the knee? A compression sleeve might help, and a course of PT might help too… ultimately you should have a good exam and an Xray to see what’s going on. Hi Howard. Hi Howard, I am 6 months post ACL reconstruction surgery after (...) (for short duration). Yesterday, I went to the urgent care clinic where they did an XRay (knee bones looked good) and advised raising it, ice and compression. Curious at what point should I go to get an MRI if I’m still experiencing pain or lack of improvement? Thanks. If a knee can not straighten after an injury we usually try to MRI the knee within the first few days to weeks. Good luck ! Hi! I have been training and running quite a bit and completed my Spartan trifecta. But with all the running I

2016 Howard J. Luks, MD blog

18. Collateral Ligament Tear of Knee

LCL IV. Grading of Ligamentous Sprain Grade 1 Injury: Minimal tear with no Angle opening on stress: 0 to 5 mm Grade 2 Injury: Moderate tear with Angle opening on stress: 6 to 10 mm Grade 3 Injury: Complete tear with no firm endpoint Angle opening on stress: 11 to 15 mm V. Radiology: Knee XRay indicated in all suspected tears Views Anteroposterior Posteroanterior weight bearing Lateral Merchant view Findings: Chronic MCL insufficiency Calcific medial femoral epicondyle (Pellegrini-Stieda Findings (...) Collateral Ligament Tear of Knee Collateral Ligament Tear of Knee Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Collateral Ligament

2018 FP Notebook

19. Knee Osteochondritis Dissecans

for return to full activity No subjective pain Normal physical exam XRay shows signs of heeling Isometric quadriceps s Anticipate healing over time Surgical arthrotomy or arthroscopic surgery Indicated if fragments > 1 cm diameter Lateral femoral condyle IX. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Knee Osteochondritis Dissecans." Click on the image (or right click) to open the source website in a new browser window (...) Knee Osteochondritis Dissecans Knee Osteochondritis Dissecans Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee Osteochondritis

2018 FP Notebook

20. Knee Osteoarthritis

) Fluid color is clear and minimally turbid Rheumatologic evaluation See VIII. Radiology: Knee XRay See IX. Management See X. Management: Referral Indications Systemic Rheumatic disease Significant functional deterioration or Primary malignancy or metastases Safety concerns (e.g. recurrent falls) Pain and refractory to conservative care XI. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Knee Osteoarthritis." Click (...) Knee Osteoarthritis Knee Osteoarthritis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Knee Osteoarthritis Knee Osteoarthritis Aka

2018 FP Notebook

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