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Knee Exam

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181. Embolization for intractable spontaneous hemarthrosis of the knee joint in the elderly patient: Case report. Full Text available with Trip Pro

previously reported.An 82-year-old male presented to our outpatient department with acute left knee pain. He had no history of trauma. The patient had under gone several times of therapeutic arthrocentesis for treatment of left knee joint effusion at a local clinic.Arthroscopic examination was performed at the local clinic and was not able to reveal any focus of intra-articular bleeding. We consulted this case with the department of radiology to angiographically find out abnormalities of the genicular (...) Embolization for intractable spontaneous hemarthrosis of the knee joint in the elderly patient: Case report. Several case reports about the diagnostic and therapeutic approaches of hemarthrosis after total knee arthroplasty using angiogram have been reported, owing to the probability of bleeding caused by vascular injuries. However, there were only few cases of spontaneous hemarthrosis of the knee joint in the elderly patient that have not undergone total knee arthroplasty that have been

2020 Medicine

182. Correlation between radiographic knee osteoarthritis and lifetime cigarette smoking amount in a Korean population: A cross-sectional study. Full Text available with Trip Pro

population.This cross-sectional study used the Fifth and Sixth Korean National Health and Nutrition Examination Survey (2010-2013) data. Subjects included 11,638 community-dwelling adults aged ≥50 years. Knee ROA was defined as a Kellgren/Lawrence grade ≥2 on plain radiography. Lifetime cigarette smoking amount was calculated in terms of pack-year and further divided into quartile groups. Independent correlation between smoking and knee ROA was determined using odds ratios (OR) adjusted for age, sex, obesity (...) Correlation between radiographic knee osteoarthritis and lifetime cigarette smoking amount in a Korean population: A cross-sectional study. Although the inverse correlation between smoking and degenerative arthritis is controversial, quantitative analysis of the correlation between lifetime cigarette smoking amount and degenerative arthritis has not been performed. We investigated the correlation between knee radiographic osteoarthritis (ROA) and lifetime cigarette smoking amount in the general

2020 Medicine

183. Radiosynoviorthesis in the treatment of posttraumatic joint bleedings of hemophilic patients (concerning hip, knee and ankle joints)-Hungarian experience. Full Text available with Trip Pro

Radiosynoviorthesis in the treatment of posttraumatic joint bleedings of hemophilic patients (concerning hip, knee and ankle joints)-Hungarian experience. The surgical, arthroscopic synovectomy and radiosynovectomy (radiosynoviorthesis, RSO) all have great practical importance, since they can eliminate the posttraumatic joint bleedings and prevent the further joint destructions in hemophilic patients. The aim of this study was to examine the role of RSO in the prevention of joint bleedings

2020 Injury

184. Interleukin 1 receptor antagonist (<i>IL1RN</i>) gene variants predict radiographic severity of knee osteoarthritis and risk of incident disease. Full Text available with Trip Pro

Interleukin 1 receptor antagonist (IL1RN) gene variants predict radiographic severity of knee osteoarthritis and risk of incident disease. In these studies, we examined the association of single nucleotide polymorphisms (SNPs) of the IL1RN gene with radiographic severity of symptomatic knee osteoarthritis (SKOA) and the risk of incident OA. We also explored these genetic polymorphisms in patients with new onset rheumatoid arthritis (RA).Over 1000 subjects who met American College (...) of the IL1RN TTG haplotype was associated with increased odds of more severe rOA compared with age-matched, sex-matched and body mass index-matched individuals. Examination of the osteoarthritis initiative Incidence Subcohort demonstrated that carriage of the TTG haplotype was associated with 4.1-fold (p=0.001) increased odds of incident rOA. Plasma IL-1Ra levels were lower in TTG carriers, while chondrocytes from TTG carriers exhibited decreased secretion of IL-1Ra. In patients with RA, the TTG haplotype

2020 Annals of the rheumatic diseases

185. The Relationship Between Clinical and Quantitative Measures of Pain Sensitization in Knee Osteoarthritis. (Abstract)

The Relationship Between Clinical and Quantitative Measures of Pain Sensitization in Knee Osteoarthritis. Pain sensitization in knee osteoarthritis (OA) is associated with greater symptom severity and poorer clinical outcomes. Measures that identify pain sensitization and are accessible to use in clinical practice have been suggested to enable more targeted treatments. This merits further investigation. This study examines the relationship between quantitative sensory testing (QST) and clinical (...) measures of pain sensitization in people with knee OA.A secondary analysis of data from 134 participants with knee OA was performed. Clinical measures included: manual tender point count (MTPC), the Central Sensitization Inventory (CSI) to capture centrally mediated comorbidities, number of painful sites on a body chart, and neuropathic pain-like symptoms assessed using the modified PainDetect Questionnaire. Relationships between clinical measures and QST measures of pressure pain thresholds (PPTs

2020 Clinical Journal of Pain

186. Costs and effectiveness of a brief MRI examination of patients with acute knee injury

Costs and effectiveness of a brief MRI examination of patients with acute knee injury Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2009 NHS Economic Evaluation Database.

187. Robotically Simulated Pivot Shift That Represents the Clinical Exam. (Abstract)

Robotically Simulated Pivot Shift That Represents the Clinical Exam. A thorough understanding of anterior cruciate ligament (ACL) function and the effects of surgical interventions on knee biomechanics requires robust technologies and simulation paradigms that align with clinical insight. In vitro orthopedic biomechanical testing for the elucidation of ACL integrity doesn't have an established testing paradigm to simulate the clinical pivot shift exam on cadaveric specimens. The study aim (...) was to develop a robotically simulated pivot shift that represents the clinical exam. An orthopedic surgeon performed a pivot shift on an instrumented ACL-deficient cadaver leg to capture 6 degree-of-freedom motion/loads. The same knee was mounted to the robot and the sensitivity of the motion/loading profiles quantified. Three loading profile candidates that generated positive pivot shifts on the instrumented knee were selected and applied to 7 ACL-intact/deficient specimens and resulted

2019 Journal of Orthopaedic Research

188. AIUM Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip

position, stability, and acetabular morphology. If position, stability, and/or morphology cannot be assessed when attempting to perform a complete examination, the report should note the portion not performed. It is acceptable to perform the examina- tion with the infant in a supine or in each lateral decubitus position separately. Morphology is assessed at rest. The stress maneuver (posterior push maneuver) is performed to evaluate for hip instability with the hip and knee 2 JUltrasound Med2018; 9999 (...) AIUM Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip PRACTICEGUIDELINES AIUM–ACR–SPR–SRU Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip Preamble T heAmericanInstituteofUltrasoundinMedicine(AIUM)isa multidisciplinary association dedicated to advancing the safe and effective use of ultrasound in medicine through professional

2013 American Institute of Ultrasound in Medicine

189. Kinematically aligned total knee arthroplasty reduces knee adduction moment more than mechanically aligned total knee arthroplasty. (Abstract)

Kinematically aligned total knee arthroplasty reduces knee adduction moment more than mechanically aligned total knee arthroplasty. Knee adduction moment (KAM) has been recognized as a good clinical surrogate for medial tibiofemoral joint loading and is associated with implant durability after total knee arthroplasty (TKA). This study aimed to examine the effects of joint line obliquity in kinematically aligned TKA (KA-TKA) on KAM during gait.The study enrolled 21 knees from 18 patients who (...) underwent cylindrical axis reference KA-TKA and a matched group of 21 knees from 18 patients who underwent mechanically aligned (MA)-TKA as controls. Gait analyses were performed the day before TKA and at an overall mean of 2.6 years postoperatively. First peak KAM and variables associated with frontal knee kinetics were determined and compared between groups.In KA-TKA, the proximal tibia was resected with 3.4° ± 1.5° of varus in relation to the mechanical axis, and the final femorotibial shaft axis

2017 Knee Surgery, Sports Traumatology, Arthroscopy

190. Intra-Articular Hyaluronic Acid for Osteoarthritis of the Knee

of the knee. Chicago: BlueCross BlueShield Association (BCBS). TEC Assessment 29(6). 2014 Authors' objectives To determine whether available evidence demonstrates IAHA provides clinically meaningful improvement in pain and function compared with placebo in patients with knee OA; to examine the potential harms of IAHA; and to assess whether net health outcomes are improved. Authors' conclusions A large body of evidence obtained from randomized controlled trials has examined the effect of IAHA on pain (...) assembled from randomized controlled trials has been examined in multiple meta-analyses, the evidence is insufficient to permit conclusions whether IAHA for OA of the knee provides a clinically meaningful benefit compared with placebo. 3. The technology must improve the net health outcome. The evidence is not sufficient to determine whether reported improvements in pain and function—and most importantly unbiased estimates—achieve a difference over placebo that is clinically meaningful. 4. The technology

2015 Health Technology Assessment (HTA) Database.

191. Knee pain - assessment: Traumatic causes

: The patella may be clearly dislocated (lying medial or lateral to the joint). There is usually acute swelling (haemarthrosis), and tenderness along the medial edge of the patella. 'Atraumatic' dislocation can occur in an anatomically abnormal knee without, or with a minimal, direct blow to the patella. Abnormalities will usually also be revealed on examination of the other knee. Recurrent dislocations and persistent anterior knee symptoms can occur following a first-time patellar dislocation. Quadriceps (...) Knee pain - assessment: Traumatic causes Traumatic causes | Diagnosis | Knee pain - assessment | CKS | NICE Search CKS… Menu Traumatic causes Knee pain - assessment: Traumatic causes Last revised in July 2017 Traumatic causes What are the signs and symptoms of serious pathology that may cause knee pain? Red flags (or alarm features) are symptoms, signs, or risk factors that may indicate more serious pathology and warrant urgent further investigation, or immediate or urgent referral. Fracture

2018 NICE Clinical Knowledge Summaries

192. Knee pain - assessment: Non-traumatic causes

. Acute rupture or dissection may present with pain and calf swelling. Signs: Posteromedial fullness and/or tenderness. Cyst is firm in knee extension and soft in flexion. Signs of rupture: Discolouration in the calf, beneath one of the malleoli or on the dorsum of the foot. Calf swelling. For further information, see the CKS topic on . If a ruptured Baker's cyst cannot be distinguished from a deep vein thrombosis on the basis of the history and examination, see the CKS topic on . Patellar tendonitis (...) ' dislocation can occur in an anatomically abnormal knee without, or with a minimal, direct blow to the patella. Abnormalities will usually also be revealed on examination of the other knee. For information on patellar dislocation, see . Iliotibial band syndrome Occurs most commonly in people who undertake activities involving repetitive knee flexion, such as running and cycling. Symptoms : Lateral knee pain. Usually aggravated by activity. An objective 'clicking' or 'clunking' sounds may be heard during

2018 NICE Clinical Knowledge Summaries

193. Knee pain - assessment

(such as muscle strain and fractures), tumours, referred pain from the hip or lumbosacral spine, and bursitis. Risk factors for knee pain include increasing age, obesity, knee-straining work and participation in sport. A person presenting with knee pain should be: Asked about a history of trauma. Asked to describe the history of the pain and/or injury (including, type and duration of pain, aggravating and relieving factors, history of swelling). An examination of the knee should be carried out (...) Knee pain - assessment Knee pain - assessment | Topics A to Z | CKS | NICE Search CKS… Menu Knee pain - assessment Knee pain - assessment Last revised in July 2017 Knee pain is a common condition, particularly in older people.Possible causes include osteoarthritis of the knee, injuries Diagnosis Management Background information Knee pain - assessment: Summary Knee pain is a common condition, particularly in older people. Possible causes include osteoarthritis of the knee, injuries

2018 NICE Clinical Knowledge Summaries

194. Examination of Biopsies From Healthy Knee Joints

Examination of Biopsies From Healthy Knee Joints Examination of Biopsies From Healthy Knee Joints - 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. Examination of Biopsies From Healthy Knee Joints The safety (...) group. Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 43 participants Observational Model: Cohort Time Perspective: Retrospective Official Title: Examination of Biopsies From Healthy Knee Joints for the Use of Research Activities in Inflammatory Joint Diseases Study Start Date : August 2013 Actual Primary Completion Date : December 2014 Actual Study Completion Date : December 2014 Resource links provided by the National Library of Medicine

2014 Clinical Trials

195. Effect of ACL graft material on joint forces during a simulated in vivo motion in the porcine knee: Examining force during the initial cycles. (Abstract)

Effect of ACL graft material on joint forces during a simulated in vivo motion in the porcine knee: Examining force during the initial cycles. This study compared three-dimensional forces in knees containing anterior cruciate ligament (ACL) graft materials versus the native porcine ACL. A six-degree-of-freedom (DOF) robot simulated gait while recording the joint forces and moments. Knees were subjected to 10 cycles of simulated gait in intact, ACL-deficient, and ACL-reconstructed knee states (...) to examine time zero biomechanical performance. Reconstruction was performed using bone-patellar tendon-bone allograft (BPTB), reconstructive porcine tissue matrix (RTM), and an RTM-polymer hybrid (Hybrid). Forces and moments were examined about anatomic DOFs throughout the gait cycle and at three key points during gait: heel strike (HS), mid stance (MS), toe off (TO). Compared to native ACL, each graft restored antero-posterior (A-P) forces throughout gait. However, all failed to mimic normal joint

2014 Journal of Orthopaedic Research

196. Routine Examination of Pathology Specimens Following Knee Arthroscopy: A Cost-Effectiveness Analysis. (Abstract)

Routine Examination of Pathology Specimens Following Knee Arthroscopy: A Cost-Effectiveness Analysis. While the clinical value of routine pathologic examination of tissues removed during orthopaedic procedures has not been determined, limited cost-effectiveness and a low prevalence of findings that alter patient management have been previously demonstrated with arthroscopy. The purpose of this study was to examine the clinical value and cost-effectiveness of routine histological examination (...) of knee arthroscopy specimens.Retrospective chart analysis of 3797 consecutive knee arthroscopies by two surgeons from 2004 to 2013 at three affiliated hospitals within one health-care system was undertaken. Pathology reports regarding tissue removed during partial meniscectomies and anterior cruciate ligament reconstructions were reviewed to determine if the results altered patient care. The total costs of histological examination were estimated in 2012-adjusted U.S. dollars. The cost per health

2014 The Journal of Bone and Joint Surgery. American Volume

197. Particulated Juvenile Articular Cartilage Implantation in the Knee: A 3-Year EPIC-µCT and Histological Examination Full Text available with Trip Pro

Particulated Juvenile Articular Cartilage Implantation in the Knee: A 3-Year EPIC-µCT and Histological Examination The goal of this report is to describe the outcome of sequential particulated cartilage allograft and autologous osteochondral transfer treatments for an osteochondral lesion of the medial femoral condyle.A 44-year-old woman was treated with a particulated juvenile articular cartilage allograft (DeNovo NT) for a chondral lesion of the knee. As a result of continued pain, she had 2 (...) further surgeries, including an autologous osteochondral transfer system procedure and finally a unicondylar knee arthroplasty. At the final procedure, the areas of the allograft and autograft tissue were biopsied for histological evaluation. The quality of the residual cartilage tissue was assessed first by equilibrium partitioning of an ionic contrast agent via micro-computed tomography (EPIC-µCT), and then by hematoxylin and eosin, Safranin O staining, and polarized light microscopy.Despite showing

2014 Cartilage

198. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

A, Inc, 2920 East Avenue South, Suite 200, La Crosse, WI 54601. E-mail: icf@orthopt.org SUMMARY OF RECOMMENDATIONS A2 INTRODUCTION A3 METHODS A4 CLINICAL GUIDELINES: Impairment/Function-Based Diagnosis A7 CLINICAL GUIDELINES: Examination A17 CLINICAL GUIDELINES: Interventions A22 AUTHOR/REVIEWER AFFILIATIONS AND CONTACTS A25 REFERENCES A26 47-11 CPG Knee 3.indd 1 10/18/2017 2:26:08 PM Journal of Orthopaedic & Sports Physical Therapy® Downloaded from www.jospt.org at on November 3, 2017. For personal (...) involving cruciate ligament of knee, and Injury to multiple structures of knee, and the associated International Classification of Functioning, Dis - ability and Health (ICF) impairment-based categories of knee insta- bility (b7150 Stability of a single joint) and movement coordination impairments (b7601 Control of complex voluntary movements), us- ing the following history and physical examination findings: mecha - nism of injury, passive knee laxity, joint pain, joint effusion, and movement

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

199. Sport advice given by Dutch orthopaedic surgeons to patients after a total hip arthroplasty or total knee arthroplasty. Full Text available with Trip Pro

Sport advice given by Dutch orthopaedic surgeons to patients after a total hip arthroplasty or total knee arthroplasty. The advice given to patients in the Netherlands regarding sport activities after total hip arthroplasty or total knee arthroplasty (THA/TKA) is currently based on the opinion of the individual orthopaedic surgeon.To give an overview of the sport advice given by Dutch orthopaedic surgeons and to examine whether surgeons are familiar with the Dutch health-enhancing physical

2018 PLoS ONE

200. Nonsurgical Management of Osteoarthritis of the Knee

of recommendation, and supporting evidence citations. Module A: Diagnosis and Evaluation History and Physical Examination Recommendation Clinicians should conduct a history and physical examination for all patients, with an emphasis on the musculoskeletal examination. [EO] Plain Radiography Recommendation Clinicians may use plain radiography to confirm the clinical diagnosis of hip and knee OA. [C] Magnetic Resonance Imaging (MRI) Recommendation Clinicians should not use MRI as an evaluative tool to diagnose (...) , confirm, or manage the treatment of OA. [D] Routine Use of Laboratories and Synovial Fluid Analysis Recommendation Clinicians should avoid routine use of laboratory examinations or synovial fluid analysis to diagnose OA of the hip and/or knee. [EO] Module B: Core Non-surgical Treatment Principles Patient Education Recommendation The decision to prescribe any intervention should be based on consideration of assessment findings, risk vs. benefit analysis, pain severity, functional status, patient

2016 National Guideline Clearinghouse (partial archive)

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