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Knee Exam

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181. 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

182. 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.

183. 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

184. 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

185. 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

186. 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.

187. 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

188. 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

189. 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

190. 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

191. 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.

192. 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

193. 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)

194. Prevalence of hand osteoarthritis and knee osteoarthritis in Kashin-Beck disease endemic areas and non Kashin-Beck disease endemic areas: A status survey. Full Text available with Trip Pro

Prevalence of hand osteoarthritis and knee osteoarthritis in Kashin-Beck disease endemic areas and non Kashin-Beck disease endemic areas: A status survey. Osteoarthritis (OA) is a considerable health problem worldwide, and the prevalence of OA varies in different regions. In this study, the prevalence of OA in Kashin-Beck disease (KBD) and non-KBD endemic areas was examined, respectively. According to monitoring data, 4 types of regions (including none, mild, moderate and high KBD endemic areas (...) ) in Heilongjiang and Jilin provinces were selected. All local residents were eligible for inclusion criteria have undergone X-ray images of hands and anteroposterior image of knees. A total of 1673 cases were collected, 1446 cases were analyzed after removing the KBD patients (227). The overall hand OA and knee OA detection rates were 33.3% (481/1446) and 56.6% (818/1446), respectively. After being standardized by age, the detection rate of hand OA in the KBD endemic areas was significantly higher than

2018 PLoS ONE

195. Evaluation of maslinic acid with whole-body vibration training in elderly women with knee osteoarthritis. Full Text available with Trip Pro

Evaluation of maslinic acid with whole-body vibration training in elderly women with knee osteoarthritis. Maslinic acid (MA) is a component derived from a natural olive-based extract known to have pharmacological functions that include suppressing inflammation. This study examined how MA, in conjunction with whole-body vibration training (WBVT), can improve knee and muscle function in elderly women with knee osteoarthritis (OA).The study was a double-blinded, placebo-controlled, randomized (...) intervention study that enrolled individuals with knee pain. Participants were 26 females aged 65-85 years with knee OA. They performed WBVT and ingested either 16.7 mg of MA or a placebo daily for 20 weeks. We compared the effect of WBVT with placebo (WBVT/P) and WBVT with MA (WBVT/MA) in participants with various degrees of knee OA (Kellgren and Lawrence (K-L) grade) using the Japanese Orthopaedic Association (JOA) score and isokinetic dynamometer measurements to evaluate knee and muscle function

2018 PLoS ONE Controlled trial quality: uncertain

196. Association between handgrip strength, balance, and knee flexion/extension strength in older adults. Full Text available with Trip Pro

Association between handgrip strength, balance, and knee flexion/extension strength in older adults. The objective of the study was to examine the association between handgrip strength (HGS), knee flexion and extension strength, and static and dynamic balance in older women. One hundred and ten women with a mean age of 67.4±5.9 years were assessed for dynamic postural balance using the Time Up & Go Test (TUG) with and without cognitive tasks. Semi-static balance was assessed by means of a force (...) platform; knee flexor and extensor muscle strength was calculated using an isokinetic dynamometer; and HGS using a hand held dynamometer. Weaker HGS was significantly correlated with worse performance in dynamic postural balance, as well as performance with TUG with and without cognitive tasks; however, there was no correlation between HGS and static balance. There was a moderate positive correlation between knee flexion/extension strength and HGS. This suggests that HGS could be used as a proxy

2018 PLoS ONE

197. Effects of collagen matrix and bioreactor cultivation on cartilage regeneration of a full-thickness critical-size knee joint cartilage defects with subchondral bone damage in a rabbit model. Full Text available with Trip Pro

Effects of collagen matrix and bioreactor cultivation on cartilage regeneration of a full-thickness critical-size knee joint cartilage defects with subchondral bone damage in a rabbit model. Cartilage has limited self-repair ability. The purpose of this study was to investigate the effects of different species of collagen-engineered neocartilage for the treatment of critical-size defects in the articular joint in a rabbit model. Type II and I collagen obtained from rabbits and rats was mixed (...) to form a scaffold. The type II/I collagen scaffold was then mixed with rabbit chondrocytes to biofabricate neocartilage constructs using a rotating cell culture system [three-dimensional (3D)-bioreactor]. The rabbit chondrocytes were mixed with rabbit collagen scaffold and rat collagen scaffold to form neoRBT (neo-rabbit cartilage) and neoRAT (neo-rat cartilage) constructs, respectively. The neocartilage matrix constructs were implanted into surgically created defects in rabbit knee chondyles

2018 PLoS ONE

198. Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. Full Text available with Trip Pro

Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. Pain levels in patients with osteoarthritis (OA) of the knee are commonly assessed by using a numeric scoring system, but results may be influenced by factors other than the patient's actual physical discomfort or disease severity, including psychosocial and demographic variables. We examined the possible relation between knee-pain scores and several psychosocial, sociodemographic, disease (...) , and treatment variables in 355 patients with knee OA.The pain-evaluation instrument was a 0- to 10-point rating scale. Data obtained retrospectively from the patients' medical records were demographic characteristics, body mass index (BMI), concomitant disorders, illicit and prescription drug use, alcohol use, smoking, knee OA treatment, and severity of knee OA indicated by Kellgren-Lawrence (KL) radiographic grade. Univariate and multivariate analyses were performed to determine whether these variables

2018 PLoS ONE

199. The quality of reporting in randomized controlled trials of acupuncture for knee osteoarthritis: A cross-sectional survey. Full Text available with Trip Pro

The quality of reporting in randomized controlled trials of acupuncture for knee osteoarthritis: A cross-sectional survey. To assess the reporting quality of acupuncture trials for knee osteoarthritis (KOA), and explore the factors associated with the reporting.Three English and four Chinese databases were searched from inception to December 2016 for randomized control trials testing effects of acupuncture for knee osteoarthritis. We used the standard CONSORT (2010 version), CONSORT Extension (...) for Non-Pharmacological Treatments, and STRICTA for measuring the quality of reporting. Using pre-specified study characteristics, we undertook regression analyses to examine factors associated with the reporting quality.A total of 318 RCT reports were included. For the standard CONSORT, ten items were substantially under-reported (reported in less than 5% of RCTs), including specification of important changes to methods after trial commencement (0.6%), description of any changes to trial outcomes

2018 PLoS ONE

200. Effects of pay for performance on risk incidence of infection and of revision after total knee arthroplasty in type 2 diabetic patients: A nationwide matched cohort study. Full Text available with Trip Pro

Effects of pay for performance on risk incidence of infection and of revision after total knee arthroplasty in type 2 diabetic patients: A nationwide matched cohort study. As the world's population ages, the number of people receiving total knee arthroplasty (TKA) has been on the rise. Although patients with diabetes mellitus are known to face greater risks of TKA postoperative infection and revision TKA owing to diabetic complications, studies on whether such patients' participation in pay (...) for performance (P4P) programs influences the incidence rates of TKA postoperative infection or revision TKA are still lacking. This study examined the 2002-2012 data of Taiwan's National Health Insurance Research Database to conduct a retrospective cohort analysis of diabetic patients over 50 years old who have received TKA. To reduce any selection bias between patients joining and not joining the P4P program, propensity score matching was applied. The Cox proportional hazards model was used to examine

2018 PLoS ONE

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