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Knee Exam

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21. A Fresh Perspective on a Familiar Problem: Examining Disparities in Knee Osteoarthritis Using a Markov Model. Full Text available with Trip Pro

A Fresh Perspective on a Familiar Problem: Examining Disparities in Knee Osteoarthritis Using a Markov Model. Disparities in the presentation of knee osteoarthritis (OA) and in the utilization of treatment across sex, racial, and ethnic groups in the United States are well documented.We used a Markov model to calculate lifetime costs of knee OA treatment. We then used the model results to compute costs of disparities in treatment by race, ethnicity, sex, and socioeconomic status.We used (...) the literature to construct a Markov Model of knee OA and publicly available data to create the model parameters and patient populations of interest. An expert panel of physicians, who treated a large number of patients with knee OA, constructed treatment pathways. Direct costs were based on the literature and indirect costs were derived from the Medical Expenditure Panel Survey.We found that failing to obtain effective treatment increased costs and limited benefits for all groups. Delaying treatment imposed

2017 Medical Care

22. Influence of delayed Gadolinium Enhanced MRI of Cartilage (dGEMRIC) protocol on T2-mapping: Is it possible to comprehensively assess knee cartilage composition in one post-contrast MR examination at 3 Tesla? Full Text available with Trip Pro

Influence of delayed Gadolinium Enhanced MRI of Cartilage (dGEMRIC) protocol on T2-mapping: Is it possible to comprehensively assess knee cartilage composition in one post-contrast MR examination at 3 Tesla? To evaluate the possibility of assessing knee cartilage with T2-mapping and delayed gadolinium enhanced magnetic resonance imaging (MRI) of cartilage (dGEMRIC) in one post-contrast MR examination at 3 Tesla (T).T2 mapping was performed in 10 healthy volunteers at baseline; directly after (...)  ms, P < 0.001) with a change exceeding the SDC.Because dGEMRIC protocol elements resulted in only small differences in T2 relaxation times that were not consistent and lower than the SDC in the majority of regions, our results suggest that T2-mapping and dGEMRIC can be performed reliably in a single imaging session to assess cartilage biochemical composition in knee osteoarthritis (OA) at 3 T.Copyright © 2017 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights

2017 Osteoarthritis and Cartilage

23. Validity evidence for two objective structured clinical examination stations to evaluate core skills of the shoulder and knee assessment Full Text available with Trip Pro

Validity evidence for two objective structured clinical examination stations to evaluate core skills of the shoulder and knee assessment We developed two objective structured clinical examinations (OSCEs) to educate and evaluate trainees in the evaluation and management of shoulder and knee pain. Our objective was to examine the evidence for validity of these OSCEs.A multidisciplinary team of content experts developed checklists of exam maneuvers and criteria to guide rater observations (...) coefficient.A multi-disciplinary cohort of 69 examinees participated. Examinees correctly identified rotator cuff and meniscal disease 88% and 89% of the time, respectively. Inter-rater agreement was moderate for the knee (87%; k = 0.61) and near perfect for the shoulder (97%; k = 0.88). No correlation between stratified self-assessment and OSCE scores were found for either shoulder (0.02) or knee (-0.07).Validity evidence supports the continuing use of these OSCEs in educational programs addressing

2017 BMC medical education

24. Surgeon's Preference in Total Knee Replacement: A Quantitative Examination of Attributes, Reasons for Alteration, and Barriers to Change. (Abstract)

Surgeon's Preference in Total Knee Replacement: A Quantitative Examination of Attributes, Reasons for Alteration, and Barriers to Change. The reasons why surgeons prefer a particular total knee replacement (TKR) to other viable options with lower cost or lower revision risk remain uncertain. This study examined the concept of surgeon's preference in TKR; including the self-assigned utility of their preferred prosthesis, reasons to alter usual preference and barriers to permanently changing

2017 Journal of Arthroplasty

25. Examining the Effects of Value-based Physician Payment Models

Examining the Effects of Value-based Physician Payment Models ` Rapid Synthesis Examining the Effects of Value-based Physician Payment Models 10 October 2017 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Examining the Effects of Value-based Physician Payment Models 30-day response 10 October 2017 Examining the Effects of Value-based Physician Payment Models 2 Evidence >> Insight >> Action McMaster Health Forum For concerned citizens and influential thinkers and doers (...) with identifying, reviewing and synthesizing literature. We are especially grateful to Gioia Buckley and Rick Glazier for their insightful comments and suggestions. Citation Mattison CA, Wilson MG. Rapid synthesis: Examining the effects of value-based physician payment models. Hamilton, Canada: McMaster Health Forum, 10 October 2017. Product registration numbers ISSN 2292-7999 (online) McMaster Health Forum 3 Evidence >> Insight >> Action KEY MESSAGES Questions • What value-based physician payment models have

2017 McMaster Health Forum

26. AIUM ACR SPR SRU 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 ACR SPR SRU 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

2018 American Institute of Ultrasound in Medicine

27. Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee Osteoarthritis ? A Randomized Clinical Trial

was the injection of 1 mL of triamcinolone 40 mg/mL; the control group received 1 mL of 0.9% normal saline. In both arms, synovial fluid (≤10 mL) was aspirated prior to the injection. Participants attended 9 visits over a 24-month period, which were scheduled at 3-month intervals. Each visit included a knee exam and assessments of pain and stiffness. Participants were also subject to radiographs, ultrasound, and magnetic resonance imaging (MRI) at standardized intervals. From the MRI, mean cartilage thickness (...) Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee Osteoarthritis ? A Randomized Clinical Trial Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee Osteoarthritis – A Randomized Clinical Trial – Clinical Correlations Search Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee

2018 Clinical Correlations

28. Examining Techniques for Treatment of Medial Meniscal Ramp Lesions During ACL Reconstruction: A Systematic Review

Examining Techniques for Treatment of Medial Meniscal Ramp Lesions During ACL Reconstruction: A Systematic Review Examining Techniques for Treatment of Medial Meniscal Ramp Lesions During ACL Reconstruction: A Systematic Review - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving situation. Get (...) ? Report format: Send at most: Send even when there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation Review Arthroscopy Actions . 2020 Jul 14;S0749-8063(20)30474-6. doi: 10.1016/j.arthro.2020.05.041. Online ahead of print. Examining

2020 EvidenceUpdates

29. WITHDRAWN: Peripheral nerve blocks for postoperative pain after major knee surgery. Full Text available with Trip Pro

surgery requires the synthesis of evidence to evaluate its effectiveness and safety, when compared with systemic, local infiltration, epidural and spinal analgesia.To examine the efficacy and safety of peripheral nerve blocks for postoperative pain control following major knee surgery using methods that permit comparison with systemic, local infiltration, epidural and spinal analgesia.We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (Issue 1, 2014), MEDLINE and EMBASE, from (...) WITHDRAWN: Peripheral nerve blocks for postoperative pain after major knee surgery. Major knee surgery is a common operative procedure to help people with end-stage knee disease or trauma to regain mobility and have improved quality of life. Poorly controlled pain immediately after surgery is still a key issue for this procedure. Peripheral nerve blocks are localized and site-specific analgesic options for major knee surgery. The increasing use of peripheral nerve blocks following major knee

2019 Cochrane

30. How useful is the physical examination in suspected cauda equina syndrome?

of physical exam findings from [7,8]. Adapted from the Web Appendix of [11]. The Bottom Line The few studies conducted thus far are retrospective, small in sample size, and of lower tiers of evidence. Overall, there is poor evidence that any individual physical examination finding could be used to rule in or rule out CES. However, as suggested by Domen and his colleagues , a urinary retention of more than 500 mL alone (Sn 1.00, Sp 0.94, +LR 16) or in combination with two or more specific clinical (...) How useful is the physical examination in suspected cauda equina syndrome? How useful is the physical examination in suspected cauda equina syndrome? - CanadiEM How useful is the physical examination in suspected cauda equina syndrome? In , by Taft Micks August 8, 2017 Background Cauda equina syndrome (CES) is a syndrome consisting of one or more of the following: (1) bladder and/or bowel dysfunction, (2) reduced sensation in the saddle area (i.e. the perineum and inner thighs), and (3) sexual

2017 CandiEM

31. AIUM Practice Parameter for the Performance of a Musculoskeletal Ultrasound Examination

such as tendinosis or tears of the iliopsoas, gluteus medius, and gluteus minimus tendons. ? 20,21 To assess for a pseudotumor, the anterior, medial, lateral, and posterior hip structures should be evaluated for joint and extra-articular fluid collections and soft tissue masses. ? 22,23 F. Specifications for a Knee Examination A knee examination may be indicated to evaluate for a tendon or muscle rupture/tear or tendinosis, joint effusion, crystal deposition disease, periarticular cystic lesions, a meniscal tear (...) , bursitis, a ligamentous tear, or nerve pathology. The examination is divided into 4 regions. The examination may involve a complete assessment of 1 or more of the 4 regions of the knee described below or may be limited to a specific anatomic structure, depending on the clinical presentation. Color and power Doppler imaging may be useful in detecting hyperemia within the joint or surrounding structures. 1. Anterior—The patient is supine with the knee flexed to 30°. Longitudinal and transverse scans

2017 American Institute of Ultrasound in Medicine

32. Newer Interventions for Osteoarthritis of the Knee

Newer Interventions for Osteoarthritis of the Knee Health Evidence Review Commission (HERC) Coverage Guidance: Newer Interventions for Osteoarthritis of the Knee Approved 3/14/2019 HERC Coverage Guidance Whole body vibration Whole body vibration is not recommended for coverage (strong recommendation). TENS TENS is not recommended for coverage (strong recommendation). Glucosamine-chondroitin Glucosamine-chondroitin is not recommended for coverage (weak recommendation). Glucosamine alone (...) is not recommended for coverage (strong recommendation). Chondroitin alone is not recommended for coverage (weak recommendation). Platelet-rich plasma Platelet-rich plasma is not recommended for coverage (weak recommendation) Note: Definitions for strength of recommendation are in Appendix A. GRADE Table Element Descriptions. Rationales for each recommendation appear below in the GRADE table. 2 ¦ Newer Interventions for Osteoarthritis of the Knee Approved 3/14/2019 Table of Contents Coverage Guidance: Newer

2019 Oregon Health Evidence Review Commission

33. The Non-Surgical Management of Hip & Knee Osteoarthritis

Categorization Table 78 Appendix E: Patient History and Physical Examination 82 A. Knee and Hip Osteoarthritis Risk Factors 82 B. Knee Osteoarthritis Patient History 82 C. Knee Osteoarthritis Patient Physical Examination 82 D. Hip Osteoarthritis Patient History 83 E. Hip Osteoarthritis Patient Physical Examination 83 Appendix F: Pharmacologic Therapies 84 A. Considerations for Selecting Oral Non-steroidal Anti-inflammatory Drugs 88 B. Non-steroidal Anti-inflammatory Drugs and Risk of Serious Adverse Upper (...) involvement and disease progression varies. Osteoarthritis is diagnosed at a median of 55 years of age, and patients may live approximately 30 years with the disease. Patients with OA may present to providers with minimal symptoms or have incidental findings on physical examination or radiologic testing. Patients with symptomatic OA typically present with joint pain, aching, stiffness, and limited walking ability.[29] Knee OA is usually bilateral but one knee may be affected more severely; hip OA

2020 VA/DoD Clinical Practice Guidelines

34. American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee

in patients with first CMC joint OA. There are no published RCT s evaluating iontophoresis for OA in any anatomic location. Pulsed vibration therapy is conditionally recommended against in patients with knee OA. Few trials have addressed pulsed vibration therapy, and in the absence of adequate data, we conditionally recommend against its use. Transcutaneous electrical stimulation (TENS) is strongly recommended against in patients with knee and/or hip OA. Studies examining the use of TENS have been of low (...) in the hand lead to a conditional recommendation for use of topical NSAIDs in hand OA. In hip OA, the depth of the joint beneath the skin surface suggests that topical NSAIDs are unlikely to ACR/AF GUIDELINE FOR MANAGEMENT OF HAND, HIP, AND KNEE OA |??? 9 confer benefit, and thus, the Voting Panel did not examine use in hip OA. Topical capsaicin is conditionally recommended for patients with knee OA and conditionally recommended against in patients with hand OA. Topical capsaicin is conditionally

2020 American College of Rheumatology

35. Knee Exam

Knee Exam Knee Exam 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 Exam Knee Exam Aka: Knee Exam , Knee Examination , Knee Joint (...) Finding , Knee Maneuver II. Exam: General (compare with less affected knee) Observation with obscured landmarks See See See Previous surgical scars resting position Quadriceps muscle atrophy Evaluate Vastus Medialis Obliquus specifically Atrophy often on side of Tenderness to Palpation Tibial tubercle r tendon Quadriceps tendon Joint line Pes Anserine Bursa Iliotibial Band Normal Range of Motion Flexion: 135 degrees Extension: 0 to -10 degrees (above horizontal plane) III. Exam: Patellofemoral (Q

2018 FP Notebook

36. Knee stability and movement coordination impairments: knee ligament sprain revision 2017.

, and Injury to multiple structures of knee, and the associated International Classification of Functioning, Disability and Health (ICF) impairment-based categories of knee instability (b7150 Stability of a single joint) and movement coordination impairments (b7601 Control of complex voluntary movements), using the following history and physical examination findings: mechanism of injury, passive knee laxity, joint pain, joint effusion, and movement coordination impairments. ( Grade of Recommendation (...) instructors, clinical instructors, students, interns, residents, and fellows regarding the best current practice of orthopaedic physical therapy Adult patients with knee stability and movement coordination impairments/knee ligament sprain Diagnosis Diagnosis and classification according to International Statistical Classification of Diseases and Related Health Problems (ICD) criteria and International Classification of Functioning, Disability, and Health (ICF) criteria Differential diagnosis Examination

2017 National Guideline Clearinghouse (partial archive)

37. American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty Arthritis Care & Research Vol. 69, No. 8, August 2017, pp 1111–1124 DOI 10.1002/acr.23274 V C 2017, American College of Rheumatology SPECIAL ARTICLE 2017 American College of Rheumatology/ American Association of Hip and Knee Surgeons Guideline (...) for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty SUSAN M. GOODMAN, 1 BRYAN SPRINGER, 2 GORDON GUYATT, 3 MATTHEW P. ABDEL, 4 VINOD DASA, 5 MICHAEL GEORGE, 6 ORA GEWURZ-SINGER, 7 JON T. GILES, 8 BEVERLY JOHNSON, 9 STEVE LEE, 10 LISA A. MANDL, 1 MICHAEL A. MONT, 11 PETER SCULCO, 1 SCOTT SPORER, 12 LOUIS STRYKER, 13 MARAT TURGUNBAEV, 14 BARRY BRAUSE, 1 ANTONIA F. CHEN, 15 JEREMY GILILLAND, 16 MARK GOODMAN, 17 ARLENE

2017 American College of Rheumatology

38. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Full Text available with Trip Pro

examination findings: mechanism of injury, passive knee laxity, joint pain, joint effusion, and movement coordination impairments. Differential Diagnosis The clinician should suspect diagnostic classifications associated with serious pathological conditions when the individual's reported activity limitations and impairments of body function and structure are not consistent with those presented in the Diagnosis/Classification section of this guideline, or when the individual's symptoms are not resolving (...) with intervention aimed at normalization of the individual's impairments of body function. Examination – Outcome Measures: Activity Limitations and Self-Reported Measures Clinicians should use the International Knee Documentation Committee 2000 Subjective Knee Evaluation Form (IKDC 2000) or Knee injury and Osteoarthritis Outcome Score (KOOS), and may use the Lysholm scale, as validated patient-reported outcome measures to assess knee symptoms and function, and should use the Tegner activity scale or Marx

2017 American Physical Therapy Association

39. A Case of Fatal Colonic Perforation without Abdominal Exam Findings

examination revealed crepitus extending from the left groin to below the left knee despite an abdominal exam which continued to lack rigidity, tenderness, or guarding. Repeat CT imaging revealed subcutaneous and deep thigh soft tissue emphysema extending from the retroperitoneum likely originating from a colonic perforation. An emergent surgery consultation was made; however, the patient and family elected not to pursue surgical intervention, opting instead for comfort measures. The patient expired early (...) A Case of Fatal Colonic Perforation without Abdominal Exam Findings Spotlight: A Case of Fatal Colonic Perforation without Abdominal Exam Findings – Clinical Correlations Search Spotlight: A Case of Fatal Colonic Perforation without Abdominal Exam Findings June 14, 2018 6 min read By Christopher Sonne, MD Peer reviewed Learning Objectives: 1. Understand the pathophysiology of peritonitis secondary to bowel perforation. 2. Understand how classic findings of peritonitis can be absent in some

2018 Clinical Correlations

40. Knee replacement

, Ivanovic N, Mahale A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary (...) of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined two strategies of rehabilitation after total hip replacement (THR) or total knee replacement (TKR). The strategies were conventional (...) Knee replacement Top results for knee replacement - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1

2018 Trip Latest and Greatest

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