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Knee Exam

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901. The Relationship between Serum Relaxin Concentrations and Knee Valgus. (Abstract)

The Relationship between Serum Relaxin Concentrations and Knee Valgus. Female athletes are at an elevated risk for tearing their anterior cruciate ligament, compared to their male counterparts. Though injury screening clinical tests and neuromuscular training programs have been widely implemented, injury rates remain high among female athletes. The purpose of this study was to examine the relationship between serum relaxin concentrations and knee valgus during three clinical tests (single leg (...) concentrations and knee valgus throughout all tests. These findings suggest that serum relaxin concentrations and knee valgus are not independent of each other and more holistic approaches may be necessary to truly map out the risk for injury and ultimately reduce the rate of anterior cruciate ligament injuries. Thus, concluding that knee valgus, a highly utilized modifiable biomechanical risk factor, and relaxin, a hormone that has been associated with anterior cruciate ligament injury in female athletes

2020 International Journal of Sports Medicine

902. Physical therapy interventions for knee pain secondary to osteoarthritis

, Olson-Kellogg B, Kane RL. Physical therapy interventions for knee pain secondary to osteoarthritis. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 77. 2012 Authors' objectives To assess the association between intermediate and patient-centered outcomes and harms with physical therapy interventions in community-dwelling adults with chronic knee pain secondary to osteoarthritis and to examine validity and minimum clinically important differences (...) Physical therapy interventions for knee pain secondary to osteoarthritis Physical therapy interventions for knee pain secondary to osteoarthritis Physical therapy interventions for knee pain secondary to osteoarthritis Shamliyan TA, Wang SY, Olson-Kellogg B, Kane RL Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Shamliyan TA, Wang SY

2012 Health Technology Assessment (HTA) Database.

903. Cytological Examination of the Joint Fluid as an Aid to Prognosis in Penetrating Gunshot Wound of the Knee Full Text available with Trip Pro

Cytological Examination of the Joint Fluid as an Aid to Prognosis in Penetrating Gunshot Wound of the Knee 20768419 2011 03 29 2011 03 29 0007-1447 2 2922 1916 Dec 30 British medical journal Br Med J Cytological Examination of the Joint Fluid as an Aid to Prognosis in Penetrating Gunshot Wound of the Knee. 895-7 Lazarus-Barlow W S WS eng Journal Article England Br Med J 0372673 0007-1447 2010 8 27 6 0 1916 12 30 0 0 1916 12 30 0 1 ppublish 20768419 PMC2355406

1916 British medical journal

904. Examination of the knee joint. Full Text available with Trip Pro

Examination of the knee joint. 5792613 1969 08 22 2008 11 20 0007-1447 3 5664 1969 Jul 26 British medical journal Br Med J Examination of the knee joint. 220-2 Fairbank T J TJ eng Journal Article England Br Med J 0372673 0007-1447 AIM IM Exudates and Transudates Humans Joint Diseases diagnosis Knee Joint Ligaments, Articular Movement Movement Disorders etiology Physical Examination Temperature 1969 7 26 1969 7 26 0 1 1969 7 26 0 0 ppublish 5792613 PMC1984025

1969 British medical journal

905. Observer variation in examination of knee joints. Full Text available with Trip Pro

Observer variation in examination of knee joints. The knees of 20 patients with rheumatoid arthritis were each examined on two occasions on the same morning by three observers. Assessments were made of joint warmth, synovial thickening, effusion, instability, quadriceps power, bony enlargement, range of movement, and knee circumference, and were graded on a scale of 0-4. Analysis of the results shows close intraobserver agreement for all measurements but considerable interobserver variation

1978 Annals of the Rheumatic Diseases

906. The Nature of Age-Related Differences in Knee Function during Walking: Implication for the Development of Knee Osteoarthritis. Full Text available with Trip Pro

) and secondary (anterior-posterior translation, internal-external rotation) joint motions in walking would differ for age groupings of healthy subjects.Seventy-four healthy participants divided into three groups with mean ages of 24 ± 2.3 years (younger), 48 ± 4.7years (middle-age) and 64 ± 2.4 years (older) were examined. Principal Component Analysis was used to characterize and statistically compare the patterns of knee joint movement and their relationships in walking.There were significant differences (...) The Nature of Age-Related Differences in Knee Function during Walking: Implication for the Development of Knee Osteoarthritis. Changes in knee kinematics have been identified in the early stages of osteoarthritis (OA). However, there is a paucity of information on the nature of kinematic change that occur with aging prior to the development of OA, This study applied a robust statistical method (Principal Component Analysis) to test the hypothesis that coupling between primary (flexion

2016 PLoS ONE

907. Osteoarthritis of the Knee

. Patient preference should have a substantial influencing role. 6 INTRODUCTION OVERVIEW This clinical practice guideline is based on a systematic review of published studies examining the nonarthroplasty treatment of knee osteoarthritis in adults. It provides recommendations that will help practitioners to integrate the current evidence and clinical practice, and it highlights gaps in the literature in need of future research. This guideline is intended to be used by appropriately trained physicians (...) Osteoarthritis of the Knee TREATMENT OF OSTEOARTHRITIS OF THE KNEE EVIDENCE-BASED GUIDELINE 2 ND EDITION Adopted by the American Academy of Orthopaedic Surgeons Board of Directors May 18, 2013 i Disclaimer This clinical practice guideline was developed by an AAOS work group comprised of volunteer physicians and interdisciplinary clinicians as well as staff researchers with expertise in systematic reviews and statistical methods used to evaluate empirical evidence. It is an educational tool

2013 American Academy of Orthopaedic Surgeons

908. CIRSE Guidelines on Below the Knee Interventions

longer than 2 cm Diffusely diseased tibial or peroneal vessels TASC TransAtlantic InterSociety Consensus 304 H. Overhagen et al.: Below-the-knee Interventions 123Patient Preparation Assessments Preprocedural laboratory examinations to consider ordering include baseline complete blood count and platelets, clot- ting pro?le (prothrombin time, partial thromboplastin time, and international normalized ratio [INR]), and renal func- tion (serum creatinine or creatinine clearance). Preprocedural clinical (...) CIRSE Guidelines on Below the Knee Interventions CIRSE STANDARDS OF PRACTICE GUIDELINES Below-the-knee Interventions H. van Overhagen • S. Spiliopoulos • D. Tsetis Received: 9 October 2012 / Accepted: 13 December 2012 / Published online: 26 January 2013 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013 Introduction Critical limb ischemia (CLI) is a limb- and life-threatening condition with a yearly incidence of around

2013 Cardiovascular and Interventional Radiological Society of Europe

909. Does Running Cause Knee Osteoarthritis?

runners and matched controls with a mean age of 58 years. Most of these runners had been running for over a decade. The study examined radiographic knee OA (specifically tibiofemoral disease) by serial radiographs. At the start of this study, members of the runner’s club were running for an average of 214 minutes per week. By the completion of the trial, their running time decreased by 55%. A small proportion of the controls ran for exercise at baseline, but almost all had stopped running by the time (...) Does Running Cause Knee Osteoarthritis? Does Running Cause Knee Osteoarthritis? – Clinical Correlations Search Does Running Cause Knee Osteoarthritis? September 14, 2013 7 min read By Karin Katz, MD Faculty Peer Reviewed Post-summer is here. Despite the heat and what feels like 100% humidity, the East River Path is packed with runners. No amount of car fumes pouring onto the path could stop those in training. Others are circling the 6-mile-loop around Central Park. Or, if you are bored

2013 Clinical Correlations

910. 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

2015 FP Notebook

911. Assessing musculoskeletal examination skills and diagnostic reasoning of 4th year medical students using a novel objective structured clinical exam Full Text available with Trip Pro

Structured Clinical Exam (OSCE) focusing on HDPE skills for disorders of the shoulder, back and knee, and used it to explore medical student diagnostic reasoning.A multidisciplinary group of musculoskeletal specialists developed and gathered validity evidence for a three station OSCE focusing on the HDPE of the shoulder, back and knee, emphasizing the ability to anticipate (identify pre-encounter) expected physical exam findings, and subsequently perform discriminatory physical examination maneuvers (...) Assessing musculoskeletal examination skills and diagnostic reasoning of 4th year medical students using a novel objective structured clinical exam Medical students have difficulty performing and interpreting musculoskeletal physical examinations and interpreting the findings. Research has focused on students' knowledge deficits, but there are few direct assessments of students' ability to perform a hypothesis-driven physical examination (HDPE). We developed a novel musculoskeletal Objective

2016 BMC medical education

912. Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty

significance, which raises questions regarding the cost effectiveness of genotype-guided dosing, an aspect not examined in the current analysis. Summarized by Elizabeth Kaplan 1 , James M. McCabe 2 1 Department of Medicine, University of Washington, Seattle, WA 2 Division of Cardiology, University of Washington, Seattle, WA ► Gage B, Bass A, Lin H, et al. Effect of Genotype-Guided Warfarin Dosing on Clinical Events and Anticoagulation Control Among Patients Undergoing Hip or Knee Arthroplasty. JAMA (...) Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty | Heart by Dosing of warfarin can be inconsistent for a variety of clinical reasons and may also be influenced by patient genotype. Significant interest exists in finding more effective ways to dose warfarin but previous studies of genotype dosing have shown varied results

2018 Heart JournalScan Blog

913. How physiotherapists can contribute to decision making: a proposal for a PT treatment pathway for knee osteoarthritis

. The effect of excess body weight on knee OA must be explained. Controlling pain threshold and knee functionality: record keeping is essential in order to control the level of knee functionality. This is incredibly helpful when patients are under psychological stress, experience a pain attack or feel hopeless. From a physiotherapist’s perspective, a physiotherapist should have: A solid background on the pathology of arthritis Excellent MSK examination skills Knowledge of evidence-based treatments (...) How physiotherapists can contribute to decision making: a proposal for a PT treatment pathway for knee osteoarthritis How physiotherapists can contribute to decision making: a proposal for a PT treatment pathway for knee osteoarthritis | BJSM blog - social media's leading SEM voice by By Afxentios Kekelekis Knee osteoarthritis (OA) is a leading cause for knee pain and disability worldwide. 1 Approximately 25% of people aged over 60 years experience knee pain from degenerative knee disease. 2

2018 British Journal of Sports Medicine Blog

914. Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty

significance, which raises questions regarding the cost effectiveness of genotype-guided dosing, an aspect not examined in the current analysis. Summarized by Elizabeth Kaplan 1 , James M. McCabe 2 1 Department of Medicine, University of Washington, Seattle, WA 2 Division of Cardiology, University of Washington, Seattle, WA ► Gage B, Bass A, Lin H, et al. Effect of Genotype-Guided Warfarin Dosing on Clinical Events and Anticoagulation Control Among Patients Undergoing Hip or Knee Arthroplasty. JAMA (...) Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty | Heart by Dosing of warfarin can be inconsistent for a variety of clinical reasons and may also be influenced by patient genotype. Significant interest exists in finding more effective ways to dose warfarin but previous studies of genotype dosing have shown varied results

2018 Heart JournalScan Blog

915. Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty

significance, which raises questions regarding the cost effectiveness of genotype-guided dosing, an aspect not examined in the current analysis. Summarized by Elizabeth Kaplan 1 , James M. McCabe 2 1 Department of Medicine, University of Washington, Seattle, WA 2 Division of Cardiology, University of Washington, Seattle, WA ► Gage B, Bass A, Lin H, et al. Effect of Genotype-Guided Warfarin Dosing on Clinical Events and Anticoagulation Control Among Patients Undergoing Hip or Knee Arthroplasty. JAMA (...) Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty Use of Genotype-Guided Warfarin for Anticoagulation Control in Patients Undergoing Hip or Knee Arthroplasty | Heart by Dosing of warfarin can be inconsistent for a variety of clinical reasons and may also be influenced by patient genotype. Significant interest exists in finding more effective ways to dose warfarin but previous studies of genotype dosing have shown varied results

2018 Heart JournalScan Blog

916. Recommendations for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand, Hip, and Knee

analgesics * No strong recommendations were made for the initial pharmaco- logic management of hip osteoarthritis (OA). For patients who have an inadequate response to initial pharmacologic management, please see the Results for alternative strategies. NSAIDs non- steroidal antiin?ammatory drugs. 2012 ACR Recommendations for Management of Hand, Hip, and Knee OA 471with disagreement by health care practitioners. One exam- ple is that of conditionally recommending against the use of glucosamine (...) Recommendations for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand, Hip, and Knee American College of Rheumatology 2012 Recommendations for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand, Hip, and Knee MARC C. HOCHBERG, 1 ROY D. ALTMAN, 2 KARINE TOUPIN APRIL, 3 MARIA BENKHALTI, 3 GORDON GUYATT, 4 JESSIE MCGOWAN, 3 TANVEER TOWHEED, 5 VIVIAN WELCH, 3 GEORGE WELLS, 3 AND PETER TUGWELL 3 Guidelines and recommendations

2012 American College of Rheumatology

917. Predicting the need for knee radiography in the emergency department: Ottawa or Pittsburgh rule?

Predicting the need for knee radiography in the emergency department: Ottawa or Pittsburgh rule? BestBets: Predicting the need for knee radiography in the emergency department: Ottawa or Pittsburgh rule? Predicting the need for knee radiography in the emergency department: Ottawa or Pittsburgh rule? Report By: Bryony Patrick - Medical student Search checked by Richard Body - Clinical lecturer Institution: University of Manchester Original institution: University of Manchester Current web editor (...) : Richard Body - Clinical Research Fellow Date Submitted: 8th July 2011 Date Completed: 13th February 2012 Last Modified: 14th February 2012 Status: Green (complete) Three Part Question In [adult patients presenting to the emergency department with traumatic knee pain] does the [Ottawa knee rule or the Pittsburgh knee rule] have [greater sensitivity and specificity for knee fractures]? Clinical Scenario A 30-year-old man presents to the emergency department (ED) after twisting his knee. You suspect

2012 BestBETS

918. Newborn Gestational Age Exam

the ear Score -1: Heel reaches the ear with the knee fully extended Score 4: remains primarily in flexed position V. Exam: Physical Maturity Criteria Skin Score -1: Skin sticky, friable and transparent Score 5: Skin leathery, cracked and wrinkled Lanugo Score -1: No Lanugo Score 1: Abundant Lanugo Score 4: Mostly bald Plantar ace Score -2: Heel to toe distance <40 mm Score 0: Heel to toe distance >50 mm and no crease Score 3: Creases cover the anterior 2/3 of the sole Score: 4: Crease cover the entire (...) Total Score 20: 32 weeks Total Score 30: 36 weeks Total Score 35: 38 weeks Total Score 40: 40 weeks Total Score 45: 42 weeks VII. Resources New Ballard Score PDF VIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Newborn Gestational Age Exam." 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 Examination About FPnotebook.com

2018 FP Notebook

919. Brief Musculoskeletal Exam

the External rotation and abduction Scratch back with each hand from under the Internal rotation and adduction V. Exam: Upper Extremity Flex and extend elbows Pronate and supinate wrists Hold arms at sides with elbows flexed to 90 degrees Spread fingers Make a fist VI. Exam: Lower Extremity Contract and relax quadriceps Observe for Symmetry Observe for Observe for ankle effusion Duck walk for 4 steps away from examiner Buttocks on heels Tests hip, knee, and ankle range of motion VII. Exam: Back and related (...) exam symmetry Touch toes (keep knees straight) Hip motion Hamstring tightness Raise up on toes, raise up on heels Calf strength Leg strength Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Brief Musculoskeletal Exam." 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 Examination About FPnotebook.com is a rapid access, point-of-care

2018 FP Notebook

920. Hip Exam

Hip Exam Hip 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 Hip Exam Hip Exam Aka: Hip Exam , Hip Joint Examination II. Anatomy (...) See Images Lewis (1918) Gray's Anatomy 20th ed (in at or ) III. Precautions: Findings most suggestive of hip intra-articular cause Pain on external and internal hip rotation Pain on hip axial loading (force applied at foot or knee towards hip) IV. Exam: External to hip Critical to evaluate for referred pain (e.g. radicular pain) Lower extremity Exam of and or may present with Other common causes of pain referred to the hip Greater trochanter tenderness to palpation V. Exam: Observation Resting

2018 FP Notebook

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