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Knee Exam

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921. Neurologic Exam

Reflexes Babinski Reflex Grasp Reflex Suck Reflex Glabellar Reflex Hoffman Reflex XI. Exam: Cerebellar Dysmetria Overshooting target Alternating hand movements Heel-knee-shin Romberg Test Walking on base of foot Tandem walking Overall coordination Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Neurologic Exam." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip (...) Neurologic Exam Neurologic 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 Neurologic Exam Neurologic Exam Aka: Neurologic Exam

2018 FP Notebook

922. Sensory Exam

Upper Arm and C6: Thumb, Index Finger, lateral ( ) C7: Index, Middle and Ring Fingers, triceps ( ) C8: Middle, Ring and Little Finger (pinky), medial ( ) T1: Ulnar hand, axilla to olecranon T4: Nipple T8: Xiphoid T10: T12: Symphysis V. Exam: Dermatomes - Lower body Sensory Innervation L1: Inferior to iliac crest L3: Anterior and medial thigh down to knee L4: Anterior low leg and medial foot L5: Lateral leg, heel, dorsal foot, space between 1st and second toes S1: Posterior leg, lateral , dorsal (...) Sensory Exam Sensory 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 Sensory Exam Sensory Exam Aka: Sensory Exam , Afferent

2018 FP Notebook

923. Reflex Exam

, Deep Tendon Reflex , Pectoral Reflex , Deltoid Reflex , Biceps Reflex , Brachioradialis Reflex , Supinator Reflex , Triceps Reflex , Patellar Reflex , Knee Jerk , Medial Hamstring Reflex , Achilles Reflex , Ankle Jerk , Anal Wink II. Exam: Upper Extremity Reflexes C4: Pectoral Reflex C5: Deltoid Reflex C6: Biceps Reflex and Brachioradialis Reflex C7: Triceps Reflex III. Exam: Lower Extremity Reflexes L1-2: L2-4: Patellar Reflex (Knee Jerk) L5: Medial Hamstring Reflex S1: Achilles Reflex (Ankle Jerk (...) Reflex Exam Reflex 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 Reflex Exam Reflex Exam Aka: Reflex Exam , Tendon Reflex

2018 FP Notebook

924. Newborn Abdominal Exam

Exam Aka: Newborn Abdominal Exam II. Technique: Abdominal exam Perform abdominal exam with infants hips and knees flexed Hold knees up with non-dominant hand while palpating with the opposite hand Relaxes the newborn's Palpate for masses Use flats of fingers (instead of finger tips) Infant liver is typically palpable just below the costal margin III. Exam: Abdominal findings Hyperpigmented vertical line from the to the pubic symphysis and resolves with time from maternal hormone exposure Suggests (...) ) These images are a random sampling from a Bing search on the term "Newborn Abdominal 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 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

2018 FP Notebook

925. Newborn Exam

. ) or (e.g. ) Gray ation due to (occult spinal cord lesion) s ( versus ) or e (e.g. ) Abnormal lesions associated with or syndromes (in some cases) (skull deformities) or port wine stain ( , Klippel-Trenaunay-Weber Sydrome) (epidermal nevus syndrome, malignant potential) (malignant potential) ( , Tuberous Sclerosis, Albright Syndrome) IX. Exam: Abdomen and Rectum See Perform abdominal exam while supporting infants hips and knees in flexed position Observe abdominal contour for (congenital ) or distention (...) . References Tschudy (2012) Harriet Lane Handbook, 19th Ed, Mosby Elsevier, Philadelphia Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Newborn 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 medical reference for primary care and emergency clinicians. Started in 1995

2018 FP Notebook

926. The interaction between the vastus medialis and vastus intermedius and its influence on the extensor apparatus of the knee joint. Full Text available with Trip Pro

joint.Eighteen human cadaveric lower limbs were investigated using macro-dissection techniques. Six limbs were cut transversely in the middle third of the thigh. The mode of origin, insertion and nerve supply of the extensor apparatus of the knee joint were studied. The architecture of the VM and VI was examined in detail, as was their anatomical interaction and connective tissue linkage to the adjacent anatomical structures.The VM originated medially from a broad hammock-like structure. The attachment site (...) The interaction between the vastus medialis and vastus intermedius and its influence on the extensor apparatus of the knee joint. Although the vastus medialis (VM) is closely associated with the vastus intermedius (VI), there is a lack of data regarding their functional relationship. The purpose of this study was to investigate the anatomical interaction between the VM and VI with regard to their origins, insertions, innervation and function within the extensor apparatus of the knee

2017 Knee Surgery, Sports Traumatology, Arthroscopy

927. Strenuous running exacerbates knee cartilage erosion induced by low amount of mono-iodoacetate in rats. Full Text available with Trip Pro

Strenuous running exacerbates knee cartilage erosion induced by low amount of mono-iodoacetate in rats. It is still debated whether strenuous running in the inflammatory phase produces beneficial or harmful effect in rat knees. We examined (1) the dropout rate of rats during a 30-km running protocol, (2) influences of strenuous running and/or low amounts of mono-iodoacetate injection on cartilage, and (3) the effect of strenuous running on synovitis.Rats were forced to run 30 km over 6 weeks (...) and the dropout rate was examined. One week after 0.1 mg mono-iodoacetate was injected into the right knee, rats were forced to run either 15 km or not run at all over 3 weeks, after which knee cartilage was evaluated. Synovium at the infrapatellar fat pad was also examined histologically.Even though all 12 rats run up to 15 km, only 6 rats completed 30 km of running. Macroscopically, 0.1 mg mono-iodoacetate induced erosion at the tibial cartilage irrespective of 15 km of running. Histologically, 0.1 mg mono

2017 BMC Musculoskeletal Disorders

928. Accuracy of injection and short-term pain relief following intra-articular corticosteroid injection in knee osteoarthritis - an observational study. Full Text available with Trip Pro

Accuracy of injection and short-term pain relief following intra-articular corticosteroid injection in knee osteoarthritis - an observational study. Intra-articular corticosteroid injections (IACI) are effective treatments for pain in knee osteoarthritis (KOA) but treatment response varies. There is uncertainty as to whether structural factors such as accurate placement of IACI affect outcome. We examined this question in a pragmatic observational study, using ultrasound (US) to verify accuracy (...) of IACI.105 subjects with KOA (mean age 63.1 years, 59% female) routinely referred for IACI underwent assessment of demographic factors, x-ray and US of the knee before aspiration and IACI (based on clinical landmarks) with 40 mg triamcinolone acetonide with lignocaine plus a small amount of atmospheric air by an independent physician. US demonstration of intra-articular mobile air, i.e. a positive air arthrosonogram, was used to determine accurate placement of injection. Both patients and injecting

2017 BMC Musculoskeletal Disorders

929. Effects of Postacute Settings on Readmission Rates and Reasons for Readmission Following Total Knee Arthroplasty. Full Text available with Trip Pro

Effects of Postacute Settings on Readmission Rates and Reasons for Readmission Following Total Knee Arthroplasty. Examine the effects of postacute discharge setting on unplanned hospital readmissions following total knee arthroplasty (TKA) in older adults.Secondary analyses of 100% Medicare (inpatient) claims files.Acute hospitals across the United States.Medicare fee-for-service beneficiaries ≥66 years of age who were discharged from an acute hospital following TKA in 2009-2011 (n = 608,031

2017 Journal of the American Medical Directors Association

930. Feasibility of a Randomized Controlled Trial of Self-Administered Acupressure for Symptom Management in Older Adults with Knee Osteoarthritis. Full Text available with Trip Pro

Feasibility of a Randomized Controlled Trial of Self-Administered Acupressure for Symptom Management in Older Adults with Knee Osteoarthritis. To assess the feasibility of a study to evaluate the efficacy of self-administered acupressure in pain and related symptom management for older people with symptomatic knee osteoarthritis. Feasibility with regard to (1) sample recruitment and retention, (2) treatment fidelity and adherence, and (3) tolerability and adverse events was examined.The study (...) in an 8-week study period. Both quantitative and qualitative data collected from center visits and weekly phone calls were used to examine study feasibility.A total of 150 participants (mean age, 73 years; 38% men) were enrolled; 83% completed all three center visits. Among those assigned to verum and sham acupressure groups, 94% passed a fidelity check at the second visit, more than 80% reported performing self-administered acupressure as instructed most of the time, and about 10% reported discomfort

2016 Journal of alternative and complementary medicine (New York, N.Y.) Controlled trial quality: uncertain

931. Effect of Compression Therapy on Postoperative Swelling and Pain After Total Knee Arthroplasty

Hospital Information provided by (Responsible Party): Linda Mie Christensen, Naestved Hospital Study Details Study Description Go to Brief Summary: The number of severely obese patients who has knee replacement surgery is rising. Obesity increases the risk of the postoperative swelling. A complication which can cause pain and discomfort as well as complicate and prolong rehabilitation. The aim of the present pilot study is to examine the effect of a compression stocking on postoperative swelling (...) Effect of Compression Therapy on Postoperative Swelling and Pain After Total Knee Arthroplasty Effect of Compression Therapy on Postoperative Swelling and Pain After Total Knee Arthroplasty - 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

2017 Clinical Trials

932. All Ligaments Left In Knee Arthroplasty Trial

: Vanguard CR Single Cruciate Retaining Knee System Not Applicable Detailed Description: The purpose of the proposed ALLIKAT study (All Ligaments Left in Knee Arthroplasty Trial) is to evaluate the early outcome of a Total Knee Replacement device that retains both cruciate (Vanguard XP) by comparing it with a control group of patients implanted with an established single cruciate retaining device (Vanguard CR). The study also aims to examine short and long term descriptive cohort outcome data. A small (...) All Ligaments Left In Knee Arthroplasty Trial All Ligaments Left In Knee Arthroplasty Trial - 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. All Ligaments Left In Knee Arthroplasty Trial (ALLIKAT) The safety

2017 Clinical Trials

933. A Radiographic Healing Classification for Osteochondritis Dissecans of the Knee Provides Good Interobserver Reliability Full Text available with Trip Pro

A Radiographic Healing Classification for Osteochondritis Dissecans of the Knee Provides Good Interobserver Reliability Recent studies have examined radiographic factors associated with healing of osteochondritis dissecans (OCD) lesions of the knee. However, there is still no gold standard in determining the healing status of an OCD lesion.We examined temporally associated patterns of healing to (1) evaluate the practicality of a classification system and (2) elucidate any associations between (...) healing pattern and patient age, sex, lesion location, treatment type, and physeal patency.Cohort study (diagnosis); Level of evidence, 3.We retrospectively screened 489 patients from 2006 to 2010 for a total of 41 consecutive knee OCD lesions that met inclusion criteria, including at least 3 consecutive radiographic series (mean patient age, 12.8 years; range, 7.8-17.1 years; mean follow-up, 75.1 weeks). Radiographs were arranged in sequential order for ratings by 2 orthopaedic sports medicine

2017 Orthopaedic journal of sports medicine

934. ISOKINETIC KNEE MUSCLE STRENGTH PROFILE IN BRAZILIAN MALE SOCCER, FUTSAL, AND BEACH SOCCER PLAYERS: A CROSS-SECTIONAL STUDY Full Text available with Trip Pro

who participate in professional soccer, futsal, and beach soccer.Cross-sectional study.Brazilian professional soccer (n=70), futsal (n=30), and beach soccer (n=12) players were isokinetically assessed to examine strength of knee extensors and flexors at 60 degrees/second in concentric mode, to measure peak torque of dominant and non-dominant limbs.In the dominant limb, for extensors muscles, futsal players presented significantly lower peak torque values (223.9 ± 33.4 Nm) than soccer (250.9 ± 43.0 (...) ISOKINETIC KNEE MUSCLE STRENGTH PROFILE IN BRAZILIAN MALE SOCCER, FUTSAL, AND BEACH SOCCER PLAYERS: A CROSS-SECTIONAL STUDY Anterior cruciate ligament injury is higher in soccer athletes as compared to athletes of other sports. Risk factors for anterior cruciate ligament injury include low knee hamstring/quadriceps strength ratio and bilateral strength deficits.To investigate isokinetic thigh muscles strength, hamstring/quadriceps strength ratio, and bilateral strength comparisons in athletes

2017 International journal of sports physical therapy

935. Current Concepts of Posterolateral Corner Injuries of the Knee Full Text available with Trip Pro

Current Concepts of Posterolateral Corner Injuries of the Knee The number of posterolateral corner (PLC) injury patients has risen owing to the increased motor vehicle accidents and sports activities. Careful examination is required because this injury is easy to overlook and may lead to chronic instability. The purpose of this article is to review the anatomy, biomechanics, diagnosis, classification and, treatment of PLC injuries and summarize the recent literatures regarding the treatment

2017 Knee surgery & related research

936. Injectable nanohydroxyapatite-chitosan-gelatin micro-scaffolds induce regeneration of knee subchondral bone lesions Full Text available with Trip Pro

Injectable nanohydroxyapatite-chitosan-gelatin micro-scaffolds induce regeneration of knee subchondral bone lesions Subchondral bone has been identified as an attractive target for KOA. To determine whether a minimally invasive micro-scaffolds could be used to induce regeneration of knee subchondral bone lesions, and to examine the protective effect of subchondral bone regeneration on upper cartilage, a ready-to-use injectable treatment with nanohydroxyapatite-chitosan-gelatin micro-scaffolds (...) (HaCGMs) is proposed. Human-infrapatellar-fat-pad-derived adipose stem cells (IPFP-ASCs) were used as a cellular model to examine the osteo-inductivity and biocompatibility of HaCGMs, which were feasibly obtained with potency for multi-potential differentiations. Furthermore, a subchondral bone lesion model was developed to mimic the necrotic region removing performed by surgeons before sequestrectomy. HaCGMs were injected into the model to induce regeneration of subchondral bone. HaCGMs exhibited

2017 Scientific reports

937. The effect of negative randomized trials and surgeon volume on the rates of arthroscopy for patients with knee OA Full Text available with Trip Pro

The effect of negative randomized trials and surgeon volume on the rates of arthroscopy for patients with knee OA Publication of 2 (negative) randomized clinical trials (RCTs) in 2002 and 2008 demonstrating inefficacy of arthroscopic debridement of the knee (ADK) for osteoarthritis, and a 2004 national non-coverage Medicare determination, have decreased overall ADK utilization. However, because of potentially favorable outcomes associated with high volume, surgeons performing high arthroscopy (...) volume may be slower to abandon performing ADK than would low volume surgeons. We examined the trends in ADKs performed by high and low volume surgeons before and after these 2 trials and the Medicare determination. New York state residents 40 years and older undergoing outpatient ADK from 1997 to 2010 were identified from a statewide database, and monthly population-based age and sex-adjusted ADK rates were calculated. We estimated the change in utilization trends over time, stratified by surgeon

2017 Contemporary clinical trials communications

938. Conservative management of MRI-confirmed knee osteoarthritis with instrument-assisted soft-tissue mobilization, joint manipulation, and platelet-rich plasma Full Text available with Trip Pro

Conservative management of MRI-confirmed knee osteoarthritis with instrument-assisted soft-tissue mobilization, joint manipulation, and platelet-rich plasma To describe the successful conservative management of a patient with chronic degenerative knee pain.An active 47 year-old female office-worker with intermittent right knee pain inferolateral to the right patella for eight months described difficulty ascending stairs, sitting on a chair for one hour, and squatting. A physical exam led

2017 The Journal of the Canadian Chiropractic Association

939. Exercise using a robotic knee orthosis in stroke patients with hemiplegia Full Text available with Trip Pro

Exercise using a robotic knee orthosis in stroke patients with hemiplegia [Purpose] The Robotics Knee Orthosis (RKO) is a knee-ankle-foot orthosis with active robot assisting technology. The purpose of this study is to examine the effects of exercise with the RKO (RKO-exercise) in stroke patients with hemiplegia. [Subjects and Methods] Participants were nine stroke patients with hemiplegia, residing in a convalescent rehabilitation ward. The duration of the RKO-exercise program was 10 days

2017 Journal of physical therapy science Controlled trial quality: uncertain

940. Two pegs are better than one: rare mode of femoral component failure in unicompartmental arthroplasty requiring revision to total knee arthroplasty Full Text available with Trip Pro

Two pegs are better than one: rare mode of femoral component failure in unicompartmental arthroplasty requiring revision to total knee arthroplasty Femoral component fracture is a rare complication in unicompartmental knee arthroplasty, especially in cemented prostheses. We present a 75-year-old man who presented with a fractured single-peg Vanguard component 9 years postoperatively. He was revised to a total knee arthroplasty with an excellent functional outcome at 1 year. The components were (...) additionally examined at an outside biomechanical engineering laboratory. Theories as to the cause of the component fracture include aseptic loosening due to a thin anterior cement mantle and the single-peg Oxford design.

2017 Arthroplasty today

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