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Knee Exam

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81. Safety/Feasibility of Vonapanitase Following Angioplasty for Patients With Peripheral Artery Disease (PAD) Below the Knee (BTK)

Safety/Feasibility of Vonapanitase Following Angioplasty for Patients With Peripheral Artery Disease (PAD) Below the Knee (BTK) Safety/Feasibility of Vonapanitase Following Angioplasty for Patients With Peripheral Artery Disease (PAD) Below the Knee (BTK) - 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. Safety/Feasibility of Vonapanitase Following Angioplasty for Patients With Peripheral Artery Disease (PAD) Below the Knee (BTK) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our

2016 Clinical Trials

82. Why Can’t I Straighten My Knee?

? I’m sorry Allison, this sounds complicated. I would only be able to offer you an opinion after I saw you in the office. Can straighten my knee but is a little painful. Walking on it hurts more and I limp. Could this be something that will pass with time? Should I wrap the knee? A compression sleeve might help, and a course of PT might help too… ultimately you should have a good exam and an Xray to see what’s going on. Hi Howard. Hi Howard, I am 6 months post ACL reconstruction surgery after (...) … might need to be investigated further. Depends on the exam and severity of initial infection, type of bacteria, etc. Talking to your surgeon, or a second opinion will be far more useful. My knee does not hurt but I can’t make it go straight. I did not hear any pops of any sort when this started. When I try to straighten my knee it feels like if my muscles are getting streched so I can’t extend it all the way. Any suggestions on what to do before I see a doctor? Sounds like you should see a doctor

2016 Howard J. Luks, MD blog

83. New perspectives on ACL injury: On the role of repetitive sub-maximal knee loading in causing ACL fatigue failure. (PubMed)

New perspectives on ACL injury: On the role of repetitive sub-maximal knee loading in causing ACL fatigue failure. In this paper, we review a series of studies that we initiated to examine mechanisms of anterior cruciate ligament (ACL) injury in the hope that these injuries, and their sequelae, can be better prevented. First, using the earliest in vitro model of a simulated single-leg jump landing or pivot cut with realistic knee loading rates and trans-knee muscle forces, we identified (...) the worst-case dynamic knee loading that causes the greatest peak ACL strain: Combined knee compression, flexion, and internal tibial rotation. We also identified morphologic factors that help explain individual susceptibility to ACL injury. Second, using the above knee loading, we introduced a possible paradigm shift in ACL research by demonstrating that the human ACL can fail by a sudden rupture in response to repeated sub-maximal knee loading. If that load is repeated often enough over a short time

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2016 Journal of Orthopaedic Research

84. EKA survey: diagnosis of prosthetic knee joint infection. (PubMed)

EKA survey: diagnosis of prosthetic knee joint infection. Due to the juvenility of research in the field of periprosthetic joint infection (PJI), approaches employed for diagnosis of PJI vary amongst surgeons in different geographic regions. The aim of this study was to determine common diagnostic approaches utilized by European knee arthroplasty surgeons for the diagnosis of PJI.A task force was established for questionnaire development, consisting of surgeons and clinical researchers who each (...) had a record of publishing in the field of PJI. A pool of items was initially generated from a Medline literature search. These were organized into a file and independently sent to each task force member for evaluation and additional supplementation. After reaching a consensus, a final online version was generated and administered to all 4865 members of the "European Society of Sports Traumatology Knee Surgery & Arthroscopy".There were 262 respondents between August 2015 and March 2016. Most

2016 Knee Surgery, Sports Traumatology, Arthroscopy

85. Unusual Presentation of Anterior Knee Pain in Elite Female Athletes: Report of Two Cases (PubMed)

to clinicians. Although patellofe-moral pain is the most common diagnosis, other uncommon causes include PVNS and residual scar formation in patients with a history of surgery or trauma. Magnetic resonance imaging (MRI) images are helpful in confirming the diagnosis, however, in a subset of patients, the physician must rely on clinical suspicion and physical exam to make the proper diagnosis. Given the possibility of a false negative MRI images, patients with persistent anterior knee pain with a history (...) of knee surgeries and focal tenderness reproducible on physical exam may benefit from a diagnostic arthroscopy.

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2016 Orthopedic reviews

86. Knee instability scores for ACL reconstruction (PubMed)

and dynamic clinical exams have been developed to complement traditional subjective grading systems. These devices enable an improved evaluation of knee instability and possible associated injuries. This additional information may promote the development of new treatment algorithms and allow for individualized treatment. In this review, the different subjective laxity scores as well as complementary objective measuring systems are discussed, along with an introduction of injury to an individualized (...) Knee instability scores for ACL reconstruction Despite abundant biological, biomechanical, and clinical research, return to sport after anterior cruciate ligament (ACL) injury remains a significant challenge. Residual rotatory knee laxity has been identified as one of the factors responsible for poor functional outcome. To improve and standardize the assessment of knee instability, a variety of instability scoring systems is available. Recently, devices to objectively quantify static

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2016 Current reviews in musculoskeletal medicine

87. Knee Osteochondritis Dissecans

for return to full activity No subjective pain Normal physical exam XRay shows signs of heeling Isometric quadriceps s Anticipate healing over time Surgical arthrotomy or arthroscopic surgery Indicated if fragments > 1 cm diameter Lateral femoral condyle IX. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Knee Osteochondritis Dissecans." Click on the image (or right click) to open the source website in a new browser window (...) Knee Osteochondritis Dissecans Knee Osteochondritis Dissecans 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 Osteochondritis

2018 FP Notebook

88. Knee Dislocation

with counter rotation of the body May result in a posterolateral dislocation (non-reducible without surgery) V. Exam Perform before and after reduction deformity Vascular exam (especially popliteal artery distribution) Dorsalis pedis pulse Posterior tibial pulse (especially peroneal nerve) First web space and dorsal foot sensation dorsiflexion Overlying Suggests open Knee Dislocation (accompanies 20-30% of Knee Dislocations) VI. Imaging: Pre-reduction Do not delay reduction for imaging if any signs (...) Knee Dislocation Knee Dislocation 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 Dislocation Knee Dislocation Aka: Knee

2018 FP Notebook

89. Pain Control After Total Knee Arthroplasty: Is There Benefit In Adding Single Shot Adductor Canal Block to Existing Multimodal Pain Regimen and Periarticular Injection Protocol?

Summary: This is a randomized, double blinded, standard of care controlled clinical trial. All adult patients over eighteen desiring total knee arthroplasty will be eligible. The study compares pain control, opioid consumption, and physical exam findings in patients undergoing total knee arthroplasty between patients receiving adductor canal block and those who receiving periarticular injection alone. Condition or disease Intervention/treatment Phase Pain Procedure: Adductor Canal Block Procedure (...) ). Aims: compare pain scores in the post operative period between the two groups. compare morphine equivalent required in the postoperative period compare patient satisfaction with pain control in the post operative period compare physical exam findings such as joint range of motion in the post operative period compare ability to participate with physical therapy in the post operative period Total knee arthroplasty is associated with intense pain in the post operative period. Pain control is essential

2016 Clinical Trials

90. Kinematics After Total Knee Arthroplasty

during the knee bend task. [ Time Frame: 1 year post surgery ] Secondary Outcome Measures : Participants perception of knee function, as determined by the Knee injury Osteoarthritis Outcome Score (KOOS) [ Time Frame: 1 year post surgery ] Participant's awareness of the joint implant, as determined by the Forgotten Joint Score (FJS-12) [ Time Frame: 1 year post surgery ] Knee joint and ambulatory function based on physical exam, as determined by the Knee Society Score (KSS) [ Time Frame: 1 year post (...) Kinematics After Total Knee Arthroplasty Kinematics 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 or more studies before adding more. Kinematics After Total Knee Arthroplasty The safety and scientific validity

2016 Clinical Trials

91. High tibial osteotomy in the ACL-deficient knee with medial compartment osteoarthritis (PubMed)

High tibial osteotomy in the ACL-deficient knee with medial compartment osteoarthritis High tibial osteotomy (HTO) has traditionally been used to treat varus gonarthrosis in younger, active patients. Varus malalignment increases the risk of progression of medial compartment osteoarthritis and an HTO can be performed to realign the mechanical axis of the lower limb towards the lateral compartment, thereby decreasing contact pressures in the medial compartment. Anterior cruciate ligament (ACL (...) ) insufficiency may lead to post-traumatic arthritis due to altered joint loading and associated injuries to the menisci and articular cartilage. Understanding the importance of posterior tibial slope and its role in sagittal knee stability has led to the development of biplane osteotomies designed to flatten the posterior tibial slope in the ACL deficient knee. Altering the alignment in both the sagittal and coronal planes helps improve stability as well as alter the load in the medial compartment. Detailed

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2016 Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

92. Transcranial Direct Current Stimulation in Older Persons With Knee Pain (Knee Pain and tDCS): Randomized Pilot Study

surgery to the affected knee serious medical illness, such as uncontrolled hypertension (i.e., Systolic Blood Pressure/Diastolic Blood Pressure of ≥ 150/95), congestive heart failure, pacemaker, or history of acute myocardial infarction peripheral neuropathy systemic rheumatic disorders, including rheumatoid arthritis, systemic lupus erythematosus, and fibromyalgia alcohol/substance abuse cognitive impairment (i.e., Mini-Mental Status Exam score ≤ 23) history of brain surgery, tumor, seizure, stroke (...) Transcranial Direct Current Stimulation in Older Persons With Knee Pain (Knee Pain and tDCS): Randomized Pilot Study Transcranial Direct Current Stimulation in Older Persons With Knee Pain (Knee Pain and tDCS): Randomized Pilot Study - 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

2015 Clinical Trials

93. A Clinical Trial Study of Knee System in Primary Total Knee Arthroplasty in China

A Clinical Trial Study of Knee System in Primary Total Knee Arthroplasty in China A Clinical Trial Study of Knee System in Primary Total Knee Arthroplasty in China - 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. A Clinical Trial Study of Knee System in Primary Total Knee Arthroplasty in China The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02399046 Recruitment Status : Recruiting First Posted : March 26, 2015 Last Update

2015 Clinical Trials

94. Primary Care Corner with Geoffrey Modest MD: Arthroscopic surgery for knee OA???

) ​–Harms of surgery: DVT was most frequent, at 4.13 per 1000 procedures. followed by infection, pulmonary embolism, and death (death in 0.96/1000 procedures). A s we know, knee DJD is really common with aging, causes lots of disability, yet our diagnostic approaches are inadequate (the longitudinal studies, such as the Framingham Study, found a poor correlation between xrays and symptoms — such that some reviews do not suggest getting routine xrays). In addition, the more revealing MRI exams show (...) Primary Care Corner with Geoffrey Modest MD: Arthroscopic surgery for knee OA??? Primary Care Corner with Geoffrey Modest MD: Arthroscopic surgery for knee OA??? | BMJ EBM Spotlight by By: Dr. Geoffrey Modest There have been a couple of well-publicized studies finding that arthroscopic knee surgery for degenerative joint disease/osteoarthritis (OA) is not beneficial. However, there continues to be uncertainty, and “many specialists are convinced of the benefits of the procedure from their own

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2015 Evidence-Based Medicine blog

95. Anterior knee pain in the active and athletic adolescent. (PubMed)

Anterior knee pain in the active and athletic adolescent. Anterior knee pain (or patellofemoral pain) continues to be a source of frustration and confusion among clinicians. There is wide variation in symptom history, physical exam findings, imaging, and treatment that often confounds the use of any straightforward algorithm or decision tree. This review aims to provide an approach that partners the adolescent athlete with clinician and an experienced physiotherapist. This team approach uses

2017 Current Sports Medicine Reports

96. Implementation of an Objective Structured Clinical Exam (OSCE) into Orthopedic Surgery Residency Training. (PubMed)

Implementation of an Objective Structured Clinical Exam (OSCE) into Orthopedic Surgery Residency Training. While the musculoskeletal (MSK) physical examination (PE) is an essential part of a patient encounter, we believe it is an underemphasized component of orthopedic residency education and that resident PE skills may be lacking. The purpose of this investigation was to (1) assess the attitudes regarding PE teaching in orthopedic residencies today; (2) develop an MSK objective structured (...) (postgraduate year [PGY] 2-5) who participated in the OSCE, the overall score was 66%. Scores were significantly better for the trauma scenario (78%; p < 0.05) than for the shoulder (67%), spine (64%), and knee (59%) encounters. The overall scores for each component of the OSCE were: (1) history 53%; (2) PE 60%; (3) 5-question posttest 64%; and (4) communication skills 90%.We have exposed a deficiency in the PE knowledge and skills of our residents. Clinic time alone may be insufficient to both teach

2012 Journal of Surgical Education

97. 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 (...) Newborn Gestational Age Exam Newborn Gestational Age 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 Newborn Gestational Age Exam

2015 FP Notebook

98. Hip Exam

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 (...) Trandelenburg (hip adductor weakness) Observe for inability to bear weight Hip Avascular Necrosis of the Hip Femoral lesion (e.g. malignancy) Observe for inability to climb onto exam table Decreased flexibility Iliopsoas muscle or quadriceps VIII. Exam: Specific Tests Flexion ABduction External Rotation Also known as or Flexion ADduction Internal Rotation ( ) (with hip and knee extended) IX. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2015 FP Notebook

99. 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 (...) Newborn Abdominal Exam Newborn Abdominal 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 Newborn Abdominal Exam Newborn Abdominal

2015 FP Notebook

100. 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 (...) Newborn Exam Newborn 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 Newborn Exam Newborn Exam Aka: Newborn Exam , Neonatal Exam

2015 FP Notebook

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