How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

13,518 results for

Knee Exam

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

81. AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Neonatal and Infant Spine

has been developed to assist practitioners in the performance of neonatal and infant spine sonography. In some cases, an additional or specialized examination may be necessary. While it is not possible to detect every abnormality, following this practice parameter will maximize the detection of abnormalities of the infant spine. Sonographic exam- ination of the pediatric spinal canal is accomplished by scanning through the normally incom- pletely ossified posterior elements. Therefore, it is most (...) better delineation of the cauda equina. A small bolster may be placed under the lower abdomen/pelvis to mildly flex the back, which may improve imaging. The knees may be flexed to the abdomen to allow adequate separation of the spinous processes and visualization of the spinal canal contents. Avoid overzealous and excessive flexing that could impede respi- ration. 15 An infant who has recently been fed will generally lie quietly during the examination. If preprocedural feeding is not possible

2016 American Institute of Ultrasound in Medicine

82. Body Composition is More Closely Related to the Development of Knee Osteoarthritis in Women than Men: A Cross-sectional Study Using the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1, 2). Full Text available with Trip Pro

Body Composition is More Closely Related to the Development of Knee Osteoarthritis in Women than Men: A Cross-sectional Study Using the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1, 2). To evaluate the association between knee osteoarthritis (OA) and body composition parameters, and to analyze the correlations of both obesity and lower extremity muscle mass with radiographic knee OA in relation to sex.This was a cross-sectional study using data on body composition (...) parameters measured using dual energy X-ray absorptiometry in 4246 participants in the Fifth Korea National Health and Nutrition Examination Survey. The relationships between knee OA and body composition parameters were evaluated. The associations between knee OA and the four subgroups corresponding to obesity and muscle mass percentage in both lower extremities were analyzed separately for each sex.The lower extremity muscle mass showed a decreasing trend, while fat parameters showed an increasing

2015 Osteoarthritis and Cartilage

83. A Cross-Sectional Examination of Vitamin D, Obesity, and Measures of Pain and Function in Middle-Aged and Older Adults with Knee Osteoarthritis. Full Text available with Trip Pro

A Cross-Sectional Examination of Vitamin D, Obesity, and Measures of Pain and Function in Middle-Aged and Older Adults with Knee Osteoarthritis. The prevalence of knee osteoarthritis (OA) is increasing with the aging population and is exacerbated by the growing numbers of obese older adults. Low levels of vitamin D, measured by serum 25-hydroxyvitamin D (25(OH)D), in older adults and obese individuals are correlated with several negative health conditions, including chronic pain. This cross (...) -sectional study sought to examine the interactive influence of 25(OH)D levels and obesity on knee OA pain and functional performance measures.The sample consisted of 256 (63% female) racially diverse (55% black/African Americans) middle-aged and older adults (mean age 56.8 y). Blood was collected for analysis of 25(OH)D by high-performance liquid chromatography. Participants provided self-report regarding knee OA pain and underwent a lower extremity functional performance test.Results demonstrated

2015 Clinical Journal of Pain

84. Association between serum vitamin D status and health-related quality of life (HRQOL) in an older Korean population with radiographic knee osteoarthritis: data from the Korean national health and nutrition examination survey (2010–2011) Full Text available with Trip Pro

Association between serum vitamin D status and health-related quality of life (HRQOL) in an older Korean population with radiographic knee osteoarthritis: data from the Korean national health and nutrition examination survey (2010–2011) Vitamin D is important in bone health and its relationship with osteoarthritis has recently been reported. Both vitamin D deficiency and knee osteoarthritis are age dependent and are known to affect quality of life (QOL) in older populations. In this study, we (...) aimed to determine the association between vitamin D status and health-related quality of life (HRQOL) in an older Korean population with knee osteoarthritis.A total of 2,165 participants aged ≥50 years with radiographic knee osteoarthritis defined as Kellgren-Lawrence (KL) grade ≥2 were selected from data from the 5th Korean National Health and Nutrition Examination Survey (KNHANES V), a representative cross-sectional nationwide survey conducted in 2010-2011. They stratified into two levels

2015 Health and quality of life outcomes

85. Using surgical appropriateness criteria to examine outcomes of total knee arthroplasty in a United States sample. Full Text available with Trip Pro

Using surgical appropriateness criteria to examine outcomes of total knee arthroplasty in a United States sample. We determined outcomes for patients classified as appropriate, inconclusive, or inappropriate for total knee arthroplasty (TKA) using a modified version of a validated appropriateness algorithm. Outcome measurement was conceptualized as short-term postoperative change attributable primarily to surgery and rehabilitation (2 months) and as longer-term postoperative change and recovery (...) (1 and 2 years).Preoperative and yearly postoperative Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function, Knee Injury and Osteoarthritis Outcome Score (KOOS) symptoms and KOOS pain scores were examined for persons undergoing primary TKA in the Osteoarthritis Initiative. Multigroup, 2-piece latent growth curve modeling was used to determine differences in outcome variable changes for each group from presurgery to 2-months postsurgery, as well as over a 2-year

2015 Arthritis care & research

86. LARS for reconstructing damaged intra-articular cruciate knee ligaments

and ligament examination. People are categorised within each domain and overall as normal, nearly normal, abnormal and severely abnormal (Hefti et al. 1993). The Knee Injury and Osteoarthritis Outcome Score (KOOS) allows knee function to be assessed across 5 domains: pain, symptoms, daily living, sports and recreation, and knee-related quality of life. A score is decided by the patient for each of the 5 domains, ranging from 0 (extreme symptoms) to 100 (no symptoms; KOOS website). LARS for reconstructing (...) LARS for reconstructing damaged intra-articular cruciate knee ligaments LARS for reconstructing damaged intr LARS for reconstructing damaged intra-articular a-articular cruciate knee ligaments cruciate knee ligaments Medtech innovation briefing Published: 22 May 2015 nice.org.uk/guidance/mib30 pathways Summary Summary The LARS (ligament augmentation and reconstruction system) is a synthetic scaffold indicated for the repair and reconstruction of damaged ligaments. Comparative studies show

2015 National Institute for Health and Clinical Excellence - Advice

87. Effects of Interleukin-1β Inhibition on Incident Hip and Knee Replacement : Exploratory Analyses From a Randomized, Double-Blind, Placebo-Controlled Trial. (Abstract)

Effects of Interleukin-1β Inhibition on Incident Hip and Knee Replacement : Exploratory Analyses From a Randomized, Double-Blind, Placebo-Controlled Trial. Osteoarthritis is a common inflammatory disorder with no disease-modifying therapies. Whether inhibition of interleukin-1β (IL-1β) can reduce the consequences of large joint osteoarthritis is unclear.To determine whether IL-1β inhibition with canakinumab reduces incident total hip or knee replacement (THR/TKR).Exploratory analysis (...) ), respectively. The HR for the secondary end point of osteoarthritis-related AEs was 0.73 (CI, 0.61 to 0.87). Similar findings were observed in analyses restricted to participants with a history of osteoarthritis.Because the parent trial was not designed to examine the efficacy of IL-1β inhibitors in osteoarthritis, information on structural joint outcomes was not collected.Findings from this exploratory analysis of a randomized controlled trial support further investigation of IL-1β inhibition for treatment

2020 Annals of Internal Medicine

88. AIUM Practice Parameter for the Performance of Peripheral Venous Ultrasound Examinations

AIUM Practice Parameter for the Performance of Peripheral Venous Ultrasound Examinations AIUM Practice Parameter for the Performance of Peripheral Venous Ultrasound Examinations © 2015 by the American Institute of Ultrasound in Medicine Parameter developed in collaboration with the American College of Radiology, the Society of Pediatric Radiology, and the Society of Radiologists in Ultrasound. peripheralVenous_1115 12/1/15 3:28 PM Page 1The American Institute of Ultrasound in Medicine (AIUM (...) Examinations. We are indebted to the many volun- teers who contributed their time, knowledge, and energy to bringing this document to completion. The AIUM represents the entire range of clinical and basic science interests in medical diagnostic ultrasound, and, with hundreds of vol- unteers, this multidisciplinary organization has promoted the safe and effective use of ultrasound in clinical medicine for more than 50 years. This document and others like it will continue to advance this mission. Practice

2015 American Institute of Ultrasound in Medicine

89. No differences in objective dynamic instability during acceleration of the knee with or without subjective instability post-total knee arthroplasty. Full Text available with Trip Pro

questionnaire.We examined 92 knees with medial pivot implants. Mean patient age and follow-up duration were 78.4 years and 32.8 months, respectively. An accelerometer was used to investigate the accelerations along three axes; that is, vertical (VT), mediolateral (ML), and anteroposterior (AP) directions in 3-dimensional (3D) space. The analysis in the stance phase and gait cycle was performed by: (1) root mean square (RMS) values of acceleration and (2) frequency domain analysis using fast Fourier (...) No differences in objective dynamic instability during acceleration of the knee with or without subjective instability post-total knee arthroplasty. Instability after total knee arthroplasty is a critical problem. The purpose of this study was to clarify the stability of implanted knees during walking by comparing differences in dynamic instability during knee acceleration between individuals with or without previously experienced subjective instability, as measured by self-reported

2018 PLoS ONE

90. Treatment of Osteoarthritis of the Knee: An Update Review

Treatment of Osteoarthritis of the Knee: An Update Review Comparative Effectiveness Review Number 190 Treatment of Osteoarthritis of the Knee: An Update Review eComparative Effectiveness Review Number 190 Treatment of Osteoarthritis of the Knee: An Update Review Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00010-I Prepared by: RAND Southern California Evidence-based (...) on the Effective Health Care Program Web site at www.effectivehealthcare.ahrq.gov. Search on the title of the report. Persons using assistive technology may not be able to fully access information in this report. For assistance contact EffectiveHealthCare@ahrq.hhs.gov. Suggested citation: Newberry SJ, FitzGerald J, SooHoo NF, Booth M, Marks J, Motala A, Apaydin E, Chen C, Raaen L, Shanman R, Shekelle PG. Treatment of Osteoarthritis of the Knee: An Update Review. Comparative Effectiveness Review No. 190

2017 Effective Health Care Program (AHRQ)

91. Imaging After Total Knee Arthroplasty

million patients in the United States are currently living with a knee replacement [5]. Moreover, by 2030, it is estimated that the annual demand for primary TKA will grow by 673% to 3.48 million [6]. Factors contributing to the rise in number of TKAs include population growth; aging and increased longevity of the population; expanded indications for performing TKA, especially in individuals 10 years). The routine radiographic examination for evaluation of a TKA consists of standing AP and lateral (...) alignment was improved on AP views obtained in 10 ° of internal rotation, compared with neutral AP views and with those obtained in 10 ° of external rotation. Fluoroscopy Knee fluoroscopy examinations are not typically ordered for evaluation of the asymptomatic patient. Arthrography X-ray arthrography examinations are not typically ordered for evaluation of the asymptomatic patient. CT CT examinations are not typically ordered for evaluation of the asymptomatic patient. MRI MRI examinations

2017 American College of Radiology

92. CRACKCast E057 – Knee and Lower Leg

to osteoporotic bones Most involve the lateral plateau and are INTRA-ARTICULAR A segond fracture = bone avulsion of the lateral tibial plateau Seen on the AP knee x-ray as a lateral avulsion # Lateral capsular ligament avulsion Can be associated with an ACL tear and rotatory instability Usually sports related injury: knee flexion, internal rotation and varus Examination: Key to examine the distal pulses (high risk of popliteal artery injury) Must assess peroneal nerve function (foot dorsiflexion) Consider (...) brachial BP / systolic ankle BP If > 0.9 = negative predictive value of 100% in knee dislocation Serial physical exams – 7% miss rate Pedal pulses serially Sens = 79%, spec = 91%, NPV = 93% Treatment : Reduction! Traction, counter-traction Splint in a long leg splint HARD signs: A disrupted artery needs to be repaired ASAP in the OR 90% amputation after 8 hrs of injury Isolated intimal tears identified on CT imaging are treated with observation vs. Anticoagulation ABI and or serial exams IF normal

2017 CandiEM

93. Management of Non-Operative Courses of Care for Stable Juvenile Osteochondritis Dissecans in the Knee

and clinical outcomes over 5 years. Twenty-one knees that had lesions (in 19 patients) were classified as stable or unstable on MRI and correlated with clinical and arthroscopic data. On 5-year follow-up, 17/19 patients were asymptomatic and the other two had minimal pain. Of this patient population, 14 arthroscopic surgeries were performed on 11/21 knees. 4a Jurgensen, I. (2002) Two groups of patients with knee OCD were examined using MRI pre- and post-conservative or surgical treatment intervention (...) Management of Non-Operative Courses of Care for Stable Juvenile Osteochondritis Dissecans in the Knee Evidence-Based Clinical Practice Guideline 47 Management of Non-Operative Courses of Care for Stable Juvenile Osteochondritis Dissecans in the Knee Copyright © 2017 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 1 of 37 Osteochondritis Dissecans of the Knee December 10, 2017 Abbreviations, Definitions for terms marked with *, and How to Cite this Guideline may be found

2017 Cincinnati Children's Hospital Medical Center

94. An examination of treadmill running familiarisation in barefoot and shod conditions in healthy men. (Abstract)

An examination of treadmill running familiarisation in barefoot and shod conditions in healthy men. Running on a treadmill is an activity that is novel to many people. Thus, a familiarisation period may be required before reliable and valid determinations of biomechanical parameters can be made. The current study investigated the time required for treadmill familiarisation under barefoot and shod running conditions. Twenty-six healthy men, who were inexperienced in treadmill running, were (...) randomly allocated to run barefoot or shod for 20 minutes on a treadmill at a self-selected comfortable pace. Sagittal-plane kinematics for the ankle, knee and hip, and ground reaction force and spatio-temporal data were collected at two-minute intervals. For the barefoot condition, temporal differences were observed in peak hip flexion and peak knee flexion during swing. For the shod condition, temporal differences were observed for peak vertical ground reaction force. No temporal differences were

2019 Journal of sports sciences Controlled trial quality: uncertain

95. Are Histological Examinations of Arthroplasty Specimens Performed Consistently Across the Country? A Large Database Study. (Abstract)

Are Histological Examinations of Arthroplasty Specimens Performed Consistently Across the Country? A Large Database Study. It is currently unknown to what extent routine histological examination of joint arthroplasty specimens occurs across hospitals nationwide. Although this practice is neither supported nor refuted by the available evidence, given the increasing demand for joint arthroplasties, it is crucial to study overall utilization as well as its main drivers.Using national data on joint (...) replacements, we aimed to evaluate: (1) What is the current use of routine histological examination of joint arthroplasty specimens? (2) Does the use vary by geographic location and hospital characteristics? (3) Has use changed over time?From the Premier Healthcare database (2006-2016) we included claims data from 87,667 shoulder (595 hospitals, median age 70 years, 16% nonwhite), 564,577 hip (629 hospitals, median age 65 years, 21% nonwhite), and 1,131,323 (630 hospitals, median age 66 years, 24% nonwhite

2019 Clinical Orthopaedics and Related Research

96. No dynamic extrusion of the medial meniscus in ultrasound examination in patients with confirmed root tear lesion. (Abstract)

No dynamic extrusion of the medial meniscus in ultrasound examination in patients with confirmed root tear lesion. Extrusion of the medial meniscus evaluated on magnetic resonance imaging (MRI) has been described as indirect radiological sign for meniscus root tears. However, ultrasound detectable dynamic extrusion is observed in normal physiological settings. The aim of the present study was to analyze the dynamic meniscal extrusion using ultrasound (US) examination in patients with MRI (...) -confirmed meniscal root tears. The hypothesis was that dynamic meniscus extrusion is reduced in patients with medial root tear but not in the healthy meniscus.Twenty-five patients with a medial root lesion of the meniscus (group I) and 25 healthy controls (group II) were enrolled in this study. The medial meniscus extrusion (MME) of the index knee was determined using ultrasound (US) in supine position and under full weight bearing. Standard knee MRI was used for determining whether the patients were

2019 Knee Surgery, Sports Traumatology, Arthroscopy

97. Editorial Commentary: Why Should the Contralateral Side Be Examined in Patients With Symptomatic Discoid Lateral Meniscus? Full Text available with Trip Pro

Editorial Commentary: Why Should the Contralateral Side Be Examined in Patients With Symptomatic Discoid Lateral Meniscus? Recent reports have found the rate of bilateral discoid lateral meniscus (DLM) to be high (79%-97%) in patients with unilaterally symptomatic DLM; the associated torn meniscus incidence is also high at 33%. The present study results indicated that older, symptomatic DLM patients with more degenerative changes may be at risk for a similar condition in the contralateral knee (...) . Long-term follow-up with magnetic resonance imaging screening for asymptomatic contralateral knees is necessary to determine the fate of the contralateral knee.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy

98. Comparison of the history and physical examination for hip osteoarthritis and lumbar spinal stenosis. (Abstract)

Comparison of the history and physical examination for hip osteoarthritis and lumbar spinal stenosis. Leg pain associated with walking is sometimes incorrectly attributed to hip osteoarthritis (OA) or lumbar spinal stenosis (LSS).This study compared physicians' values of signs and symptoms for diagnosing and differentiating hip OA and LSS to their clinical utility.Musculoskeletal physicians were surveyed with online questionnaires. Patients were recruited from hip and spine specialty (...) practices.Seventy-seven hip OA and 79 LSS patients.Signs and symptoms of hip OA and LSS.Fifty-one of 66 invited musculoskeletal physicians completed online surveys about the values of 83 signs and symptoms for diagnosing hip OA and LSS. Of these, the most valued 32 symptoms and 13 physical examination items were applied to patients with symptomatic hip OA or LSS. Positive likelihood ratios (+LR) were calculated for each items' ability to differentiate hip OA from LSS, with a +LR>2 set as indicating usefulness

2019 The Spine Journal

99. An interdisciplinary examination of attentional focus strategies used during running gait retraining. Full Text available with Trip Pro

An interdisciplinary examination of attentional focus strategies used during running gait retraining. The aim was to investigate the biomechanical, physiological, and perceptual responses to different motor learning strategies derived to elicit a flatter foot contact. Twenty-eight rearfoot-striking recreational runners (age 24.9 ± 2.8 years; body mass 78.8 ± 13.6 kg; height 1.79 ± 0.09 m) were matched by age, mass, and height and assigned to one verbal cue group: internal focus of attention (...)  = 5.86°, d = 2.58) and CLIN (difference = 3.00°, d = 1.31) conditions, but unchanged in the EF condition (difference = 0.33°, d = 0.14), while greater knee flexion at initial contact in the EF and CLIN conditions was observed (difference = -5.19°, d = 1.97; difference = -3.66°, d = 1.39, respectively). A higher V˙O2 was observed in the CLIN condition (difference = -4.56 mL kg-1  min-1 , d = 2.29), but unchanged in the IF (difference = -1.87 mL kg-1  min-1 , d = 0.94) and EF conditions (difference

2019 Scandinavian journal of medicine & science in sports Controlled trial quality: uncertain

100. Examination of the comfort and pain experienced with blood flow restriction training during post-surgery rehabilitation of anterior cruciate ligament reconstruction patients: A UK National Health Service trial. Full Text available with Trip Pro

Examination of the comfort and pain experienced with blood flow restriction training during post-surgery rehabilitation of anterior cruciate ligament reconstruction patients: A UK National Health Service trial. Examine the comfort and pain experienced with blow flow restriction resistance training (BFR-RT) compared to standard care heavy load resistance training (HL-RT) during anterior cruciate ligament reconstruction (ACLR) patient rehabilitation.Randomised controlled trial.United Kingdom (...) National Health Service.Twenty eight patients undergoing unilateral ACLR surgery with hamstring autograft were recruited. Following surgery participants were block randomised to either HL-RT at 70% repetition maximum (1RM) (n = 14) or BFR-RT (n = 14) at 30% 1RM and completed 8 weeks of twice weekly unilateral leg press training on both limbs.Perceived knee pain, muscle pain and rating of perceived exertion (RPE) were assessed using Borg's (1998) RPE and pain scales during training. Knee pain was also

2019 Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine Controlled trial quality: uncertain

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>