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Knee Exam

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981. Factors predictive of poorer outcomes in the surgical repair of multiligament knee injuries. (Abstract)

Factors predictive of poorer outcomes in the surgical repair of multiligament knee injuries. To investigate the influence of injury and treatment factors on clinical/functional outcomes in multiligament knee injuries (MLKI).Thirty-nine consecutive patients with confirmed and surgically treated MLKI who met inclusion criteria were scheduled for a follow-up visit to obtain: SF-12 and subjective feeling of normalcy between the operated and healthy knee, and IKDC, active range of motion (ROM (...) ), and stability exam (Lachman test, posterior drawer, and dial test at 30°). A chart review was used to obtain data on injury and treatment factors.The postoperative mean (SD) outcomes were: IKDC score 62.7 (25.9), flexion-extension ROM 125° (29°), and percentage of normalcy 74% (20%). The postoperative normal/nearly normal stability exam was: Lachman test 36 (95%) patients, posterior drawer at 90° 38 (97%) patients, and dial test of 39 (100%) patients. There were 24 (61.5%) and 23 (59%) patients

2018 Knee Surgery, Sports Traumatology, Arthroscopy

982. The Association of Injury Energy Level and Neurovascular Injury Following Knee Dislocation. (Abstract)

The Association of Injury Energy Level and Neurovascular Injury Following Knee Dislocation. To describe the associations between mechanism of injury energy level and neurovascular injury (NVI) following knee dislocation (KD) using a large representative sample of trauma patients and to examine risk factors within these groups.Retrospective cohort study.Trauma centers participating in the American College of Surgeons National Trauma Data Bank.Adult patients with KD without lower extremity

2018 Journal of Orthopaedic Trauma

983. Ultrasound and Exercises in Knee Osteoarthritis

. The Kellgren and Lawrence grading of knee osteoarthritis is as follows: none (0), doubtful (1), minimal (2), moderate (3) and severe (4). The ACR criteria of knee osteoarthritis are as follows: Using history and physical examination: knee pain and three of the following - over 50 years old; less than 30 minutes of morning stiffness; bone tenderness; bone enlargement; no palpable warmth of synovial. Using history, physical examination and radiographic findings: knee pain and one of the following - over 50 (...) years old; less than 30 minutes of morning stiffness; crepitus on active motion; and osteophytes. Using history, physical examination and laboratory findings: knee pain and five of the following - over 50 years old; less than 30 minutes of morning stiffness; bone tenderness; bone enlargement; no palpable warmth of synovial; crepitus on active motion; ESR <40 mm/h; rheumatoid factor <1: 40; synovial fluid sign of osteoarthritis. Exclusion Criteria: Participants were excluded if they had cancer

2018 Clinical Trials

984. Physical Therapist as Primary Assessor for Patients With Knee Pain in Primary Care

by a physical therapist for patients with knee pain in primary care. Physician assessment Allocation to the control group will involve an assessment and evaluation made by a physician. Further measures will then be determined by attending physician and the procedures that might get included are drug prescriptions, referral to x-ray examination, referral to a physical therapist or another health care provider. Anytime after the first assessment by the physician, the patient will be able to contact a physical (...) Physical Therapist as Primary Assessor for Patients With Knee Pain in Primary Care Physical Therapist as Primary Assessor for Patients With Knee Pain in Primary Care - 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

2018 Clinical Trials

985. Total Knee Arthroplasty Combined With Psychological Intervention for Patients With Psychological Disorders

: October 24, 2018 Sponsor: Peking University Third Hospital Collaborator: Peking University Sixth Hospital Information provided by (Responsible Party): Tian Hua, Peking University Third Hospital Study Details Study Description Go to Brief Summary: Objective To evaluate the incidence of psychological problems in total knee arthroplasty (TKA) patients and examine whether perioperative psychological intervention can improve the outcomes of and patient satisfaction with TKA. Methods The investigators (...) Total Knee Arthroplasty Combined With Psychological Intervention for Patients With Psychological Disorders Total Knee Arthroplasty Combined With Psychological Intervention for Patients With Psychological Disorders - 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

2018 Clinical Trials

986. Evaluating the Effectiveness of Subchondroplasty for Treating Bone Marrow Lesions of the Knee

: 40 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: 40 years of age or older Kellgren-Lawrence grade 1-3 osteoarthritis in the affected knee Has experienced pain in the affected knee for at least 3 months Candidate for knee arthroscopy (moderate to severe symptoms, lack of response to non-operative care, and/or mechanical symptoms) Stable ligament exam No additional injuries affecting the study knee or contralateral (...) Evaluating the Effectiveness of Subchondroplasty for Treating Bone Marrow Lesions of the Knee Evaluating the Effectiveness of Subchondroplasty for Treating Bone Marrow Lesions of the Knee - 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

2018 Clinical Trials

987. Prevalence of the fabella and its association with pain in the posterolateral corner of the knee: A cross-sectional study in a Romanian population. Full Text available with Trip Pro

of the knee. The aim of our study was to measure the prevalence, anatomic and clinical features of the fabella within a cross-sectional study, conducted in a Romanian orthopaedic center. Between 2015 and 2017, a consecutive series of 562 patients with knee injuries or persistent knee pain has been examined by radiographs and Magnetic Resonance Imaging and a set of anatomical and clinical parameters have been recorded. Collected data was evaluated with RadiANT DICOM Viewer and statistically analyzed (...) characteristics could be important in differentiating this sesamoid bone from calcifications or loose bodies located in the knee joint region. Due to the high association with the posterolateral knee pain, the fabella should be recorded during knee examination as a differential diagnosis, before any surgical procedure.

2018 Medicine

988. Physical Activity and Worsening of Radiographic Findings in Persons With or at Higher Risk of Knee Osteoarthritis. Full Text available with Trip Pro

Physical Activity and Worsening of Radiographic Findings in Persons With or at Higher Risk of Knee Osteoarthritis. The benefits of physical activity among persons with or at higher risk for knee osteoarthritis are well established. However, activity levels in this population are low, in part due to concern that activity will damage the knee joint. We hypothesized that sedentary and moderate-vigorous physical activity are each associated with greater risk of radiographic worsening of knee OA.In (...) Osteoarthritis Initiative participants with or at higher risk for knee OA enrolled in an accelerometer substudy at 48 months (study baseline), physical activity was measured by a uniaxial accelerometer (ActiGraph GT1M). Radiographic progression was defined as any 48 month to 96 month worsening of Kellgren/Lawrence (K/L) grade scores. All analyses were knee-level; we used multivariable logistic regression with generalized estimating equations, adjusting for key covariates.Of the 1,206 participants, 631 (52

2018 Arthritis care & research

989. Acute Pain Is Associated With Chronic Opioid Use After Total Knee Arthroplasty. Full Text available with Trip Pro

Acute Pain Is Associated With Chronic Opioid Use After Total Knee Arthroplasty. Pain scores are routinely reported in clinical practice, and we wanted to examine whether this routinely measured, patient-reported variable provides prognostic information, especially with regard to chronic opioid use, after taking preoperative and perioperative variables into account in a preoperative opioid user population.In 32,874 preoperative opioid users undergoing primary total knee arthroplasty at Veterans (...) , discharge prescriptions, and changes in postoperative versus preoperative dose categories. Sensitivity analysis examined associations with dose escalation.Rates of chronic significant opioid use (21% overall) differed in patients with lower versus higher acute pain (36% vs 64% of the overall cohort). After propensity matching (total n = 20,926 patients) and adjusting for all significant factors, lower acute pain was associated with less chronic significant opioid use (rates 12% vs 16%), smaller

2018 Regional Anesthesia and Pain Medicine

990. Increased Rates of Both Knee and Hip Arthroplasties in Older Patients with Ankylosing Spondylitis. Full Text available with Trip Pro

Increased Rates of Both Knee and Hip Arthroplasties in Older Patients with Ankylosing Spondylitis. To determine the risks of primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) in older patients with ankylosing spondylitis (AS).We used administrative data from 1999 to 2013 on US Medicare beneficiaries to identify patients (< 75 yrs old) with AS and a comparison group without AS. Rates of primary THA and primary TKA were computed for each group, and standardized for age, sex (...) , and race. We also examined risks of primary TKA among patients with AS by their THA status.We analyzed 52,568 patients with AS and 4,617,179 patients without AS. Between 1999 and 2013, the standardized incidence of primary THA in patients with AS doubled from 4.5 per 1000 patient-years (PY) to 9.6 per 1000 PY. Rates of primary TKA were higher in patients with AS than controls in all years. In 2013, the standardized incidence of primary TKA in AS was 12.3 per 1000 PY versus 5.7 per 1000 PY

2018 Journal of Rheumatology

991. Knee Injection RCT

: Ketorolac Tromethamine Injection Drug: Methylprednisolone Acetate Injection Drug: Hylan G-F 20 Phase 4 Detailed Description: The purpose of this research study is to examine the effectiveness of intra-articular (inside the joint) ketorolac injection compared to injection with either corticosteroid or hyaluronic acid for the treatment of painful knee osteoarthritis. Patients will be randomly assigned to receive either ketorolac (a nonsteroidal anti-inflammatory drug, methylprednisolone (a steroid (...) Knee Injection RCT Knee Injection RCT - 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. Knee Injection RCT The safety and scientific validity of this study is the responsibility of the study sponsor

2018 Clinical Trials

992. Non-Surgical Management of Knee Osteoarthritis in the Military Health System (MHS)

Non-Surgical Management of Knee Osteoarthritis in the Military Health System (MHS) Non-Surgical Management of Knee Osteoarthritis in the Military Health System (MHS) - 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. Non-Surgical Management of Knee Osteoarthritis in the Military Health System (MHS) 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: NCT03747393 Recruitment Status : Not yet recruiting First Posted : November 20

2018 Clinical Trials

993. Trial to Evaluate Efficacy and Safety of Combination of Diacerein and Celecoxib Administered in Patients With Knee OA

osteoarthritis Other inflammatory Knee Osteoarthritis (e.g. gout, rheumatoid arthritis, etc.) Patients presenting with gastroesophageal reflux disease, peptic ulcer. Helicobacter infected patients who have not been treated for eradication (recruitment if negative in re-examination after treatment). Short bowel syndrome that can cause inflammatory bowel disease (ulcerative colitis, Crohn's disease) and drug absorption disorder. Intestinal obstruction syndrome Unexplained abdominal pain ALT(Alanine (...) Trial to Evaluate Efficacy and Safety of Combination of Diacerein and Celecoxib Administered in Patients With Knee OA Trial to Evaluate Efficacy and Safety of Combination of Diacerein and Celecoxib Administered in Patients With Knee OA - 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

2018 Clinical Trials

994. Tactile cues change trunk and scapular muscle activity, scapular winging, and thoracic kyphosis during knee push-up plus in subjects with scapular winging: The cross-sectional study. Full Text available with Trip Pro

Tactile cues change trunk and scapular muscle activity, scapular winging, and thoracic kyphosis during knee push-up plus in subjects with scapular winging: The cross-sectional study. Serratus anterior muscle weakness causes scapular winging, characterized by scapular downward rotation and scapular anterior tipping in the resting position. Knee push-up plus (KPP), a modified push-up plus that is generally used in early rehabilitation programs, is performed to elicit SA activation. However (...) , excessive thoracic kyphosis can easily occur as a compensatory movement during KPP. Therefore, the aim of this study was to examine the effect of tactile cues during KPP on activities of the thoracic erector spinae, rectus abdominis, lower trapezius, serratus anterior, and upper trapezius; scapular winging; and thoracic kyphosis in subjects with scapular winging.Thirteen men with scapular winging performed KPP exercises under 3 different tactile cue conditions (no cue, to the thoracic spinous process

2018 Medicine

995. Age-Related Functional Decline Following Total Knee Arthroplasty: Risk Adjustment is Mandatory. (Abstract)

Age-Related Functional Decline Following Total Knee Arthroplasty: Risk Adjustment is Mandatory. Patient-reported outcome measures (PROMs) are being used increasingly to determine the success of total knee arthroplasty (TKA). Our goal is to investigate whether advanced age is associated with lower PROM scores.We used our hospital's TKA registry to examine the relationship between age and PROMs in all patients 50-90 years of age who underwent unilateral or simultaneous bilateral primary TKA (...) between 2007 and 2011 with a primary diagnosis of osteoarthritis. All 5 domains of the Knee Injury and Arthritis Outcomes Score (KOOS) and the Lower Extremity Activity Scale (LEAS) at baseline, 2 years, and 5 years were collected. The association between age and PROM score was assessed by piecewise linear regression using generalized estimating equations, adjusting for demographics, comorbidity, and baseline score.Significant nonlinear relationships among age, KOOS subdomains, and LEAS were found

2018 Journal of Arthroplasty

996. Use of autologous bone marrow stem cell implantation for osteonecrosis of the knee in sickle cell disease: a preliminary report. Full Text available with Trip Pro

the American Knee Society Clinical Score (KSS), Knee Functional Score (KFS) and Numeric Rating Scale (NRS) pain score. MRI and radiographic examinations of the knee were assessed during a period of five years after intervention.No complications or serious adverse event were associated with BMC implantation. From preoperative assessment to the latest follow-up, there was a significant (p < 0.001) improvement of clinical KSS (64.3 ± 9.7, range: 45-80 and 2.2 ± 4.1, range: 84-100, respectively), KFS (44.5 (...) Use of autologous bone marrow stem cell implantation for osteonecrosis of the knee in sickle cell disease: a preliminary report. The purpose of our study was to evaluate safety, feasibility and clinical results of bone marrow mononuclear cell (BMC) implantation for early-stage osteonecrosis of the knee (OK) secondary to sickle cell disease.Thirty-three SCD patients (45 knees) with OK treated with BMC implantation in the osteonecrotic lesion were clinically and functionally evaluated through

2018 BMC Musculoskeletal Disorders

997. Psychosocial predictors for outcome after total joint arthroplasty: a prospective comparison of hip and knee arthroplasty. Full Text available with Trip Pro

hip arthroplasty (THA) compared to patients after total knee arthroplasty (TKA).In a prospective design, 44 patients undergoing THA and 61 patients undergoing TKA were examined presurgery and 6 and 12 weeks after surgery using WOMAC (disease-specific outcome), SF-36 (health-related quality of life), BSI (psychological distress), SOC-13 (sense of coherence), and F-SozU (social support). Changes over time were calculated by analyses of variance with repeated measures. Stepwise multiple linear (...) Psychosocial predictors for outcome after total joint arthroplasty: a prospective comparison of hip and knee arthroplasty. As findings regarding predictors for good outcome after total joint arthroplasty are highly inconsistent, aim of this study was to investigate the influence of the psychosocial variables sense of coherence and social support as well as mental distress on physical outcome after surgery. It should be investigated if different predictors are important in patients after total

2018 BMC Musculoskeletal Disorders

998. Longterm Effectiveness of Intraarticular Injections on Patient- reported Symptoms in Knee Osteoarthritis. Full Text available with Trip Pro

Longterm Effectiveness of Intraarticular Injections on Patient- reported Symptoms in Knee Osteoarthritis. We examined the longterm effectiveness of corticosteroid or hyaluronic acid injections in relieving symptoms among persons with knee osteoarthritis (OA).Using Osteoarthritis Initiative data, a new-user design was applied to identify participants initiating corticosteroid or hyaluronic acid injections (n = 412). Knee symptoms (pain, stiffness, function) were measured using The Western (...) : -0.07, 95% CI -0.38 to 0.24; and functioning: 0.49, 95% CI -1.34 to 2.32).Although intraarticular injections may support the effectiveness of reducing symptoms in short-term clinical trials, the initiation of corticosteroid or hyaluronic acid injections did not appear to provide sustained symptom relief over 2 years of followup for persons with knee OA.

2018 Journal of Rheumatology

999. Changes in the rate of publicly financed knee arthroscopies: an analysis of data from the Norwegian patient registry from 2012 to 2016. Full Text available with Trip Pro

Changes in the rate of publicly financed knee arthroscopies: an analysis of data from the Norwegian patient registry from 2012 to 2016. To examine rates of publicly financed knee arthroscopic surgery in Norway between 2012 and 2016.Analysis of anonymised data from the National Patient Registry.Beginning in 2012, South-Eastern Norway Regional Health Authority implemented administrative measures to bring down rates of knee arthroscopy. Similar measures were not introduced in the other three (...) Regional Health Authorities.We analysed annual national rates of publicly financed knee arthroscopies in 2012 and 2016. We compared the rates in South-Eastern Norway Regional Health Authority with corresponding rates in the rest of the country. Variations by county, public hospital versus publicly reimbursed private hospital, gender and age were also assessed.The overall annual rate of arthroscopic procedures declined by 33% from 2012 to 2016, from 310 to 207 per 100 000 inhabitants, respectively

2018 BMJ open

1000. A prediction model for the 40-year risk of knee osteoarthritis in adolescent men. (Abstract)

A prediction model for the 40-year risk of knee osteoarthritis in adolescent men. To simplify the previously published Nottingham 12-year risk prediction model for knee osteoarthritis (OA) and examine whether it can be used to predict the 40-year risk of knee OA in young men.We included 40 118 men aged 18 undergoing military conscription in Sweden 1969-70. Diagnostic OA codes were obtained from the Swedish National Patient Register 1987-2010. The original Nottingham model included predictors (...) age, sex, body mass index (BMI), knee injury, occupational risk and family history of OA with area under receiver operating characteristics curve (AUC)=0.70, 95% CI=0.61-0.79 in the model development sample and AUC=0.60, 95% CI=0.58-0.63 in an external validation sample. We used predictors available in adolescence only (age, BMI and knee injury) and studied the discrimination of the simplified model using AUC in our sample.The AUC-statistic of the modified knee OA model to predict 40-year risk

2018 Arthritis care & research

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