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Knee Exam

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1061. Temporary Prosthesis in Traumatic Below-knee Amputation

Temporary Prosthesis in Traumatic Below-knee Amputation Temporary Prosthesis in Traumatic Below-knee Amputation - 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. Temporary Prosthesis in Traumatic Below-knee (...) exam). Gait analysis. Variables: Preinjury morbidity and socioeconomical status. Injury severity (RTS, ISS). Prehospital and hospital analgesia. Postoperative infection. Amputation stump quality (clinical rating). Sampling: Given test power =0.8, significance level =0.05, sequential analysis of results, an estimate of 15 patients will be included in each study group. The sample may be modified due to sequential analysis (see below). Intervention: A mobile rural workshop takes molds and adapt

2005 Clinical Trials

1062. Intensive Diet and Exercise for Improving Knee Osteoarthritis in Obese and Overweight Older Adults

of significant dietary restriction, exercise, and a combination of both in reducing knee inflammation and compressive forces in obese and overweight adults with knee OA. The study will also examine how diet and exercise affect everyday function and pain levels, as well as the extent of weight loss necessary for slowing OA disease progression. This study will last 18 months. Four, 2-hour screening visits will include various questionnaires, physical exams, physical performance tests, x-rays, and blood (...) Intensive Diet and Exercise for Improving Knee Osteoarthritis in Obese and Overweight Older Adults Intensive Diet and Exercise for Improving Knee Osteoarthritis in Obese and Overweight Older Adults - 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

2006 Clinical Trials

1063. Flexion instability without dislocation after posterior stabilized total knees. (PubMed)

Flexion instability without dislocation after posterior stabilized total knees. Flexion instability after cruciate-retaining total knee arthroplasty has been well documented. We identified an analogous patient group with symptomatic flexion instability without dislocation after primary posterior stabilized total knee arthroplasty. We sought to determine the typical symptoms and exam findings that lead to the diagnosis, to assess the reliability of revision total knee arthroplasty as a treatment (...) , and to assess the technical difficulties encountered during revision total knee arthroplasty. Between 1995 and 2001, 10 patients had revision of a well-fixed posterior stabilized total knee arthroplasty for isolated symptomatic flexion instability. The typical constellation of symptoms and physical findings included a sense of instability without giving way, recurrent knee effusions, multiple areas of soft tissue tenderness about the knee, and substantial anterior tibial translation at 90 degrees of flexion

2005 Clinical Orthopaedics and Related Research

1064. Flexion and extension gap balancing in revision total knee arthroplasty. (PubMed)

femoral augments, and then balanced the flexion gap using different sized femoral components. We retrospectively analyzed 45 patients who had revision total knee replacement with an average of 4 years followup. These patients had a mean flexion of 105 degrees and none had signs of instability in flexion or extension or on clinical exam. Despite the complex nature of revision knee arthroplasty, cases utilizing an algorithm to balance the extension and flexion gaps, with increased implant constraint (...) Flexion and extension gap balancing in revision total knee arthroplasty. Revision total knee arthroplasty presents a unique set of problems when attempting to balance flexion and extension gaps. Loss of soft tissue support and established deformity can make balancing difficult. One needs to balance the flexion and extension gap heights as well as medial and lateral symmetry, which may not always be attainable. We used a set of stepwise techniques to reestablish the joint line in extension using

2006 Clinical Orthopaedics and Related Research

1065. A pilot, two-year longitudinal study of the interrelationship between trabecular bone and articular cartilage in the osteoarthritic knee. (PubMed)

A pilot, two-year longitudinal study of the interrelationship between trabecular bone and articular cartilage in the osteoarthritic knee. To examine the relationship between structural changes of trabecular bone and cartilage, in patients with varying degrees of osteoarthritis (OA) over 2 years, using magnetic resonance imaging.High-resolution, axial images were acquired for assessing trabecular bone structure, using a 3-D fast gradient-echo sequence. High-resolution, fat-suppressed, sagittal (...) (2) increased significantly (P<0.05) between the baseline and follow-up exams for all cartilage compartments except the lateral tibia. A positive relationship was established between cartilage changes and localized bone changes closest to the joint line, while a negative relationship was established between cartilage changes and global bone changes farthest from the joint line.This study quantifies the changes in bone and cartilage structural parameters over time, and demonstrates a longitudinal

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2004 Osteoarthritis and Cartilage

1066. Review for the generalist: evaluation of anterior knee pain. (PubMed)

Review for the generalist: evaluation of anterior knee pain. Anterior knee pain is common in children and adolescents. Evaluation and management is challenging and requires a thorough history and physical exam, and understanding of the pediatric skeleton. This article will review common causes of chronic anterior knee pain in the pediatric population with a focus on patellofemoral pain.

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2007 Pediatric Rheumatology

1067. Preoperative education for total hip and knee replacement patients. (PubMed)

Preoperative education for total hip and knee replacement patients. Psychoeducational preparation is known to improve postoperative outcome. We tested two common psychoeducational procedures in elderly orthopedic patients, examining how best to match interventions to patients by psychological type.Two hundred twenty-two elderly patients undergoing total hip or knee replacement were randomly assigned to 1) a slide-tape with information on the postoperative, in-hospital rehabilitation experience (...) , or 2) training in Benson's Relaxation Response with a bedside audiotape, in a 2 x 2 factorial design.The relaxation response did not influence postoperative outcomes. The educational intervention reduced length of stay and pain medication use for patients who exhibited most denial (tendency to avoid thinking about unpleasant events), and reduced postoperative anxiety and cognitive errors on the Mini-Mental State Exam for patients with most baseline anxiety. There was no effect on postoperative

1998 Arthritis care and research : the official journal of the Arthritis Health Professions Association Controlled trial quality: uncertain

1068. Musculoskeletal exam and joint injection training for internal medicine residents. (PubMed)

Musculoskeletal exam and joint injection training for internal medicine residents. We developed a musculoskeletal education intervention for internal medicine residents consisting of lectures, anatomic models, and a joint injection clinic. Written tests, observed musculoskeletal exams, and self-confidence scales were administered to 27 internal medicine residents before and after the intervention. Improvement was found in observed physical exam and self-reported confidence levels in performing (...) knee injections. Confidence in shoulder injection skills improved, but remained low. Improved scores on written examination, though statistically significant, were not educationally significant. This single-institution pilot study demonstrates that a simple educational program results in improved knee and shoulder examination skills and confidence in performing knee injections.

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2006 Journal of General Internal Medicine

1069. Can the presence of equinus contracture be established by physical exam alone? (PubMed)

Can the presence of equinus contracture be established by physical exam alone? The condition in which ankle dorsiflexion is restricted is known as equinus contracture (EC). Equinus contracture is purported to be associated with a number of clinical conditions. However, there are no data to support or refute a clinician's ability to diagnose EC by clinical exam. We prospectively evaluated the maximum ankle dorsiflexion with the knee fully extended in 68 people (34 patients with isolated fore (...) - or midfoot pain and 34 asymptomatic subjects) both by clinical exam and by a custom-designed ankle goniometer. We compared the likelihood of agreement of the clinical impression (equinus, no equinus) to the maximum ankle dorsiflexion measured with the instrument at two different numerical definitions of EC (< or =5 degrees and < or =10 degrees of maximum dorsiflexion). When all subjects were included and equinus defined as < or =5 degrees of ankle dorsiflexion, a clinician's ability to detect the equinus

2001 Journal of rehabilitation research and development Controlled trial quality: uncertain

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