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Knee Exam

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101. 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

2015 FP Notebook

102. 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

2015 FP Notebook

103. 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

2015 FP Notebook

104. Brief Musculoskeletal Exam

the External rotation and abduction Scratch back with each hand from under the Internal rotation and adduction V. Exam: Upper Extremity Flex and extend elbows Pronate and supinate wrists Hold arms at sides with elbows flexed to 90 degrees Spread fingers Make a fist VI. Exam: Lower Extremity Contract and relax quadriceps Observe for Symmetry Observe for Observe for ankle effusion Duck walk for 4 steps away from examiner Buttocks on heels Tests hip, knee, and ankle range of motion VII. Exam: Back and related (...) exam symmetry Touch toes (keep knees straight) Hip motion Hamstring tightness Raise up on toes, raise up on heels Calf strength Leg strength Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Brief Musculoskeletal 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

2015 FP Notebook

105. Using clinical skills exams to evaluate medical student skills in prevention. (PubMed)

Using clinical skills exams to evaluate medical student skills in prevention. In 2006, the Brody School of Medicine Regional Medicine-Public Health Education Center integrated the teaching of prevention into the curriculum for first-, second-, and third-year medical students.The purpose of this article is to report on the use of clinical skills exams (CSEs) in the evaluation of prevention health instruction for the period 2006-2010.Two CSEs were employed to measure preventive skills at the end (...) of the third year of medical school. CSE-1 was a woman aged 56 years with knee pain. The outcome measure is the percentage of students asking three or more prevention history items. CSE-2 was a boy, aged 15 years, undergoing a sports physical/preventive screening. The outcome measure is the number of prevention items queried.For CSE-1, the percentage of students who met the outcome measure increased to 83% in 2010 as compared to 62% in both 2009 and 2007. The improvement between 2007 and 2010

2011 American journal of preventive medicine

106. Muscle Strength Loss and Its Effect on Knee Cap Motion in Volunteers With Anterior Knee Pain

will be screened with a physical exam and medical history. This study requires two visits. Each visit will use standard MRI sequences to take images of the knee in motion and at rest. On the first visit, the MRI scan will look at the knee in its natural state. Participants will move the knee up and down for 1 to 3 minutes at a time during the scan. On the second visit, a local anesthetic agent will be injected into the muscle of the thigh. The anesthetic will block this muscle from generating force for 2 or 3 (...) Muscle Strength Loss and Its Effect on Knee Cap Motion in Volunteers With Anterior Knee Pain Muscle Strength Loss and Its Effect on Knee Cap Motion in Volunteers With Anterior Knee Pain - 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

2013 Clinical Trials

107. Open-label Milnacipran for Persistent Knee Pain One Year After Total Knee Arthroplasty (TKA)

on a scale of 0 to 100 mm: 0= absence of pain or no pain noted 100 = worst imaginable pain/as bad as can be The higher the score the greater the over all pain intensity. Secondary Outcome Measures : Change in Knee Society Score (KSS). [ Time Frame: between baseline and endpoint (12 weeks or early termination) ] KSS measures subjective pain and objective function by joint physical exam. This secondary outcome was the change in Knee Society Score(KSS)from baseline through 12 weeks. KSS scores measured (...) Open-label Milnacipran for Persistent Knee Pain One Year After Total Knee Arthroplasty (TKA) Open-label Milnacipran for Persistent Knee Pain One Year After Total Knee Arthroplasty (TKA) - 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

2013 Clinical Trials

108. Diagnosis of Periprosthetic Joint Infections of the Hip and Knee

Diagnosis of Periprosthetic Joint Infections of the Hip and Knee THE DIAGNOSIS OF PERIPROSTHETIC JOINT INFECTIONS OF THE HIP AND KNEE GUIDELINE AND EVIDENCE REPORT Adopted by the American Academy of Orthopaedic Surgeons Board of Directors June 18, 2010 AAOS Clinical Practice Guidelines Unit ii v1.0 062110 Disclaimer This Clinical Practice Guideline was developed by an AAOS physician volunteer Work Group based on a systematic review of the current scientific and clinical information and accepted (...) of the recommendations in the AAOS’ clinical practice guideline, The Diagnosis of Periprosthetic Joint Infections of the Hip and Knee. This summary does not contain rationales that explain how and why these recommendations were developed nor does it contain the evidence supporting these recommendations. All readers of this summary are strongly encouraged to consult the full guideline and evidence report for this information. We are confident that those who read the full guideline and evidence report will note

2010 American Academy of Orthopaedic Surgeons

109. A Study to Assess Safety and Efficacy of Umbilical Cord-derived Mesenchymal Stromal Cells in Knee Osteoarthritis

Volunteers: No Criteria Inclusion Criteria: Symptomatic Knee OA, Kellgren and Lawrence grade I, II, III on plain Rx films. Chondromalacia patella grade I-III on knee MRI. With or without meniscal tear. Stable knee and normal clinical exam of involved extremity Written informed consent for patients. Exclusion Criteria: Bilateral symptomatic knee OA Local or systemic infection. Active neoplasia or immunosuppressive state Pregnancy or Breastfeeding Body Mass Index ≥ 30 Presence of Pacemaker or Lower (...) A Study to Assess Safety and Efficacy of Umbilical Cord-derived Mesenchymal Stromal Cells in Knee Osteoarthritis A Study to Assess Safety and Efficacy of Umbilical Cord-derived Mesenchymal Stromal Cells in Knee Osteoarthritis - 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

2015 Clinical Trials

110. Bilateral Total Knee Arthroplasty vs Unicompartment Arthroplasty Retrospective and Clinical Outcome Study

Bilateral Total Knee Arthroplasty vs Unicompartment Arthroplasty Retrospective and Clinical Outcome Study Bilateral Total Knee Arthroplasty vs Unicompartment Arthroplasty Retrospective and Clinical Outcome 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 of saved studies (100 (...) ). Please remove one or more studies before adding more. Bilateral Total Knee Arthroplasty vs Unicompartment Arthroplasty Retrospective and Clinical Outcome Study 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. Read our for details. ClinicalTrials.gov Identifier: NCT02583113 Recruitment Status : Active, not recruiting First Posted : October 21, 2015 Last

2015 Clinical Trials

111. Comparing Intra-articular Corticosteroid to Intra-articular Ketorolac Knee Injections

(KOS-ADL) scores and physical exam findings. Statistical analyses include repeated measures analysis of variance (ANOVA) (primary outcome) and selected ANOVA and nonparametric tests as deemed appropriate (secondary outcomes), with p < .05 denoting significance for all comparisons, and no adjustment for multiple testing. Condition or disease Intervention/treatment Phase Knee Osteoarthritis Drug: Ketorolac Drug: Betamethasone Phase 4 Study Design Go to Layout table for study information Study Type (...) provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: Male Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Knee osteoarthritis as demonstrated on x-ray as Kellgren-Lawrence stage II or higher (Kellgren & Lawrence, 1957) Clinical symptoms and physical exam consistent with osteoarthritis Exclusion Criteria: Prior treatment with corticosteroid injections within the last 1

2015 Clinical Trials

112. Lumbar Radiculopathy Confounded: Total Knee Arthroplasty Diminishes the Patellar Tendon Reflex. (PubMed)

of the spine, extremity reflexes are provoked. Reflex variation between right and left extremities can be a pathological finding in disease of the spine. It has been noted that in patients who have undergone total knee arthroplasty (TKA), the PTR is diminished on the operative side compared with the contralateral nonoperative side. PTR is part of the clinical exam when evaluating a patient for lumbar radiculopathy.The right and left patellar tendon reflex intensities were measured by quadriceps surface (...) Lumbar Radiculopathy Confounded: Total Knee Arthroplasty Diminishes the Patellar Tendon Reflex. Patellar tendon reflexes were elicited among patients who had had a unilateral total knee replacement, those planned for unilateral total knee replacement, and a cohort of controlled patients. Patellar tendon reflex (PTR) response was measured with surface electromyography.The aim of this study was to determine if total knee arthroplasty significantly alters the PTR.As part of the clinical evaluation

2015 Spine

113. Risk factors for meniscal body extrusion on MRI in subjects free of radiographic knee osteoarthritis: Longitudinal data from the Osteoarthritis initiative. (PubMed)

available at the baseline, 24 months, 48 months, and 72 month exam from the Osteoarthritis Initiative (OAI). We assessed mid-coronal 3-T MR images from baseline through the 72-month exam. One observer measured widths of the tibia plateau and medial or lateral meniscal body extrusion for baseline and 72 months follow-up. Another observer assessed meniscal integrity at all four time points. We calculated an extrusion ratio ([meniscal body extrusion]/[tibia width] × 100) to account for knee size. We (...) Risk factors for meniscal body extrusion on MRI in subjects free of radiographic knee osteoarthritis: Longitudinal data from the Osteoarthritis initiative. To determine risk factors associated with increased meniscal body extrusion on knee magnetic resonance (MR) images in subjects free of radiographic osteoarthritis (OA).We selected 340 subjects (aged 45-55 years, mean [SD] body mass index 26.7 [4.4], 51% women) with Kellgren-Lawrence grade 0 in both knees and bilateral knee MR images

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2015 Osteoarthritis and Cartilage

114. Pilot Synovial Fluid Molecular/Stem Cell Response to PRP in Knee Osteoarthritis: Clinical & Imaging Outcome Correlation

Pilot Synovial Fluid Molecular/Stem Cell Response to PRP in Knee Osteoarthritis: Clinical & Imaging Outcome Correlation Pilot Synovial Fluid Molecular/Stem Cell Response to PRP in Knee Osteoarthritis: Clinical & Imaging Outcome Correlation - 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. Pilot Synovial Fluid Molecular/Stem Cell Response to PRP in Knee Osteoarthritis: Clinical & Imaging Outcome Correlation 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. Read our for details. ClinicalTrials.gov Identifier: NCT02468492 Recruitment Status : Completed First

2015 Clinical Trials

115. Adductor Canal Block for Total Knee Arthroplasty

Adductor Canal Block for Total Knee Arthroplasty Adductor Canal Block for 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. Adductor Canal Block for Total Knee Arthroplasty The safety (...) : Total knee arthroplasty (TKA) can be associated with a large amount of postoperative pain. This pain can oftentimes be severe enough to limit participation in physical therapy and ultimately delay discharge resulting in increased cost. Several strategies have been developed in an effort to decrease postoperative pain following TKA while maintaining lower extremity strength and maximizing participation in physical therapy. Recently, adductor canal blockade has gained popularity as it is reported

2015 Clinical Trials

116. First-in-human Single Ascending Dose Study of LNA043 in Patients Scheduled for Total Knee Replacement

Experimental: LNA043 LNA043 given intra-articularly Drug: LNA043 ascending single dose on Day 1; 1 to 4 week(s) prior total knee replacement surgery Placebo Comparator: Placebo Placebo given intra-articularly Drug: Placebo ascending single dose on Day 1; 1 to 4 week(s) prior total knee replacement surgery Outcome Measures Go to Primary Outcome Measures : Safety endpoints (including number of adverse events CTC-AE, physical exam, vital signs, ECG, safety laboratory and pain measured using KOOS) [ Time Frame (...) First-in-human Single Ascending Dose Study of LNA043 in Patients Scheduled for Total Knee Replacement First-in-human Single Ascending Dose Study of LNA043 in Patients Scheduled for Total Knee Replacement - 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

2015 Clinical Trials

117. Knee Pain … How Everything Is Connected — Why Can’t We Treat The Whole Person?

like to ask if there is anything else that could have been done to diagnosis ACL tear ? Is this normal procedure ? Thank You very much ! HI Jeff … A comprensive exam will usually pick up an ACL tear. We use the MRI primarily to confirm suspicions. Except in very swollen and painful knees where a patient will not allow us to examine them. Dr. Luks, Thank you for you quick response to my inquiry. Jeff I am an active 50 yr. old female. Recently diagnosed with tiny R knee meniscus tear, no pain able (...) Knee Pain … How Everything Is Connected — Why Can’t We Treat The Whole Person? Knee Pain ... How Everything Is Connected -- Why Can't We Treat The Whole Person? - Howard J. Luks, MD | Search for: Knee Pain … How Everything Is Connected — Why Can’t We Treat The Whole Person? Last Updated January 19, 2016 by Howard J. Luks, MD . Sugar raises your insulin levels, which converts the sugar to fat — weight gain. Eating processed food that have no fiber causes your blood sugars to spike high

2015 Howard J. Luks, MD blog

118. If only surgery wasn’t such a pain in the…. knee!!

a poor outcome. Painful osteoarthritic knees are a very heterogeneous lot; Some people describe pain only on weight bearing activity; no pain at rest, no nocturnal pain, not much pain on active or passive range of movement exam and minimal or no joint line tenderness; but they can only walk 100-200m before pain (usually medial knee) slows them. At perhaps the other end of the spectrum; many describe a constant background ache; often with a burning quality; worsened by weight bearing; pain at rest (...) If only surgery wasn’t such a pain in the…. knee!! If only surgery wasn’t such a pain in the…. knee!! • Body in Mind Research into the role of the brain and mind in chronic pain If only surgery wasn’t such a pain in the…. knee!! July 21, 2015 by Liz, a 65 year old retired nurse, was diagnosed with knee osteoarthritis (OA) several years ago. Her GP subsequently prescribed a range of non-surgical and pharmaceutical interventions to treat her knee pain with limited success. Recently, she

2015 Body in Mind blog

119. Cemented Versus Uncemented Total Knee Arthroplasty : a Prospective Randomized Study

Cemented Versus Uncemented Total Knee Arthroplasty : a Prospective Randomized Study Cemented Versus Uncemented Total Knee Arthroplasty : a Prospective Randomized 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 of saved studies (100). Please remove one or more studies before (...) adding more. Cemented Versus Uncemented Total Knee Arthroplasty : a Prospective Randomized Study (HLS) 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. Read our for details. ClinicalTrials.gov Identifier: NCT02355652 Recruitment Status : Withdrawn (an other study will start with new outcome measures) First Posted : February 4, 2015 Last Update Posted

2015 Clinical Trials

120. A Controlled Surveillance of the Osteoarthritic Knee Microenvironment With Regenexx® SD Treatment

or Statin induced myopathy/tendinopathy Symptomatic lumbar spine pathology (e.g. radicular pain) Severe neurogenic inflammation of the cutaneous nerves about the knee or thigh (i.e. evidence of complex regional pain syndrome or central sensitization with allodynia present on exam). Contraindications for MRI Tested positive or has been treated for a malignancy in the past five years or is suspected of having a malignancy or is currently undergoing radiation or chemotherapy treatment for a malignancy (...) A Controlled Surveillance of the Osteoarthritic Knee Microenvironment With Regenexx® SD Treatment A Controlled Surveillance of the Osteoarthritic Knee Microenvironment With Regenexx® SD Treatment - 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

2015 Clinical Trials

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