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.

13,285 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

13201. Power Doppler sonography in the assessment of synovial tissue of the knee joint in rheumatoid arthritis: a preliminary experience. Full Text available with Trip Pro

Power Doppler sonography in the assessment of synovial tissue of the knee joint in rheumatoid arthritis: a preliminary experience. To investigate the intra-articular vascularisation of the synovial pannus in the knee of patients with rheumatoid arthritis (RA) with power Doppler ultrasonography (PDS) and an echo contrast agent and correlate the area under the time-intensity curves with the clinical findings and laboratory measures of disease activity.Forty two patients with RA (31 women, 11 men (...) ) with history and signs of knee arthritis, classified according to a modified index of synovitis activity (active, moderately active, and inactive), were studied. Clinical and functional assessment (number of swollen joints, intensity of pain, general health-visual analogue scale, disability index-Health Assessment Questionnaire, Ritchie articular index) and a laboratory evaluation were made on all patients. Disease activity was evaluated using the disease activity score (DAS) and the chronic arthritis

2002 Annals of the Rheumatic Diseases

13202. Procollagen II C propeptide level in the synovial fluid as a predictor of radiographic progression in early knee osteoarthritis. Full Text available with Trip Pro

Procollagen II C propeptide level in the synovial fluid as a predictor of radiographic progression in early knee osteoarthritis. To investigate the prognostic value of procollagen type II carboxy-terminal propeptide (PIICP) level in synovial fluid in relation to early tibiofemoral joint osteoarthritis (OA).Data were collected on 172 women (age 40 to 59 years) who had knee pain and tibiofemoral joint OA in the early stage. Standing semiflexed knee radiographs were obtained by fluoroscopy (...) were used to examine the relation between radiographic JSN and synovial fluid level of PIICP.The number of women available at both baseline and at four year follow up was 110. The average of radiographic JSN over four years was 0.53 mm (range 0.00-2.01). Body mass index showed a slightly positive association with baseline PIICP level. In multiple linear regression analyses adjusted for age and body mass index, radiographic JSN over four years had a direct positive correlation with baseline PIICP

2003 Annals of the Rheumatic Diseases

13203. How do GPs use x rays to manage chronic knee pain in the elderly? A case study. Full Text available with Trip Pro

of patients with knee pain using four case scenarios, two with features of clinical knee osteoarthritis. The second questionnaire contained the same scenarios with information on x ray findings added. The third questionnaire considered management of knee pain in general.447 GPs responded to questionnaire 1, 316 (71%) to questionnaire 2, 287 (64%) to questionnaire 3. 106 responders (25%) would have x rayed all four patients and 64 (15%) none. Choosing to carry out an x ray examination was not influenced (...) How do GPs use x rays to manage chronic knee pain in the elderly? A case study. To determine whether clinical signs and symptoms of osteoarthritis influence general practitioners' (GPs) decisions about x raying older patients with knee pain and whether x ray reports alter their initial treatment or referral plan.A cross sectional survey of 1000 GPs in England and Wales using "paper cases" in three questionnaires mailed at two-weekly intervals. The first questionnaire assessed GPs' management

2003 Annals of the Rheumatic Diseases

13204. Rate of knee cartilage loss after partial meniscectomy. (Abstract)

Rate of knee cartilage loss after partial meniscectomy. Surgical removal of the meniscus of the knee is thought to be a risk factor for later appearance of knee osteoarthritis (OA). We examined whether there is a difference in cartilage loss in those who undergo a partial meniscectomy compared to healthy controls.Eight patients who underwent a meniscectomy (5 partial medial, 3 partial lateral) and 13 controls with normal knee radiographs and magnetic resonance imaging (MRI) had an MRI (...) , and sex the difference increased slightly to 6.9% per year (95% CI 3.4-10.3%; p = 0.001).This study suggests that significant rates of cartilage loss are seen in subjects post partial meniscectomy compared with healthy controls. This may be a useful model in which to examine therapies to prevent OA.

2002 Journal of Rheumatology

13205. Radiographic methods in knee osteoarthritis: a further comparison of semiflexed (MTP), schuss-tunnel, and weight-bearing anteroposterior views for joint space narrowing and osteophytes. (Abstract)

surfaces diverge due to variations in patient's knee position. Views yielding the greatest JSN are the most accurate. Osteophytes are also dependent on positioning. This study investigated the consequences of positioning on JSN and osteophytes in clinical studies in which the outcome of OA knee is scored.In total, 1105 patients underwent 1175 paired radiographic examinations using weight-bearing (WB) standard anterior-posterior (AP) extended knee views (AP-WB), semiflexed WB posterior-anterior views (...) Radiographic methods in knee osteoarthritis: a further comparison of semiflexed (MTP), schuss-tunnel, and weight-bearing anteroposterior views for joint space narrowing and osteophytes. Current radiographic evaluation of knee osteoarthritis (OA) depends primarily on the presence and severity of joint space narrowing (JSN) and osteophytes. Radiographic JSN is a function of the actual JSN caused by articular cartilage loss and the observable JSN artifactually caused when the tibial and femoral

2002 Journal of Rheumatology

13206. Knee osteoarthritis compromises early mobility function: The Women's Health and Aging Study II. (Abstract)

Knee osteoarthritis compromises early mobility function: The Women's Health and Aging Study II. To examine associations between osteoarthritis (OA) of the knee and early functional limitations in a cohort of high-functioning older women, and evaluate the contributions of muscle strength, body weight, and pain severity to these limitations. Methods. Cross sectional analyses were conducted on baseline data of the Women's Health and Aging Study II (WHAS II), an observational study of disability (...) transitions in a cohort of women aged 70-79 upon entry and who were representative of the one-third highest-functioning community-resident women. Standardized questionnaires and examinations were used to assess knee OA features, medication use, pain severity, knee extensor muscle strength, and body weight. Functional limitation was assessed using validated performance measures and self-report measures of task modification and task difficulty.Sixty-nine women classified as "symptomatic" for knee OA, 48

2003 Journal of Rheumatology

13207. Is knee radiography useful for studying the efficacy of a disease-modifying osteoarthritis drug in humans? (Abstract)

precision--the sine qua non of sensitivity to change--however, only limited longitudinal data is available to permit a direct evaluation of the suitability of these protocols for use in clinical DMOAD trials. Longitudinal studies published to date suggest that fluoroscopic positioning methods are superior to nonfluoroscopic methods with respect to reproducing the position of the knee in serial examinations performed several years apart. Fluoroscopic methods also appear to be superior with respect (...) DMOAD trials. Over intervals of 2 to 3 years, changes in patient characteristics (e.g., severity of knee pain, body weight, load bearing, varus--valgus deformity) and uncontrollable events related to radiography (e.g., technologist turnover, equipment upgrades) have ample opportunity to affect the technical quality of a radiological knee examination. It is difficult, therefore, to conclude whether or not an apparent difference with respect to sensitivity to OA progression between specific

2003 Rheumatic Diseases Clinics of North America

13208. Disruption of the extensor mechanism of the knee. (Abstract)

in the examination of all acutely injured knees, will ensure that this important injury is not overlooked. (...) Disruption of the extensor mechanism of the knee. Ruptures of the extensor mechanism of the knee are rare, when compared with other knee injuries, and are frequently misdiagnosed. The outcome after surgical repair may be compromised if surgery is delayed. A case of quadriceps tendon rupture that was misdiagnosed for 2 months and a review of the literature are presented. Including extensor mechanism disruption in the differential diagnosis, and careful attention to key physical findings

2003 Journal of Emergency Medicine

13209. Comparison of A Mobile-Bearing Total Knee System With A Fixed-Bearing Total Knee System In Cemented Total Knee Arthroplasty

degrees. Patients were asked to return for examination and radiographs at 3 months, 1 year, 2 years, and 5 years after surgery. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 240 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Participant) Primary Purpose: Treatment Official Title: A Prospective, Randomized, Controlled Study Comparing A Mobile-Bearing Total Knee System With A Fixed (...) -surgery, 5 years post-surgery ] The range of knee motion was measured clinically with use of a goniometer. Measurements were performed by physician assistants in the Department of Orthopedic Surgery who were blinded to the type of implant used. The subject was positioned supine on the examination table, and maximum active flexion was measured. Secondary Outcome Measures : Knee Society Function Score [ Time Frame: 5 years post surgery ] The Knee Society Function Score considers only walking distance

2007 Clinical Trials

13210. Computer-Assisted Total Knee Replacement Kinematics: DePuy Sigma Posterior Cruciate Substituting Knee and the DePuy Sigma RP Rotating Platform Knee

: Randomized Intervention Model: Factorial Assignment Masking: Single (Participant) Primary Purpose: Treatment Official Title: An Investigation of Computer-Assisted Total Knee Replacement Kinematics on Patient Performance: An Examination of the DePuy P.F.C.® SigmaTM Posterior Cruciate Substituting Knee and the DePuy P.F.C.® Sigma RP Rotating Platform Knee Systems Study Start Date : October 2006 Actual Primary Completion Date : December 2012 Actual Study Completion Date : December 2012 Resource links (...) Computer-Assisted Total Knee Replacement Kinematics: DePuy Sigma Posterior Cruciate Substituting Knee and the DePuy Sigma RP Rotating Platform Knee Computer-Assisted Total Knee Replacement Kinematics: DePuy Sigma Posterior Cruciate Substituting Knee and the DePuy Sigma RP Rotating Platform 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

2006 Clinical Trials

13211. Does this patient have a torn meniscus or ligament of the knee: value of the physical examination

Does this patient have a torn meniscus or ligament of the knee: value of the physical examination Does this patient have a torn meniscus or ligament of the knee: value of the physical examination Does this patient have a torn meniscus or ligament of the knee: value of the physical examination Solomon D H, Simel D L, Bates D W, Katz J N, Schaffer J L Authors' objectives To analyse the accuracy of the clinical examination for meniscal or ligamentous knee injury. Searching MEDLINE and HealthSTAR (...) were searched from inception to 2000. The keywords included: 'knee', 'physical examination', 'internal derangement', 'anterior cruciate ligament', 'posterior cruciate ligament', 'medial collateral ligament', 'lateral collateral ligament' and 'meniscus'. The references lists from relevant articles were handsearched. The searches were limited to studies reported in the English language. Study selection Study designs of evaluations included in the review Diagnostic accuracy studies were included

2001 DARE.

13212. Rheumatological History, Examination and Investigations

the patient walking, turning, and walking back. Look for smoothness and symmetry of the arm, leg, and pelvic movements, ability to turn quickly, and length of stride. Knee assessment and hip examination: with the patient on on the couch, flex each hip and knee while holding the knee to check movement and for knee crepitus. Check for internal and external rotation of the hip. Examine each knee for joint effusion: Stroke upwards over the medial side of the knee and downwards over the lateral side. Patellar (...) tap sign: Spread the thumb and index finger and place web space about six inches above knee joint. Press down and distally (pushing fluid from the suprapatellar pouch into the knee joint). Then press down on the patella, noting any lag before the patella hits the femur and bulging to the side as fluid is displaced, indicating an effusion is present. Check the feet for synovitis by squeezing across the metatarsals. Examine for callosities, deformities and high or low arch. Spine Neck and back

2008 Mentor

13213. Rectal Examination

: Suitable gloves Lubricant Lighting Suitable soft tissues Position the patient comfortably, as below. Details of the procedure Position the patient comfortably in the left lateral position. Flex hips and knees and position the buttocks at the edge of the couch. Gently part the buttocks to expose the anal verge and natal cleft. Inspection of the skin and anal margin with good light is important. Lubricate the examining index finger with suitable water-soluble gel and press the finger against (...) the posterior anal margin (6 o'clock according to convention). The finger should slip easily into the anal canal, and the finger tip is directed posteriorly following the sacral curve. At this point, if appropriate, the anal tone can be checked by asking patients to squeeze the finger with their anal muscles. The finger is then moved through 180°, feeling the walls of the rectum. With the finger then rotated in the 12 o'clock position, helped usually by the examiner bending knees in a half crouched position

2008 Mentor

13214. Abdominal Examination

. It can also be seen in the tongue, foot or any skeletal muscle. Take the fingers in your palm and hyperextend them. A positive flap is a flexion-extension movement at a slow rate. Alternatively, with the patient relaxed, supine and knees bent, feet flat on couch, the knees may flap as the legs fall to the side. It is not specific for hepatic encephalopathy but occurs also in, for example, chronic kidney disease, respiratory failure, electrolyte disturbance and drug intoxication. Examination (...) or reversed if you are left-handed and examine from the patient's left side. A pillow under the patient's knees may sometimes aid relaxation of abdominal musculature. Ask the patient to point to the site of any pain. During palpation, be aware of the response of the patient's abdominal muscles and watch their face for signs of discomfort. Start with light palpation to gain the patient's confidence and relax them and then perform deeper palpation. Use the flat of the hand with the flexor surfaces

2008 Mentor

13215. Gynaecology History and Examination

that the handle is not impinging on the clitoris. Look at the vaginal mucosa and locate the cervix. Note any discharge. Take a vaginal swab if there is discharge present. Consider a cervical swab for chlamydia. Check for any retained tampon. If no cervix visualised : Try partially withdrawing and try again. Perform a bimanual examination to establish the position of the cervix. Ask the patient to hold on to her knees or put hands under the sacrum to tilt the pelvis. A pillow could also be used. The left (...) Gynaecology History and Examination Gynaecological History and Examination. Advice and Info | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Gynaecological History and Examination Authored by , Reviewed by | Last edited 23 Jun 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based

2008 Mentor

13216. Examining the Pulse (Different Types)

Examining the Pulse (Different Types) Pulse Examination. Cardiovascular (CVS) examination. Patient | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Pulse Examination Authored by , Reviewed by | Last edited 8 May 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence (...) , UK and European Guidelines. You may find one of our more useful. In this article In This Article Pulse Examination In this article It is very easy to overlook the art of clinical examination when new technology can so easily be employed to make diagnoses. Systematic cardiovascular examination can provide a diagnosis quickly without need for invasive or expensive tests. Such routine examination can reveal an unexpected and timely diagnosis. Historically, in the Middle or Far East, doctors were

2008 Mentor

13217. Examination of the Spine

Examination of the Spine Examination of the Spine. Information about spine exams. Patient | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Examination of the Spine Authored by , Reviewed by | Last edited 21 Aug 2014 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK (...) and European Guidelines. You may find one of our more useful. In this article In This Article Examination of the Spine In this article Neck and back pain are common presentations in primary care. Many cases of neck and back pain are due to benign functional or postural causes but a thorough history and examination are essential to assess the cause (see separate articles , and ), any associated psychological difficulties (eg, depression, anxiety or somatisation disorder) and any functional impairment

2008 Mentor

13218. Genitourinary History and Examination (Female)

suggesting irritable bowel disease or other gut pathology. This is an important cause of dyspareunia. Renal angle tenderness suggesting a renal cause for pain. Ascites: percussion reveals lateral dullness and a tympanic central abdomen. Examining external genitalia Prepare for examination: Position the patient with help of a chaperone on to the couch (supine, flexed hips and knees with heels together, thighs abducted). Cover the patient's abdomen with a sheet. Position lighting to give a clear view (...) Genitourinary History and Examination (Female) Genitourinary History and Examination (Female) | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Genitourinary History and Examination Female Authored by , Reviewed by | Last edited 20 Jun 2014 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based

2008 Mentor

13219. Neurological Examination of the Upper Limbs

their knees together while you try to elicit the reflexes again. Interpretation Upper motor neurone lesions usually produce hyperreflexia. Lower motor neurone lesions usually produce a diminished or absent response. Isolated loss of a reflex can point to a radiculopathy affecting that segment - eg, loss of biceps jerk if there is a C5-C6 disc prolapse. Examination of co-ordination The cerebellum helps in the co-ordination of voluntary, automatic and reflex movement. Tests of cerebellar function, however (...) Neurological Examination of the Upper Limbs Neurological Examination of the Upper Limbs. Information | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Neurological Examination of the Upper Limbs Authored by , Reviewed by | Last edited 12 Oct 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors

2008 Mentor

13220. Neurological Examination of the Lower Limbs

the ankle raises off the bed as well, signifying increased tone. Test for ankle clonus: Flex the patient's knee, resting the ankle on the bed. Dorsiflex the foot quickly and keep the pressure applied. You will be able to see the foot moving up and down if clonus is present. Power A robust assessment of power is required. The Medical Research Council (MRC) has a recommended grading system for power (see table). Get the patient to contract the muscle group being tested and then you as the examiner try (...) to overpower that group. Test the following: [ ] Hip flexion, extension, adduction and abduction. Knee flexion and extension. Foot dorsiflexion, plantar flexion, eversion and inversion. Toe plantar flexion and dorsiflexion. MRC scale for muscle power 0 No muscle contraction is visible. 1 Muscle contraction is visible but there is no movement of the joint. 2 Active joint movement is possible with gravity eliminated. 3 Movement can overcome gravity but not resistance from the examiner. 4 The muscle group can

2008 Mentor

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