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Knee Exam

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13261. An Examination of the Value of Shortwave Diathermy and Hydrotherapy for Patients With Osteoarthritis of Their Knees

An Examination of the Value of Shortwave Diathermy and Hydrotherapy for Patients With Osteoarthritis of Their Knees An Examination of the Value of Shortwave Diathermy and Hydrotherapy for Patients With Osteoarthritis of Their Knees - 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. An Examination of the Value of Shortwave Diathermy and Hydrotherapy for Patients With Osteoarthritis of Their Knees 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: NCT00726492 Recruitment Status : Completed First Posted : August

2008 Clinical Trials

13262. Ultrasound of the nerves of the knee region: Technique of examination and normal US appearance Full Text available with Trip Pro

Ultrasound of the nerves of the knee region: Technique of examination and normal US appearance The diagnosis of disorders of the peripheral nerves (PN) has traditionally been based on clinical and electrophysiological data since nerve tissue cannot be visualized on standard radiographs. More recently, however, nerve structures have been evaluated with magnetic resonance imaging (MRI) and ultrasound (US). The former modality is expensive and not available in all institutions. There are also some (...) involving these structures. Because of their superficial positions, the nerves around the knee can be clearly visualized with US. A thorough knowledge of the normal anatomy of this region and a careful scanning technique are essential for a successful diagnostic US examination. In this article, we will review the normal gross and microscopic anatomy of the nerves in the knee region, the US technique used for their examination, and their normal US appearance.

2007 Journal of ultrasound

13263. Acute knee trauma: value of a short dedicated extremity MR imaging examination for prediction of subsequent treatment. (Abstract)

Acute knee trauma: value of a short dedicated extremity MR imaging examination for prediction of subsequent treatment. To assess the predictive value of a short magnetic resonance (MR) imaging examination, in addition to or instead of radiography, performed in patients with acute knee trauma to identify those who require additional treatment versus those who do not and can be discharged without further follow-up.The randomized controlled trial and use of collected data for prediction modeling (...) ). In the multivariable analysis, only abnormal MR imaging results were significantly predictive of need for treatment, and only when MR imaging replaced radiography (odds ratio, 2.61; 95% confidence interval: 1.12, 6.06).Implementation of a dedicated extremity MR imaging examination, in addition to or instead of radiography, performed in patients with traumatic knee injury improves prediction of the need for additional treatment but does not significantly aid in identification of patients who can be discharged

2005 Radiology Controlled trial quality: uncertain

13264. A 2 yr longitudinal radiographic study examining the effect of a bisphosphonate (risedronate) upon subchondral bone loss in osteoarthritic knee patients. Full Text available with Trip Pro

A 2 yr longitudinal radiographic study examining the effect of a bisphosphonate (risedronate) upon subchondral bone loss in osteoarthritic knee patients. To determine whether risedronate (RIS) slows down trabecular bone loss in the medial compartment of the proximal tibia, a characteristic of patients with progressive knee osteoarthritis (OA).Initially, 100 patients were randomly selected from each treatment group (each N approximately 300) comprising placebo and RIS 5 mg/day, 15 mg/day and 50 (...) mg/week from a double blind, multi-centre, placebo-controlled, 2 yr investigation of OA knee patients in North America. Using fluoroscopic semi-flexed standard radiography, baseline and exit knee radiographs were digitized by laser scanner. Following computerized measurement of minimum medial compartment joint space width, each group was subdivided into joint space narrowing (JSN) non-progressor or JSN-progressor (JSN >or=0.6 mm measured at any point post-baseline). Computerized method of fractal

2007 Rheumatology (Oxford, England) Controlled trial quality: uncertain

13265. A study of the noninstrumented physical examination of the knee found high observer variability. (Abstract)

A study of the noninstrumented physical examination of the knee found high observer variability. This study estimated the inter- and intraobserver reliability of a set of noninstrumented physical examination measures for knee pain in older adults.Forty-five patients from primary care, and 13 patients from secondary care, were each examined by two out of a team of three physical therapists, and were reexamined by one of these observers 1 month later. The examination items were standardized (...) and included dichotomous, ordinal and continuous variables considered relevant to a primary care context.For individual dichotomous items, median interobserver and intraobserver agreement (kappa) was 0.22 (interquartile range IQR=0.12-0.35) and 0.41 (IQR=0.28-0.56) respectively. For ordinally rated variables, weighted kappa ranged from -0.08 to 0.43 for interobserver agreement, and from 0.00 to 0.79 for intraobserver agreement. The median intraclass correlation coefficient for continuous examination

2006 Journal of Clinical Epidemiology

13266. Examining a whole-organ magnetic resonance imaging scoring system for osteoarthritis of the knee using Rasch analysis. Full Text available with Trip Pro

Examining a whole-organ magnetic resonance imaging scoring system for osteoarthritis of the knee using Rasch analysis. The ability to reliably quantify all the structural abnormalities in osteoarthritis (OA) of the knee is a long-standing goal of OA research. On December 5 and 6, 2002, Outcome Measures in Rheumatology Clinical Trials and Osteoarthritis Research Society, International held a Workshop for Consensus on Osteoarthritis Imaging in Bethesda, MD, with the aim of providing a state (...) -of-the-art review of imaging outcome measures for OA of the knee. As part of the Workshop, data from previous clinical trials and epidemiological studies of OA were analysed with respect to the metrological properties of the measurement methods used. The following report outlines the results of analyses aimed at evaluating the internal construct validity of a whole-organ, ordinal (semi-quantitative) magnetic resonance imaging score (WORMS) using Rasch analysis. The fit of data to the Rasch model offers

2006 Osteoarthritis and Cartilage

13267. Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography. (Abstract)

Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography. Popliteal artery injury is frequently associated with knee dislocation following blunt trauma, an injury that is being seen with increasing frequency. The primary purpose of the present study was to evaluate the use of physical examination to determine the need for arteriography in a large series of patients with knee dislocation. The secondary purpose was to evaluate (...) the correlation between physical examination findings and clinically important vascular injury in the subgroup of patients who underwent arteriography.One hundred and thirty consecutive patients (138 knees) who had sustained an acute multiligamentous knee injury were evaluated at our level-1 trauma center between August 1996 and May 2002 and were included in a prospective outcome study. Four patients (four knees) were lost to follow-up, leaving 126 patients (134 knees) available for inclusion in the study

2004 The Journal of Bone and Joint Surgery. American Volume

13268. Validation and reproducibility of ultrasonography in the detection of synovitis in the knee: a comparison with arthroscopy and clinical examination. (Abstract)

Validation and reproducibility of ultrasonography in the detection of synovitis in the knee: a comparison with arthroscopy and clinical examination. Accurate detection of synovitis is important in both the diagnosis and outcome assessment of arthritis. This study was undertaken to assess the validity and reproducibility of ultrasonography (US) as a means of detecting synovitis in the knee, by comparing US findings with findings of arthroscopy and clinical examination.Sixty consecutive patients (...) with knee pain due to various arthritides had a clinical examination and US of their knee performed immediately prior to arthroscopy. All 3 assessments were performed by different clinicians who were blinded to the results obtained with the other modalities. US and clinical examination were compared with arthroscopically detected synovitis as the gold standard. Data from a subset of patients were used for calculating the inter- and intrareader reproducibility of US results, using a standard dichotomous

2004 Arthritis and Rheumatism

13269. Reliability of the knee examination in osteoarthritis: effect of standardization. (Abstract)

Reliability of the knee examination in osteoarthritis: effect of standardization. To assess the reliability of physical examination of the osteoarthritic (OA) knee by rheumatologists, and to evaluate the benefits of standardization.Forty-two physical signs and techniques were evaluated using a 6 x 6 Latin square design. Patients with mild to severe knee OA, based on physical and radiographic signs, were examined in random order prior to and following standardization of techniques. For those (...) by physical examination of the OA knee included alignment by goniometer (R(c) = 0.99), bony swelling (R(c) = 0.97), general passive crepitus (R(c) = 0.96), gait by inspection (PABAK = 0.78), effusion bulge sign (R(c) = 0.97), quadriceps atrophy (R(c) = 0.97), medial tibiofemoral tenderness (R(c) = 0.94), lateral tibiofemoral tenderness (R(c) = 0.85), patellofemoral tenderness by grind test (R(c) = 0.94), and flexion contracture (R(c) = 0.95). The standardization process resulted in substantial

2004 Arthritis and Rheumatism

13270. A comparative assessment of alignment angle of the knee by radiographic and physical examination methods. (Abstract)

A comparative assessment of alignment angle of the knee by radiographic and physical examination methods. To compare the knee-alignment angle from a full-limb radiograph (mechanical axis) with the anatomic-axis angle as measured by physical examination using a goniometer and by 2 other radiographic methods.The knee-alignment angle was measured in 114 knees of 57 subjects who had radiographic osteoarthritis (OA), with a Kellgren/Lawrence grade of >/=1 in at least one knee. The mechanical axis (...) was defined as the angle formed by the intersection of 2 lines, one from the center of the head of the femur to the center of the tibial spines, and a second from the center of the talus to the center of the tibial spines. The anatomic axis was defined as the angle formed by 2 lines, each originating from a point bisecting the femur and tibia and converging at the center of the tibial spine tips. The anatomic-axis angle was measured by 3 methods: 1) physical examination using a goniometer, 2

2005 Arthritis and Rheumatism

13271. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. (Abstract)

Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. To estimate the US national prevalence of tibiofemoral radiographic knee osteoarthritis (RKOA) with and without symptoms, and its influence on functional tasks.Radiographic and interview data from the National Health and Nutrition Examination Survey (NHANES III), a nationally representative cross-sectional health examination survey, were used (...) not differ by sex. Additionally, some 1.6% of US adults had knee joint replacement. Multivariable analysis showed significantly higher odds of both RKOA and symptomatic RKOA with greater body mass index (BMI > or = 30), greater age, non-Hispanic Black race/ethnicity, and among men with manual labor occupations. Only symptomatic RKOA was significantly associated with self-reported activity limitations: difficulty walking, stooping, standing from a seated position, and stair climbing. Adults

2006 Journal of Rheumatology

13272. Knee Assessment (History and Examination)

Knee Assessment (History and Examination) Knee Assessment | Doctor | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Knee Assessment Authored by , Reviewed by | Last edited 26 Feb 2016 | 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 the article more useful, or one of our other . In this article In This Article Knee Assessment In this article A good history and examination are essential to determine if a significant knee injury has occurred. A good assessment will guide further investigations and/or treatment. If there is little or nothing abnormal to find despite the history, examine the hip and lumbar spine. Referred pain from the hip as a cause of knee pain is common, especially in children. Anatomy of the knee

2008 Mentor

13273. Design and validation of 2 objective structured clinical examination stations to assess core undergraduate examination skills of the hand and knee. (Abstract)

Design and validation of 2 objective structured clinical examination stations to assess core undergraduate examination skills of the hand and knee. To evaluate the development, validity, and reliability of 2 undergraduate Objective Structured Clinical Examination (OSCE) stations for core hand and knee examination skills.Two OSCE stations for hand and knee based on core skills were developed, and qualitatively assessed for face and content validity by an expert consensus panel. Construct (...) for both stations was high.These OSCE stations are valid and reliable tools for testing competency in core hand and knee examination skills. They can be used in educational research as outcome measures of specific teaching interventions and can also be used as an early feedback tool when teaching joint examination.

2007 Journal of Rheumatology

13274. An investigation to examine the inter-tester and intra-tester reliability of the Rolimeter knee tester, and its sensitivity in identifying knee joint laxity. (Abstract)

An investigation to examine the inter-tester and intra-tester reliability of the Rolimeter knee tester, and its sensitivity in identifying knee joint laxity. The purpose of this study is to evaluate the Rolimeter knee tester (Aircast, Europe) as reliable and clinically sensitive tool for identifying and quantifying knee joint laxity utilising a sample of both known ACLD and normal knees.Thirty matched subjects (15 known ACLD and 15 normal subjects) were tested for knee joint laxity using (...) the Rolimeter. Each subject was measured at both 90 degrees and 30 degrees of knee flexion, by each of the six investigators. This was then repeated again by all six investigators so that inter-tester and intra-tester reliability could be examined.Results showed that there was good reliability between testers, and intra-tester reliability was good for both left and right knees in both 90 degrees and 30 degrees of flexion. Results also demonstrated a high level of sensitivity for determining knee joint

2005 Journal of orthopaedic research : official publication of the Orthopaedic Research Society

13275. The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. (Abstract)

The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. While most meniscal or ligamentous knee injuries heal with nonoperative treatments, a subset should be treated with arthroscopic or open surgery.To analyze the accuracy of the clinical examination for meniscal or ligamentous knee injuries.MEDLINE (1966-December 31, 2000) and HealthSTAR (1975-December 31, 2000) databases were searched for English-language articles (...) describing the diagnostic accuracy of individual examination items for the knee and a combination of physical examination items (composite examination). Other data sources included reference lists from relevant articles.Studies selected for data extraction were those that compared the performance of the physical examination of the knee with a reference standard, such as arthroscopy, arthrotomy, or magnetic resonance imaging. Eighty-eight articles were identified, of which 23 (26%) met inclusion

2001 JAMA

13276. A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee Full Text available with Trip Pro

A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee The diagnostic accuracy of clinical examination for internal derangement of the knee were evaluated by arthroscopy in 195 patients (200 knees). Radiographs were available and 50 patients had magnetic resonance imaging. The clinical diagnosis was correct in 104 knees (52%), incomplete in 70 (35%) and incorrect in 26 (13%). When there was a single abnormality the diagnosis was correct in 70%, but when (...) more than 3 lesions were discovered the figure was 28%. All individual lesions were diagnosed correctly in more than 90%. The lesions most difficult to diagnose were chondral fractures, partial tears of the anterior cruciate ligament and loose bodies. Knees with acute lesions and those with a single diagnosis were significantly easier to diagnose (p < 0.01). Age, sex, MRI and the surgeon were not significant.

1997 International orthopaedics

13277. Couch or crouch? Examining the prostate: a randomized study comparing the knee-elbow and the left-lateral position. (Abstract)

Couch or crouch? Examining the prostate: a randomized study comparing the knee-elbow and the left-lateral position. To compare two methods of examining the prostate, the knee-elbow (KE) and left-lateral (LL) positions, to establish which allows a more complete examination, and to determine if there is any difference in patients' perception of pain or embarrassment for either method.All men attending two urology clinics who required a prostate examination were eligible for the study. Both the KE (...) and LL methods were used for each participant, by the same clinician. The order in which the examinations were conducted was randomized using the last digit of the patient's hospital number.Five clinicians examined 117 men; three patients refused to participate and the examination data were incomplete for two. Irrespective of the order in which the examinations were conducted (P = 0.6), the KE position permitted a greater proportion of the prostate to be palpated (Wilcoxon signed-ranks test, z = -4.7

2001 BJU international Controlled trial quality: uncertain

13278. Physical examination of the knee. (Abstract)

Physical examination of the knee. Even with the rapid advancement in technology and medical imaging, there is still no substitute for the history and physical examination that can be obtained from a patient. With a well-performed history and physical, the majority of pathology can be determined prior to any expensive imaging or surgical procedures. The knee is one of the most commonly injured joints, and its function is critical to basic ambulation and participation in sports, work (...) , and activities of daily living. This article reviews the key concepts to a complete evaluation of the knee and highlights aspects of the physical examination and radiographic imaging that best aid in diagnosing knee pathology.

2005 Current Sports Medicine Reports

13279. Reliability of navigated knee stability examination: a cadaveric evaluation. (Abstract)

Reliability of navigated knee stability examination: a cadaveric evaluation. Clinical examination remains empirical and may be confusing in the setting of rotatory knee instabilities. Computerized navigation systems provide the ability to visualize and quantify coupled knee motions during knee stability examination.An image-free navigation system can reliably register and collect multiplanar knee kinematics during knee stability examination.Controlled laboratory study.Coupled knee motions were (...) visualization of the coupled motions was possible with the navigation system. Post hoc analysis of the knee motion paths during loading distinguished distinct rotatory patterns.Surgical navigation is a precise intraoperative tool to quantify knee stability examination and may help delineate pathologic multiplanar or coupled knee motions, particularly in the setting of complex rotatory instability patterns. Repeatability of load application during clinical stability testing remains problematic.Surgical

2007 American Journal of Sports Medicine

13280. Current concepts review: comprehensive physical examination for instability of the knee. Full Text available with Trip Pro

Current concepts review: comprehensive physical examination for instability of the knee. A careful history and physical examination are the cornerstones of orthopaedic sports medicine. When evaluating a patient for ligamentous instability of the knee joint, an understanding of the contribution of anatomic structures to stability enhances a practitioner's ability to achieve an accurate clinical diagnosis. This article reviews the various types of knee instability and the associated anatomic (...) structures. Ultimately, information must be obtained from multiple tests to reach the final diagnosis. We describe in detail the pathologic and biomechanical basis of the tests for both tibiofemoral and patellofemoral instability of the knee joint and provide recommendations for performance and interpretation of these physical examinations.

2008 American Journal of Sports Medicine

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