scholarly journals Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Mohammad Abd Alkhalik Basha ◽  
Diaa Bakry Eldib ◽  
Sameh Abdelaziz Aly ◽  
Taghreed M. Azmy ◽  
Nader E. M. Mahmoud ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Knee Pain ◽  
Roc Curve ◽  
Anterior Knee Pain ◽  
Joint Effusion ◽  
Common Finding ◽  
Roc Curve Analysis ◽  
A Prospective Study ◽  
Kappa Agreement ◽  
Anterior Knee

Abstract Background Anterior knee pain (AKP) is a problematic complaint, considered to be the most frequent cause of orthopedic consultancy for knee problems. This study aimed to highlight diagnostic accuracy of ultrasonography as a fast imaging technique in assessment of patients with AKP. Methods and results A prospective study was conducted on 143 patients with clinically confirmed AKP. All patients underwent ultrasonography and MRI examinations of the knee. The diagnostic accuracy of ultrasonography compared to MRI for evaluating different findings of possible causes of AKP were analyzed using receiver operating characteristic (ROC) curve and judged by area under curve (AUC). A total of 155 knees were included in the study; 26 knees showed no abnormalities, 19 knees showed positive MRI only, and 110 knees showed positive ultrasonography and MRI. Ultrasonography and MRI reported 11 different findings of possible causes of AKP or related to it. Joint effusion was the most common finding (38%) followed by trochlear cartilage defect (20.6%) and superficial infrapatellar subcutaneous edema (20%). The overall accuracy of ultrasonography was 85.3% sensitivity and 100% specificity. The ultrasonography provided the highest sensitivity (100%) in detecting bipartite patella, followed by 91.5% for joint effusion, and 87.5% for quadriceps tendinopathy. The ROC curve analysis of overall accuracy of ultrasonography showed an AUC of 0.93. The overall Kappa agreement between ultrasonography and MRI was good (k = 0.66). Conclusion Ultrasonography can be used to make a swift screening and assessment of painful anterior knee and as an alternative to MRI when it is unavailable or contraindicated.

A prospective study of the diagnostic potential of the knee tunnel view radiograph in assessing anterior knee pain

The Knee ◽  
2007 ◽  
Vol 14 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Caroline Hing ◽  
Eden Raleigh ◽  
Michael Bailey ◽  
Nasir Shah ◽  
Tom Marshall ◽  
...  
Keyword(s):  
Prospective Study ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Diagnostic Potential ◽  
A Prospective Study ◽  
Anterior Knee

scholarly journals A prospective study to review the functional outcome between patellofemoral resurfacing versus non resurfacing in total knee replacement

2018 ◽  
Vol 4 (5) ◽  
pp. 757
Author(s):  
Sharat Balemane ◽  
Arshad Attar ◽  
Aaron Ruben Dsouza
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Pain Scale ◽  
Satisfaction Scale ◽  
Significant Difference ◽  
Total Knee ◽  
A Prospective Study ◽  
Anterior Knee

<p class="abstract"><strong>Background:</strong> A prospective study to review the functional outcome between patellofemoral resurfacing versus non resurfacing in posterior stabilized TKR.</p><p class="abstract"><strong>Methods:</strong> We studied a total of 63 patients with tricompartmental osteoarthritis of knee. These patients underwent total knee arthroplasty between April 2013 to September 2013 at Preethi hospital, Madurai. It was prospective study which was followed up for period of 1 year. There were two groups which were made randomly into patellofemoral resurfacing group (group A n=30) and the non resurfacing group (group B n=33). In the patellofemoral resurfacing group, patella was resurfaced with the help of cemented poly component and in the non-resurfacing group, the osteophytes of the patella was removed, it was reshaped to match the trochlea of the femoral prosthesis and circumpatellar denervation was done. Knee society score (KSS), anterior knee pain, knee society function score and patient satisfaction was compared between both the groups. <strong></strong></p><p class="abstract"><strong>Results:</strong> There was significant difference in anterior knee pain scale and incidence of anterior knee pain was less as compared in the resurfacing group. However 1 year of follow up of both groups concluded that there was no significant differences for functional outcomes. Patient satisfaction scale was significant in patellofemoral resurfacing group.</p><p class="abstract"><strong>Conclusions:</strong> Study showed that apart from significant improvement in anterior knee pain scale there was no significant difference for both groups after 1 year follow up in clinical outcome, except for patient satisfaction scale. For patellofemoral pain and severe patellofemoral arthritis it is recommended to perform patellar resurfacing, otherwise patellar resurfacing do not have any added advantage.</p>

The Inter-Rater Reliability and Diagnostic Accuracy of Patellar Mobility Tests in Patients with Anterior Knee Pain

2010 ◽  
Vol 38 (3) ◽  
pp. 90-96 ◽  
Author(s):  
Brett A. Sweitzer ◽  
Chad Cook ◽  
J. Richard Steadman ◽  
Richard J. Hawkins ◽  
Douglas J. Wyland
Keyword(s):  
Diagnostic Accuracy ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Rater Reliability ◽  
Anterior Knee ◽  
Patellar Mobility

Analysis of isokinetic parameters in the development of anterior knee pain syndrome: A prospective study in a military setting

2004 ◽  
Vol 12 (4) ◽  
pp. 223-228 ◽  
Author(s):  
Damien Van Tiggelen ◽  
Erik Witvrouw ◽  
Pascal Coorevits ◽  
Jean-Louis Croisier ◽  
Philippe Roget
Keyword(s):  
Prospective Study ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Pain Syndrome ◽  
A Prospective Study ◽  
Anterior Knee

120 Genicular Nerve Radio-Frequency Ablation in The Treatment of Anterior Knee Pain in Patients with Osteoarthritis of The Knee Joint: Systematic Review

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Farrugia ◽  
C Tinning
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Comparative Studies ◽  
Primary Outcome ◽  
Final Analysis ◽  
Primary Outcome Measure ◽  
Sensory Innervation ◽  
Osteoarthritis Of The Knee ◽  
Pain Scores ◽  
Anterior Knee

Abstract Anterior knee pain is one of the main symptoms in osteoarthritis, resulting from the rich sensory innervation of its capsule. Pain control can be difficult to achieve, with non-responders to conservative and medical therapy often requiring a total knee replacement. Radiofrequency ablation (RFA) is a novel technique that could be beneficial in managing anterior knee pain by targeting the genicular nerves around the knee; however, its routine use is not included in current guidelines. A literature search identified fifty-two results, which underwent screening using a study protocol and the final literature sources, of varying levels of evidence, underwent critical appraisal and analysis. The primary outcome included the significant improvement of pain scores from baseline, against their respective control treatments. The ten studies included in the final analysis consisted of seven comparative studies and three non-comparative studies. Literature showed significant improvement in their mean pain scores, all meeting the primary outcome measure. Most studies also showed significant improvement from the control treatments used. Current literature shows evidence that genicular nerve RFA is an effective and safe treatment modality in the management of anterior knee pain secondary to osteoarthritis. However, the literature available is limited and further comparative studies are required.

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