scholarly journals Gonalgia entre trabalhadores e fatores ocupacionais associados: uma revisão sistemática

2007 ◽  
Vol 23 (8) ◽  
pp. 1763-1775 ◽  
Author(s):  
Marcelo Cozzensa da Silva ◽  
Anaclaudia Gastal Fassa ◽  
Marlos Rodrigues Domingues ◽  
David Kriebel
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Knee Injuries ◽  
Knee Dislocation ◽  
Medical Journals

Com o objetivo de reunir informações sobre gonalgia entre trabalhadores e fatores ocupacionais associados, foi realizada uma revisão sistemática nas bases de dados MEDLINE, LILACS, SciELO, Free Medical Journals, entre outros, referentes ao período 1990-2006, usando-se os descritores gonalgia, knee, knee pain, knee joint, knee dislocation, knee injuries, work, workplace, workload, employment, occupations, industry, occupational, workers, arthrosis, osteoarthritis e seus equivalentes em português e espanhol. Dos 2.263 estudos inicialmente encontrados, somente 26 cumpriram os critérios necessários para permanecer na revisão. As prevalências de gonalgia nos últimos 12 meses variaram entre 11,2% e 60,9%, e os principais fatores associados foram: sexo feminino, idade avançada, índice de massa corporal elevado, trabalhar ajoelhado e carregar peso no trabalho.

scholarly journals ARTHROSCOPIES

2015 ◽  
Vol 22 (02) ◽  
pp. 191-194
Author(s):  
Fayyaz Ahmad Orfi ◽  
Shahid Majeed
Keyword(s):  
Retrospective Study ◽  
Knee Joint ◽  
Knee Pain ◽  
Knee Injuries ◽  
Clinical Suspicion ◽  
X Rays ◽  
Ligamentous Injury ◽  
Common Presentation ◽  
Arthroscopic Findings ◽  
Basic Investigation

Knee pain due to injury is a common presentation in orthopedic outpatientdepartment. X-rays, MRI and arthroscopy are the basic investigation tools when meniscoligametousinjury is suspected. If MRI is normal usually arthroscopy is withheld. In this studywe analyzed the arthroscopic findings of such cases in which X rays and MRI were normalor near normal. Objectives: 1- To find out knee injuries in patients with painful knees. 2- Tofind out any other pathology of knee joint. Design: It’s a retrospective study in which 42 suchcases were analyzed who underwent arthroscopy with a normal or near normal MRI. Setting:This study includes cases done at CMH Rawalpindi, Muzaffarabad, Kharian and Malir. Periodincludes May 2005 to August 2014. A total number of 209 arthroscopies were done by thesame orthopedic surgeon. Results: Out of 42 cases 31 were males while 11 were females.Mean age was 31.4 years (range 18-54 years).In all cases arthroscopy was done by the sameorthopedic surgeon within 6 weeks of MRI. MRI films were reported by a qualified radiologist. Inall cases there was a strong clinical suspicion of menisco-ligamentous injury while X-rays andMRI were near normal or normal. Out of 42 cases in 36 (85.7%) cases, one or more findingswere detected on arthroscopy which were not picked by MRI. Conclusions: It is concludedthat if a menisco-ligamentous injury is strongly suspected in a knee on clinical examination,arthroscopic evaluation should not be denied to a patient even if X-rays and MRI are normal.

Dynamic Response Analyses of Rabbit Knee Joint

1999 ◽  
Author(s):  
M. Kasra ◽  
M. D. Grynpas ◽  
A. Shirazi-Adl
Keyword(s):  
Knee Joint ◽  
Dynamic System ◽  
Experimental Studies ◽  
Knee Injuries ◽  
Nonlinear Dynamic System ◽  
Rabbit Knee ◽  
Prediction And Prevention ◽  
Joint Load ◽  
Dynamic Loading Conditions ◽  
Knee Disorders

Abstract The knee joint is a complex nonlinear dynamic system. It is generally known that mechanical factors play an important role in the etiology of knee injuries and diseases such as osteoarthritis. While performing daily activities such as walking, running, and climbing as well as during occupational operations, the joint is exposed to vibrations and multiple impacts. During these activities, according to an individual’s condition (e.g., age, fitness, weight), the joint load and stiffness may reach critical limits initiating or accelerating different knee disorders. This is the case in athletes or workers during occupational activities (1). Therefore, understanding the dynamic characteristics of the knee joint is essential in prediction and prevention of knee disorders as well as in subsequent joint replacement and rehabilitation procedures. There have been very few reported experimental studies investigating the dynamic behavior of the whole knee joint as a dynamic system (2). The objective of this study was to investigate the changes in mechanical properties of the rabbit knee joint under different compressive dynamic loading conditions. Rabbit has frequently been used as an osteoarthritic knee model (3). The data obtained in this study, hence, will also be beneficial in our future studies of osteoarthritic rabbit models.

scholarly journals Prevalence of anterior knee pain among young South African basketball players

2003 ◽  
Vol 59 (1) ◽  
Author(s):  
Q. Louw
Keyword(s):  
South African ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Knee Injuries ◽  
Sports Injury ◽  
Basketball Players ◽  
Pain Prevalence ◽  
Anterior Knee ◽  
Retrospective Questionnaire ◽  
Pain Area

The aim of the article is to provide an indication of anterior knee pain prevalence among young South African basketball players. A retrospective questionnaire survey was conducted to capture information on injuries sustained over one season. The sample comprised 458 young basketball players in Cape Town and comprised 122 club players and 337 school basketball players.  A total of 180 knee injuries were reported indicating a rate of 1 knee injury in 2.5 players. Anterior knee pain was the most commonly reported area ofpain by the 458 basketball players (49.1%, n=141). The most common combination of pain area was anteromedially (18.2%, n=141). The results of our survey are in agreement with other studies indicating that patellofemoral pain is probably the most common knee presentation among young active individuals and arguably the most common condition seen at sports injury clinics.

Synovial haemangioma of the knee joint: an unusual cause of knee pain in a 14-month old girl

2016 ◽  
Vol 45 (6) ◽  
pp. 827-831 ◽  
Author(s):  
D. W. Wen ◽  
T. J. Tan ◽  
S. Rasheed
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Synovial Haemangioma

scholarly journals MENISCUS TRANSPLANT: IS STILL A STEP FORWARD FOR GOOD RESULTS IN CARTILAGE LESION PROGRESSION AND KNEE PAIN?

2021 ◽  
Vol 68 (1) ◽  
pp. 56-59
Author(s):  
Dan G. Cojocaru ◽  
◽  
Gheorghe Bogdan Hogea ◽  
Sorin Florescu ◽  
Jenel Marian Patrascu Jr. ◽  
...  
Keyword(s):  
Synovial Fluid ◽  
Knee Joint ◽  
Knee Pain ◽  
Traumatic Injury ◽  
Cartilage Lesion ◽  
Meniscal Tears ◽  
Real Challenge ◽  
Meniscus Transplant ◽  
Meniscus Injuries

Meniscus injuries are the most common traumatic conditions of the knee. If until the early 2000s, menisci were considered structures of no major importance in the knee joint, subsequent studies have shown their importance in the biomechanics of the knee. Their role is not only for the natural suspension of the joint, but also for the protection of the cartilage or the achievement of the efficient and uniform circulation of the synovial fluid. Therefore, disruption of this joint balance can lead, in the absence of a well-conducted treatment, to premature knee wear. Most of the time, these meniscal tears are accompanied by associated lessions, ligaments or more severely cartilaginous lessions, creating a real challenge for the physician, specially for young pacients. There are many conservative treatments of the damaged meniscus, imagined precisely in the idea of preserving the menisci as much as possible. However, this is not always possible, especially due to the type of traumatic injury.

Knee joint dislocation: overview and current concepts

2021 ◽  
pp. 1-10
Author(s):  
Fitzgerald C Anazor ◽  
Kwaku Baryeh ◽  
Neville C Davies
Keyword(s):  
Knee Joint ◽  
Functional Limitation ◽  
Knee Injuries ◽  
X Rays ◽  
Specialist Care ◽  
Ligament Repair ◽  
Joint Dislocation ◽  
High Index Of Suspicion ◽  
Knee Dislocations

Knee joint dislocation is a relatively uncommon injury but its management is important because of the associated high risk of vascular, neurological and multi-ligamentous knee injuries. Clinicians must be aware that not all knee dislocations are diagnosed on plain X-rays; a high index of suspicion is required based on clinical evaluation. Multidisciplinary specialist care is required in all cases to achieve best outcomes. Early one-stage or multiple staged ligament repair and reconstruction offer better outcomes, but most patients have some long-term functional limitation. This article provides insights into the epidemiology and management of this injury and its devastating effects.

Functional Arthralgies of Knee Joint as a Complex Problem in the Modern Rehabilitation System

2021 ◽  
Vol 6 (5) ◽  
pp. 56-62
Author(s):  
T. G. Turitska ◽  
◽  
A. A. Vinnyk ◽  
O. S. Snisar
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Local Level ◽  
Pain Syndrome ◽  
Rehabilitation Program ◽  
Google Scholar ◽  
Sources Of Information ◽  
Surgical Interventions ◽  
Muscle Imbalance ◽  
The Impact

The purpose of the study was to search for and analyze data from modern sources of information on the features of the occurrence and manifestations of pain in the knee joint and approaches to treatment. Materials and methods. The paper presents an analysis and generalization of modern scientific and methodological literature of domestic and foreign authors according to the Internet and Google Scholar service on the peculiarities of arthralgia of the knee joint and concomitant manifestations of this disorder (back pain, posture, etc.). Results and discussion. The article analyzed modern views on the occurrence and development of the process of pain syndrome in the knee joint. Sources on request in the Google Scholar service were analyzed, where the overwhelming majority of publications are described by pain slander and approaches to its treatment after the occurrence of anatomical changes in the structures of bone and soft-wound structures or after surgical interventions. Thus, the prevailing approach is the purpose of non-steroidal anti-inflammatory drugs in combination with chondroprotectors. According to the authors of the article, this approach to the treatment of pain in the area of the knee joint does not take into account one of the main components of the occurrence of arthralgia – muscle imbalance, both at the local level of the lower extremities and muscular-fascial chains. According to the theory of muscular chains, the dislocation of bones forming the knee joint leads to uneven loading of the femoral and tibial bones to the metaphizar deposits, which leads to a circulatory disorder and further leads to degenerative-dystrophic diseases. Understanding this component of pathogenesis can give a specialist in physical therapy and ergotherapy a more informed approach to the development of balanced treatment tactics aimed at eliminating the primary causes of pain syndrome. Conclusion. Pain in the knee joint can be caused not only by degenerative-dystrophic changes in the bones, but also can be associated with muscle imbalance of the posterior surface line. The development of a rehabilitation program for knee pain should include not only the use of local remedies, but also take into account the impact on the relevant reflex areas in the spine. Emerging degenerative-dystrophic processes in the bones that are part of the structure of the knee joint can be caused by their dislocation due to muscle imbalance. Uncontrolled and unauthorized use of analgesics by patients with knee pain can smooth the clinical picture and reduce the effectiveness of rehabilitation measures

Multiple Ligament Knee Injuries: Does the Knee Dislocation Classification Predict the Type of Surgical Management?

2020 ◽  
Author(s):  
Garrett T. Maxwell ◽  
Ryan J. Warth ◽  
Adeet Amin ◽  
Matthew A. Darlow ◽  
Lane Bailey ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Management ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Knee Injuries ◽  
Knee Dislocation ◽  
Operative Management ◽  
Injury Patterns ◽  
Ligamentous Injury ◽  
The Mean

AbstractThis study aims to evaluate relationships among multiple ligament knee injury (MLKI) patterns as classified according to the knee dislocation (KD) classification and the types of surgical management pursued. We hypothesized that the KD classification would not be predictive of the types of surgical management, and that categorizing injuries according to additional injury features such as structure, chronicity, grade, and topographic location would be predictive of the types of surgical management. This is a Retrospective cohort study. This study was conducted at a level I trauma center with a 150-mile coverage radius. Query of our billing database was performed using combinations of 43 billing codes (International Classification of Diseases [ICD] 9, ICD-10, and Current Procedural Terminology) to identify patients from 2011 to 2015 who underwent operative management for MLKIs. There were operative or nonoperative treatment for individual ligamentous injuries, repair, or reconstruction of individual ligamentous injuries, and staging or nonstaging or nonstaging of each surgical procedure. The main outcome was the nature and timing of clinical management for specific ligamentous injury patterns. In total, 287 patients were included in this study; there were 199 males (69.3%), the mean age was 30.2 years (SD: 14.0), and the mean BMI was 28.8 kg/m2 (SD: 7.4). There were 212 injuries (73.9%) categorized as either KD-I or KD-V. The KD classification alone was not predictive of surgery timing, staging, or any type of intervention for any injured ligament (p > 0.05). Recategorization of injury patterns according to structure, chronicity, grade, and location revealed the following: partial non-ACL injuries were more frequently repaired primarily (p < 0.001), distal medial-sided injuries were more frequently treated operatively than proximal medial-sided injuries (odds ratio [OR] = 24.7; p <0.0001), and staging was more frequent for combined PCL-lateral injuries (OR = 1.3; p = 0.003) and nonavulsive fractures (OR = 1.2; p = 0.0009). The KD classification in isolation was not predictive of any surgical management strategy. Surgical management was predictable when specifying the grade and topographic location of each ligamentous injury. This is a Level IV, retrospective cohort study.

scholarly journals Single-Stage Arthroscopic Anterior and Posterior Cruciate Ligament Repairs and Open Medial Collateral Ligament Repair for Acute Knee Dislocation

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Ryo Murakami ◽  
Eisaburo Honda ◽  
Atsushi Fukai ◽  
Hiroki Yoshitomi ◽  
Takaki Sanada ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Medial Collateral Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Knee Dislocation ◽  
Single Stage ◽  
Lateral Condyle ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Medial Condyle

Till date, there are no clear guidelines regarding the treatment of multiple ligament knee injuries. Ligament repair is advantageous as it preserves proprioception and does not involve grafting. Many studies have reported the use of open repair and reconstruction for multiple ligament knee injuries; however, reports on arthroscopic-combined single-stage anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) repairs are scarce. In this report, we describe a case of type III knee dislocation (ACL, PCL, and medial collateral ligament (MCL) injuries) in a 43-year-old man, caused by contact while playing futsal. On the sixth day after injury, arthroscopic ACL and PCL repairs were performed with open MCL repair. The proximal lesions in the three ligaments that were injured were sutured using no. 2 strong surgical sutures. The ACL was pulled out to the lateral condyle of the femur and fixed using a suspensory fixation device. The PCL was pulled out to the medial condyle of the femur, and the MCL was pulled towards the proximal end of the femur; both were fixed using suture anchors. Early mobilization was performed, and both, clinical and imaging outcomes, were good two years after surgery.

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