scholarly journals Arab Knee: Management and Prevention-A Case Report

2020 ◽  
Vol 7 (02) ◽  
pp. 2454-9576
Author(s):  
Inklebarger J ◽  
Galanis N ◽  
Akhtar A ◽  
Stone H ◽  
Adel G ◽  
...  
Keyword(s):  
Case Report ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Osteoarthritis Of The Knee ◽  
Cultural Group ◽  
Radiographic Osteoarthritis ◽  
Management Recommendations ◽  
Daily Prayer ◽  
Anterior Knee ◽  
Saudi Patients

Radiographic osteoarthritis of the knee is very common in Saudi patients, especially in the patellofemoral compartment. Some studies have considered repetitive daily prayer activities as a factor of causation. However prevention and management recommendations appear to be non-existent in the literature. This report describes the case of chronic bilateral anterior knee pain in a devout adult male, which was dramatically alleviated by simply using a padded cushion under the prayer rug. Simple strategies of temporarily modifying prayer posture, insuring good prayer form, and adequate knee padding, may offer promise as low tech and economical solution for the management of anterior knee pain in this cultural group.

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.

scholarly journals Use of the suprapatellar approach in intramedullary nailing of a multi-fragmentary dislocated tibia fracture with a hypermobile intermediate fragment in a young patient

2017 ◽  
Vol 8 (4) ◽  
Author(s):  
Patrick Haubruck ◽  
Ulf Brunnemer ◽  
Arash Moghaddam ◽  
Gerhard Schmidmaier
Keyword(s):  
Case Report ◽  
Intramedullary Nailing ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Young Patients ◽  
First Grade ◽  
Adolescent Female ◽  
Suprapatellar Approach ◽  
Anterior Knee ◽  
Type Of Fracture

A case of an adolescent female patient who suffered from first grade open multi-fragment fracture of the tibia (AO42-C2) with a large hypermobile intermediate fragment is presented in this case report. Intramedullary nailing of the tibia remains the treatment of choice despite a high risk of malformation and anterior knee pain especially in multi-fragment fractures. Here the suprapatellar approach as a semiextended nailing technique seems favorable. The specialty in our case was an early change of procedures necessary due to persistent swelling during external fixation based on the hypermobile intermediate fragment. Decision in favor of this surgical technique was conducted in order to achieve beneficial alignment and union while protecting the softtissue despite the hypermobile intermediate fragment and decrease the risk of anterior knee pain. In our case we achieved successful alignment and proper bone healing without any signs of anterior knee pain or limitations in the range of motion of the knee. With this report we would like to recommend the suprapatellar approach as a favorable alternative in intramedullary nailing in this type of fracture also in young patients.

scholarly journals Relation of Patellofemoral Joint Alignment, Morphology, and Radiographic Osteoarthritis to Frequent Anterior Knee Pain: Data from the Multicenter Osteoarthritis Study

2020 ◽  
Vol 72 (8) ◽  
pp. 1066-1073
Author(s):  
Erin M. Macri ◽  
Tuhina Neogi ◽  
Irina Tolstykh ◽  
Rafael Widjajahakim ◽  
Cora E. Lewis ◽  
...  
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Patellofemoral Joint ◽  
Radiographic Osteoarthritis ◽  
Anterior Knee

Giant cell tumour of the patellar tendon sheath—an unusual cause of anterior knee pain: a case report

The Knee ◽  
2003 ◽  
Vol 10 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Jaikumar Relwani ◽  
Danielle Factor ◽  
Fred Khan ◽  
Amitava Dutta
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Patellar Tendon ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Giant Cell Tumour ◽  
Tendon Sheath ◽  
Cell Tumour ◽  
Anterior Knee

Provoked anterior knee pain in medial osteoarthritis of the knee

The Knee ◽  
2003 ◽  
Vol 10 (4) ◽  
pp. 351-355 ◽  
Author(s):  
Yutaka Inaba ◽  
Shin Numazaki ◽  
Tomihisa Koshino ◽  
Tomoyuki Saito
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Osteoarthritis Of The Knee ◽  
Medial Osteoarthritis ◽  
Anterior Knee

scholarly journals The Effects of Saddle Alignment and Pedal Stroke Training on a Competitive Cyclist with Anterior Knee Pain: A Case Report

2019 ◽  
Author(s):  
Tim Evens ◽  
Jerome Danoff
Keyword(s):  
Case Report ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Functional Score ◽  
Force Output ◽  
Pain Visual Analog Scale ◽  
Competitive Cyclists ◽  
Dynamic Measures ◽  
Anterior Knee ◽  
And Training

Background: Among competitive cyclists, anterior knee pain is a common overuse injury. Alignment of the rider on the bicycle and the loading pattern on the pedals are proposed as factors in this pain. The patient was a 23-year-old competitive female cyclist who was riding up to 200 miles weekly and had developed bilateral anterior knee pain within the 3 months preceding our examination. The purpose of this case report is to demonstrate the effectiveness of adjusting this patient’s static alignment (ie. position while seated on bicycle, but not actively pedaling) on the bike and modifying her habitual pedaling pattern. Methods: The patient was analyzed using both static and dynamic measures of alignment while on her bicycle. Her bicycle seat was raised and moved rearward, and her pedaling force output was analyzed using a Computrainer™. Over a 4-week period, she was taught to modify her pedaling force using video biofeedback. Outcomes: After adjustments and training, she could ride for over 3.5 hours without knee pain. Visual analog scale pain score improved from 6/10 to 0/10; Lower Extremity Functional Score improved from 65 to 79; and Knee Injury and Osteoarthritis Outcome Score improved from 81 to 98.5. Clinical Relevance: This case illustrates how application of biomechanical principles and training in pedaling movement patterns can be effective at eliminating knee pain in competitive cyclists. While rest, decreased training volume, and appropriate medication should be considered as treatment components, we believe the initial treatment for competitive cyclists should include biomechanical evaluation of alignment and pedaling pattern.

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