Assessment and Management of Loose Bodies in the Knee Joint and Related Disease: A Narrative Review

2021 ◽  
Vol 17 ◽  
Author(s):  
Hassan Zmerly ◽  
Manuela Moscato ◽  
Ibrahim Akkawi
Keyword(s):  
Lifestyle Modification ◽  
Underlying Disease ◽  
Loose Body ◽  
Narrative Review ◽  
Assessment Tools ◽  
Common Finding ◽  
Clinical Activity ◽  
Loose Bodies ◽  
Body Formation ◽  
Persistent Symptoms

Background: Loose bodies are frequently encountered during clinical activity and a common finding during knee arthroscopy. Usually, treatment consists of the removal of the loose bodies, which can be challenging even for experienced surgeons. The excision alone is not always the complete treatment, because loose bodies are generally secondary to other diseases that can cause persistent symptoms with the risk of new loose body formation. The aim of this narrative review is to show the clinical, imaging and arthroscopic evaluation of loose bodies in order to plan optimal treatment. Methods: A comprehensive search of PubMed was conducted to find the most recent and relevant studies investigating the aetiopathogenesis, the assessment tools and the therapeutic strategies for knee loose bodies and their related diseases. Results: When dealing with a loose body, the first issue is the evaluation of the intra-articular fragment (location, size, number, symptoms) and its aetiopathogenesis by identifying the underlying pathology (e.g., osteochondritis dissecans, osteoarthritis, chondral defect, tumour-like lesions, rheumatoid arthritis, etc.). In the case of symptomatic intra-articular loose bodies, treatment consists of fragment removal and the management of related diseases (e.g., lifestyle modification, physiotherapy, pharmacological and surgical treatment). Conclusion: Loose bodies are not separate entities and in addition to their pathological aspect, must be evaluated within the context of the underlying disease. Correct assessment and comprehensive management allow for relief of symptomatology and prevention of loose body formation by removal and treatment of the associated diseases.

scholarly journals The Differential Diagnosis of Sterile Pyuria in Pediatric Patients: A Review

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199371
Author(s):  
Donald W. Bendig
Keyword(s):  
Differential Diagnosis ◽  
Pediatric Patients ◽  
Systemic Disease ◽  
Common Finding ◽  
Extensive Literature ◽  
Sexually Transmitted ◽  
Persistent Symptoms ◽  
Sterile Pyuria ◽  
Extensive Literature Search ◽  
Definition Of

Sterile pyuria is a common finding in pediatric patients. Literature describing the diagnoses as well as clinical characteristics of children with sterile pyuria is lacking. This review was performed to establish an evidence-based approach to the differential diagnosis by way of an extensive literature search. The definition of pyuria is inconsistent. The various causes of pediatric sterile pyuria identified were classified as either Infectious or Non-Infectious. Sub-categories of Infectious causes include: Viral Infection, Bacterial Infection, Other Infections (tuberculosis, fungal, parasitic), Sexually Transmitted Infections, Recent Antibiotic Therapy. Non-Infectious causes include: Systemic Disease, Renal Disease, Drug Related, Inflammation adjacent to Genitourinary Tract. Clinicians that encounter pediatric patients with sterile pyuria and persistent symptoms should consider the substantial differential diagnosis described in this study.

scholarly journals Post-COVID-19 Syndrome: The Persistent Symptoms at the Post-viral Stage of the Disease. A Systematic Review of the Current Data

2021 ◽  
Vol 8 ◽  
Author(s):  
Francesca Salamanna ◽  
Francesca Veronesi ◽  
Lucia Martini ◽  
Maria Paola Landini ◽  
Milena Fini
Keyword(s):  
Systematic Review ◽  
Chronic Fatigue ◽  
Current Data ◽  
Assessment Tools ◽  
Current Evidence ◽  
Case Control Studies ◽  
Cross Sectional ◽  
Persistent Symptoms ◽  
Collection Form

Whilst the entire world is battling the second wave of COVID-19, a substantial proportion of patients who have suffered from the condition in the past months are reporting symptoms that last for months after recovery, i. e., long-term COVID-19 symptoms. We aimed to assess the current evidence on the long-term symptoms in COVID-19 patients. We did a systematic review on PubMed, Web of Science, EMBASE, and Google Scholar from database inception to February 15, 2021, for studies on long-term COVID-19 symptoms. We included all type of papers that reported at least one long-term COVID-19 symptom. We screened studies using a standardized data collection form and pooled data from published studies. Cohort cross-sectional, case-report, cases-series, case-control studies, and review were graded using specific quality assessment tools. Of 11,361 publications found following our initial search we assessed 218 full-text articles, of which 145 met all selection criteria. We found that 20.70% of reports on long-term COVID-19 symptoms were on abnormal lung functions, 24.13% on neurologic complaints and olfactory dysfunctions, and 55.17% on specific widespread symptoms, mainly chronic fatigue, and pain. Despite the relatively high heterogeneity of the reviewed studies, our findings highlighted that a noteworthy proportion of patients who have suffered from SARS-CoV-2 infection present a “post-COVID syndrome.” The multifaceted understanding of all aspects of the COVID-19 pandemic, including these long-term symptoms, will allow us to respond to all the global health challenges, thus paving the way to a stronger public health.

scholarly journals Pathological diagnosis of peritoneal loose body: a case report

2013 ◽  
Vol 3 (6) ◽  
pp. 512-514 ◽  
Author(s):  
M Rajbhandari ◽  
A Karmacharya ◽  
S Shrestha
Keyword(s):  
Case Report ◽  
Incidental Findings ◽  
Loose Body ◽  
Pathological Diagnosis ◽  
Pelvic Cavity ◽  
Loose Bodies ◽  
Dependent Part ◽  
Pelvic Masses

Peritoneal loose bodies are usually incidental findings at laparotomy. Their sizes range from that of a pea to giant loose bodies. We report a case of giant loose peritoneal body measuring 5x 4 cm found incidentally in a 67 year old man. Mobile pelvic masses are extremely rare findings. They are usually located in the pelvic cavity due to the fact that they gravitate to the most dependent part of the pelvic cavity. Usually these peritoneal loose bodies are left untreated until complications arise. DOI: http://dx.doi.org/10.3126/jpn.v3i6.9005   Journal of Pathology of Nepal (2013) Vol. 3, 512-514

scholarly journals Locked Wrist: A Case Report and Literature Review on Pisotriquetral Loose Bodies

2020 ◽  
Vol 9 (06) ◽  
pp. 518-522
Author(s):  
R. Gil Thompson ◽  
George C. Poulis ◽  
Gary M. Lourie
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Imaging Techniques ◽  
Case Reports ◽  
Loose Body ◽  
Radiographic Imaging ◽  
Loose Bodies ◽  
Advanced Imaging ◽  
Radiographic Findings ◽  
Magnetic Resonance Imaging Mri

Abstract Background Pisotriquetral (PT) loose bodies have been described in the literature only a few times as case reports. While PT pathology remains the differential for ulnar-sided wrist pain, it can often be difficult to diagnose, as symptoms can be variable and radiographic imaging may be negative for any findings. Case Description A 24-year-old major league baseball player presented with pain and locking of his wrist during follow through of his bat swing. Plain radiographic imaging, as well as computed tomography (CT) imaging, was negative for any pathology. Dynamic magnetic resonance imaging (MRI) demonstrated a loose body which entered the PT joint when the wrist was moved into a flexed position. This caused entrapment of the loose body and locking of the wrist. Literature Review A total of 17 reported patients in the literature have been diagnosed with a PT loose body. The clinical examination findings, radiographic findings, and surgical findings are reviewed. Case Relevance PT loose bodies can present a challenging clinical picture to diagnose. The purpose of this case report is to review the appropriate clinical workup, including common examination findings and advanced imaging techniques, to help the clinician with the diagnosis.

Arthrotomography: A Valuable Technique in the Evaluation of Loose Body Formation

1986 ◽  
Vol 151 (1) ◽  
pp. 32-37
Author(s):  
Hector Ramirez ◽  
Marvin D. Walker ◽  
Ethyl Blatt ◽  
Keith L. Markey ◽  
Gladys S. Sepulveda ◽  
...  
Keyword(s):  
Loose Body ◽  
Body Formation

scholarly journals Terminology and assessment tools of psychosis: A systematic narrative review

2020 ◽  
Vol 74 (4) ◽  
pp. 226-246 ◽  
Author(s):  
Natalie Seiler ◽  
Tony Nguyen ◽  
Alison Yung ◽  
Brian O'Donoghue
Keyword(s):  
Narrative Review ◽  
Assessment Tools

scholarly journals Acute and chronic pain: a narrative review of the literature

2012 ◽  
Vol 25 (spe1) ◽  
pp. 150-154 ◽  
Author(s):  
Ana Maria Calil Sallum ◽  
Dayse Maioli Garcia ◽  
Mariana Sanches
Keyword(s):  
Chronic Pain ◽  
Customer Satisfaction ◽  
Pain Measurement ◽  
Rating Scales ◽  
Signs And Symptoms ◽  
Narrative Review ◽  
Assessment Tools ◽  
Review Of The Literature ◽  
Chronic Pain Conditions ◽  
At Home

The study objectives were to identify the organic, emotional and psychic prevalent consequences in patients with acute and chronic pain and punctuate the main assessment tools for these pains. A narrative review of the literature was conducted using descriptors related to pain measurement, signs and symptoms, totalizing 184 articles. The electronic databases MEDLINE and LILACS were searched from January 2000 to December 2010. The review pointed out a series of conclusive studies about the organic repercussions more frequent in acute and chronic pain conditions and the use of different rating scales for both situations. It is believed that these findings could be of great values for health teams, could contribute with a better practice and with customer satisfaction in the hospital scenario and at home.

scholarly journals Faculty Service-Learning Students as Home-Visitors: Outcomes of a Lifestyle Modification Program for Vulnerable Families With Residents in Rural Indonesian Communities

2021 ◽  
Vol 9 ◽  
Author(s):  
Stephen Wai Hang Kwok ◽  
Phyllis Chui Ping Pang ◽  
Man Hon Chung ◽  
Cynthia Sau Ting Wu
Keyword(s):  
Health Education ◽  
Hand Hygiene ◽  
Health Risk ◽  
Rural Areas ◽  
Home Visiting ◽  
Lifestyle Modification ◽  
Assessment Tools ◽  
Cognitive Domains ◽  
Vulnerable Families ◽  
Lifestyle Modification Program

Background: Risks attributed to chronic diseases, cancer, musculoskeletal discomfort, and infectious diseases among Indonesians were found to be associated with lifestyle behaviors, particularly in rural areas. The aim of this study was to examine the outcomes of a home-visiting lifestyle modification program on improving health risk behaviors among Indonesians living in rural areas.Methods: A total of 160 Indonesians living in rural hamlets in the Yogyakarta Region of Indonesia participated in the program in the period of June 21 to July 21, 2019. In the pre-intervention home interview, learning needs of diet, exercise, hand hygiene, and substance use were identified by using structured assessment tools. In the next home visit, the visitors provided health education and facilitated lifestyle planning based on the related affective and cognitive domains of learning. Subsequent follow-up interviews were conducted 3 weeks after intervention.Results: The results showed that the self-reported intake of vegetables, fruits, meat and salt, cooking with less oil, hand hygiene before eating, number of cigarettes smoked, and symptoms of muscle stiffness significantly improved after the intervention. The lifestyle modification program consisted of the affective and cognitive domains of learning, and could lead to the target behavioral changes in self-reported and observable measures over 1 month.Conclusions: The findings contributed to the framework of community-based health education for health risk reduction and behavioral modification in developing rural communities where health care resources were limited. Further studies with control groups and vigorous objective measures were recommended to elucidate its long-term impacts. The factors leading to its sustainability concerning collaborative care partnerships between community residents and faculty resources are worthy of continued exploration.

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