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.

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.

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.

Are Ottawa knee rules useful in actual trauma care?

Open Medicine ◽  
2007 ◽  
Vol 2 (2) ◽  
pp. 216-221
Author(s):  
Kamal Nagpal ◽  
Mandar Marathe
Keyword(s):  
Knee Injuries ◽  
Fracture Rate ◽  
X Rays ◽  
Delayed Fracture ◽  
X Ray ◽  
Common Presentation ◽  
Fracture Diagnosis ◽  
Knee Trauma ◽  
Set Up ◽  
Acute Knee

AbstractAcute knee injuries are a common presentation to the emergency department(ED). Ottawa knee rules (OKR) have shown to reduce the number of radiographs in these patients in North American studies and a fracture rate of 5% has been reported. Based on this, we tested the hypothesis that it was possible to decrease the number of x-ray films obtained after a knee trauma without delayed fracture diagnosis by means of the Ottawa knee rules in British set up. A total of 118 adult patients with acute Knee injuries were studied. A checklist in an easy-to-use format was produced to act as an aide-memoir and to encourage clinicians to apply the OKR in their decision making. Sixty patients were studied before introducing the check list stickers of OKR and fifty eight were studied after introducing the stickers. The OKR were found to have been obeyed in 24 (40%) of patients in the group which did not have stickers. In the group assessed without an OKR sticker, 28 (46.7%) of patients had knee radiography, compared with 29 (50%) of patients in the group who were assessed with an OKR sticker. There was no decrease in the number of x-rays after following the Ottawa Knee Rules (OKR).

scholarly journals Heterotopic ossification in the post cruciate ligament of the knee: a case report and literature review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Cun Li ◽  
Zonggui Huang ◽  
K. C. Anil ◽  
Chendeng Lao ◽  
Qianghua Wu ◽  
...  
Keyword(s):  
Literature Review ◽  
Heterotopic Ossification ◽  
Knee Pain ◽  
Cruciate Ligament ◽  
Complete Recovery ◽  
X Rays ◽  
Related Factors ◽  
Knee Motion ◽  
Adequate Treatment ◽  
The Difference

Abstract Background Heterotopic ossification (HO) is noted most frequently in periarticular muscles and has not yet been reported in the cruciate ligaments of the knee. We present a rare case of symptomatic ossification of the posterior cruciate ligament (PCL). Case presentation A 59-year-old woman had a 2-year history of knee pain that was getting worse during knee motion and had restricted knee motion for 1 year. X-rays could not show the lesion clearly. Multi-planar computed tomography demonstrated ossification within the PCL with mild osteoarthritic changes and excluded any other intra-articular pathology. The patient underwent arthroscopic debridement and then experienced immediate relief of pain and complete recovery of range of motion. Conclusion This is the first report of HO in the PCL as a possible cause of knee pain and restricted knee motion. On the basis of literature review, this case elaborates the difference between HO and calcification in the ligaments, the related factors inducing HO and the undefined pathogenesis, and favorable prognosis after adequate treatment.

scholarly journals AB0867 INCREASED ADIPONECTIN LEVELS ARE ASSOCIATED WITH HIGHER RADIOGRAPHIC SCORES IN THE KNEE JOINT, BUT NOT IN THE HAND JOINT: THE DONG-GU STUDY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1740.1-1740
Author(s):  
J. H. Kang ◽  
S. E. Choi ◽  
H. Xu ◽  
D. J. Park ◽  
S. S. Lee
Keyword(s):  
Body Mass Index ◽  
Knee Joint ◽  
Body Mass ◽  
Linear Regression Analysis ◽  
Joint Space ◽  
Serum Adiponectin ◽  
Hand Osteoarthritis ◽  
X Rays ◽  
Subchondral Cyst ◽  
The Relationship

Background:Several studies have evaluated the association between serum adiponectin levels and knee and hand osteoarthritis (OA), with mixed results.Objectives:The aim of this study was to investigate the relationship between OA and serum adiponectin levels according to the radiographic features of knee and hand OA.Methods:A total of 2,402 subjects were recruited from the Dong-gu Study. Baseline characteristics were collected via a questionnaire, and X-rays of knee and hand joints were scored by a semi-quantitative grading system. The relationship between serum adiponectin levels and radiographic severity was evaluated by linear regression analysis.Results:Subjects with higher tertiles of serum adiponectin were older and had a lower body mass index than those with lower tertiles. In the knee joint scores, serum adiponectin levels were positively associated with the total score (P<0.001), osteophyte score (P=0.003), and joint space narrowing (JSN) score (P<0.001) among the three tertiles after adjustment for age, sex, body mass index, smoking, alcohol consumption, education, and physical activity. In the hand joint scores, no association was found between serum adiponectin levels and the total score, osteophyte score, JSN score, subchondral cyst score, sclerosis score, erosion score, and malalignment score among the three tertiles after adjustment.Conclusion:In this study, we found that increased adiponectin levels were associated with higher radiographic scores in the knee joint, but not in the hand joint, suggesting different pathophysiologic mechanisms in the development of OA.Disclosure of Interests:None declared

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.

CHEST X RAY SCORE AND CLINICAL SEVERITY IN COVID-19 PATIENTS

2021 ◽  
pp. 31-32
Author(s):  
Sheeba Rana ◽  
Vicky Bakshi ◽  
Yavini Rawat ◽  
Zaid Bin Afroz
Keyword(s):  
Retrospective Study ◽  
Medical Records ◽  
Scoring Systems ◽  
Clinical Severity ◽  
X Rays ◽  
Antigen Test ◽  
X Ray ◽  
Classi Cation ◽  
Chest X Ray ◽  
Male Subjects

INTRODUCTION: Various chest X-ray scoring systems have been discovered and are employed to correlate with clinical severity, outcome and progression of diseases. With, the coronavirus outbreak, few chest radiograph classication were formulated, like the BSTI classication and the Brixia chest X-ray score. Brixia CXR scoring is used for assessing the clinical severity and outcome of COVID-19. This study aims to compare the Brixia CXR score with clinical severity of COVID-19 patients. MATERIAL& METHODS:This was a retrospective study in which medical records of patients aged 18 years or above, who tested for RTPCR or st st Rapid Antigen Test (RAT) for COVID positive from 1 February 2021 to 31 July 2021 (6 months) were taken. These subjects were stratied into mild, moderate and severe patients according to the ICMR guidelines. Chest X Rays were obtained and lesions were classied according to Brixia scoring system. RESULTS: Out of these 375 patients, 123 (32.8%) were female and 252 (67.2%) were male subjects. The average brixia score was 11.12. Average Brixia CXR score for mild, moderate and severe diseased subjects were 5.23, 11.20, and 14.43 respectively. DISCUSSION:The extent of chest x-ray involvement is proportional to the clinical severity of the patient. Although, a perplexing nding was that the average Brixia score of the female subjects were slightly higher than their male counterparts in the same clinical groups. CONCLUSION: Brixia CXR score correlates well with the clinical severity of the COVID-19.

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
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