scholarly journals Relationship between Radiological Severity, Knee Pain and Functional Limitation in Patients With Knee Osteoarthritis at Dr. M. Djamil Padang General Hospital

2021 ◽  
Vol 5 (4) ◽  
pp. 907-914
Author(s):  
Yona Riapesi ◽  
Rizki Rahmadian ◽  
Hendra Maska
Keyword(s):  
Knee Joint ◽  
Pain Intensity ◽  
Functional Limitation ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Moderate Intensity ◽  
P Value ◽  
Physical Capability ◽  
Fourth Degree ◽  
Study Results

Background: Osteoarthritis (OA) is a degenerative joint disease frequently affecting the elderly and the middle class due to injury or overuse of the joints. An individual with pain due to OA will experience dysfunction of joints and muscles, thus causing movement limitation, decrease of muscle strength and balance. The objective of this study is to know the association of OA radiological degree with pain intensity and limitation of physical capability in patients with knee joint OA. Methods: This study is a retrospective study on patients with knee joint OA treated at RSUP Dr. M. Djamil Padang in year 2021 from January 2021 to May 2021. Data collection was conducted in the Medical Records Department of RSUP Dr. M. Djamil Padang and questionnaire which fulfills the inclusion and exclusion criteria. Results: A total of 58 patients fulfilled the inclusion criteria of this study. Results of the study showed the mean age of the respondents was 60 years with variance of 7 years. More than a half (77.6%) of the respondents were female and most common ethnicity was Minang (82.8%). 50% of the patients were housewives. BMI of the respondents were mostly overweight - obese (65.5%). Most commonly affected side of the knee joint OA was the right side (55.2%). Most common degree of OA was the fourth degree (39.7%). More than a half of the respondents (84.5%) had moderate intensity of pain and 34.5% respondents had mild physical limitation. Results of the study showed that there was an association between OA radiological degree and pain intensity in patients with knee joint OA (p value = 0.0001). Results of the study showed that there was an association between OA radiological degree and level of physical capability limitations in patients with knee joint OA (p value = 0.0001). Results of the study showed that there was an association between pain intensity and level of physical capability limitations in patients with knee joint OA (p value = 0.0001). Conclusion: There was an association between OA radiological degree and pain intensity, physical limitations in patients with knee joint OA, and there was an association between pain intensity and level of physical capability limitation in patients with knee joint OA.

scholarly journals Relationship between Radiological Severity, Knee Pain and Functional Limitation in Patients With Knee Osteoarthritis at Dr. M. Djamil Padang General Hospital

2021 ◽  
Vol 5 (11) ◽  
pp. 997-1004
Author(s):  
Yona Riapesi ◽  
Rizki Rahmadian ◽  
Hendra Maska
Keyword(s):  
Knee Joint ◽  
Pain Intensity ◽  
Functional Limitation ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Moderate Intensity ◽  
P Value ◽  
Physical Capability ◽  
Fourth Degree ◽  
Study Results

Background: Osteoarthritis (OA) is a degenerative joint disease frequently affecting the elderly and the middle class due to injury or overuse of the joints. An individual with pain due to OA will experience dysfunction of joints and muscles, thus causing movement limitation, decrease of muscle strength and balance. The objective of this study is to know the association of OA radiological degree with pain intensity and limitation of physical capability in patients with knee joint OA. Methods: This study is a retrospective study on patients with knee joint OA treated at RSUP Dr. M. Djamil Padang in year 2021 from January 2021 to May 2021. Data collection was conducted in the Medical Records Department of RSUP Dr. M. Djamil Padang and questionnaire which fulfills the inclusion and exclusion criteria. Results: A total of 58 patients fulfilled the inclusion criteria of this study. Results of the study showed the mean age of the respondents was 60 years with variance of 7 years. More than a half (77.6%) of the respondents were female and most common ethnicity was Minang (82.8%). 50% of the patients were housewives. BMI of the respondents were mostly overweight - obese (65.5%). Most commonly affected side of the knee joint OA was the right side (55.2%). Most common degree of OA was the fourth degree (39.7%). More than a half of the respondents (84.5%) had moderate intensity of pain and 34.5% respondents had mild physical limitation. Results of the study showed that there was an association between OA radiological degree and pain intensity in patients with knee joint OA (p value = 0.0001). Results of the study showed that there was an association between OA radiological degree and level of physical capability limitations in patients with knee joint OA (p value = 0.0001). Results of the study showed that there was an association between pain intensity and level of physical capability limitations in patients with knee joint OA (p value = 0.0001). Conclusion: There was an association between OA radiological degree and pain intensity, physical limitations in patients with knee joint OA, and there was an association between pain intensity and level of physical capability limitation in patients with knee joint OA.

Apportionment of Impairment from Meniscal Tears and Knee Arthritis

2013 ◽  
Vol 18 (5) ◽  
pp. 1-10 ◽  
Author(s):  
Charles N. Brooks ◽  
James B. Talmage
Keyword(s):  
Medial Meniscus ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Detailed Knowledge ◽  
Meniscal Tears ◽  
Knee Arthritis ◽  
Degenerative Arthritis ◽  
Study Results ◽  
Physical Findings ◽  
Causation Analysis

Abstract Meniscal tears and osteoarthritis (osteoarthrosis, degenerative arthritis, or degenerative joint disease) are two of the most common conditions involving the knee. This article includes definitions of apportionment and causes; presents a case report of initial and recurrent tears of the medial meniscus plus osteoarthritis (OA) in the medial compartment of the knee; and addresses questions regarding apportionment. The authors, experienced impairment raters who are knowledgeable regarding the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), show that, when instructions on impairment rating are incomplete, unclear, or inconsistent, interrater reliability diminishes (different physicians may derive different impairment estimates). Accurate apportionment of impairment is a demanding task that requires detailed knowledge of causation for the conditions in question; the mechanisms of injury or extent of exposures; prior and current symptoms, functional status, physical findings, and clinical study results; and use of the appropriate edition of the AMA Guides. Sometimes the available data are incomplete, requiring the rating physician to make assumptions. However, if those assumptions are reasonable and consistent with the medical literature and facts of the case, if the causation analysis is plausible, and if the examiner follows impairment rating instructions in the AMA Guides (or at least uses a rational and hence defensible method when instructions are suboptimal), the resulting apportionment should be credible.

scholarly journals Degenerative joint disease induced by repeated intra-articular injections of monosodium urate crystals in rats as investigated by translational imaging

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Nathalie Accart ◽  
Janet Dawson ◽  
Michael Obrecht ◽  
Christian Lambert ◽  
Manuela Flueckiger ◽  
...  
Keyword(s):  
Knee Joint ◽  
Inflammatory Cells ◽  
Cyst Formation ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Infrapatellar Fat Pad ◽  
Monosodium Urate ◽  
Fat Pad ◽  
Crystal Deposition ◽  
Translational Imaging

AbstractThe objective of this work was to assess the consequences of repeated intra-articular injection of monosodium urate (MSU) crystals with inflammasome priming by lipopolysaccharide (LPS) in order to simulate recurrent bouts of gout in rats. Translational imaging was applied to simultaneously detect and quantify injury in different areas of the knee joint. MSU/LPS induced joint swelling, synovial membrane thickening, fibrosis of the infrapatellar fat pad, tidemark breaching, and cartilage invasion by inflammatory cells. A higher sensitivity to mechanical stimulus was detected in paws of limbs receiving MSU/LPS compared to saline-injected limbs. In MSU/LPS-challenged joints, magnetic resonance imaging (MRI) revealed increased synovial fluid volume in the posterior region of the joint, alterations in the infrapatellar fat pad reflecting a progressive decrease of fat volume and fibrosis formation, and a significant increase in the relaxation time T2 in femoral cartilage, consistent with a reduction of proteoglycan content. MRI also showed cyst formation in the tibia, femur remodeling, and T2 reductions in extensor muscles consistent with fibrosis development. Repeated intra-articular MSU/LPS injections in the rat knee joint induced pathology in multiple tissues and may be a useful means to investigate the relationship between urate crystal deposition and the development of degenerative joint disease.

Degenerative joint disease on MRI and physical activity: a clinical study of the knee joint in 320 patients

1999 ◽  
Vol 9 (1) ◽  
pp. 145-152 ◽  
Author(s):  
G. F. Bachmann ◽  
E. Basad ◽  
K. Rauber ◽  
M. S. Damian ◽  
W. S. Rau
Keyword(s):  
Physical Activity ◽  
Clinical Study ◽  
Knee Joint ◽  
Degenerative Joint Disease ◽  
Joint Disease

scholarly journals The Role of Fibrosis in Osteoarthritis Progression

Life ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 3
Author(s):  
Yeri Alice Rim ◽  
Ji Hyeon Ju
Keyword(s):  
Knee Joint ◽  
Total Joint Replacement ◽  
Cartilage Degeneration ◽  
Critical Issue ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Joint Movement ◽  
Synovial Membrane Inflammation ◽  
Osteoarthritis Progression

Osteoarthritis (OA) is a chronic degenerative joint disease where the main characteristics include cartilage degeneration and synovial membrane inflammation. These changes in the knee joint eventually dampen the function of the joint and restrict joint movement, which eventually leads to a stage where total joint replacement is the only treatment option. While much is still unknown about the pathogenesis and progression mechanism of OA, joint fibrosis can be a critical issue for better understanding this disease. Synovial fibrosis and the generation of fibrocartilage are the two main fibrosis-related characteristics that can be found in OA. However, these two processes remain mostly misunderstood. In this review, we focus on the fibrosis process in OA, especially in the cartilage and the synovium tissue, which are the main tissues involved in OA.

scholarly journals Perbedaan Derajat Osteoartritis Sendi Lutut pada Hasil Radiografi Posisi AP Supine dan AP Erect di Instalasi Radiologi Rumah Sakit Akademis Jaury Jusuf Putera Makassar

Lontara ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 1-12
Author(s):  
A.AR.Rakhmansya Iskandar ◽  
Rusman Achmad ◽  
Imran Amin
Keyword(s):  
Supine Position ◽  
Weight Bearing ◽  
Analytical Data ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
P Value ◽  
Osteoarthritis Of The Knee ◽  
Erect Position ◽  
Ap Weight ◽  
Significant Difference

Osteoarthritis is a degenerative joint disease that is associated with damage to joint cartilage. One way to diagnose mild pain or the onset of OA early is to do a rontgen examination. The aim of the study was to determine the differences in the degree of osteoarthritis of the knee joint AP position erect with the AP supine position. This research was conducted in the hospital. Academic Jaury Jusuf Putera Makassar April - June 2019. This type of research is descriptive analytical, data collection techniques using questionnaires, sampling techniques carried out by accidental sampling analysis. Data analysis using statistics Presentation of data is presented in the form of graph tables accompanied by narration. Based on the results of the study it can be concluded that the Erect Position has an assessment score with an average of 7.20 while the Supine position with an average of 8.00. From the results of the statistical test obtained p value (0.455)> 0.05 means that there is no statistically significant difference in scores between Erect and Supine positions. It is expected that the radiology officer chooses the right projection that is in accordance with the patient's general condition. If it is possible for the patient to be examined with the projection of AP Weight-Bearing Standing, the officer uses the projection, otherwise the officer can use the AP Supine or AP Erect position because the two positions have no significant differences based on the results of the existing research.

scholarly journals Ultrasound-guided radiofrequency ablation of genicular nerves of knee for relief of intractable pain from knee osteoarthritis: a case series

2017 ◽  
Vol 12 (3) ◽  
pp. 145-154 ◽  
Author(s):  
Arif Ahmed ◽  
Divesh Arora
Keyword(s):  
Quality Of Life ◽  
Radiofrequency Ablation ◽  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Severe Pain ◽  
P Value ◽  
Intractable Pain ◽  
Ultrasound Guided

Introduction: The knee arthroplasty is the best option for patients with advanced osteoarthritis who have failed all other conservative options, but regrettably many patients fail to undergo surgery due to co-morbidities or other reasons. So, new alternative modes are always in demand for these patients. Methods: The ultrasound-guided radiofrequency ablation (RFA) of all the genicular nerves of knee joint was done in patients with grade III and IV osteoarthritis of knee joint, with severe pain (numerical rating scale (NRS) > 7) who had failed conservative management and intra-articular injections after a positive genicular nerve block with local anaesthetics. The demographics, pain intensity measured in NRS, Oxford Knee Score (OKS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and quality of life measured by 36-Item Short Form Health Survey (SF-36) questionnaire was measured at baseline and at regular intervals. Results: The average age of the patients was 61.50 ± 6.75 years. There was significant improvement in pain intensity at rest, movement and on weight bearing from 8.75 ± 0.5, 9.0 ± 0.0, and 9.0 ± 0.0 at baseline to 2.38 ± 0.51, 3.75 ± 0.46, and 4.13 ± 0.35 at 1 month and 3.13 ± 0.64, 4.38 ± 0.51, and 4.63 ± 0.51 at 6 months after the procedure, respectively (p value <0.05). The OKS had improved from 7.75 ± 1.25 at baseline to 28.88 ± 2.53 and 28.13 ± 1.80 at 1 and 6 months, respectively, after the procedure (p value <0.05). The WOMAC score had also improved significantly from 77.75 ± 4.34 at baseline to 38.38 ± 5.82 and 39.25 ± 5.12 at 1 and 6 months, respectively (p value <0.05). There was also significant improvement in the quality of life after the procedure (p value <0.05). Conclusion: Ultrasound-guided RFA of genicular nerves of knee joint is a good alternative option for patients who are having severe pain and disability from knee osteoarthritis and gives a long-lasting pain relief for more than 6 months.

scholarly journals AGE PECULIARITIES OF KNEE FUNCTIONALITY AND PHYSICAL PERFORMANCE IN ELDERLY WOMEN

2020 ◽  
Vol 19 (4) ◽  
pp. 133-141
Author(s):  
R Solodilov
Keyword(s):  
Knee Joint ◽  
Physical Performance ◽  
Rating Scale ◽  
Elderly Women ◽  
Joint Disease ◽  
Physical Capability ◽  
Healthy Elderly ◽  
Factors Influencing ◽  
Before And After ◽  
Physical Functionality

Aim. The aim of this study is to learn the effect of the age on degenerative knee joint disease and physical capability of elderly women. Materials and methods. Three groups of relatively healthy elderly women (G1 – 60–64 years (n = 34), G2 – 65–69 years (n = 31) and G3 – 70–74 years (n = 18)) participated in the study. The functional status of the knee joint (pain, limitation of motion, physical functionality) was estimated with the help of WOMAC index. Physical performance in women was studied with the help of three functional tests. Pain in the knee joint before and after the tests was assessed with the help of the Numeric Pain Rating Scale (NPRS). Statistical data were processed with the help of Statistica 10 and IBM SPSS22. Results. Pain and stiffness in the knee joint in elderly women increased significantly with age while physical functionality decreased (p < 0.01). Correlations were established between “age/pain” – (r = 0.581), “age/stiffness” – (r = 0.565) and “age/physical functionality” – (r = 0.666) indices, p < 0.01. Authentic changes of the pain index were revealed in the knee joint during physical activity. Correlation analysis showed a clearly defined dependence between the level of physical capability in women and their age. Conclusion. The data obtained prove that the age of elderly women is one of the main factors influencing their functional capability. The age also is one of the factors influencing the progression of functional and degenerative disorders in the knee joint.

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