keyword
https://read.qxmd.com/read/38238705/a-modified-anatomical-posterior-cruciate-ligament-reconstruction-technique-using-the-posterior-septum-and-posterior-capsule-as-landmarks-to-position-the-low-tibial-tunnel
#21
JOURNAL ARTICLE
Yingzhen Niu, Zhen Chen, Lingpeng Jin, Yi Zheng, Zhuangdai Zhang, Fei Wang, Zhenfeng Zhang, Jun Ma, Xiaoqian Men, Jiangtao Dong
BACKGROUND: Lowering the exit position of the tibial tunnel can improve the clinical efficacy of posterior cruciate ligament (PCL) reconstruction, however, there is no unified positioning standard. This study aimed to use novel soft tissue landmarks to create a low tunnel. METHODS: A total of 14 human cadaveric knees and 12 patients with PCL injury were included in this study. Firstly, we observed the anatomical position between the PCL, posterior septum, and other tissue, and evaluated the relationship between the center of the low tibial tunnel (SP tunnel) and posterior septum and distal reflection of posterior capsule, and using computed tomography (CT) to evaluate distance between the center of the SP tunnel with bony landmarks...
January 18, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38238250/high-speed-centrifugation-efficiently-removes-immunogenic-elements-in-osteochondral-allografts
#22
JOURNAL ARTICLE
Yongsheng Ma, Qitai Lin, Wenming Yang, Yang Liu, Yugang Xing, Zhiyuan Ren, Xueding Wang, Raorao Zhou, Gaige Wu, Pengcui Li, Wangping Duan, Xiaoling Zhang, Xiaochun Wei
OBJECTIVES: The current clinical pulse lavage technique for flushing fresh osteochondral allografts (OCAs) to remove immunogenic elements from the subchondral bone is ineffective. This study aimed to identify the optimal method for removing immunogenic elements from OCAs. METHODS: We examined five methods for the physical removal of immunogenic elements from OCAs from the femoral condyle of porcine knees. We distributed the OCAs randomly into the following seven groups: (1) control, (2) saline, (3) ultrasound, (4) vortex vibration (VV), (5) low-pulse lavage (LPL), (6) high-pulse lavage (HPL), and (7) high-speed centrifugation (HSC)...
January 18, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38231415/-lesions-of-the-rotator-cuff-and-biceps-tendon
#23
REVIEW
I Yel
CLINICAL/METHODOLOGICAL PROBLEM: The rotator cuff is a complex anatomical structure and the integrity is pivotal for the shoulder functionality. The pathologies are often multifactorial, resulting from degenerative, vascular, traumatic and mechanical factors. RADIOLOGICAL STANDARD PROCEDURES: Radiography, ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) form the pillars of radiological diagnostics. Each modality has specific advantages and limitations in the visualization and assessment of pathologies of the rotator cuff and biceps tendon...
January 17, 2024: Radiologie (Heidelb)
https://read.qxmd.com/read/38219310/orthotropic-organization-of-a-cellulose-nanocrystal-suspension-realized-via-the-combined-action-of-frontal-ultrafiltration-and-ultrasound-as-revealed-by-in-situ-saxs
#24
JOURNAL ARTICLE
Frédéric Pignon, Emilie Guilbert, Samuel Mandin, Nicolas Hengl, Mohamed Karrouch, Bruno Jean, Jean-Luc Putaux, Thomas Gibaud, Sebastien Manneville, Theyencheri Narayanan
HYPOTHESIS: Rodlike cellulose nanocrystals (CNCs) exhibit significant potential as building blocks for creating uniform, sustainable materials. However, a critical hurdle lies in the need to enhance existing or devise novel processing that provides improved control over the alignment and arrangement of CNCs across a wide spatial range. Specifically, the challenge is to achieve orthotropic organization in a single-step processing, which entails creating non-uniform CNC orientations to generate spatial variations in anisotropy...
January 4, 2024: Journal of Colloid and Interface Science
https://read.qxmd.com/read/38196471/un-resolving-frozen-shoulder-are-we-really-treating-it
#25
JOURNAL ARTICLE
Abrar Ahmed Wagan, Paras Surahyo
OBJECTIVE: To perform ultrasound examination in un-resolving frozen shoulder disorder, in Pakistani cohort visiting rheumatology clinic. METHODS: This cross sectional study was carried out at Department of Rheumatology, Indus Medical College Tando Mohhamad Khan, from 16th March 2022 to 30th October 2022. Patients diagnosed as unilateral frozen shoulder on clinical grounds and received intra-articular injection (s) in last six months, never been investigated, still persisting with pain and restricted range of shoulder motion were enrolled...
2024: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/38185515/osteoarthritis-of-the-coxofemoral-joint-in-24-horses-evaluation-of-radiography-ultrasonography-intra-articular-anaesthesia-treatment-and-outcome
#26
JOURNAL ARTICLE
Fay J Sauer, Maren Hellige, Andreas Beineke, Florian Geburek
BACKGROUND: Few case reports describe equine coxofemoral joint osteoarthritis (CFJOA). OBJECTIVES: To evaluate diagnostic findings and outcome of horses with CFJOA and to provide a score facilitating radiographic assessment. STUDY DESIGN: Retrospective case series. METHODS: History, clinical signs, ultrasonographic, radiographic and intra-articular anaesthesia findings, treatments, outcome, and necropsy results of horses with CFJOA presented between 2002 and 2023 were collated...
January 7, 2024: Equine Veterinary Journal
https://read.qxmd.com/read/38137529/determining-the-most-suitable-ultrasound-guided-injection-technique-in-treating-lumbar-facet-joint-syndrome
#27
JOURNAL ARTICLE
Areerat Suputtitada, Jean-Lon Chen, Chih-Kuan Wu, Yu-Ning Peng, Tzu-Yun Yen, Carl P C Chen
(1) Background: Lower back pain is often caused by lumbar facet joint syndrome. This study investigated the effectiveness of three different injection methods under ultrasound guidance in treating elderly patients with lumbar facet joint syndrome. The difficulty in performing these injections was also evaluated; (2) Methods: A total of 60 elderly patients with facet joint syndrome as the cause of lower back pain were recruited and divided into 3 groups. Group 1 received medial branch block (MBB). Group 2 received intra-articular facet joint injections...
December 14, 2023: Biomedicines
https://read.qxmd.com/read/38125054/the-short-term-effect-of-glucosamine-sulfate-nonanimal-chondroitin-sulfate-and-s-adenosylmethionine-combination-on-ultrasonography-findings-inflammation-pain-and-functionality-in-patients-with-knee-osteoarthritis-a-pilot-double-blind-randomized-placebo-controlled
#28
JOURNAL ARTICLE
Zoran Veličković, Slavica Pavlov Dolijanović, Nikola Stojanović, Saša Janjić, Ljiljana Kovačević, Ivan Soldatović, Goran Radunović
OBJECTIVES: This study aimed to investigate the efficacy of glucosamine-sulfate (GS), nonanimal chondroitin-sulfate (naCS), and S-adenosylmethionine (SAMe) combination on ultrasound findings, inflammation, pain, and functionality in knee osteoarthritis. PATIENTS AND METHODS: In the prospective, randomized, double-blind, placebo-controlled pilot study conducted between August 2019 and November 2019, 120 participants (28 males, 92 females; mean age: 66.4±7.9 years; range, 42...
December 2023: Archives of Rheumatology
https://read.qxmd.com/read/38111543/juxta-articular-extraskeletal-myxoid-chondrosarcoma-mistaken-for-a-benign-cyst-presenting-with-multiple-lung-metastases
#29
Dmitriy Starostin, Ibrahim Azam, Michael Paddock, Malee S Fernando, Scott Evans MBChB, Nikhil Kotnis
Extraskeletal myxoid chondrosarcoma (EMC) is a malignant cartilage neoplasm usually encountered in the proximal extremities. We report the case of a 58-year-old male who presented initially with a 3-month history of cough. Initial staging demonstrated a right upper lobe mass with bilateral pulmonary nodules and moderate tracer uptake in the right lung mass and right groin on positron emission tomography imaging. Endobronchial ultrasound biopsy confirmed a histological diagnosis of EMC for which the patient underwent right upper lobe wedge resection...
February 2024: Radiology Case Reports
https://read.qxmd.com/read/38099173/effectiveness-of-ultrasound-guided-versus-landmark-based-glucocorticoid-injection-in-the-treatment-of-first-carpometacarpal-joint-osteoarthritis
#30
JOURNAL ARTICLE
Shamma Ahmad Al-Nokhatha, Sinead Maguire, Luke Corcoran, Neil Mac Eoin, Richard Conway, Ciaran Johnson
Background: Osteoarthritis is a debilitating degenerative disease more pronounced in elderly affecting many joints. The first carpometacarpal joint (CMC1) is commonly affected. Pain is the major complaint, which can impact patient's daily activities. Intra-articular glucocorticoid injection can be considered if conservative measures fail and ultrasound guided injection might be superior to the traditional anatomic landmark-guided technique. Objective: The aim of this study is to evaluate the effectiveness of ultrasound-guided versus landmark-based approach to intra-articular CMC1 injection using the Australian Canadian osteoarthritis hand index (AUSCAN)...
2023: POCUS J
https://read.qxmd.com/read/38085178/the-cost-effectiveness-of-adding-an-ultrasound-corticosteroid-and-local-anaesthetic-injection-to-advice-and-education-for-hip-osteoarthritis
#31
JOURNAL ARTICLE
Jesse Kigozi, Raymond Oppong, Zoe Paskins, Kieran Bromley, Martyn Lewis, Gemma Hughes, Emily Hughes, Susie Hennings, Andrea Cherrington, Alison Hall, Melanie A Holden, Kay Stevenson, Ajit Menon, Philip Roberts, George Peat, Clare Jinks, Nadine E Foster, Christian D Mallen, Edward Roddy
OBJECTIVES: Evidence for the comparative cost-effectiveness of intra-articular corticosteroid injection in people with hip osteoarthritis (OA) remains unclear. This study investigated the cost-effectiveness of best current treatment (BCT) comprising advice and education plus a single ultrasound-guided intra-articular hip injection (USGI) of 40 mg triamcinolone acetonide and 4 ml 1% lidocaine hydrochloride (BCT+US-T) versus BCT alone. METHODS: A trial-based cost-utility analysis of BCT+US-T compared with BCT was undertaken over 6 months...
December 12, 2023: Rheumatology
https://read.qxmd.com/read/38059761/is-ultrasound-guided-or-landmark-guided-intra-articular-lidocaine-injection-more-effective-for-pain-control-in-anterior-shoulder-dislocation-reduction-a-randomized-controlled-trial
#32
JOURNAL ARTICLE
Visit Rungsinaporn, Sirasit Innarkgool, Pinkawas Kongmalai
BACKGROUND: Effective pain control during reduction of shoulder dislocation is essential for patient comfort. However, there is a lack of comprehensive research comparing the efficacy of different pain management techniques, specifically landmark-guided and ultrasound-guided intra-articular analgesic injections. QUESTIONS/PURPOSES: Among patients undergoing closed reduction of a shoulder dislocation, were there differences between an intra-articular shoulder injection placed using anatomic landmarks and an ultrasound-guided intra-articular injection in terms of (1) pain before versus after the injection and pain before injection versus after the reduction, or (2) length of stay in the emergency department and complications of the procedure? METHODS: Between August 2021 and March 2023, 28 patients with anterior shoulder dislocation were treated at the emergency department of a tertiary referral care center...
December 6, 2023: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38046716/the-effect-of-intra-articular-hypertonic-dextrose-prolotherapy-on-pain-quality-of-life-and-functional-outcomes-scores-in-patients-with-knee-osteoarthritis
#33
JOURNAL ARTICLE
Rock P Vomer, Rayghan S Larick, Ryan Milon, Emma York
Introduction Knee osteoarthritis is a common chronic condition leading to pain and debility. Prolotherapy is a safe and cost-effective treatment option. Our team conducted a case series to examine the effect of prolotherapy on functional measures and quality of life in patients with knee osteoarthritis. Methods Our case series included 15 total patients consisting of male and female patients aged 50-85 years old with a prior diagnosis of knee osteoarthritis and moderate pain. The patients completed baseline Western Ontario and McMaster Universities Arthritis Index (WOMAC) and EuroQol-5 Dimension (EQ5D) surveys and received an ultrasound-guided intra-articular prolotherapy injection...
November 2023: Curēus
https://read.qxmd.com/read/38034191/phenolysis-for-advanced-shoulder-osteoarthritis-a-case-series-of-a-novel-ultrasound-guided-approach-to-anterior-and-posterior-glenohumeral-articular-nerve-branches
#34
JOURNAL ARTICLE
Felice Galluccio, Tony Kwun-Tung Ng, Mario Fajardo Perez, Ece Yamak Altinpulluk, Murray Taverner
INTRODUCTION: The shoulder is one of the joints most affected by osteoarthritis, with a prevalence of almost 20% in adults over 65 years of age. Various treatments have been proposed to control osteoarthritis pain, including radiofrequency, pulsed and thermal, and recently cryoanalgesia. We propose in this series of cases a new approach to analgesic therapy with chemical denervation with phenol. MATERIALS AND METHOD: Patients who underwent phenolysis for shoulder osteoarthritis at our institutions in Italy and Australia between August 2022 and May 2023 were included...
October 2023: Curēus
https://read.qxmd.com/read/38024204/effects-of-tnf-%C3%AE-inhibition-versus-secukinumab-on-active-ultrasound-confirmed-enthesitis-in-psoriatic-arthritis
#35
JOURNAL ARTICLE
Ashley Elliott, Gary Wright, Adrian Pendleton, Madeleine Rooney
INTRODUCTION: Enthesitis is a hallmark of psoriatic disease, but its clinical assessment is problematic in terms of diagnostic sensitivity and overlap with other comorbid conditions. Ultrasound is a useful tool that can give a more detailed assessment of enthesitis. Research demonstrates that those with persistent ultrasound entheseal disease are at risk of progressive articular damage. With limited data to guide choice between biologic therapy for psoriatic arthritis (PsA) patients, we wanted to assess the response of ultrasound-confirmed enthesitis to different forms of biologic therapies and study its utility in making more informed decisions...
2023: Therapeutic Advances in Musculoskeletal Disease
https://read.qxmd.com/read/38020511/high-resolution-ultrasound-in-the-evaluation-of-the-adult-hip
#36
JOURNAL ARTICLE
Linda Probyn, Dyan Flores, Emma Rowbotham, Mark Cresswell, Angela Atinga
This paper reviews ultrasound of the hip, which is a commonly requested examination for symptomatic hip issues. This includes both intra-articular and extra-articular causes of hip pain. Ultrasound is easily accessible, lacks radiation exposure, and allows for evaluation of the contralateral hip as well as assessment of dynamic maneuvers. Ultrasound can be used to guide interventional procedures. Ultrasound of the hip can be challenging due to the deep location of structures and complex anatomy. Typically, high-frequency transducers are used to examine the hip, however the choice of ultrasound transducer depends on the patient's body habitus, with lower frequency transducers required to penetrate deep structures in obese patients...
October 2023: Journal of Ultrasonography
https://read.qxmd.com/read/38020507/tips-and-tricks-in-ultrasound-guided-musculoskeletal-interventional-procedures
#37
JOURNAL ARTICLE
William R Walter, Christopher J Burke, Ronald S Adler
Ultrasound visualization affords proceduralists versatile and accurate guidance for a variety of percutaneous, minimally invasive procedures in the musculoskeletal system including joint (intra-articular) injections or aspirations, intra-bursal injections, peritendinous, and perineural injections. A variety of percutaneous procedures are traditionally performed blindly, but may be more easily or more accurately performed with the real-time assistance of ultrasound guidance. Other procedures are only possible utilizing image-guidance, due to the required precision of the injection because of delicate local anatomy or depth of the injection; ultrasound is a safe, portable, and widespread modality that can be used to assist the proceduralist in localizing the needle tip in such cases, to ensure safe and accurate delivery of the medication, most frequently a solution of steroid and anesthetic...
October 2023: Journal of Ultrasonography
https://read.qxmd.com/read/37986308/effects-of-extracorporeal-shockwave-therapy-for-mild-knee-osteoarthritis-a-pilot-study
#38
RANDOMIZED CONTROLLED TRIAL
I Jun Choi, Jong Hu Jeon, Woo Hwa Choi, Hea-Eun Yang
BACKGROUND: Extracorporeal shockwave therapy (ESWT) has been widely used for various musculoskeletal disorders, including knee osteoarthritis (OA), and has been shown in several studies to be a safe treatment. Although some studies have confirmed the pain-relieving effect of ESWT for knee OA, research on objectivity for structural changes in knee OA is lacking. The aim of this study was to evaluate the ESWT treatment mechanisms in patients with knee OA by means of clinical symptoms and ultrasound techniques as objective measures...
November 17, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37978248/construction-of-ultrasonically-treated-collagen-silk-fibroin-composite-scaffolds-to-induce-cartilage-regeneration
#39
JOURNAL ARTICLE
Shunan Yu, Xiong Shu, Lei Chen, Chao Wang, Xinyu Wang, Jinzhu Jing, Guoqiang Yan, Yanzhuo Zhang, Chengai Wu
A novel tissue-specific functional tissue engineering scaffold for cartilage repair should have a three-dimensional structure, good biosafety and biological activity, and should be able to promote cartilage tissue regeneration. This study aimed to determine the effect of ultrasound-treated collagen/silk fibroin (Col/SF) composite scaffolds with good mechanical properties and high biological activity on cartilage repair. The characteristics of the scaffolds with different Col/SF ratios (7:3, 8:2, and 9:1) were determined by scanning electron microscopy, Fourier-transform infrared spectroscopy, and porosity, water absorption, and compression tests...
November 17, 2023: Scientific Reports
https://read.qxmd.com/read/37970123/temporomandibular-joint-disorders-in-seronegative-spondyloarthritis-what-a-rheumatologist-needs-to-know
#40
REVIEW
Vasiliki Syrmou, Maria G Grammatikopoulou, Dimitrios P Bogdanos, Konstantinos T Mitsimponas
Temporomandibular joint (TMJ) can be affected in the context of spondyloarthritis (SpA) with detrimental impact on individuals' quality of life. Intra-articular inflammation, synovitis, enthesitis, disc displacement and cervical vertebrae malalignment are some of the pathophysiological phenomena involved. Temporomandibular joint disorders (TMD) incidence appears to be higher in patients with ankylosing spondylitis and psoriatic arthritis, especially when clinical evaluation includes not only imaging but relevant history, TMJ examination and diagnostic criteria for TMD...
2023: Reumatologia
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