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https://www.readbyqxmd.com/read/29424762/can-diagnostic-and-therapeutic-arthrocentesis-be-successfully-performed-in-the-flexed-knee
#1
Sabeen Yaqub, Wilmer L Sibbitt, Philip A Band, James F Bennett, N Suzanne Emil, Monthida Fangtham, Roderick A Fields, William A Hayward, Scarlett K Kettwich, Luis P Roldan, Arthur D Bankhurst
BACKGROUND/OBJECTIVE: The objective of this study was to determine whether the extended or flexed knee positioning was superior for arthrocentesis and whether the flexed knee positioning could be improved by mechanical compression. METHODS: Fifty-five clinically effusive knees underwent arthrocentesis in a quality improvement intervention: 20 consecutive knees in the extended knee position using the superolateral approach, followed by 35 consecutive knees in the flexed knee position with and without an external compression brace placed on the suprapatellar bursa...
February 7, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29424164/-research-progress-on-the-etiology-and-treatment-of-patellofemoral-pain-syndrome
#2
REVIEW
Li-Hua Cui
Patellofemoral pain syndrome (PFPS) is one of the most common diseases that cause pain in the knee joint. At present, there is no specific diagnostic measure. The diagnosis of patellofemoral pain syndrome may be considered when imaging is performed without cartilage, ligament and soft tissue injuries. The etiology includes abnormalities of the patellar motion caused by various anatomical abnormalities, such as abnormal patellar position, increased Q angle, and excessive valgus foot. Dysfunction of the lower extremity muscles such as the imbalance of the four biceps and the dysfunction of the gluteal muscles also play an important role in the development of patellofemoral pain syndrome...
July 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29413792/combined-effects-of-knee-brace-laterally-wedged-insoles-and-toe-in-gait-on-knee-adduction-moment-and-balance-in-moderate-medial-knee-osteoarthritis-patients
#3
Saad Jawaid Khan, Soobia Saad Khan, Juliana Usman, Abdul Halim Mokhtar, Noor Azuan Abu Osman
OBJECTIVE: To test the hypothesis that toe-in gait (TI) will further reduce first peak (Knee Adduction Moment) KAM and decrease balance when combined with a knee brace (KB) and laterally wedged insoles (LWI) in medial knee osteoarthritis (kOA) patients. PARTICIPANTS: Twenty patients with bilateral symptomatic medial kOA. INTERVENTIONS: 4-point leverage-based KB, full-length LWI with 5° inclination and toe-in gait (TI). MAIN OUTCOME MEASURES: First and second peak knee adduction moment (fKAM and sKAM respectively), balance and pain...
January 29, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29409204/correction-of-ankle-and-hind-foot-deformity-in-charcot-neuroarthropathy-using-a-retrograde-hind-foot-nail-the-kings-experience
#4
N Vasukutty, H Jawalkar, A Anugraha, R Chekuri, R Ahluwalia, V Kavarthapu
BACKGROUND: Corrective fusion for the unstable deformed hind foot and mid foot in Charcot Neuroarthropathy (CN) is quite challenging and is best done in tertiary centres under the supervision of multidisciplinary teams. METHODS: We present a follow up to our initial report with a series of 42 hind foot corrections in 40 patients from a tertiary level teaching hospital in the United Kingdom. The mean patient age was 59 (33-82). 17 patients had type1diabetes mellitus, 23 had type 2...
April 28, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29406129/a-decision-making-tool-to-prescribe-knee-orthoses-in-daily-practice-for-patients-with-osteoarthritis
#5
Emmanuel Coudeyre, Christelle Nguyen, Aurore Chabaud, Bruno Pereira, Johann Beaudreuil, Jean-Marie Coudreuse, Philippe Deat, Frédéric Sailhan, Alain Lorenzo, François Rannou
OBJECTIVE: To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. METHODS: A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA...
February 2, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29401403/patellar-tendon-repair-augmentation-with-a-knotless-suture-anchor-internal-brace-a-biomechanical-cadaveric-study
#6
Alex Rothfeld, Amanda Pawlak, Stephenie A H Liebler, Michael Morris, James M Paci
BACKGROUND: Patellar tendon repair with braided polyethylene suture alone is subject to knot slippage and failure. Several techniques to augment the primary repair have been described. Purpose/Hypothesis: The purpose was to evaluate a novel patellar tendon repair technique augmented with a knotless suture anchor internal brace with suture tape (SAIB). The hypothesis was that this technique would be biomechanically superior to a nonaugmented repair and equivalent to a standard augmentation with an 18-gauge steel wire...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29364749/effect-of-mobilization-with-movement-on-lateral-knee-pain-due-to-proximal-tibiofibular-joint-hypomobility
#7
Sudarshan Anandkumar, Jack Miller, Robert J Werstine, Steve Young
This case report describes a 45-year-old female who presented with lateral knee pain over the right proximal tibiofibular joint (PTFJ) managed unsuccessfully with rest, medications, bracing, injection, and physiotherapy. Clinical diagnosis of PTFJ hypomobility was based on concordant symptom reproduction with palpatory tenderness, accessory motion testing, and restricted anterior glide of the fibula. Intervention consisted of Mulligan's mobilization with movement and taping over the right PTFJ with immediate improvements noticed in pain, range of motion, and function...
January 24, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29364034/medial-unloader-braces-and-lateral-heel-wedges-do-not-alter-gait-biomechanics-in-healthy-young-adults
#8
Jonathan S Goodwin, Robert A Creighton, Brian G Pietrosimone, Jeffery T Spang, J Troy Blackburn
CONTEXT: Orthotic devices such as medial unloader knee braces and lateral heel wedges may limit cartilage loading following trauma or surgical repair. However, little is known regarding their effects on gait biomechanics in young, healthy individuals who are at risk of cartilage injury during physical activity due to greater athletic exposure compared to older adults. OBJECTIVE: Determine the effect of medial unloader braces and lateral heel wedges on lower extremity kinematics and kinetics in healthy, young adults...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29330103/osteoarthritis-year-in-review-2017-rehabilitation-and-outcomes
#9
REVIEW
Dieuwke Schiphof, Jacoline J van den Driest, Jos Runhaar
OBJECTIVE: The purpose of this systematic review was to describe studies examining rehabilitation for people with osteoarthritis (OA) and to summarize findings from selected key systematic reviews (SRs) and randomized controlled trials (RCTs). DESIGN: A systematic search was performed using Pubmed, Embase and Cochrane databases from April 1st 2016 to May 15th 2017 using the terms 'osteoarthritis', 'randomized controlled trial', and 'systematic review'. Inclusion criteria were: clinically or radiologically diagnosed patients with osteoarthritis, rehabilitation treatment, RCT or SRs...
January 9, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29320560/measurements-agreement-between-low-cost-and-high-level-handheld-3d-scanners-to-scan-the-knee-for-designing-a-3d-printed-knee-brace
#10
Yoann Dessery, Jari Pallari
Use of additive manufacturing is growing rapidly in the orthotics field. This technology allows orthotics to be designed directly on digital scans of limbs. However, little information is available about scanners and 3D scans. The aim of this study is to look at the agreement between manual measurements, high-level and low-cost handheld 3D scanners. We took two manual measurements and three 3D scans with each scanner from 14 lower limbs. The lower limbs were divided into 17 sections of 30mm each from 180mm above the mid-patella to 300mm below...
2018: PloS One
https://www.readbyqxmd.com/read/29315452/a-case-for-the-brace-a-critical-comprehensive-and-up-to-date-review-of-static-progressive-stretch-dynamic-and-turnbuckle-braces-for-the-management-of-elbow-knee-and-shoulder-pathology
#11
Nipun Sodhi, Benjamin Yao, Anton Khlopas, Iyooh U Davidson, Assem A Sultan, Linsen T Samuel, Suela Lamaj, Jared M Newman, Robert Pivec, Kristy A Fisher, Benjamin Gaal, Michael A Mont
BACKGROUND: Non-operative management of the elbow, shoulder, and knee typically includes braces, such as the: static progressive stretch (SPS), turnbuckle, and dynamic. However, a paucity of literature exists comparing these three bracing modalities. Therefore, the purpose of this study was to evaluate the current literature on the various bracing modalities for physicians and patients managing elbow, shoulder, or knee joint complications. Specifically, we compared the use of 1) static progressive stretch, 2) dynamic, and 3) turnbuckle braces for the a) elbow, b) knee, and c) shoulder...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29282267/stepped-care-approach-for-medial-tibiofemoral-osteoarthritis-streamline-protocol-for-a-randomised-controlled-trial
#12
Sarah Rubia Robbins, Luciano Ricardo S Melo, Hema Urban, Leticia A Deveza, Rebecca Asher, Victoria L Johnson, David J Hunter
INTRODUCTION: Current guidelines recommend tailored interventions to optimise knee osteoarthritis (OA) management. However, models of care still have a 'one size fits all' approach, which is suboptimal as it ignores patient heterogeneity. This study aims to compare a stepped care strategy with standard care for overweight and obese persons with medial tibiofemoral OA. METHODS AND ANALYSIS: Participants will be randomised into two groups (85 each). The intervention will receive a diet and exercise programme for 18 weeks in the first step of the study...
December 26, 2017: BMJ Open
https://www.readbyqxmd.com/read/29244659/intra-articular-patellar-dislocation-a-technique-for-closed-reduction-a-case-report-and-review-of-the-literature
#13
Lachlan Wight, Dugal James
CASE: An 87-year-old man fell onto a flexed knee and sustained a closed intra-articular patellar dislocation. A closed reduction was performed under intravenous sedation by flexing the knee to 90°, applying an anterior drawer force to the tibia, and applying pressure to the inferior pole of the patella. The day after reduction, weight-bearing was begun in a hinged brace set at 0° to 90°. Full function was regained by 6 weeks postreduction. CONCLUSION: Intra-articular patellar dislocation may present as an unusual cause of a locked knee...
December 13, 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29239773/femoral-nerve-palsy-following-total-hip-arthroplasty-incidence-and-course-of-recovery
#14
Andrew N Fleischman, Richard H Rothman, Javad Parvizi
BACKGROUND: Femoral nerve palsy (FNP) is a relatively uncommon complication following total hip arthroplasty (THA). There is little recent literature regarding the incidence of FNP and the natural course of recovery. METHODS: Using our institutional database, we identified postoperative FNPs from 17,350 consecutive primary THAs performed from 2011 to 2016. Hip exposures were performed using a direct lateral (modified Hardinge), direct anterior (Smith-Peterson), anterolateral (Watson-Jones), or posterolateral (Southern or Moore) approach...
November 4, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29233241/protective-knee-braces-and-the-biomechanics-of-the-half-squat-parachute-landing
#15
Di Wu, Chao Zheng, Ji Wu, Longfeng Wang, Xiang Wei, Lizheng Wang
INTRODUCTION: Knee injuries are common among paratroopers and skydivers during landing maneuvers. The aim of this study was to investigate the effects of dropping height and the use of protective knee braces on parachute landing biomechanics. METHODS: The study cohort consisted of 30 male elite paratroopers with formal parachute landing training and more than 2 yr of parachute jumping experience. Each participant was instructed to jump off a platform at two different heights (40 and 80 cm, respectively) and land on force plates in a half-squat posture...
January 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29224940/results-of-nonoperative-management-of-acute-limb-ischemia-in-infants
#16
S Keisin Wang, Gary W Lemmon, Natalie A Drucker, Raghu L Motaganahalli, Michael C Dalsing, Ashley R Gutwein, Brian W Gray, Michael P Murphy
OBJECTIVE: Acute limb ischemia (ALI) in infants poses a challenge to the clinician secondary to poor operative outcomes, limb loss risk, and lifelong morbidity. This retrospective study reviewed a 10-year institutional experience with the nonoperative management of ALI in infants. METHODS: Infants (aged ≤12 months) diagnosed with ALI by duplex ultrasound and treated with initial nonoperative management at a tertiary care children's hospital were identified through vascular laboratory arterial duplex ultrasound records and International Classification of Diseases and Current Procedural Terminology codes associated with ALI...
December 7, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29214918/effects-of-knee-orthosis-adjustment-on-biomechanical-performance-and-clinical-outcome-in-patients-with-medial-knee-osteoarthritis
#17
Andreas Brand, Isabella Klöpfer-Krämer, Mario Morgenstern, Inga Kröger, Björn Michel, Andreas Thannheimer, Janina Anna Müßig, Peter Augat
BACKGROUND: Valgus bracing in medial knee osteoarthritis aims to improve gait function by reducing the loading of the medial compartment. Orthosis composition and optimal adjustment is essential to achieve biomechanical and clinical effectiveness. OBJECTIVES: To investigate biomechanical functionality during gait, pain relief and compliance in patients with knee osteoarthritis using a lightweight adjustable knee unloader orthosis. STUDY DESIGN: Prospective observational clinical trial...
December 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29208201/-osteochondritis-dissecans
#18
Per Gorm Jørgensen, Per Hölmich
Osteochondritis dissecans (OCD) has been known for more than 100 years. Several reasons have been suggested as the major cause for developing OCD: trauma/microtrauma, ischaemic or genetic reasons. OCD is primarily located in the knee. In adolescent patients with knee symptoms, X-ray of the affected knee and often a subsequent MRI scan is indicated. Depending on the findings, an arthroscopy can be performed. Conservative treatment can be quiet regime or bracing. Operative treatment can be transchondral/retrograde drilling for the in situ lesion or fixation of the unstable lesion...
November 27, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29206691/comprehensive-review-of-skiing-and-snowboarding-injuries
#19
Brett D Owens, Christopher Nacca, Andrew P Harris, Ross J Feller
Skiing and snowboarding have increased in popularity since the 1960s. Both sports are responsible for a substantial number of musculoskeletal injuries treated annually by orthopaedic surgeons. Specific injury patterns and mechanisms associated with skiing and snowboarding have been identified. No anatomic location is exempt from injury, including the head, spine, pelvis, and upper and lower extremities. In these sports, characteristic injury mechanisms often are related to the position of the limbs during injury, the athlete's expertise level, and equipment design...
January 1, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29191237/the-immediate-effect-of-a-soft-knee-brace-on-pain-activity-limitations-self-reported-knee-instability-and-self-reported-knee-confidence-in-patients-with-knee-osteoarthritis
#20
Tomasz Cudejko, Martin van der Esch, Marike van der Leeden, Josien C van den Noort, Leo D Roorda, Willem Lems, Jos Twisk, Martijn Steultjens, James Woodburn, Jaap Harlaar, Joost Dekker
BACKGROUND: We aimed to (i) evaluate the immediate effect of a soft knee brace on pain, activity limitations, self-reported knee instability, and self-reported knee confidence, and (ii) to assess the difference in effect between a non-tight and a tight soft brace in patients with knee osteoarthritis (OA). METHODS: Forty-four patients with knee OA and self-reported knee instability participated in the single-session, laboratory, experimental study. A within-subject design was used, comparing a soft brace with no brace, and comparing a non-tight with a tight soft brace...
December 1, 2017: Arthritis Research & Therapy
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