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Unilateral articular pain

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https://www.readbyqxmd.com/read/27871591/continuous-intra-articular-local-anesthetic-drug-instillation-versus-discontinuous-sciatic-nerve-block-after-total-knee-arthroplasty
#1
Johannes Cip, Hedwig Erb-Linzmeier, Peter Stadlbauer, Christian Bach, Arno Martin, Reinhard Germann
STUDY OBJECTIVE: Sciatic nerve block (SNB) is commonly used as adjunct to femoralis nerve block (FNB) to achieve high-quality pain relief after total knee arthroplasty (TKA). However, this combination is associated with considerable muscle weakness, foot drop and surgically related nerve injuries may be masked. The purpose of this study was to assess whether low risk continuous intra-articular anesthetic drug instillation is an adequate alternative to SNB when adding to FNB after TKA...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27847716/effects-of-extracorporeal-shockwave-therapy-in-chronic-stroke-patients-with-knee-osteoarthritis-a-pilot-study
#2
Sung Jun Cho, Ja Ryung Yang, Hee Seung Yang, Hea-Eun Yang
OBJECTIVE: To evaluate the effects of extracorporeal shockwave therapy (ESWT) on pain, function, and ultrasonographic features of chronic stroke patients with knee osteoarthritis (OA). METHODS: A total of 18 chronic stroke patients (33 knee joints) with unilateral or bilateral knee OA (Kellgren-Lawrence grade ≥1) were enrolled in this study. The patients were randomly allocated to an experimental group receiving ESWT (n=9) or a control group receiving sham ESWT (n=9)...
October 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27660600/calcium-pyrophosphate-dihydrate-crystal-deposition-disease-simulating-osteoarthrosis-of-the-knee-a-case-report
#3
Stefanie A Pawelek, Jennifer D Illes, John A Taylor
OBJECTIVE: The purpose of this case report is to describe a case where calcium pyrophosphate dehydrate crystal deposition disease (CPPD) simulated osteoarthritis of the knee. CLINICAL FEATURES: A 78-year-old woman had a 2-week history of severe right knee pain accompanied by mild swelling. The onset was sudden and did not involve a history of trauma or previous injury to the right knee. Inspection and palpation revealed pain along the medial joint line and marked difficulty ambulating...
September 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27616440/-spinal-sinovial-cysts-surgical-treatment-and-clinical-outcomes-in-a-series-of-18-cases
#4
Beatriz Mansilla, Alberto Isla, Carlos Pérez-López, María Román-de Aragón, Jorge Zamorano, Javier Giner
OBJECT: A series of 18 patients with symptomatic synovial cysts was analysed from May 2009 to November 2013. Different approaches were performed for their removal. MATERIAL AND METHODS: The study included 18 patients, 8 men and 10 women, aged between 50 and 77 years. An analysis was made of the variables including age, gender, symptoms, imaging studies, histopathology, surgery, follow-up, complications, and clinical outcome. RESULTS: An articular synovial cyst was diagnosed in 17 cases, and a ganglion in one cases...
September 5, 2016: Neurocirugía
https://www.readbyqxmd.com/read/27450884/pharmacological-interrogation-of-a-rodent-forced-ambulation-model-leveraging-gait-impairment-as-a-measure-of-pain-behavior-pre-clinically
#5
B L Adams, W Guo, R T Gors, K L Knopp
OBJECTIVE: The aim of this study was to investigate whether inflammogen-induced temporal and spatial gait changes in a rodent forced-ambulation paradigm were sensitive to pharmacological intervention with both clinically validated and novel analgesics. METHODS: Using the GaitScan (CleverSys Inc., Reston, VA) treadmill system, we identified four functional endpoints inspired by clinical literature and sensitive to unilateral joint injury induced by intra-articular Complete Freund's Adjuvant (CFA)...
July 19, 2016: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/27233355/functional-recovery-after-treatment-of-extra-articular-distal-radius-fractures-in-the-elderly-using-the-illuminoss%C3%A2-system-io-wrist-a-multicenter-prospective-observational-study
#6
Tjebbe Hagenaars, Guido W Van Oijen, W Herbert Roerdink, Paul A Vegt, Jos P A M Vroemen, Michael H J Verhofstad, Esther M M Van Lieshout
BACKGROUND: Approximately 17 % of all fractures involve the distal radius. Two-thirds require reduction due to displacement. High redislocation rates and functional disability remain a significant problem after non-operative treatment, with up to 30 % of patients suffering long-term functional restrictions. Whether operative correction is superior to non-operative treatment with respect to functional outcome has not unequivocally been confirmed. The IlluminOss® System was introduced in 2009 as a novel, patient-specific, and minimally invasive intramedullary fracture fixation...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27137903/magnetic-resonance-imaging-in-symptomatic-children-with-hereditary-multiple-exostoses-of-the-hip
#7
Maria D P Duque Orozco, Oussama Abousamra, Kenneth J Rogers, Mihir M Thacker
BACKGROUND: Magnetic resonance imaging (MRI) is useful in evaluating nontraumatic hip pain. It provides information about associated injuries like labral/chondral tears or ischiofemoral impingement (IFI). However, in hereditary multiple exostoses (HME) there has been no report about MRI findings in symptomatic children with hip involvement. METHODS: Records of children with HME and hip osteochondromas, who had hip MRI/magnetic resonance arthrography, were reviewed...
April 30, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27121872/are-females-at-greater-risk-for-revision-surgery-after-hip-resurfacing-arthroplasty-with-the-articular-surface-replacement-prosthesis
#8
Gabrielle S Donahue, Viktor Lindgren, Vincent P Galea, Rami Madanat, Orhun Muratoglu, Henrik Malchau
BACKGROUND: Female patients undergoing hip resurfacing arthroplasties may be at greater risk of revision surgery than males, but it is unclear whether this is related to sex or other factors. We focused our analysis on data from a prospective multicenter cohort study monitoring the ASR(TM) hip resurfacing arthroplasty prosthesis on the potential association of sex on patient-reported outcome measures (PROMs), metal ion levels, revision surgery, and presence of adverse local tissue reaction...
October 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27068285/neural-correlates-of-hyperalgesia-in-the-monosodium-iodoacetate-model-of-osteoarthritis-pain
#9
Maryam Abaei, Devi R Sagar, Elizabeth G Stockley, Clare H Spicer, Malcolm Prior, Victoria Chapman, Dorothee P Auer
BACKGROUND: The mechanisms driving osteoarthritic pain remain poorly understood, but there is increasing evidence for a role of the central nervous system in the chronification of pain. We used functional magnetic resonance imaging to investigate the influence of a model of unilateral knee osteoarthritis on nociceptive processing. RESULTS: Four to five weeks post intra-articular injection of monosodium iodoacetate (MIA, 1 mg) into the left knee, Sprague Dawley rats were anesthetized for functional magnetic resonance imaging studies to characterize the neural response to a noxious stimulus (intra-articular capsaicin injection)...
2016: Molecular Pain
https://www.readbyqxmd.com/read/27030572/high-fat-diet-exacerbates-pain-like-behaviors-and-periarticular-bone-loss-in-mice-with-cfa-induced-knee-arthritis
#10
Aleyda A Loredo-Pérez, Carlos E Montalvo-Blanco, Luis I Hernández-González, Maricruz Anaya-Reyes, Cecilia Fernández Del Valle-Laisequilla, Juan G Reyes-García, Rosa I Acosta-González, Arisai Martínez-Martínez, Jaira C Villarreal-Salcido, Virginia M Vargas-Muñoz, Enriqueta Muñoz-Islas, Martha B Ramírez-Rosas, Juan M Jiménez-Andrade
OBJECTIVE: Our aim was to quantify nociceptive spontaneous behaviors, knee edema, proinflammatory cytokines, bone density, and microarchitecture in high-fat diet (HFD)-fed mice with unilateral knee arthritis. METHODS: ICR male mice were fed either standard diet (SD) or HFD starting at 3 weeks old. At 17 weeks, HFD and SD mice received intra-articular injections either with Complete Freund's Adjuvant (CFA) or saline into the right knee joint every 7 days for 4 weeks...
May 2016: Obesity
https://www.readbyqxmd.com/read/26988573/does-unilateral-temporomandibular-total-joint-reconstruction-result-in-contralateral-joint-pain-and-dysfunction
#11
Daniel E Perez, Larry M Wolford, Emet Schneiderman, Reza Movahed, Campbell Bourland, Enrique Perez Gutierrez
PURPOSE: The purpose of this study was to evaluate patients requiring unilateral total temporomandibular joint (TMJ) reconstruction and the risk for development of postsurgical contralateral TMJ pain and dysfunction over time requiring subsequent contralateral total joint reconstruction. Long-term subjective and objective outcomes of unilateral TMJ reconstruction also were evaluated. MATERIALS AND METHODS: Seventy patients underwent unilateral total joint reconstruction using a patient-fitted total joint prosthesis from a single private practice from 1990 through 2012...
August 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26797700/low-versus-high-intensity-plyometric-exercise-during-rehabilitation-after-anterior-cruciate-ligament-reconstruction
#12
RANDOMIZED CONTROLLED TRIAL
Terese L Chmielewski, Steven Z George, Susan M Tillman, Michael W Moser, Trevor A Lentz, Peter A Indelicato, Troy N Trumble, Jonathan J Shuster, Flavia M Cicuttini, Christiaan Leeuwenburgh
BACKGROUND: Plyometric exercise is used during rehabilitation after anterior cruciate ligament (ACL) reconstruction to facilitate the return to sports participation. However, clinical outcomes have not been examined, and high loads on the lower extremity could be detrimental to knee articular cartilage. PURPOSE: To compare the immediate effect of low- and high-intensity plyometric exercise during rehabilitation after ACL reconstruction on knee function, articular cartilage metabolism, and other clinically relevant measures...
March 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26709697/treatment-of-osteoarthritis-of-the-knee-with-a-combination-of-autologous-conditioned-serum-and-physiotherapy-a-two-year-observational-study
#13
Jaime Baselga García-Escudero, Pedro Miguel Hernández Trillos
BACKGROUND: Autologous conditioned serum (ACS) is an autologous blood product that has shown efficacy against knee osteoarthritis (OA) in randomized controlled trials. However, there are few reports of its effectiveness in everyday practice. Here, we report clinical efficacy results from a two-year prospective observational study of patients with highly symptomatic knee OA who received ACS in conjunction with physiotherapy. METHODS: 118 patients with unilateral knee OA (Kellgren-Lawrence grades I-IV), who were candidates for surgery but instead chose conservative treatment, were treated with a combination of four intra-articular injections of ACS (2 mL each) once weekly over four weeks and subsequent physiotherapy applied 4 weeks after ACS injection...
2015: PloS One
https://www.readbyqxmd.com/read/26689191/temporomandibular-joint-steroid-injections-in-patients-with-juvenile-idiopathic-arthritis-an-observational-pilot-study-on-the-long-term-effect-on-signs-and-symptoms
#14
Peter Stoustrup, Kasper Dahl Kristensen, Annelise Küseler, Thomas Klit Pedersen, Troels Herlin
BACKGROUND: Temporomandibular joint (TMJ) inflammation in patients with juvenile idiopathic arthritis (JIA) can lead to orofacial pain and malfunction of the TMJ. Intra-articular corticosteroid injections (IACI) have been suggested as a treatment modality against TMJ arthritis-related orofacial signs and symptoms. However, knowledge of the effect-durability of these injections remains unanswered. The aim of this pilot study was to evaluate the short and long-term effects of IACI on orofacial symptoms in a prospective observational study based on pre-specified clinical examination standards...
2015: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/26464595/correlation-between-clinical-findings-of-temporomandibular-disorders-and-mri-characteristics-of-disc-displacement
#15
Raman Kumar, Shambulingappa Pallagatti, Soheyl Sheikh, Amit Mittal, Deepak Gupta, Sonam Gupta
Temporomandibular joint (TMJ) dysfunction is a common condition that is best evaluated with magnetic resonance (MR) imaging. The first step in MR imaging of the TMJ is to evaluate the articular disk, or meniscus, in terms of its morphologic features and its location relative to the condyle in both closed- and open-mouth positions. Disk location is of prime importance because the presence of a displaced disk is a critical sign of TMJ dysfunction. However, disk displacement is also frequently seen in asymptomatic volunteers...
2015: Open Dentistry Journal
https://www.readbyqxmd.com/read/26314943/involvement-of-mast-cells-in-%C3%AE-7-nicotinic-receptor-agonist-exacerbation-of-freund-s-complete-adjuvant-induced-monoarthritis-in-mice
#16
Fernando Lopes, Rabea Graepel, Jose Luis Reyes, Arthur Wang, Björn Petri, Jason J McDougall, Keith A Sharkey, Derek M McKay
OBJECTIVE: Activation of antiinflammatory cholinergic (vagal) pathways can reduce inflammation, and in vitro studies support a pivotal role of α7 nicotinic acetylcholine receptors (α7-nAChR), macrophages, and T cells in these events. The aim of this study was to assess α7-nAChR agonists as an antiinflammatory treatment for Freund's complete adjuvant (CFA)-induced monoarthritis. METHODS: Arthritis was induced by intraarticular injection of CFA unilaterally into the knee joints of mice...
February 2016: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/26233598/acute-anterior-uveitis-and-spondyloarthritis-more-than-meets-the-eye
#17
REVIEW
Muhammad A Khan, Muhammad Haroon, James T Rosenbaum
Ankylosing spondylitis (AS) and related forms of spondyloarthritis (SpA) are associated with some extra-articular features, and the most common symptomatic association is with acute anterior uveitis (AAU). Thus, approximately 40 % of patients with AS will experience a sudden onset of a unilateral anterior uveitis sometime during the course of their disease. Patients with AAU, especially those who are HLA-B27 positive, should be questioned about inflammatory low back pain and also evaluated for other clinical features of SpA...
September 2015: Current Rheumatology Reports
https://www.readbyqxmd.com/read/26227922/peri-articular-injections-of-local-anaesthesia-can-replace-patient-controlled-analgesia-after-total-knee-arthroplasty-a-randomised-controlled-study
#18
Moo-Ho Song, Bu-Hwan Kim, Seong-Jun Ahn, Seong-Ho Yoo, Suk-Woong Kang, Yeong-Joon Kim, Dong-Hwan Kim
PURPOSE: In recent years, there has been an increasing interest in peri-articular injections (PAI) to control post-operative pain after total knee arthroplasty (TKA). Previous studies have evaluated the effect of PAI using multimodal analgaesic protocols, but the concomitant use of patient-controlled analgesia (PCA) may has masked the genuine effects of PAI. We investigated the efficacy of PAI compared with PCA and determined whether conventional PCA can be effectively replaced with PAI after TKA...
February 2016: International Orthopaedics
https://www.readbyqxmd.com/read/26194774/temporomandibular-joint-osteoarthritis-cone-beam-computed-tomography-findings-clinical-features-and-correlations
#19
S Cömert Kiliç, N Kiliç, M A Sümbüllü
The aim of this study was to determine the prevalence of and associations between clinical signs and symptoms and cone beam computed tomography (CBCT) findings of temporomandibular joint osteoarthritis (TMJ-OA). Seventy-six patients (total 117 TMJ) with osteoarthritis were included in this study. Clinical signs and symptoms and CBCT findings were reviewed retrospectively. A considerable decrease in mandibular motions and mastication efficiency, and considerable increase in joint sounds and general pain complaints were observed...
October 2015: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26143028/functional-outcomes-following-bridge-plate-fixation-for-distal-radius-fractures
#20
Alexander Lauder, Sonya Agnew, Karim Bakri, Christopher H Allan, Douglas P Hanel, Jerry I Huang
PURPOSE: To determine the functional outcomes of patients treated with dorsal spanning distraction bridge plate fixation for distal radius fractures. METHODS: All adult patients at our institution who underwent treatment of a unilateral distal radius fracture using a dorsal bridge plate from 2008 to 2012 were identified retrospectively. Patients were enrolled in clinical follow-up to assess function. Wrist range of motion, grip strength, and extension torque were measured systematically and compared with the contralateral, uninjured wrist...
August 2015: Journal of Hand Surgery
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