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Anterior knee pain

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https://www.readbyqxmd.com/read/29430389/arthroscopic-lateral-meniscal-allograft-transplantation-with-the-key-hole-technique
#1
Dhong Won Lee, Jung Ho Park, Kyu Sung Chung, Jeong Ku Ha, Jin Goo Kim
The efficacy of meniscus allograft transplantation (MAT) for the meniscus-deficient knee has been widely recognized as being excellent in terms of pain relief and functional improvement. Lateral MAT is usually performed with the bone bridge technique that uses a bone bridge connecting the anterior and posterior horns of an allograft. The slot position for the meniscal graft insertion is of great importance with the bone bridge technique, especially in the key-hole method. The purpose of this Technical Note is to describe lateral MAT using the key-hole technique in which an allograft with a bone bridge carved to accommodate the key-hole-shaped slot is properly secured to the slot...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29426312/anterior-cruciate-ligament-reconstruction-with-quadriceps-tendon-patellar-bone-allograft-matched-case-control-study
#2
Yoon-Ho Kwak, Sahnghoon Lee, Myung Chul Lee, Hyuk-Soo Han
BACKGROUND: Quadriceps tendon-patellar bone (QTPB) autograft is an excellent graft option with good clinical outcome. Use of QTPB autografts have increased because they minimize donor-site morbidity including anterior knee pain, while providing adequate mechanical strength. Although, there were many clinical results about allografts that used in anterior cruciate ligament (ACL) reconstruction, it have never been reported about the clinical outcome of ACL reconstruction with QTPB allograft...
February 9, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29417855/intra-articular-application-of-pulsed-radiofrequency-combined-with-viscosupplementation-for-improvement-of-knee-osteoarthritis-symptoms-a-single-centre-prospective-study
#3
D Filippiadis, G Velonakis, A Mazioti, C Konstantos, E Brountzos, N Kelekis, A Kelekis
OBJECTIVES: To prospectively evaluate the effectiveness of intra-articular application of pulsed radiofrequency (PRF) combined with viscosupplementation in patients with knee osteoarthritis suffering from chronic pain refractory to conservative therapies. METHODS: During a 30-month period, PRF combined with viscosupplementation was performed on 53 cases of knee osteoarthritis (45 patients, 8/45 with bilateral knee osteoarthritis). Pre-operational imaging included standard knee X-rays on anterior-posterior and lateral views used to evaluate patients according to the Kellgren-Lawrence classification...
February 8, 2018: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/29409817/botulinum-toxin-treatment-of-pain-syndromes-an-evidence-based-review
#4
Yasaman Safarpour, Bahman Jabbari
This review evaluates the existing level of evidence for efficacy of BoNTs in different pain syndromes using the recommended efficacy criteria from the Assessment and Therapeutic Subcommittee of the American Academy of Neurology. There is a level A evidence (effective) for BoNT therapy in post-herpetic neuralgia, trigeminal neuralgia, and posttraumatic neuralgia. There is a level B evidence (probably effective) for diabetic neuropathy, plantar fasciitis, piriformis syndrome, pain associated with total knee arthroplasty, male pelvic pain syndrome, chronic low back pain, male pelvic pain, and neuropathic pain secondary to traumatic spinal cord injury...
January 31, 2018: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/29402584/anteromedial-meniscofemoral-ligament-of-the-anterior-horn-of-the-medial-meniscus-clinical-magnetic-resonance-imaging-and-arthroscopic-features
#5
Young Mo Kim, Yong-Bum Joo
PURPOSE: To describe the clinical, arthroscopic, and magnetic resonance imaging (MRI) findings of knees with anomalous insertion of the anterior horn of the medial meniscus (AHMM) into the intercondylar notch via an anteromedial meniscofemoral ligament (AMMFL). METHODS: A total of 2,503 arthroscopic knee surgeries performed from July 2003 to October 2016 were reviewed retrospectively to identify knees with an AMMFL. Medical records, arthroscopic photographs, and MRI of identified cases were analyzed...
February 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29401408/preoperative-koos-and-sf-36-scores-are-associated-with-the-development-of-symptomatic-knee-osteoarthritis-at-7-years-after-anterior-cruciate-ligament-reconstruction
#6
J Kristopher Ware, Brett D Owens, Matthew R Akelman, Naga Padmini Karamchedu, Paul D Fadale, Michael J Hulstyn, Robert M Shalvoy, Gary J Badger, Braden C Fleming
BACKGROUND: Anterior cruciate ligament (ACL) tears are associated with the development of knee osteoarthritis despite ACL reconstruction surgery. However, little evidence is available to determine which patients will develop symptomatic knee osteoarthritis. PURPOSE: To determine if preoperative outcome measures-KOOS (Knee injury and Osteoarthritis Outcome Score) and SF-36 (36-item Short Form Health Survey)-were associated with the development of a symptomatic knee 7 years after ACL reconstruction...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29398258/different-factors-conduct-anterior-knee-pain-following-primary-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#7
REVIEW
Guman Duan, Chang Liu, Weiwei Lin, Jiashen Shao, Kunpeng Fu, Yingzhen Niu, Fei Wang
BACKGROUND: A systematic review and meta-analysis was performed to investigate the risks associated with anterior knee pain (AKP) following primary total knee arthroplasty (TKA). METHODS: A computerized search was performed of the following databases: MEDLINE, Embase, and Cochrane Central (published prior to July 2017). A total of 37 studies, which included 1641 cases of AKP and 168,090 TKAs, were included in the meta-analysis. RESULTS: A subgroup analysis revealed that compared with those without the following medical conditions, patients who had an infrapatellar fat pad excision and more than 12 months of follow-up (odds ratio [OR] 12...
January 2, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29396963/cartilage-restoration-microfracture-and-osteochondral-autograft-transplantation
#8
Michael L Redondo, Adam J Beer, Adam B Yanke
The treatment of patellofemoral cartilage defects presents several distinct challenges when compared with cartilage restoration techniques used for other compartments of the knee due to the unique anatomy and distribution of forces. The etiologies of patellofemoral articular cartilage lesions include acute traumatic instability injuries, such as dislocation and subluxation, osteochondritis dissecans, and chronic degenerative changes. Regardless of the etiology, untreated patellofemoral cartilage lesions can contribute to activity-limiting anterior knee pain...
February 2, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29395746/reinterventions-after-dynamic-intraligamentary-stabilization-in-primary-anterior-cruciate-ligament-repair
#9
Janosch Häberli, Laurenz Jaberg, Kathrin Bieri, Stefan Eggli, Philipp Henle
BACKGROUND: The goal of this study was to perform an in-depth analysis of the frequency and cause of secondary interventions subsequent to primary anterior cruciate ligament (ACL) repair with dynamic intraligamentary stabilization (DIS). METHODS: Between July 2009 and June 2014, 455 patients underwent DIS treatment. The minimum follow-up was 21months (mean 28months, range 21-64months). RESULTS: A total of 215 (48.2%) reinterventions were performed in 190 (42...
January 29, 2018: Knee
https://www.readbyqxmd.com/read/29395549/patients-with-concomitant-intra-articular-lesions-at-index-surgery-deteriorate-in-their-knee-injury-and-osteoarthritis-outcome-score-in-the-long-term-more-than-patients-with-isolated-anterior-cruciate-ligament-rupture-a-study-from-the-swedish-national-anterior
#10
Sadeshkumar Balasingam, Ninni Sernert, Henrik Magnusson, Jüri Kartus
PURPOSE: To analyze and compare clinical outcomes after anterior cruciate ligament (ACL) reconstruction 5 and 10 years postsurgery between patients with concomitant intra-articular injuries and those with isolated ACL injury at reconstruction. METHODS: Registrations were made using a web-based protocol by physicians for baseline and surgical data. Patients registered their Knee Injury and Osteoarthritis Outcome Score (KOOS) preoperatively and at 5 and 10 years postsurgery...
January 27, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29395424/rationale-and-design-of-the-clinical-and-histologic-analysis-of-mesenchymal-stromal-cells-in-amputations-champ-trial-investigating-the-therapeutic-mechanism-of-mesenchymal-stromal-cells-in-the-treatment-of-critical-limb-ischemia
#11
S Keisin Wang, Linden A Green, Natalie A Drucker, Raghu L Motaganahalli, Andres Fajardo, Michael P Murphy
OBJECTIVE: Currently, there are no accepted nonsurgical therapies that improve the delivery of blood-derived nutrients to patients with critical limb ischemia. Here, we describe the ongoing phase 1/2 Clinical and Histologic Analysis of Mesenchymal Stromal Cells in AmPutations (CHAMP) trial, which will provide crucial evidence of the safety profile of mesenchymal stromal cells (MSCs) and explore their therapeutic mechanisms in the setting of critical limb ischemia requiring below-knee amputation (BKA)...
January 30, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29389753/2017-chitranjan-s-ranawat-award-does-computer-navigation-in-knee-arthroplasty-improve-functional-outcomes-in-young-patients-a-randomized-study
#12
Young-Hoo Kim, Jang-Won Park, Jun-Shik Kim
BACKGROUND: Proponents of computer-assisted TKA suggest that better alignment of the TKAs will lead to improved long-term patient functional outcome and survivorship of the implants. However, there is little evidence about whether the improved position and alignment of the knee components obtained using computer navigation improve patient function and the longevity of the TKA. QUESTIONS/PURPOSES: The purpose of this study was to determine whether (1) clinical results; (2) radiographic and CT scan results; and (3) the survival rate of TKA components would be better in patients having computer-assisted TKA than results of patients having TKA without computer-assisted TKA...
January 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29388089/intraosseous-pseudomeningocele-of-the-mobile-spine-a-case-report-and-review-of-the-literature
#13
Emily Rider-Longmaid, Junjian Huang, Ronnie Sebro, Harvey Smith
BACKGROUND: Pseudomeningoceles most commonly occur due to prior trauma or surgery and are often located in the posterior paraspinous tissues. Here, we report a case of an intraosseous pseudomeningocele that mimicked an intra-osseous T2 hyperintense lesion in the L1 vertebral body. CASE DESCRIPTION: A 64-year-old male presented with back, left lateral thigh and left knee pain lasting several months. He had no prior history of trauma or surgery. Radiographs of the lumbar spine showed mild levoscoliotic curvature of the lumbar spine, Baastrup's changes between the spinous processes, multilevel degenerative disc disease and facet arthropathy...
January 31, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29387442/effects-of-an-8-week-strength-training-intervention-on-tibiofemoral-joint-loading-during-landing-a-cohort-study
#14
Maike B Czasche, Jon E Goodwin, Anthony M J Bull, Daniel J Cleather
Objectives: To use a musculoskeletal model of the lower limb to evaluate the effect of a strength training intervention on the muscle and joint contact forces experienced by untrained women during landing. Methods: Sixteen untrained women between 18 and 28 years participated in this cohort study, split equally between intervention and control groups. The intervention group trained for 8 weeks targeting improvements in posterior leg strength. The mechanics of bilateral and unilateral drop landings from a 30 cm platform were recorded preintervention and postintervention, as was the isometric strength of the lower limb during a hip extension test...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29369184/the-effect-of-tourniquet-usage-on-cement-penetration-in-total-knee-arthroplasty-a-prospective-randomized-study-of-3-methods
#15
Okan Ozkunt, Kerim Sariyilmaz, Halil Can Gemalmaz, Fatih Dikici
BACKGROUND: It is a randomized study to compare cement penetration on x-rays after total knee arthroplasty (TKA) among 3 different ways to use tourniquets; application during the surgery, application only with implantation prosthesis and with no tourniquet use. METHODS: A total 69 knees of 59 patients were included in the study in a quasirandom manner. Each patient had physical exams and standard radiographic evaluations at 6 weeks after the TKA procedure. Outcome evaluations included visual analog scale (VAS) scores, Knee Society Scores (KSS), blood transfusion, and drainage status after surgery for all groups...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29369174/a-case-report-and-literature-review-on-fabella-syndrome-after-high-tibial-osteotomy
#16
Taehun Kim, Haksun Chung, Hyungmin Lee, Young Choi, Jung-Hwan Son
RATIONALE: The fabella is a normal structure, but is occasionally reported to cause posterior knee pain. The aim of this study was to present fabella syndrome after high tibial osteotomy. PATIENT CONCERNS: A 55-year-old female patient was admitted to the hospital due to about 1 year and 8 months of left knee pain. Sclerosis was observed in the anterior margin of the fabella in the preoperative magnetic resonance (MR) T2 image, and reactive bone marrow was found and was considered to be due to degeneration of the distal femur...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29366665/the-outcome-of-secondary-resurfacing-of-the-patella-following-total-knee-arthroplasty-results-from-the-trent-and-wales-arthroplasty-register
#17
Christopher Thomas, Vishal Patel, Emad Mallick, Colin Esler, Robert U Ashford
BACKGROUND: We sought to determine whether patients undergoing secondary patella resurfacing (SPR) benefited from the procedure by assessing postoperative satisfaction via a postal questionnaire. METHODS: All such patients included in the Trent and Wales Arthroplasty Register were invited to participate using patient-reported outcome measures (PROMs). We identified 223 patients who had undergone SPR over a 20-year period. Forty-two had died according to death register checks...
January 20, 2018: Knee
https://www.readbyqxmd.com/read/29364749/effect-of-mobilization-with-movement-on-lateral-knee-pain-due-to-proximal-tibiofibular-joint-hypomobility
#18
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/29361411/unplanned-emergency-department-or-urgent-care-visits-after-outpatient-rotator-cuff-repair-potential-for-avoidance
#19
Ronald A Navarro, Charles C Lin, Abtin Foroohar, Steven R Crain, Michael P Hall
BACKGROUND: With the cost of health care rising, the potential to avoid costs from an unplanned return to the emergency department (ED) or urgent care center (UC) after elective outpatient rotator cuff repair (RCR) has been discussed but not extensively assessed. METHODS: Outpatient RCR procedures were queried in a closed health care system, and all unplanned ED and UC visits within 7 days of procedures were collected and compared with other typical outpatient orthopedic procedures (knee arthroscopy, carpal tunnel release, and anterior cruciate ligament reconstruction)...
January 17, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29360834/sex-differences-in-muscle-morphology-of-the-knee-flexors-and-knee-extensors
#20
Fearghal P Behan, Thomas M Maden-Wilkinson, Matt T G Pain, Jonathan P Folland
INTRODUCTION: Females experience higher risk of anterior cruciate ligament (ACL) injuries; males experience higher risk of hamstring strain injuries. Differences in injury may be partially due to sex differences in knee flexor (KF) to knee extensor (KE) muscle size ratio and the proportional size of constituent muscles. PURPOSE: To compare the absolute and proportional size, and mass distribution, of individual KE and KF muscles, as well as overall size and balance (size ratio) of these muscle groups between the sexes...
2018: PloS One
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