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Anterior knee pain

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https://www.readbyqxmd.com/read/28819604/posterior-knee-loose-bodies-treated-by-posterior-knee-arthroscopy
#1
Ho Lam Chai, Tun Hing Lui
INTRODUCTION: The posterior portion of the knee joint, which includes the tibial attachment of the posterior cruciate ligament and the posterior horn of the menisci, has been called a "blind spot" because it is difficult to observe this area under arthroscopy through standard anterior portals. Posteromedial, posterolateral, and posterior transseptal portals have been developed for visualization and instrumentation of the posteromedial and posterolateral compartments of the knee joint...
March 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28813844/soft-stop-knee-brace-for-rehabilitation-from-ligament-injuries-design-and-pilot-trial
#2
James R J Greenfield, Haram Francis Hwang, Claire Davies, Andrew J McDaid
Ligaments within the human knee are commonly torn or injured as a result of sports that involve sharp direction changes, pivoting and landing. For this reason, athletes are often side-lined from their respective sports for up to 18 months after injury to rehabilitate. As part of the rehabilitation process, knee braces are often prescribed in an attempt to decrease the recovery period of the injured individual by restraining and minimizing the motion at the knee. However, the true efficacy of knee bracing is yet to be fully evaluated as studies show mixed results to whether braces actually decrease the rehabilitation period for patients...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28809640/-treatment-of-displaced-patellar-fractures-with-multiple-circular-cerclage
#3
Z Tříska, J Urban, P Látal, M Kloub
PURPOSE OF THE STUDY The study aims to conduct a mid-term evaluation of results of the treatment of patellar fractures with multiple circular cerclage. MATERIAL AND METHODS The retrospective clinical study with its own group of patients who underwent surgery in our centre in the period from 2008 to 2014. The study included a total of 29 patients with displaced patellar fractures treated with multiple circular cerclage. The available radiographic documentation was assessed and the quality of perioperative reposition, fracture healing, loss of reposition and potential failure of osteosynthesis material was considered...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28809636/-arthroscopic-finding-of-knee-joint-in-relation-to-age-and-its-comparison-with-pre-operative-clinical-finding-a-retrospective-study
#4
P Látal, K Šimeček, M Kloub
PURPOSE OF THE STUDY In the retrospective study of two South Bohemian centres we present the comparison of pre-operative anamnestic clinical signs in relation to the arthroscopic intraoperative finding. The obtained data is used also to evaluate the arthroscopic finding in relation to age and sex. MATERIAL AND METHODS The arthroscopic findings of patients who underwent surgery in 2013-2014 period (1.1.2013-31.12.2014) at the Department of Trauma Surgery of České Budějovice Hospital, a.s. and in 2014 (1.1...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28801826/brain-activity-changes-in-somatosensory-and-emotion-related-areas-with-medial-patellofemoral-ligament-deficiency
#5
Masaru Kadowaki, Taku Tadenuma, Nobuyuki Kumahashi, Yuji Uchio
BACKGROUND: Patellar instability with medial patellofemoral ligament (MPFL) deficiency is a common sports injury among young people. Although nonoperative and surgical treatment can provide stability of the patella, patients often have anxiety related to the knee. We speculate that neural dysfunction may be related to anxiety in these patients; however, the mechanism in the brain that generates this anxiety remains unknown. QUESTIONS/PURPOSES: (1) How does brain activity in patients with MPFL deficiency change in the areas related to somatic sensation against lateral shift of the patella? (2) How does patella instability, which can lead to continuous fear or apprehension for dislocation, influence brain activity in the areas related to emotion? METHODS: Nineteen patients with MPFL deficiency underwent surgical reconstruction in our hospital from April 2012 to March 2014...
August 11, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28800919/similar-outcomes-after-osteochondral-allograft-transplantation-in-anterior-cruciate-ligament-intact-and-reconstructed-knees-a-comparative-matched-group-analysis-with-minimum-2-year-follow-up
#6
Dean Wang, Claire D Eliasburg, Tim Wang, Ryan R Fader, Francesca R Coxe, Mollyann D Pais, Riley J Williams
PURPOSE: To compare failure rates and clinical outcomes of osteochondral allograft transplantation (OCA) in anterior cruciate ligament (ACL)-intact versus ACL-reconstructed knees at midterm follow-up. METHODS: After a priori power analysis, a prospective registry of patients treated with OCA for focal chondral lesions ≥2 cm(2) in size with minimum 2-year follow-up was used to match ACL-reconstructed knees with ACL-intact knees by age, sex, and primary chondral defect location...
August 8, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28796028/sleeve-fracture-of-the-adult-patella-case-report-and-review-of-the-literature
#7
Linjun Xie, Hong Xu, Lizhi Zhang, Rong Xu, Yingkun Guo
RATIONALE: The patellar fractures are common in adults, but rare in children. As a particular type of patellar fracture, however, sleeve fractures are almost always limited to children in the under 16's group. PATIENT CONCERNS: Herein, we report a rare case of a 19-year-old healthy adult female who presented sleeve fracture at the superior pole of the left patella. The clinical and radiological features are found including joint effusion, anterior tilt of the patella and a shell of bone lying proximally to the patella...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28795010/evaluation-and-management-of-knee-pain-in-young-athletes-overuse-injuries-of-the-knee
#8
REVIEW
Dilip R Patel, Ana Villalobos
Recurrent or chronic activity related knee pain is common in young athletes. Numerous intrinsic conditions affecting the knee can cause such pain. In addition, knee pain can be referred pain from low back, hip or pelvic pathology. The most common cause of knee pain in young athletes is patellofemoral pain syndrome, or more appropriately termed idiopathic anterior knee pain. Although, numerous anatomical and biomechanical factors have been postulated to contribute the knee pain in young athletes, the most common underlying reason is overuse injury...
July 2017: Translational pediatrics
https://www.readbyqxmd.com/read/28780340/physical-activity-levels-in-individuals-with-and-without-patellofemoral-pain
#9
Neal R Glaviano, Andrea Baellow, Susan Saliba
OBJECTIVES: Patellofemoral pain (PFP) is a chronic condition that results in long-term subjective and objective impairments. PFP has been identified to result in modification in activity levels, however it is unknown the extent of activity levels in individuals with and without PFP. DESIGN: Case-control study. PARTICIPANTS: 20 individuals with PFP and 20 healthy individuals. MAIN OUTCOME MEASURES: Physical activity was assessed by steps per day, minutes of mild, moderate, and high activity over 14 consecutive days...
July 18, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28779800/editorial-commentary-tibial-tubercle-prominence-after-osgood-schlatter-disease-what-causes-pain
#10
EDITORIAL
Elizabeth A Arendt
A novel surgical technique to reduce the tibial tubercle prominence in painful Osgood-Schlatter disease was piloted in a small cohort of patients with chronic anterior knee pain. Midterm results judged by patient-reported outcomes of pain and function show promise for this technique.
August 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28776631/diffuse-pigmented-villonodular-synovitis-as-a-rare-cause-of-graft-failure-following-anterior-cruciate-ligament-reconstruction
#11
Rajiv Rajani, Liliana Ogden, Christopher J Matthews, C Parker Gibbs
This case report describes a 42-year-old woman who was diagnosed with pigmented villonodular synovitis (PVNS) in the knee. The patient had received a bone-patella tendon-bone autograft reconstruction of her anterior cruciate ligament (ACL) 22 years prior to her diagnosis of PVNS. After a traumatic event that tore her ACL graft, she underwent a second surgery to repair the initial reconstruction. However, her pain and joint instability remained unresolved. When radiolucent lesions in her tibia and femur were identified through a radiographic image, the patient was referred to the authors' orthopedic oncology clinic...
August 3, 2017: Orthopedics
https://www.readbyqxmd.com/read/28768528/safety-tolerability-clinical-and-joint-structural-outcomes-of-a-single-intra-articular-injection-of-allogeneic-mesenchymal-precursor-cells-in-patients-following-anterior-cruciate-ligament-reconstruction-a-controlled-double-blind-randomised-trial
#12
Yuanyuan Wang, Andrew Shimmin, Peter Ghosh, Paul Marks, James Linklater, David Connell, Stephen Hall, Donna Skerrett, Silviu Itescu, Flavia M Cicuttini
BACKGROUND: Few clinical trials have investigated the safety and efficacy of mesenchymal stem cells for the management of post-traumatic osteoarthritis. The objectives of this pilot study were to determine the safety and tolerability and to explore the efficacy of a single intra-articular injection of allogeneic human mesenchymal precursor cells (MPCs) to improve clinical symptoms and retard joint structural deterioration over 24 months in patients following anterior cruciate ligament (ACL) reconstruction...
August 2, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/28752971/-effects-of-low-magnitude-whole-body-vibration-wbv-on-knee-osteoarthritis-in-rabbits
#13
Jun-Bo Wang, Si-Jia Liu, Hong-Ying Chen, Pu Wang
OBJECTIVE: To determine the effects of low-magnitude whole body vibration (WBV) on the structure and function of subchondral trabecular bones, cartilage degradation, bone/cartilage turnover, and osteoarthritis (OA) joint function. METHODS: Knee osteoarthritis model was established in 96 rabbits through left anterior cruciate ligament transaction (ACLT). The rabbits were randomly divided into six groups: ACLT control group, WBV+ACLT group (five subgroups, each comprising 16 rabbits receiving 5 Hz, 10 Hz, 20 Hz, 30 Hz and 40 Hz WBV, respectively, with 2-4 mm amplitude for 40 min/d and 5 d/week over a period of 8 weeks)...
July 2017: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/28749699/patellofemoral-joint-loads-during-running-at-the-time-of-return-to-sport-in-elite-athletes-with-acl-reconstruction
#14
Lee Herrington, Saud Alarifi, Richard Jones
BACKGROUND: Patellofemoral joint pain and degeneration are common in patients who undergo anterior cruciate ligament reconstruction (ACLR). The presence of patellofemoral joint pain significantly affects the patient's ability to continue sport participation and may even affect participation in activities of daily living. The mechanisms behind patellofemoral joint pain and degeneration are unclear, but previous research has identified altered patellofemoral joint loading in individuals with patellofemoral joint pain when running...
July 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28749093/comparing-low-volume-saphenous-obturator-block-with-placebo-and-femoral-obturator-block-for-anterior-cruciate-ligament-reconstruction-a-randomized-controlled-trial
#15
Katja Lenz, Kenneth Jensen, Katrine Tanggaard, Mojgan Vazin, Thomas F Bendtsen, Vincent Chan, Michael R Krogsgaard, Mikael L Strube, Jens Børglum
BACKGROUND: Anterior cruciate ligament reconstruction (ACL-RC) is often associated with moderate to severe postoperative pain even with a multimodal analgesic regimen. We aimed to compare the analgesic efficacy of low volume saphenous-obturator block with placebo and femoral- obturator block in patients undergoing ACL-RC. METHODS: In a randomized controlled trial eighty-two patients undergoing ACL-RC with hamstring autograft were allocated to either low volume saphenous-obturator block, placebo block or femoral-obturator block...
July 26, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28741435/effect-of-ankle-position-and-noninvasive-distraction-on-arthroscopic-accessibility-of-the-distal-tibial-plafond
#16
Craig C Akoh, Kevin Dibbern, Annuziato Amendola, Tinnart Sittapairoj, Donald D Anderson, Phinit Phisitkul
BACKGROUND: Osteochondral lesions of the tibial plafond (OLTPs) can lead to chronic ankle pain and disability. It is not known how limited ankle motion or joint distraction affects arthroscopic accessibility of these lesions. The purpose of this study was to determine the effects of different fixed flexion angles and distraction on accessibility of the distal tibial articular surface during anterior and posterior arthroscopy. METHODS: Fourteen below-knee cadaver specimens underwent anterior and posterior ankle arthroscopy using a 30-degree 2...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28714838/lower-extremity-muscle-activity-kinematics-and-dynamic-postural-control-in-individuals-with-patellofemoral-pain
#17
Shiho Goto, Naoko Aminaka, Phillip A Gribble
CONTEXT: Altered lower extremity muscle activity has been suggested to be associated with lower extremity kinematics in individuals with patellofemoral pain (PFP). However, few studies examined these relationships and the results are inconsistent. OBJECTIVES: To compare the lower extremity muscle activity, kinematics, pain level, and reach distance during the anterior reach of the Star Excursion Balance Test (SEBT) between participants with PFP and healthy individuals (CON)...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28714793/equivalent-knee-injury-and-osteoarthritis-outcome-scores-12-and-24-months-after-anterior-cruciate-ligament-reconstruction-results-from-the-swedish-national-knee-ligament-register
#18
Kristian Samuelsson, Robert A Magnussen, Eduard Alentorn-Geli, Ferid Krupic, Kurt P Spindler, Christer Johansson, Magnus Forssblad, Jón Karlsson
BACKGROUND: It is not clear whether Knee injury and Osteoarthritis Outcome Score (KOOS) results will be different 1 or 2 years after anterior cruciate ligament (ACL) reconstruction. PURPOSE: To investigate within individual patients enrolled in the Swedish National Knee Ligament Register whether there is equivalence between KOOS at 1 and 2 years after primary ACL reconstruction. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: This cohort study was based on data from the Swedish National Knee Ligament Register during the period January 1, 2005, through December 31, 2013...
July 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28712512/higher-pain-level-and-lower-functional-capacity-are-associated-with-the-number-of-altered-kinematics-in-women-with-patellofemoral-pain
#19
Deisi Ferrari, Ronaldo Valdir Briani, Danilo de Oliveira Silva, Marcella Ferraz Pazzinatto, Amanda Schenatto Ferreira, Neri Alves, Fábio Mícolis de Azevedo
This study investigated whether women with patellofemoral pain (PFP) present kinematic alterations in proximal, local, and distal factors simultaneously, and determined the association between the number of kinematic alterations, pain level, and functional status. A three-dimensional motion analysis system was used to analyze the peak hip adduction, peak knee flexion, and peak rearfoot eversion, addressing the proximal, local, and distal factors, respectively, in fifty women. Functional status and pain level were assessed using the anterior knee pain scale (AKPS) and a visual analogic scale...
July 10, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28711951/optimizing-patellar-positioning-during-total-knee-arthroplasty-an-anatomical-and-clinical-study
#20
Chahine Assi, Nadim Kheir, Camille Samaha, Mary Deeb, Kaissar Yammine
INTRODUCTION: Optimal positioning of the patellar component is crucial for the success of a total knee arthroplasty (TKA). Usually, the patellar component is placed empirically over the presumed centre of the patellar cut. Medialization of the prosthetic patella has been recommended; however, no evidence-based guidelines have been reported. MATERIAL AND METHOD: This anatomical study aims to quantify a pre-defined optimal location for positioning of the patellar component with regard to the centre of the patellar cut...
July 15, 2017: International Orthopaedics
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