38,129 results match your criteria knee pain

Long-term analgesic and opioid prescription after surgery under general or neuraxial anesthesia: A retrospective nationwide sampling study.

J Clin Anesth 2021 Jul 23;75:110438. Epub 2021 Jul 23.

Department of Anesthesiology, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan, Taiwan. Electronic address:

Study Objective: Chronic postsurgical pain (CPSP) is a common and underreported but significant outcome following surgery. Pharmacological treatment with analgesics, including non-opioids and opioids, is frequently used. It has been debated whether neuraxial anesthesia can reduce persistent analgesic use. Read More

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The association of clinical and structural knee osteoarthritis with physical activity in the middle-aged population: The NEO study.

Osteoarthritis Cartilage 2021 Jul 23. Epub 2021 Jul 23.

Department of Rheumatology, Leiden University Medical Center, the Netherlands. Electronic address:

Objective: To investigate if knee osteoarthritis (OA) is associated with lower physical activity in the general middle-aged Dutch population, and if physical activity is associated with patient-reported outcomes in knee OA.

Design: Clinical knee OA was defined in the Netherlands Epidemiology of Obesity population using the ACR criteria, and structural knee OA on MRI. We assessed knee pain and function with the Knee Injury and Osteoarthritis Score (KOOS), health-related quality of life (HRQoL) with the Short Form-36, and physical activity (in Metabolic Equivalent of Task (MET) hours) with the Short Questionnaire to Assess Health-enhancing physical activity. Read More

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Am J Phys Med Rehabil 2021 Jul 23. Epub 2021 Jul 23.

Shirley Ryan AbilityLab, Chicago, IL Department of Physical Medicine and Rehabilitation, Northwestern Feinberg School of Medicine, Chicago, IL University of Michigan Medical School, Ann Arbor, MI University of Illinois-Chicago Medical School, Chicago IL Department of Orthopaedic Surgery, University of Missouri.

Objective: Compare the acute effects of walking the golf course versus using a golf cart during a round of golf on biological markers of joint disease, joint pain, and cardiovascular parameters in individuals with knee osteoarthritis (OA).

Methods: Participants with knee OA (n = 10) above the age of 50 were recruited for this crossover designed study in which they completed two 18-hole rounds of golf; 1) walking the course 2) using a golf cart (GC). Five control participants (n = 5) performed the walking condition only. Read More

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Genicular Nerve Radiofrequency Ablation for the Treatment of Painful Knee Osteoarthritis: Current Evidence and Future Directions.

Pain Med 2021 Jul;22(Supplement_1):S20-S23

Division of Physical Medicine and Rehabilitation, Salt Lake City, Utah, USA.

Genicular nerve radiofrequency ablation (RFA) is increasingly being performed to treat chronic pain due to knee osteoarthritis (KOA). This narrative review provides a concise summary of the relevant neuroanatomy, randomized controlled trials, appropriate patient selection, and safety relating to genicular RFA. Cadaveric studies demonstrate significant variability in the location of the genicular nerves, which has stimulated debate about the ideal target locations for genicular RFA. Read More

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The Effect of Local Heat Therapy versus Cold Rub Gel on Pain and Joint Functions in Patients with Knee Osteoarthritis.

Clin Nurs Res 2021 Jul 26:10547738211035502. Epub 2021 Jul 26.

School of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran.

This study was compared the effect of local heat therapy versus cold rub gel on pain and joint function in patients with knee osteoarthritis. One hundred seventeen patients with knee osteoarthritis were randomly assigned to cold rub gel, local heat therapy, and control group. Data were collected by knee injury and osteoarthritis outcome score at a week prior to the interventions and on weeks of 1, 2, 3, and 4 of the interventions. Read More

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[Biomechanical research on effects of pseudo-patella baja on stress of patellofemoral joint after total knee arthroplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jul;35(7):841-846

Department of Orthopaedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To investigate biomechanical effects of pseudo-patella baja on stress of patellofemoral joint after total knee arthroplasty (TKA) by using finite element analysis (FEA).

Methods: A series of CT and MRI of the left knee joint of two healthy volunteers and three-dimensional (3D) scanned data of TKA prosthesis were taken, and the 3D models of knee before and after TKA were established. The finite element model of pseudo-patella baja, normal patella, and alta patella after TKA were constructed by Insall-Salvafi (IS) ratio and Blackburne-Peel (BP) ratio. Read More

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[Comparison of early effectiveness of arthroscopic suture bridge technique and conventional double tunnel suture technique in treatment of avulsion fracture of posterior cruciate ligament insertion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jul;35(7):829-835

Department of Orthopedics, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou Fujian, 363000, P.R.China.

Objective: To compare the early effectiveness of arthroscopic suture bridge technique and conventional double tunnel suture technique in the treatment of avulsion fracture of posterior cruciate ligament (PCL) insertion.

Methods: Between June 2013 and December 2018, 62 patients with tibial avulsion fracture of PCL insertion that met the criteria were selected and randomly divided into trial group (using arthroscopic suture bridge technique) and control group (using conventional double tunnel suture technique), 31 cases in each group. There was no significant difference in gender, age, injured side, cause of injury, time from injury to operation, Meyers & McKeever classification, Kellgren-Lawrence classification, and preoperative knee range of motion, difference of posterior relaxation of bilateral knee joints, International Knee Documentation Committee (IKDC) score, and Lysholm score between the two groups ( >0. Read More

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[Effect of robotic-arm assisted total knee arthroplasty on femoral rotation alignment and its short-term effectiveness].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jul;35(7):807-812

Center for Joint Surgery, the First Affiliated Hospital (Southwest Hospital), Army Medical University, Chongqing, 400038, P.R.China.

Objective: To investigate the improvement of femoral rotation alignment in total knee arthroplasty (TKA) by robotic-arm assisted positioning and osteotomy and its short-term effectiveness.

Methods: Between June 2020 and November 2020, 60 patients (60 knees) with advanced osteoarthritis of the knee, who met the selection criteria, were selected as the study subjects. Patients were randomly divided into two groups according to the random number table method, with 30 patients in each group. Read More

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Insight Into the Effect of Hospital-Based Prehabilitation on Postoperative Outcomes in Patients With Total Knee Arthroplasty: A Retrospective Comparative Study.

Arthroplast Today 2021 Aug 14;10:93-98. Epub 2021 Jul 14.

Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.

Background: Osteoarthritis (OA) has become one of the most prevalent joint diseases worldwide, leading to a growing burden of pain and disability as populations age. Although there is consistent evidence to support postoperative rehabilitation and high-intensity prehabilitation for total knee arthroplasty (TKA), the clinical outcomes of hospital-based prehabilitation remain unclear. We aimed to evaluate the effect of a hospital-based prehabilitation program on knee score (KS), function score (FS), and length of stay (LOS) among patients with knee OA after TKA. Read More

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Does Preoperative Opioid Consumption Increase the Risk of Chronic Postoperative Opioid Use After Total Joint Arthroplasty?

Arthroplast Today 2021 Aug 9;10:46-50. Epub 2021 Jul 9.

Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

Background: Risk-factor identification related to chronic opioid use after surgery may facilitate interventions mitigating postoperative opioid consumption. We evaluated the relationship between opioid use preceding total hip arthroplasty (THA) and total knee arthroplasty (TKA), and chronic use postoperatively, and the risk of chronic opioid use after total joint arthroplasty.

Methods: All primary THAs and TKAs performed during a 6-month period were identified. Read More

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The immature platelet fraction affects the efficacy of platelet rich plasma therapy for knee osteoarthritis.

Regen Ther 2021 Dec 8;18:176-181. Epub 2021 Jul 8.

Department of Medicine for Orthopaedics and Motor Organ, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan.

Introduction: Platelet-rich plasma (PRP) therapy is used to treat pathological conditions such as degenerative inflammatory diseases including osteoarthritis (OA) by enhancing tissue repair and promoting anti-inflammatory effects. Although PRP therapy for patients with knee OA improved pain and functional scores, the association of clinical outcomes and quality of PRP including cell composition and concentration is unclear.

Methods: Therefore, this study analyzed blood cell counts, including the immature platelet fraction (IPF), in peripheral blood and PRP of 144 patients with knee OA who underwent PRP therapy. Read More

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December 2021

Postoperative Bone Marrow Lesions (BMLs) Are Associated with Pain Severity in Patients Undergoing Open Wedge High Tibial Osteotomy (OWHTO).

Biomed Res Int 2021 7;2021:9938037. Epub 2021 Jul 7.

Department of Sports Medicine and Arthroscopy, Tianjin Hospital of Tianjin University, Tianjin, China.

The purpose of the study was to investigate the relationship between postoperative bone marrow lesions (BMLs) and pain severity in patients undergoing open wedge high tibial osteotomy (OWHTO). We reviewed the patients undergoing OWHTO between April 2018 and April 2020. The demographic and clinical data of patients were collected. Read More

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Medium-term efficacy of arthroscopic debridement conservative treatment for knee osteoarthritis of Kellgren-Lawrence grades I-III.

World J Clin Cases 2021 Jul;9(19):5102-5111

Department of Orthopaedics, Shanghai Jing'an District Zhabei Central Hospital, Shanghai 200070, China.

Background: Arthroscopic debridement is a mature treatment for knee osteoarthritis (KOA). Due to the differences in the research subjects, methods, and efficacy evaluation indexes, there are great differences in the surgical efficacy reported in the literature.

Aim: To compare the medium-term efficacy of arthroscopic debridement and conservative treatment for KOA of Kellgren-Lawrence grades I-III. Read More

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Successful Treatment of Coexistent Acne Fulminans and Severe Hidradenitis Suppurativa with Adalimumab.

Skin Appendage Disord 2021 Jun 30;7(4):329-332. Epub 2021 Mar 30.

National and Kapodistrian University of Athens, Faculty of Medicine, 1st department of Dermatology-Venereology, Andreas Sygros Hospital, Athens, Greece.

The coexistence of hidradenitis suppurativa (HS) and acne fulminans (AF) has only recently been reported in the literature. We present a case of a 17-year-old man who presented with a 2 years history of severe acne and HS. He was initially started on oral clindamycin and rifampicin for 3 months with no clinical improvement. Read More

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COVID-19-Induced Left Sciatic Neuropathy Requiring Prolonged Physical Medicine and Rehabilitation.

Cureus 2021 Jun 21;13(6):e15803. Epub 2021 Jun 21.

Internal Medicine, Chitwan Medical College, Chitwan, NPL.

A growing number of case reports and series have described a wide spectrum of neurological manifestations of COVID-19 disease including encephalopathy, cerebrovascular disease, and Guillain-Barre syndrome (GBS). However, peripheral neuropathy associated with COVID-19 disease has been uncommonly reported. Here, we describe a young patient with a COVID-19 infection who developed unilateral sciatic neuropathy during the course of treatment requiring prolonged physical medicine and rehabilitation stay. Read More

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Osteochondral Peg Fixation for Chondral Fragment of the Knee in Adolescent Patients: A Report of Two Cases.

Case Rep Orthop 2021 8;2021:9958012. Epub 2021 Jul 8.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Yanagido 1-1, Gifu, Gifu, Japan.

Introduction: Purely chondral injuries of the knee are relatively rare, and no consensus exists on the appropriate treatment in such cases. We describe two adolescent patients with chondral injury of the knee who were successfully treated by osteochondral peg fixation. . Read More

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Assessing the Work Activities Related to Musculoskeletal Disorder among Critical Care Nurses.

Crit Care Res Pract 2021 29;2021:8896806. Epub 2021 Jun 29.

Imam Abdulrhman Bin Faisal University, Dammam, Saudi Arabia.

Nurses are physically exhausted with an incidence of work-related musculoskeletal disorders (MSDs), especially those working in critical care units that require exhaustive physical efforts to fulfill patients' needs. The current study aims to assess work activities related to the occurrence of MSDs in nurses working in critical care units. A descriptive cross-sectional study was conducted on a sample of 100 nurses of critical care units, and the data were collected via a survey questionnaire. Read More

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Clinical effect of warm needle penetration in treating knee osteoarthritis.

Am J Transl Res 2021 15;13(6):6766-6771. Epub 2021 Jun 15.

Xujiahui Community Health Service Center Shanghai, China.

Objective: Our aim was to explore the clinical effect of warm needle penetration in treating knee osteoarthritis.

Methods: We randomly divided 118 patients with knee osteoarthritis into the observation group (n=59) and the control group (n=59). The observation group was treated with warm needle penetration combined with western medicine therapy, and the control group was only given western medicine therapy. Read More

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The effect of exercises on the balance function and subjective quality of life in elderly, female knee osteoarthritis patients.

Am J Transl Res 2021 15;13(6):6710-6716. Epub 2021 Jun 15.

Department of Orthopaedics and Traumatology, Hubei Provincial Hospital of Traditional Chinese Medicine Wuhan 430074, Hubei, China.

Objective: To investigate the balance function and subjective quality of life in elderly female knee osteoarthritis patients KOAKOA treated with exercises.

Methods: A total of 284 elderly female patients with knee osteoarthritis (KOA) were randomly divided into an experimental group, which did exercises for 24-weeks (n=132), and a control group, which didn't do any regular physical exercises (n=134). The experimental group did exercises for 24 weeks, and the control group didn't engage in any regular physical exercise. Read More

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Effect of acupuncture combined with early rehabilitation training on postoperative dysfunction and quality of life of patients undergoing total knee arthroplasty.

Am J Transl Res 2021 15;13(6):6407-6414. Epub 2021 Jun 15.

Department of Orthopedics and Traumatology, Dianjiang Hospital of Traditional Chinese Medicine Chongqing 408300, China.

Objective: This research was designed to determine the effect of acupuncture combined with early rehabilitation training on dysfunction and quality of life of patients after total knee arthroplasty (TKA).

Methods: Eighty-nine TKA patients admitted to our hospital from January 2018 to January 2020 were recruited as the research objects. Among them, 44 patients in the control group (CG) were given early rehabilitation training, and 45 in the research group (RG) were given acupuncture treatment additionally. Read More

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Quadriceps fat pad edema in MR imaging: Association with quadriceps tendon alterations in a retrospective analysis.

Eur J Radiol 2021 Jul 13;142:109858. Epub 2021 Jul 13.

Department of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, D-81377 Munich, Germany; Radiologisches Zentrum München, Pippinger Str. 25, D-81245 Munich, Germany. Electronic address:

Purpose: Edema of the quadriceps fat pad (QFP) in MR imaging has been described as a distinct finding associated with anterior knee pain, its etiology, however, remains under debate. The aim of this study was to investigate a potential relationship between QFP edema, alterations of the quadriceps tendon (QT) and other anterior knee structures.

Method: 800 consecutive, clinically indicated MRI exams of the knee at 3T were retrospectively analyzed for the absence or presence of QFP edema. Read More

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Walking energetics and fatigue are associated with physical activity in people with knee osteoarthritis.

Clin Biomech (Bristol, Avon) 2021 Jul 17;88:105427. Epub 2021 Jul 17.

Department of Kinesiology and Nutrition, University of Illinois at Chicago, 1919 W. Taylor St., 650 AHSB, Chicago, IL 60612, USA.

Background: Aberrant biomechanics may influence osteoarthritis-associated physical activity limitations. Our purpose was to evaluate the association of walking energetics, fatigue, and fatigability on physical activity in people with knee osteoarthritis. We hypothesized that using increased energy for walking, experiencing more fatigue, or being more fatigable are associated with less activity, and that fatigue and fatigability mediate the relationships between walking energetics and physical activity. Read More

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How effective is an evidence-based exercise intervention in individuals with patellofemoral pain?

Phys Ther Sport 2021 Jul 13;51:92-101. Epub 2021 Jul 13.

School of Health and Society, University of Salford, Salford, UK. Electronic address:

Objectives: Guidelines for a comprehensive rehabilitation programme for patellofemoral pain (PFP) have been developed by international experts. The aim of this study was to analyse the effect of such a rehabilitative exercise programme on pain, function, kinesiophobia, running biomechanics, quadriceps strength and quadriceps muscle inhibition in individuals with PFP.

Design: Observational study. Read More

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Surgical Ergonomics and Musculoskeletal Pain in Arthroplasty Surgeons.

J Arthroplasty 2021 Jun 26. Epub 2021 Jun 26.

Department of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, AZ.

Background: One occupational hazard inherent to total joint replacement surgeons is procedural-related musculoskeletal pain (MSP). The purpose of this study is to identify the prevalence of work-related MSP among arthroplasty surgeons and analyze associated behaviors, attitudes, and beliefs toward surgical ergonomics.

Methods: A survey was sent to members of the American Association of Hip and Knee Surgeons. Read More

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Comparison of double-strand braided polyester sutures tension band (Nice knot) with cable tension band in transverse patellar fractures.

Injury 2021 Jul 6. Epub 2021 Jul 6.

Department of Orthopaedic, Nanjing First Hospital, Nanjing Medical University, 68 Changle Road, Nanjing 210006, China. Electronic address:

Background: The tension band technique is the most common method for internal fixation of transverse patellar fractures. Titanium cable and high-strength sutures have been successfully applied in this treatment; however, few studies have compared the Nice knot technique using sutures with the standard cable technique. Whether the suture technique (Nice knot) provides preferable results compared with those of the cable technique is unclear. Read More

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Higher body mass index is associated with larger postoperative improvement in patient-reported outcomes following total knee arthroplasty.

BMC Musculoskelet Disord 2021 Jul 24;22(1):635. Epub 2021 Jul 24.

Department of Orthopaedics and Traumatology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.

Background: Total knee arthroplasty is known to successfully alleviate pain and improve function in endstage knee osteoarthritis. However, there is some controversy with regard to the influence of obesity on clinical benefits after TKA. The aim of this study was to investigate the impact of body mass index (BMI) on improvement in pain, function and general health status following total knee arthroplasty (TKA). Read More

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Inflammation and ROS in arthritis: management by Ayurvedic medicinal plants.

Food Funct 2021 Jul 24. Epub 2021 Jul 24.

Department of Biochemistry, Institute of Science, Banaras Hindu University, Varanasi, India.

Chronic joint inflammatory disorders like osteoarthritis and rheumatoid arthritis, which are manifested by joint dysfunction, show an upsurge in inflammation and oxidative stress. Although conventional anti-arthritic drugs are being used to relieve pain from arthritic symptoms, they usually cause severe side effects. Traditionally used Ayurvedic medicinal plants are a promising alternative for the management of arthritic symptoms, as they are safe and effective. Read More

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Slipped capital femoral epiphysis in a healed Perthes hip.

BMJ Case Rep 2021 Jul 23;14(7). Epub 2021 Jul 23.

Department of Pediatric Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India

Perthes disease and slipped capital femoral epiphysis (SCFE) in the same child is a rare occurrence. A 7-year-old boy with the left hip Perthes' disease was managed with femur osteotomy. The femur head healed with a spherical congruent hip. Read More

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Results from a cross-sectional, observational study to assess inadequate pain relief in patients with knee and/or hip osteoarthritis in Mexico.

Reumatol Clin (Engl Ed) 2021 Aug-Sep;17(7):397-403

Merck Sharp & Dohme Corp., Center for Observational and Real World Evidence, Kenilworth, NJ, USA.

Introduction And Objectives: There is limited data that characterizes osteoarthritis (OA) patients who experience moderate to severe pain despite analgesic treatment in Mexico. In this study, we estimate the real-world prevalence of inadequate pain relief (IPR) among individuals with knee and/or hip OA who have been prescribed analgesic therapy and characterize this patient population for each country separately.

Materials And Methods: This is a multinational, multi-site, cross-sectional, observational study. Read More

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