Knee

Meta-analysis: FDA-approved intra-articular HA injections effective for knee OA

Website article:  http://www.healio.com/orthopedics/biologics/news/online/%7B332374cf-3579-4cfc-8bac-29960bca3060%7D/meta-analysis-fda-approved-intra-articular-ha-injections-effective-for-knee-oa Researchers of a recently published meta-analysis have concluded that intra-articular injections of hyaluronic acid for the treatment of knee osteoarthritis significantly improve pain and function compared to placebo. “The findings of the meta-analysis are important but not unexpected. The safety data in the meta-analysis comes from studies that only used FDA-approved [hyaluronic […]

AAOS announces list of unnecessary orthopedic medical tests, procedures

September 11, 2013 The American Academy of Orthopaedic Surgeons has released a list of commonly ordered tests or procedures that may not always be necessary in orthopedics as part of ABIM Foundation’s Choose Wisely campaign. “More than one in four Americans require medical attention due to a musculoskeletal condition and that number continues to grow,” Joshua […]

Barefoot Running and Patellofemoral Joint Stress

Barefoot Running and Patellofemoral Joint Stress Br J Sports Med doi:10.1136/bjsports-2013-092160 Take your shoes off to reduce patellofemoral joint stress during running Jason Bonacci Patellofemoral joint (PFJ) stress is the most common source of knee pain in runners. There is significant interest in determining the influence ofrunning shoes on factors that contribute to PFJ stress. […]

Women with knee OA, quadriceps weakness may experience worsening knee pain

Women with knee OA, quadriceps weakness may experience worsening knee pain http://www.healio.com/orthopedics/arthritis/news/online/%7Bbf2f99b8-15ed-4678-b604-a111702a0a15%7D/women-with-knee-oa-quadriceps-weakness-may-experience-worsening-knee-pain Glass N. Osteoarthr Cartil. 2013;doi:10.1016/j.joca.2013.05.016. Women had an increased risk of knee pain from quadriceps muscle weakness during a 5-year period, according to research from the Multicenter Osteoarthritis Study. “In [Multicenter Osteoarthritis Study] MOST, quadriceps weakness was associated with an increased risk of […]

Are Joint Injury, Sport Activity, Physical Activity, Obesity, or Occupational Activities Predictors for Osteoarthritis? A Systematic Review

Are Joint Injury, Sport Activity, Physical Activity, Obesity, or Occupational Activities Predictors for Osteoarthritis? A Systematic Review J Orthop Sports Phys Ther 2013;43(8):515–524. http://www.jospt.org/doi/abs/10.2519/jospt.2013.4796 Study Design Systematic review with meta-analysis. Objectives To identify risk factors for osteoarthritis (OA) of the knee, hip, and ankle, including joint injury, sport, physical activity, overweight/obesity, and occupational activity, in all […]

Shoe Inserts No Help for Knee OA

Published: Aug 20, 2013 By Crystal Phend, Senior Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/Rheumatology/Arthritis/41099 Lateral wedge shoe insoles didn’t appear to ease medial osteoarthritis knee pain beyond a placebo effect, according to a meta-analysis. The orthotics did have a significant impact compared with controls overall, the equivalent of 2.12 fewer points on the 20-point […]

Revised clinical practice guideline for knee OA no longer recommends Hyaluronic Acid injections

Orthopedics Today June 7, 2013 Full Story:  http://www.healio.com/orthopedics/arthritis/news/online/%7Bf6db8641-4f44-4c43-bd41-bc22672091ed%7D/revised-clinical-practice-guideline-for-knee-oa-no-longer-recommends-ha-injections The American Academy of Orthopaedic Surgeons recently released a revised version of its clinical practice guideline for the treatment of knee osteoarthritis, which included changes regarding the use of intra-articular hyaluronic acid and acetaminophen. The original 2009 and revised guidelines by the American Academy of Orthopaedic Surgeons […]

Dextrose Shots Ease Knee OA

Published: May 20, 2013 | Updated: May 20, 2013 By Nancy Walsh , Staff Writer, MedPage Today Action Points In this study, adults with at least 3 months of painful knee osteoarthritis were randomized to blinded injection (dextrose prolotherapy or saline) or at-home exercise. Dextrose prolotherapy resulted in clinically meaningful sustained improvement of pain, function, […]

Incidence of musculoskeletal and neoplastic diseases in patients on statin therapy: results of a retrospective cohort analysis.

Am J Med Sci. 2013 May;345(5):343-8. doi: 10.1097/MAJ.0b013e31825b8edf. Mansi IA1, Mortensen EM, Pugh MJ, Wegner M, Frei CR. Abstract BACKGROUND: Because of their beneficial cardiovascular effects, several studies have recently advocated starting statins at a young age for primary prevention. However, some reports suggest that statin therapy may be associated with an increased incidence of […]

Natural history of PCL injuries: Long-term results favorable with nonoperative treatment

Orthopedics Today, April 2013 CHICAGO — Patients showed no arthritis or joint wear about 17 years after their PCL injuries were treated nonoperatively, based on results of a study presented at the American Academy of Orthopaedic Surgeons Annual Meeting, here. “Patients remain active, report good subjective results,” K. Donald Shelbourne, MD, said in a presentation. […]

Management of chronic tendon injuries

Childress MA,et al. Am Fam Physician. 2013 Apr 1;87(7):486-90. Abstract Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the treatment of these injuries. Corticosteroid injections […]

Forefoot Strikers Exhibit Lower Running-Induced Knee Loading Than Rearfoot Strikers

Juha-Pekka Kulmala; Janne Avela; Kati Pasanen; Jari Parkkari Med Sci Sports Exerc. 2013;45(12):2306-2313. Abstract Purpose: Knee pain and Achilles tendinopathies are the most common complaints among runners. The differences in the running mechanics may play an important role in the pathogenesis of lower limb overuse injuries. However, the effect of a runner’s foot strike pattern […]

Manipulation/Manual Therapy in the Treatment of Osteoarthritis

Howard Vernon J Arthritis 3:e107. doi: Full Text Article:  http://www.omicsgroup.org/journals/manipulation-manual-therapy-in-the-treatment-of-osteoarthritis-2167-7921.1000e107.php Manual manipulation has a long history in the treatment of musculoskeletal pain [1]. Manipulation for the treatment of spinal pain conditions has become widely accepted as a result of numerous clinical trials, systematic reviews and clinical guidelines [2–4]. Surveys of chiropractic practice confirm that the […]

Manipulation/Manual Therapy in the Treatment of Osteoarthritis

Vernon H (2013) Manipulation/Manual Therapy in the Treatment of Osteoarthritis J Arthritis 3:e107. doi: Full Text Article:  http://www.omicsgroup.org/journals/manipulation-manual-therapy-in-the-treatment-of-osteoarthritis-2167-7921.1000e107.php?aid=12806 Manual manipulation has a long history in the treatment of musculoskeletal pain [1]. Manipulation for the treatment of spinal pain conditions has become widely accepted as a result of numerous clinical trials, systematic reviews and clinical guidelines [2-4]. […]

Physical Activity Recommendations for Adults With Arthritis

Health Care Providers’ Recommendations for Physical Activity and Adherence to Physical Activity Guidelines Among Adults With Arthritis Shamly Austin, PhD; Haiyan Qu, PhD; Richard M. Shewchuk, PhD Disclosures Prev Chronic Dis. 2013;10 Abstract Introduction Physical activity is beneficial for reducing pain and improving health-related quality of life among people with arthritis. However, physical inactivity is […]

Crystalline Glucosamine Sulfate in the Management of Knee Osteoarthritis Efficacy, Safety, and Pharmacokinetic Properties

Lucio C. Rovati, MD, Federica Girolami, PharmD, Stefano Persiani, PhD Ther Adv Musculoskel Dis. 2012;4(3):167-180. Abstract Glucosamine is an amino monosaccharide and a natural constituent of glycosaminoglycans in articular cartilage. When administered exogenously, it is used for the treatment of osteoarthritis as a prescription drug or a dietary supplement. The latter use is mainly supported […]

Effectiveness of a Long-term use of a Minimalist Footwear Versus Habitual Shoe on Pain, Function and Mechanical Loads in Knee Osteoarthritis

A RANDOMIZED CONTROLLED TRIAL Francis Trombini-Souza, Ricardo Fuller, Alessandra Matias, Mariane Yokota, Marco Butugan, Claudia Goldenstein-Schainberg, Isabel C N SaccoDisclosures BMC Musculoskelet Disord. 2012;13(121) ABSTRACT AND INTRODUCTION Abstract Background: Recent studies have shown an important reduction of joint overload during locomotion in elderly women with knee osteoarthritis (OA) after short-term use of minimalist shoes. Our […]

The Basic Science of Human Knee Menisci – Full Text Article

Alice J. S. Fox, MSc Sports Health. 2012 July; 4(4): 340–351. Abstract Context: Information regarding the structure, composition, and function of the knee menisci has been scattered across multiple sources and fields. This review contains a concise, detailed description of the knee menisci—including anatomy, etymology, phylogeny, ultrastructure and biochemistry, vascular anatomy and neuroanatomy, biomechanical function, […]

Study: Hyaluronic Acid Injections ineffective for knee arthritis

FoxNews Health Published June 12, 2012 Injections of the lubricating substance hyaluronic acid may be little help to people with knee arthritis, researchers reported Monday. Hyaluronic acid exists naturally in the fluids that bathe the joints, where it acts like a shock absorber and lubricant. People with osteoarthritis — the common, “wear-and-tear” type of arthritis […]

Clinical presentation and manual therapy for lower quadrant musculoskeletal conditions – Full Text Available

This paper will discuss the evidence which supports the use of manual therapy for lower quarter musculoskeletal dysfunction.