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JOURNAL ARTICLE
Tak Kyu Oh, In-Ae Song
INTRODUCTION: We aimed to determine whether regional anesthesia (RA) has any advantages over general anesthesia (GA) in total joint arthroplasty (TJA) in terms of mortality and postoperative complications. METHODS: This population-based retrospective cohort study included data of adults who underwent total knee or hip arthroplasty under RA or GA between 2016 and 2021 from the National Health Insurance Service of South Korea. RA included spinal or epidural anesthesia or a combination of both...
April 30, 2024: Regional Anesthesia and Pain Medicine
#2
REVIEW
Wojciech Konarski, Tomasz Poboży, Klaudia Konarska, Michał Derczyński, Ireneusz Kotela
BACKGROUND: Osteochondritis dissecans (OCD) is a joint disorder predominantly affecting the knee, elbow, and ankle of children and adolescents. This comprehensive review delves into the epidemiology, etiology, clinical manifestations, diagnostic approaches, and treatment of OCD. RESULTS: The most common cause of OCD is repetitive microtrauma, typically associated with sports activities, alongside other significant factors such as genetic predisposition, ischemia, and obesity...
April 22, 2024: Children
#3
JOURNAL ARTICLE
Joseph L Yellin, Aliya G Feroe, Ian T Watkins, Helena Franco, Borna Guevel, Daniel B Haber, Mininder S Kocher
PURPOSE: This study aims to report the epidemiology of patellar sleeve injuries, describe diagnostic findings and treatment, and assess functional outcomes following different treatments. METHODS: A medical database was queried from 1990 to 2016 to identify patients ≤18 years presenting to a single pediatric institution with a patellar sleeve injury. Patients with significant comorbidities or previously operatively treated for ipsilateral knee injuries were excluded...
April 2024: Journal of Children's Orthopaedics
#4
JOURNAL ARTICLE
Grace H Lo, Julieann C Patarini, Michael J Richard, Timothy E McAlindon, Andrea M Kriska, Bonny Rockette-Wagner, Charles B Eaton, Marc C Hochberg, C Kent Kwoh, Michael C Nevitt, Jeffrey B Driban
OBJECTIVE: To evaluate the relationship of gardening/yardwork with symptomatic and structural progression in those with pre-existing radiographic knee osteoarthritis (OA) in the Osteoarthritis Initiative (OAI), an observational study designed to evaluate potential and known biomarkers and risk factors of knee OA. METHODS: We conducted a cohort study nested within the OAI, including participants ≥ 50 years old with radiographic OA in at least one knee at the time of OAI enrollment...
April 1, 2024: Clinical Rheumatology
#5
JOURNAL ARTICLE
Hiroshige Jinnouchi, Masahiko Kiyama, Akihiko Kitamura, Ko Matsudaira, Hironobu Kakihana, Mina Hayama-Terada, Isao Muraki, Eiko Honda, Takeo Okada, Kazumasa Yamagishi, Hironori Imano, Hiroyasu Iso
Low back and knee pain, as major symptoms and early signs of osteoarthritis, have restricted healthy life expectancy, and numerous guidelines have recommended therapeutic exercise as the first-line treatment for chronic pain. Proportions of medical and exercise consultation use for those pain have been unclear, and these may change in the future. We performed a cross-sectional study of 2,954 persons aged over 30 years in 2017 as a part of the Circulatory Risk in Communities Study. A generalized linear model with logit link and 11-year age-group moving averages were used to estimate sex- and age-specific average proportions of lifetime pain, chronic pain, and dysfunctional chronic pain of the low back and knee, and history of medical and exercise consultation use...
May 2024: Preventive Medicine Reports
#6
JOURNAL ARTICLE
Lasse K Harris, Anders Troelsen, Berend Terluin, Kirill Gromov, Lina H Ingelsrud
OBJECTIVE: The minimal important change (MIC) reflects what patients, on average, consider the smallest improvement in a score that is important to them. MIC thresholds may vary across patient populations, interventions used, post-treatment time points and derivation methods. We determine and compare MIC thresholds for the Oxford Knee and Hip Score (OKS/OHS) at 3 months postoperatively to 12- and 24-month thresholds in patients undergoing knee or hip arthroplasty. STUDY DESIGN AND SETTING: This cohort study used data from patients undergoing total knee arthroplasty (TKA), unicompartmental knee arthroplasty (UKA), or total hip arthroplasty (THA) at a public hospital between February 2016 and February 2023...
March 6, 2024: Journal of Clinical Epidemiology
#7
JOURNAL ARTICLE
Akinobu Nishimura, Yoshiyuki Senga, Yuki Fujikawa, Norihiko Takegami, Koji Akeda, Toru Ogura, Akihiro Sudo
BACKGROUND: This study aimed to investigate the prevalence of radiographic ankle osteoarthritis (AOA) in Japan and identify its risk factors. METHODS: The analysis included data from the population-based cohort study, radiographs of the knees and ankles, ultrasonography of the ankle to examine chronic ankle instability (CAI), and questionnaires on ankle pain, job history, height, and body weight. A total of 597 individuals aged > 50 years were included in the study...
February 24, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
#8
JOURNAL ARTICLE
Debora T Furuta, William R Tebar, Victor S Beretta, Fernanda Gil Tebar, Augusto C de Carvalho, Isabella C Leoci, Leandro D Delfino, Gerson Ferrari, Claudiele C M Silva, Diego G D Christofaro
BACKGROUND: A high workload has been associated with musculoskeletal pain in public school teachers. However, the hypothesis of the present study was that physical activity (PA) practice is able to attenuate this association. OBJECTIVE: To analyze the associations between high workload with musculoskeletal pain according to PA levels in public school teachers. METHODS: Teachers (n = 239) from 13 public schools were evaluated...
February 22, 2024: Work: a Journal of Prevention, Assessment, and Rehabilitation
#9
JOURNAL ARTICLE
Yurun Cai, Fangyu Liu, Amal A Wanigatunga, Jacek K Urbanek, Eleanor M Simonsick, Luigi Ferrucci, Jennifer A Schrack
BACKGROUND: Pain is associated with reports of restricted physical activity (PA), yet the association between musculoskeletal pain characteristics and objectively measured PA quantities and patterns in late life is not well understood. METHODS: A total of 553 adults (mean age 75.8±8.4 years, 54.4% women) in the Baltimore Longitudinal Study of Aging (BLSA) completed a health interview and subsequent 7-day wrist-worn ActiGraph assessment in the free-living environment between 2015 and 2020...
February 4, 2024: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
#10
JOURNAL ARTICLE
Prasoon Pandey, Ritika Singh, Shefali Srivastava, Manoj Kumar Mishra
Osteoarthritis (OA) is a disease characterized by degeneration of cartilage or wear and tear. OA is a cause of disability and health issues. It is a disease that affects more than 500 million adults annually worldwide, of which India accounts for about 22 to 39% of OA patients. The most common type of osteoarthritis is knee OA. Pathogenesis of OA requires evolution in basic science and clinical research to enhance our understanding of the pathogenesis and as well as different treatment options. It is mainly classified as primary and secondary OA...
January 26, 2024: Current Drug Research Reviews
#11
JOURNAL ARTICLE
Dominik Obermüller, Jörg Jerosch, Leonore Bovy, Dennis Häckl, Stefan Ivanavicius, Hiltrud Liedgens
OBJECTIVE: Osteoarthritis of the knee (knee OA) is a serious joint disease leading to pain and reduced quality of life. Pharmacological treatments include anti-inflammatories, analgesics, intraarticular hyaluronic acid, and intraarticular corticosteroids while for severe knee OA, knee replacement is an option. This study examined the incidence, prevalence, patient characteristics, and uptake of medical and surgical treatments in knee OA patients in Germany. DESIGN: A non-interventional, retrospective health claims data analysis with anonymized data from the InGef database was performed...
March 2024: Osteoarthritis and cartilage open
#12
JOURNAL ARTICLE
Merve Iseri Nepesov, Omer Kilic, Enes Sali, Edanur Yesil, Asuman Akar, Ayse Kaman, Ozge Metin Akcan, Merve Kilic Cil, Canan Ozlu, Sibel Lacinel Gurlevik, Emel Ulusoy, Benhur Sirvan Cetin, Narin Akici, Deniz Cakir, Fatma Deniz Uslu Aygun, Cafer Ozgur Hancerli, Ayse Tekin Yilmaz, Gulsum Alkan, Hatice Uygun, Ibrahim Hakan Bucak, Burcu Bursal, Taylan Celik, Murat Sutcu, Fatma Nur Oz, Zeynep Gokce Gayretli Aydin, Adem Karbuz, Hacer Akturk, Eda Kepenekli, Melike Emiroglu, Selim Oncel, Cagatay Nuhoglu, Ismail Hakki Korucu, Mustafa Incesu, Ahmet Kaya, Hasan Bombaci, Meltem Dinleyici, Kursat Bora Carman, Murat Duman, Ozden Turel, Dilek Yilmaz, Derya Alabaz, Nursen Belet, Gonul Tanir, Mehmet Turgut, Solmaz Celebi, Necdet Kuyucu, Emin Sami Arisoy, Gul Durmaz, Mucahit Kaya, Ates Kara, Ener Cagri Dinleyici
OBJECTIVES: Septic arthritis (SA) is a serious bacterial infection that must be treated efficiently and timely. The large number of culture-negative cases makes local epidemiological data important. Accordingly, this study aimed to evaluate the etiology, clinical characteristics, and therapeutic approach of SA in children in Turkiye, emphasizing the role of real-time polymerase chain reaction (PCR) techniques in the diagnosis. METHODS: In this multi-center, prospective study, children hospitalized due to SA between February 2018 and July 2020 in 23 hospitals in 14 cities in Turkiye were included...
January 22, 2024: Children
#13
JOURNAL ARTICLE
Alejandro Durán-Sotuela, Natividad Oreiro, Mercedes Fernández-Moreno, Jorge Vázquez-García, Sara Relaño-Fernández, Vanesa Balboa-Barreiro, Francisco J Blanco, Ignacio Rego-Pérez
OBJECTIVE: To investigate genetic interactions between mitochondrial deoxyribonucleic acid (mtDNA) haplogroups and nuclear single nucleotide polymorphisms (nSNPs) to analyze their impact on the development of the rapid progression of knee osteoarthritis (OA). DESIGN: A total of 1095 subjects from the Osteoarthritis Initiative, with a follow-up time of at least 48-months, were included. Appropriate statistical approaches were performed, including generalized estimating equations adjusting for age, gender, body mass index, contralateral knee OA, Western Ontario and McMaster Universities Osteoarthritis Index pain, previous injury in target knee and the presence of the mtDNA variant m...
January 6, 2024: Osteoarthritis and Cartilage
#14
JOURNAL ARTICLE
Zitian Zheng, Huanhuan Luo, Qingyun Xue
BACKGROUND: This research investigates the relationship between niacin intake and knee osteoarthritis (OA) severity, focusing on pain and functional ability due to niacin's role as a NAD(P)+ precursor, promoting cellular energy, and offering anti-inflammatory, analgesic, and antioxidant effects. METHODS: The population-based Osteoarthritis Initiative (OAI) cohort with radiographically confirmed knee OA was analyzed through a Food Frequency Questionnaire determining niacin intake and scores from the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), using generalized additive mixed models...
January 5, 2024: Clinical Rheumatology
#15
JOURNAL ARTICLE
Simon Re Davidson, Emma Robson, Kate M O'Brien, Steven J Kamper, Robin Haskins, Pragya Ajitsaria, David Dewar, Christopher M Williams
OBJECTIVE: To describe the health characteristics, condition-specific measures, chronic disease risk factors, and healthcare and medication use over time of individuals with musculoskeletal conditions awaiting orthopaedic surgical consultation. Study importance: Musculoskeletal conditions are highly prevalent in the general population and often coexist with chronic diseases. However, little is documented about the overall health of this group. This study describes the health of these individuals, with particular emphasis on modifiable risk factors of chronic disease...
December 14, 2023: Public Health Research & Practice
#16
JOURNAL ARTICLE
Sara N Kiani, Joseph L Yellin, William H Huffman, Ryan H Guzek, Kevin G Shea, Jie C Nguyen, Theodore J Ganley
OBJECTIVE: Previous research on patellar and trochlear groove osteochondritis dissecans (OCD) is limited by small sample sizes. This study aims to describe the presentation of patients with OCD lesions of the patella and trochlea and characterize the outcomes of operative and nonoperative treatments. METHODS: This retrospective cohort study identified all patients from a single institution from 2008 to 2021 with patellar and/or trochlear OCD lesions. Patients were excluded from the study if surgical records were unavailable or if the patient had knee surgery for a different injury at index surgery or in the 12 months postoperative...
February 1, 2024: Journal of Pediatric Orthopedics
#17
REVIEW
Mark Ehioghae, Tarun K Vippa, Dorothy Askins, Sonia Slusarczyk, Elena Bobo, Alexis Montoya, Danyon Anderson, Christopher L Robinson, Alan D Kaye, Ivan Urits
PURPOSE OF REVIEW: Osteoarthritis (OA) is a prevalent and debilitating condition characterized by joint degeneration and pain. Current treatment options aim to alleviate symptoms and slow disease progression but lack curative potential. Stem cell therapies have emerged as a promising alternative. This article explores the epidemiology, pathophysiology, clinical manifestations of hip and knee OA, and the evolving role of stem cell therapies in their treatment. RECENT FINDINGS: The global prevalence of OA, with knee OA being the most common form, has fueled the demand for stem cell therapies...
November 27, 2023: Current Pain and Headache Reports
#18
JOURNAL ARTICLE
Ting Xiong, Yanghuan Ou, Shenliang Chen, Shuaigang Liu, Xuan Yi, Xueqiang Deng, Tao Cheng, Liang Hao
BACKGROUND: Knee joint pain has been demonstrated to be a separate risk factor for falling. A common pain site in the knee, anterior knee pain(AKP), is believed to be associated with early knee osteoarthritis (KOA).This study investigated the relationship between falls and AKP in people with or at risk for KOA. METHODS: Four years of follow-up data from the Osteoarthritis Initiative cohort trial, a large-scale, multicenter observational investigation, were analyzed in this study...
November 20, 2023: BMC Public Health
#19
JOURNAL ARTICLE
Megan Armstrong, Jonathan I Groner, Julie Samora, Vanessa A Olbrecht, Nguyen K Tram, Dana Noffsinger, Edward W Boyer, Henry Xiang
OBJECTIVES: The objective of this study was to determine the reduction in prescribed opioid pain dosage units to pediatric patients experiencing acute pain and to assess patient satisfaction with pain control 90-day post discharge following the 2017 Ohio opioid prescribing cap law. METHODS: The retrospective chart review included 960 pediatric (age 0-18 years) burn injury and knee arthroscopy patients treated between August 1, 2015-August 31, 2019. Prospectively, legal guardians completed a survey for a convenience sample of 50 patients...
2023: PloS One
#20
JOURNAL ARTICLE
Minkyung Oh, Mi-Yeong Kim, Min Wook So, Doo-Ho Lim, Su Jin Choi, Jae Ha Lee, Minyoung Her, Seong-Ho Kim, Sunggun Lee
BACKGROUND/AIMS: The association between symptomatic knee osteoarthritis (OA) and higher cardiovascular disease (CVD) mortality is established; however, findings from studies that utilized regression analysis were limited, attributed to the strong association between OA and metabolic risk factors. This study aimed to evaluate the association between knee OA and mortality through propensity score matching. METHODS: This was a cohort study including Korean National Health and Nutrition Examination Survey (2010-2013) participants aged ≥ 50 years...
November 2023: Korean Journal of Internal Medicine
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