New to Meducation?
Sign up
Already signed up? Log In

Category

Www.bmj
0
8

Management of degenerative meniscal tears and the role of surgery

Avoid routine magnetic resonance imaging in primary care unless the patient has a locked knee (sudden inability to fully extend) or serious disease is suspected  
feeds.bmj.com
over 6 years ago
Preview
0
7

Imaging Case of the Week 156 Answer

The HBL knee view shows a low lying patella, which is known as a patella baja. There are small irregular avulsion fragments above the superior pole of the patella. The quadriceps tendon outline is obliterated. There is a knee effusion and also prominent soft tissue swelling anterior to the patella.  
emergucate.com
over 6 years ago
Preview
0
2

Imaging Case of the Week 156

The following knee x-rays are from a 54 year old patient who developed acute knee pain while going for a run. What can be noted on the images?  
emergucate.com
over 6 years ago
Www.bmj
0
3

Arthroscopic surgery for degenerative knee

The most frequent indication for knee arthroscopy is degenerative joint disease in middle aged and older patients. Each year, more than 700 000 knee arthroscopies are done in the United States and 150 000 in the United Kingdom.1 Magnetic resonance imaging evidence of meniscal abnormality, osteophytes, cartilage damage, and bone marrow lesions is often present. All these imaging abnormalities are common in the general population and are often asymptomatic.2 The evidence base for arthroscopic surgery is known to be weak, and a pressing need exists for more high quality multicentre randomised controlled trials, systematic reviews, and meta-analyses to inform clinicians and improve care for patients.3 Researchers have already reported that trials of arthroscopic surgery find no benefit over control interventions ranging from exercises to placebo surgery.4  
feeds.bmj.com
over 6 years ago
Www.bmj
0
11

Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms

Objective To determine benefits and harms of arthroscopic knee surgery involving partial meniscectomy, debridement, or both for middle aged or older patients with knee pain and degenerative knee disease.  
feeds.bmj.com
over 6 years ago
Www.bmj
0
13

Arthroscopic surgery for degenerative knee

The most frequent indication for knee arthroscopy is degenerative joint disease in middle aged and older patients. Each year, more than 700 000 knee arthroscopies are done in the United States and 150 000 in the United Kingdom.1 Magnetic resonance imaging evidence of meniscal abnormality, osteophytes, cartilage damage, and bone marrow lesions is often present. All these imaging abnormalities are common in the general population and are often asymptomatic.2 The evidence base for arthroscopic surgery is known to be weak, and a pressing need exists for more high quality multicentre randomised controlled trials, systematic reviews, and meta-analyses to inform clinicians and improve care for patients.3 Researchers have already reported that trials of arthroscopic surgery find no benefit over control interventions ranging from exercises to placebo surgery.4  
feeds.bmj.com
over 6 years ago
Www.bmj
0
17

Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms

Objective To determine benefits and harms of arthroscopic knee surgery involving partial meniscectomy, debridement, or both for middle aged or older patients with knee pain and degenerative knee disease.  
feeds.bmj.com
over 6 years ago
Preview
0
4

Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms

Objective To determine benefits and harms of arthroscopic knee surgery involving partial meniscectomy, debridement, or both for middle aged or older patients with knee pain and degenerative knee disease.  
feeds.bmj.com
over 6 years ago
Preview
0
12

Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms

Objective To determine benefits and harms of arthroscopic knee surgery involving partial meniscectomy, debridement, or both for middle aged or older patients with knee pain and degenerative knee disease.  
feeds.bmj.com
over 6 years ago
Preview
0
13

Amitriptyline for neuropathic pain in adults | Cochrane

Neuropathic pain is pain coming from damaged nerves, and can have a variety of different names. Some of the more common are painful diabetic neuropathy, postherpetic neuralgia, or post-stroke pain. It is different from pain messages that are carried along healthy nerves from damaged tissue (for example, a fall, or cut, or arthritic knee). Neuropathic pain is treated by different medicines to those used for pain from damaged tissue. Medicines such as paracetamol or ibuprofen are not usually effective in neuropathic pain, while medicines that are sometimes used to treat depression or epilepsy can be very effective in some people with neuropathic pain.  
cochrane.org
over 6 years ago
Preview
0
10

Milnacipran for neuropathic pain in adults | Cochrane

Neuropathic pain is pain coming from damaged nerves. It is different from pain messages that are carried along healthy nerves from damaged tissue (for example, a fall, or cut, or arthritic knee). Neuropathic pain is treated by different medicines to those used for pain from damaged tissue. Medicines such as paracetamol or ibuprofen are not usually effective in neuropathic pain, while medicines that are sometimes used to treat depression or epilepsy can be very effective in some people with neuropathic pain.  
cochrane.org
over 6 years ago
Preview
0
9

Negative pressure wound therapy for treating leg ulcers | Cochrane

Leg ulcers are wounds that occur between the ankle and the knee as a result of poor blood flow in the legs. These wounds are relatively common often affecting older people. There are several different treatments for these ulcers and the underlying problems that cause them. Negative pressure wound therapy (NPWT) is a treatment currently beng used for wounds including leg ulcers. NPWT involves the application to the wound of a dressing to which a machine is attached. The machine then applies a carefully controlled negative pressure (or vacuum), and sucks any wound and tissue fluid away from the treated area into a canister.  
cochrane.org
over 6 years ago
Www.bmj
0
27

A dose of humility

Paracetamol has come in for a bit of a kicking in recent months (doi:10.1136/bmj.h1186). So we asked James Dear and colleagues to comment (doi:10.1136/bmj.h3705). They confirm that important questions about this most commonly used drug remain unanswered. The evidence of effectiveness is patchy and depends on the condition: it’s good for postoperative dental pain; okay for headache, though not as good as other analgesics; of small and probably clinically irrelevant benefit for hip and knee pain; no better than placebo for back pain; and without enough evidence of benefit for the common cold. As for its safety, nearly 60 years of widespread use are reassuring. But there are simmering concerns about subclinical liver and cardiovascular effects and questions about whether or not to intervene in cases of small therapeutic overdose.  
feeds.bmj.com
over 6 years ago
Www.bmj
0
20

A man with a mass in the thigh

A 54 year old man presented to his general practitioner because of a fullness in his left lateral thigh that he first noticed while playing golf, although it was not related to an identifiable injury. He had a history of hypertension and fibromyalgia and was taking atenolol, ramipril, pregabalin, and tramadol but was otherwise well. The GP thought that the swelling was caused by a muscular injury, but the patient re-presented four months later because the mass had grown from a small bump to a swelling of 8 cm in diameter. It was also beginning to cause some knee stiffness but no pain. On examination he had a large firm swelling in his lateral thigh. On this occasion his GP referred him on a two week wait to the regional plastic surgery department. An ultrasound scan showed a 6 × 8 cm intramuscular mass with cystic changes and patchy neovascularity, but no inguinal or pelvic lymphadenopathy. Ultrasonography was followed by magnetic resonance imaging, with and without gadolinium contrast (fig 1⇓).  
feeds.bmj.com
about 6 years ago
Preview
4
20

UNMC study: knee replacement viable option for rheumatoid arthritis

Kaleb Michaud, Ph.D., has for a long time listened to patients with rheumatoid arthritis (RA) talking about improved quality of life after their total joint replacements.  
medicalnewstoday.com
about 6 years ago
Preview
0
10

Pain control using local anaesthetics to improve surgical results after shoulder, hip and knee replacement surgery | Cochrane

Doctors can use regional analgesia (injection of local anaesthetics near the nerves or the surgical site) rather than conventional pain control after surgery. Does this choice improve long-term function after elective major joint (knee, shoulder and hip) replacement? We conducted this systematic review to explore controversy about the use of regional analgesia amidst efforts to limit healthcare costs and demonstrate value for interventions.  
cochrane.org
about 6 years ago
Preview
0
1

Osteonecrosis Of The Knee - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing osteonecrosis of the knee. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter...  
youtube.com
about 6 years ago
Preview
0
8

Lachman's Test , ACL Injury - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing the Lachman' examination test of the knee - ACL tear / injury.. Become a friend on facebook: http://www.facebook.com/drebraheim ...  
youtube.com
about 6 years ago
Preview
0
0

QB1 System Fights Muscle Atrophy After Knee Surgery (VIDEO) |

CyMedica, a company based in Scottsdale, Arizona, won the European CE mark for its QB1 Muscle Activation System, a device designed to address quadriceps mu  
medgadget.com
about 6 years ago