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Patellofemoral Pain
Patellofemoral pain syndrome (PFPS; not to be confused with jumper's knee) is knee pain as a result of problems between the kneecap and the femur. The pain is generally in the front of the knee and comes on gradually. Pain may worsen with sitting, excessive use, or climbing and descending stairs. While the exact cause is unclear, it is believed to be due to overuse. Risk factors include trauma, increased training, and a weak quadriceps muscle. It is particularly common among runners. The diagnosis is generally based on the symptoms and examination. If pushing the kneecap into the femur increases the pain, the diagnosis is more likely. Treatment typically involves rest and rehabilitation with a Physical Therapist. Runners may need to switch to activities such as cycling or swimming. Insoles may help some people. Symptoms may last for years despite treatment. Patellofemoral pain syndrome is the most common cause of knee pain, affecting more than 20% of young adults. It occur ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Orthopedics
Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. Etymology Nicholas Andry coined the word in French as ', derived from the Ancient Greek words ὀρθός ''orthos'' ("correct", "straight") and παιδίον ''paidion'' ("child"), and published ''Orthopedie'' (translated as ''Orthopædia: Or the Art of Correcting and Preventing Deformities in Children'') in 1741. The word was assimilated into English as ''orthopædics''; the ligature ''æ'' was common in that era for ''ae'' in Greek- and Latin-based words. As the name implies, the discipline was initially developed with attention to children, but the correction of spinal and bone deformities in all stages of life eventually ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Crepitus
Crepitus is "a grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone". Various types of crepitus that can be heard in joint pathologies are: *Bone crepitus: This can be heard when two fragments of a fracture are moved against each other. *Joint crepitus: This can be obtained when the affected joint is passively moved with one hand, while the other hand is placed on the joint to feel the crepitus. *Crepitus of bursitis: This is heard when the fluid in the bursa contains small, loose fibrinous particles. *Crepitus of tenosynovitis: From inflammation of the fluid-filled sheath (synovium) that surrounds a tendon. Causes The sound can be created when two rough surfaces in an organism's body come into contact—for example, in osteoarthritis or rheumatoid arthritis when the cartilage around joints erodes and the surfaces in the joint grind against one another, or when the two fractured surfaces of the broken bones rub together. Cr ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Runner's Knee
Runner's knee may refer to a number of overuse injuries involving pain around the kneecap (patella), such as: *Patellofemoral pain syndrome * Chondromalacia patellae *Iliotibial band syndrome *Plica syndrome Plica syndrome is a condition that occurs when a ''plica'' (a vestigial extension of the protective synovial capsule of usually the knee) becomes irritated, enlarged, or inflamed. Cause This inflammation is typically caused by the plica being ca ... {{Set index article Knee injuries and disorders ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Knee Effusion
Knee effusion, informally known as water on the knee, occurs when excess synovial fluid accumulates in or around the knee joint. It has many common causes, including arthritis, injury to the ligaments or meniscus, or fluid collecting in the bursa, a condition known as prepatellar bursitis. Signs and symptoms Signs and symptoms of water on the knee depend on the cause of excess synovial fluid build-up in the knee joint. These may include: Pain Osteoarthritis knee pain usually occurs while the joint is bearing weight, so the pain typically subsides with rest; some patients experience severe pain, while others report no discomfort. Even if one knee is much larger than the other, pain is not guaranteed. Swelling One knee may appear larger than the other. Puffiness around the bony parts of the knee appear prominent when compared with the other knee. Stiffness When the knee joint contains excess fluid, it may become difficult or painful to bend or straighten. Fluid may also show un ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
ABIM Foundation
Choosing Wisely is a United States-based health educational campaign, led by the ABIM Foundation (American Board of Internal Medicine), about unnecessary health care. The campaign identifies over 500 tests and procedures and encourages doctors and patients to discuss, research, and possibly get second opinions, before proceeding with them. To conduct the campaign, the ABIM Foundation asks medical specialty societies to make five to ten recommendations for preventing overuse of a treatment in their field. The foundation then publicizes this information, and the medical specialty societies disseminate it to their members. The campaign has garnered both praise and criticism, and some of its ideas have spread to other countries. It does not include evaluation of its effects on costs, on discussions or on medical outcomes. Some doctors have said they lack time for the recommended discussions. History In 2002 the ABIM Foundation published ''Medical professionalism in the new millenni ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Choosing Wisely
Choosing Wisely is a United States-based health educational campaign, led by the ABIM Foundation (American Board of Internal Medicine), about unnecessary health care. The campaign identifies over 500 tests and procedures and encourages doctors and patients to discuss, research, and possibly get second opinions, before proceeding with them. To conduct the campaign, the ABIM Foundation asks medical specialty societies to make five to ten recommendations for preventing overuse of a treatment in their field. The foundation then publicizes this information, and the medical specialty societies disseminate it to their members. The campaign has garnered both praise and criticism, and some of its ideas have spread to other countries. It does not include evaluation of its effects on costs, on discussions or on medical outcomes. Some doctors have said they lack time for the recommended discussions. History In 2002 the ABIM Foundation published ''Medical professionalism in the new millenni ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio waves to generate images of the organs in the body. MRI does not involve X-rays or the use of ionizing radiation, which distinguishes it from CT and PET scans. MRI is a medical application of nuclear magnetic resonance (NMR) which can also be used for imaging in other NMR applications, such as NMR spectroscopy. MRI is widely used in hospitals and clinics for medical diagnosis, staging and follow-up of disease. Compared to CT, MRI provides better contrast in images of soft-tissues, e.g. in the brain or abdomen. However, it may be perceived as less comfortable by patients, due to the usually longer and louder measurements with the subject in a long, confining tube, though "Open" MRI designs mostly relieve this. Additionally, implants and oth ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Clarke's Test
In medicine, Clarke's test (also known as the Osmond-Clarke test or patellar grind test) is a component of knee examination which may be used to test for patellofemoral pain syndrome, chondromalacia patellae, patellofemoral arthritis, or anterior knee pain. It is not a standard part of the knee examination but is used to diagnose anterior knee pain where the history indicates this as the likely pathology. The patient is asked to actively contract the quadriceps muscle while the examiner's hand exerts pressure on the superior pole of the patella, so trying to prevent the proximal movement of the patella. While it can produce some discomfort even in normal people, the reproduction of the symptoms suggest pain of patellofemoral origin.Porter S. "Tidy's Physiotherapy15: Tidy's Physiotherapy". Elsevier 2013. Evidence for the validity of Clarke's test is limited and some sources claim the test is not clinically useful, though it remains prevalent in clinical practice. See also * Knee ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
J Sign
A patellar dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. Often the knee is partly bent, painful and swollen. The patella is also often felt and seen out of place. Complications may include a patella fracture or arthritis. A patellar dislocation typically occurs when the knee is straight and the lower leg is bent outwards when twisting. Occasionally it occurs when the knee is bent and the patella is hit. Commonly associated sports include soccer, gymnastics, and ice hockey. Dislocations nearly always occur away from the midline. Diagnosis is typically based on symptoms and supported by X-rays. Reduction is generally done by pushing the patella towards the midline while straightening the knee. After reduction the leg is generally splinted in a straight position for a few weeks. This is then followed by physical therapy. Surgery after a first dislocation is generally of unclear benefit. Surgery may be indicated in those who have ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Q Angle
Q, or q, is the seventeenth letter of the Latin alphabet, used in the modern English alphabet, the alphabets of other western European languages and others worldwide. Its name in English is pronounced , most commonly spelled ''cue'', but also ''kew'', ''kue'' and ''que''. History The Semitic sound value of Qôp was (voiceless uvular stop), and the form of the letter could have been based on the eye of a needle, a knot, or even a monkey with its tail hanging down. is a sound common to Semitic languages, but not found in many European languages. Some have even suggested that the form of the letter Q is even more ancient: it could have originated from Egyptian hieroglyphics. In an early form of Ancient Greek, qoppa (Ϙ) probably came to represent several labialized velar stops, among them and . As a result of later sound shifts, these sounds in Greek changed to and respectively. Therefore, qoppa was transformed into two letters: qoppa, which stood for the number 9 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Osteoarthritis
Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the world. The most common symptoms are joint pain and stiffness. Usually the symptoms progress slowly over years. Initially they may occur only after exercise but can become constant over time. Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms and legs. The most commonly involved joints are the two near the ends of the fingers and the joint at the base of the thumbs; the knee and hip joints; and the joints of the neck and lower back. Joints on one side of the body are often more affected than those on the other. The symptoms can interfere with work and normal daily activities. Unlike some other types of arthritis, only the joints, not internal organs, are af ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Quadriceps
The quadriceps femoris muscle (, also called the quadriceps extensor, quadriceps or quads) is a large muscle group that includes the four prevailing muscles on the front of the thigh. It is the sole extensor muscle of the knee, forming a large fleshy mass which covers the front and sides of the femur. The name derives . Structure Parts The quadriceps femoris muscle is subdivided into four separate muscles (the 'heads'), with the first superficial to the other three over the femur (from the trochanters to the condyles): *The rectus femoris muscle occupies the middle of the thigh, covering most of the other three quadriceps muscles. It originates on the ilium. It is named for its straight course. *The vastus lateralis muscle is on the ''lateral side'' of the femur (i.e. on the outer side of the thigh). *The vastus medialis muscle is on the ''medial side'' of the femur (i.e. on the inner part thigh). *The vastus intermedius muscle lies between vastus lateralis and vastus mediali ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
