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The Bone & Joint Journal Dec 2017A pragmatic randomised controlled trial comparing the efficacy of a femoral nerve block and periarticular infiltration for early pain relief following total knee...
A pragmatic randomised controlled trial comparing the efficacy of a femoral nerve block and periarticular infiltration for early pain relief following total knee arthroplasty. 2017;99-B:904-911.
PubMed: 29212696
DOI: 10.1302/0301-620X.99B12.BJJ-2017-1343b -
BMC Musculoskeletal Disorders Jan 2022Periarticular hardware placement can be challenging and a source of angst for orthopaedic surgeons due to fear of penetrating the articular surface and causing undue... (Review)
Review
Periarticular hardware placement can be challenging and a source of angst for orthopaedic surgeons due to fear of penetrating the articular surface and causing undue harm to the joint. In recent years, many surgeons have turned to computed tomography (CT) and other intraoperative or postoperative modalities to determine whether hardware is truly extraarticular in areas of complex anatomy. Yet, these adjuncts are expensive, time consuming, and often unnecessary given the advancement in understanding of intraoperative fluoroscopy. We present a review article with the goal of empowering surgeons to leave the operating room, with fluoroscopy alone, assured that all hardware is beneath the articular surface that is being worked on. By understanding a simple concept, surgeons can extrapolate the information in this article to any joint and bony surface in the body. While targeted at both residents and surgeons who may not have completed a trauma fellowship, this review can benefit all orthopaedic surgeons alike.
Topics: Bone Screws; Fluoroscopy; Humans; Tomography, X-Ray Computed
PubMed: 34991568
DOI: 10.1186/s12891-021-04928-9 -
Clinical and Experimental Rheumatology 2014Ultrasound (US) is a valuable imaging modality in the evaluation of joint and periarticular abnormalities in osteoarthritis (OA). It is able to image structural lesions... (Review)
Review
Ultrasound (US) is a valuable imaging modality in the evaluation of joint and periarticular abnormalities in osteoarthritis (OA). It is able to image structural lesions as well as inflammatory changes in early and late disease. US is a relatively inexpensive, safe and quick-to-perform tool that can be used as a bedside procedure in the assessment of patients with OA. US shows abnormalities at different peripheral joint sites that can be assessed for variable aspects during the same scanning session. The easy accessibility of equipment facilitates its use and applications in the clinical practice. US is helpful in guiding local procedures (i.e. aspirations of joint and periarticular fluid collections, drug injections, biopsy) that can be easily and safely performed with optimal patient's tolerance. In addition, US allows for a monitoring of the disease process and follow-up of local and systemic treatments.
Topics: Humans; Joints; Osteoarthritis; Predictive Value of Tests; Prognosis; Rheumatology; Severity of Illness Index; Ultrasonography, Doppler
PubMed: 24528550
DOI: No ID Found -
Cureus Sep 2022Gout is a disease that occurs in response to the presence of monosodium urate (MSU) crystals typically within joints. Patients with gout may develop a chronic deposition...
Gout is a disease that occurs in response to the presence of monosodium urate (MSU) crystals typically within joints. Patients with gout may develop a chronic deposition of monosodium urate crystals within or around joints, cartilage, tendons, peri-articular, and subcutaneous tissue. This condition is termed "tophaceous gout." Ulceration of the skin by tophi is very uncommon. Literature regarding the clinical course and the management of ulcerated tophi is limited and, therefore, treatment options are not well established. We hereby present a case of a 46-year-old male who presented to our facility with poorly controlled polyarticular tophaceous gout complicated by ulcerated tophi. Our hope is to contribute to the limited knowledge of this rare disease process and to contribute toward formulating the best management approach.
PubMed: 36204027
DOI: 10.7759/cureus.28729 -
Singapore Medical Journal Sep 2017Benign periarticular, bone and joint lipomatous lesions are rare entities that are increasingly being identified using current imaging techniques. This pictorial review... (Review)
Review
Benign periarticular, bone and joint lipomatous lesions are rare entities that are increasingly being identified using current imaging techniques. This pictorial review illustrates the wide range of imaging presentations of these lesions at various sites and their pathognomonic features. The main lesions reviewed include intraosseous lipoma, liposclerosing myxofibrous tumour, lipoma arborescens and intra-articular lipoma.
Topics: Adult; Bone Neoplasms; Bone and Bones; Female; Humans; Lipoma; Magnetic Resonance Imaging; Male; Middle Aged; Sacrum; Tibia
PubMed: 28948289
DOI: 10.11622/smedj.2017087 -
The Journal of the American Academy of... Sep 2018Plate fixation has historically been the preferred surgical treatment method for periarticular fractures of the lower extremity. This trend has stemmed from difficulties... (Review)
Review
Plate fixation has historically been the preferred surgical treatment method for periarticular fractures of the lower extremity. This trend has stemmed from difficulties with fracture reduction and concerns of inadequate fixation with intramedullary implants. However, the body of literature on management of periarticular fractures of the lower extremities has expanded in recent years, indicating that intramedullary nailing of distal femur, proximal tibia, and distal tibia fractures may be the preferred method of treatment in some cases. Intramedullary nailing reliably leads to excellent outcomes when performed for appropriate indications and when potential difficulties are recognized and addressed.
Topics: Contraindications, Procedure; Femoral Fractures; Fracture Fixation, Intramedullary; Humans; Intra-Articular Fractures; Tibial Fractures; Treatment Outcome
PubMed: 30113344
DOI: 10.5435/JAAOS-D-16-00849 -
Annals of the Rheumatic Diseases Mar 2005Psoriatic arthritis (PsA) has historically been considered a milder rheumatic disease not yielding significant clinical damage. However, recent studies have shown that... (Review)
Review
Psoriatic arthritis (PsA) has historically been considered a milder rheumatic disease not yielding significant clinical damage. However, recent studies have shown that PsA can be deforming and debilitating and that joint damage can be severe. Traditionally, joint damage has been recorded using plain radiographs. Characteristic radiographic features of PsA include joint erosions, joint space narrowing, bony proliferation including periarticular and shaft periostitis, osteolysis including "pencil in cup" deformity and acro-osteolysis, ankylosis, spur formation, and spondylitis. New imaging modalities, including ultrasound, bone scanning, and magnetic resonance imaging may help in both diagnosis and follow up of patients with PsA. These new imaging techniques will with validation help detect early changes in the peripheral joints, the periarticular tissues, and the spinal structures in patients with PsA.
Topics: Arthritis, Psoriatic; Humans; Magnetic Resonance Imaging; Tomography, X-Ray Computed; Ultrasonography
PubMed: 15708938
DOI: 10.1136/ard.2004.033928 -
Journal of Orthopaedic Surgery and... Nov 2023Periarticular infiltration following total knee and hip arthroplasty has been demonstrated to be equivalent to peripheral nerve blocks for postoperative pain management.... (Review)
Review
Periarticular infiltration following total knee and hip arthroplasty has been demonstrated to be equivalent to peripheral nerve blocks for postoperative pain management. The ideal cocktail has not been established yet. We have conducted a literature search on PubMed and Embase. Our search criteria included randomized controlled trials (RCTs) and systematic reviews (SRs). We tried to only include the most recent studies to keep the information current. The included research focused at Dexmedetomidine, Liposomal Bupivacaine, Ropivacaine, Epinephrine, Ketorolac, Morphine, Ketamine and Glucocorticosteroids. Each medication's mode of action, duration, ideal dosage, contraindications, side effects and effectiveness have been summarized in the review article. This article will help the clinician to make an informed evidence-based decision about which medications to include in their ideal cocktail.
Topics: Humans; Anesthetics, Local; Arthroplasty, Replacement, Knee; Injections, Intra-Articular; Pain Management; Pain, Postoperative; Arthroplasty, Replacement, Hip; Randomized Controlled Trials as Topic
PubMed: 37957753
DOI: 10.1186/s13018-023-04333-z