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  • articular
  • Acute synovitis with intra-articular apatite deposits in an osteoarthritic metacarpophalangeal joint. (bmj.com)
  • 10), at least one tender and swollen MCP joint, and without contraindication to intra-articular corticosteroid injection (e.g. poor controlled diabetes). (bmj.com)
  • Synovitis was scored in grey scale (GS) in terms of joint space enlargement (measured at the level where the distance between the bone diaphysis and the joint capsule was greater), and power Doppler (PD) signal (scored by a semiquantitative method: 0 = no intra-articular flow, 1 = single vessel signal, 2 = confluent vessels, and 3 = vessel signal in more than 50% of the intra-articular area). (bmj.com)
  • At T5, in all the patients was detectable a global reduction of joint space enlargement, of intra-articular PD signal, and of the numerical rating scale (NRS) of pain at the joint injected (Table). (bmj.com)
  • Conclusions A single intra-articular corticosteroid injection, performed under US guidance, is a very fast treatment to reduce synovitis of the injected joint. (bmj.com)
  • Driven by his eagerness to improve the diagnosis and prognostication of joint disease, Harold Brommer focuses in this thesis on the function and failure of articular cartilage, a tissue in which adequate functioning is equal to proper biomechanical behaviour. (uu.nl)
  • With its egg white-like consistency, the principal role of synovial fluid is to reduce friction between the articular cartilage of synovial joints during movement. (wikipedia.org)
  • Hyaluronan is synthesized by the synovial membrane and secreted into the joint cavity to increase the viscosity and elasticity of articular cartilages and to lubricate the surfaces between synovium and cartilage. (wikipedia.org)
  • Intra-articular (within-joint) adhesions being broken. (wikipedia.org)
  • When a spinal manipulation is performed, the applied force separates the articular surfaces of a fully encapsulated synovial joint, which in turn creates a reduction in pressure within the joint cavity. (wikipedia.org)
  • Abnormal
  • The anatomy and kinematics of the MCP joint are discussed for both normal and abnormal joint function and, based on these considerations, the design of a new surface replacement prosthesis is described. (dur.ac.uk)
  • synovial fluid
  • Courtney P, Doherty M. Joint aspiration and injection and synovial fluid analysis. (bmj.com)
  • Synovial fluid, also called synovia,[help is a viscous, non-Newtonian fluid found in the cavities of synovial joints. (wikipedia.org)
  • The inner membrane of synovial joints is called the synovial membrane and secretes synovial fluid into the joint cavity. (wikipedia.org)
  • Synovial fluid is an ultrafiltrate from plasma, and contains proteins derived from the blood plasma and proteins that are produced by cells within the joint tissues. (wikipedia.org)
  • the synovial fluid in diarthrotic joints becomes thick the moment shear is applied in order to protect the joint and subsequently, thins to normal viscosity instantaneously to resume its lubricating function between shocks. (wikipedia.org)
  • Synovial fluid may be collected by syringe in a procedure termed arthrocentesis, also known as joint aspiration. (wikipedia.org)
  • Cavitation within the joint-small cavities of partial vacuum form in the synovial fluid and then rapidly collapse, producing a sharp sound. (wikipedia.org)
  • The effects of this process will remain for a period of time known as the "refractory period," during which the joint cannot be "re-cracked," which lasts about twenty minutes, while the gases are slowly reabsorbed into the synovial fluid. (wikipedia.org)
  • cartilage
  • Cyclical in vivo loading increases cartilage proteoglycan content in the rabbit metacarpophalangeal joint. (cdc.gov)
  • The ability to measure changes both in the amount and distribution of cartilage matrix constituents is essential in understanding early pathological changes of joint diseases. (cdc.gov)
  • After setting the standard by determining the biomechanical characteristics of developing joints from birth to maturity, he develops the Cartilage Degeneration Index (CDI), an objective and quantitative measure of cartilage damage. (uu.nl)
  • In the quest for an adequate and early diagnosis of OA, the index is also used to test the validity of the arthroscopic evaluation of a joint for cartilage damage and the value of a special indenter device that is meant to give information about material properties, i.e. biomechanical tissue characteristics. (uu.nl)
  • dubious - discuss] nutrient and waste transportation - the fluid supplies oxygen and nutrients and removes carbon dioxide and metabolic wastes from the chondrocytes within the surrounding cartilage molecular sieving - pressure within the joint forces hyaluronan in the fluid against the synovial membrane forming a barrier against cells migrating into, or fluid migrating out of, the joint space. (wikipedia.org)
  • Anatomy
  • Austin 2005, pp. 321-22 (MCP joints) Austin 2005, p. 324 (IP joints) Schmidt & Lanz 2003, p. 111 Berger & Weiss 2004, p. 175 Gammons 2008, Functional Anatomy Saito, S. (wikipedia.org)
  • Another structure of this type in human anatomy is the cruciate ligament of the dens of the atlas vertebra, also called "cruciform ligament of the atlas", a ligament in the neck forming part of the atlanto-axial joint. (wikipedia.org)
  • mobilization
  • Some examples include Maitland Technique Mulligan Technique Joint mobilization Joint manipulation Spinal manipulation Orthopedic medicine Osteopathic Manipulative Medicine Chiropractic Physical therapy Occupational Therapy Mierau D, Cassidy JD, Bowen V, Dupuis P, Noftall F (1988). (wikipedia.org)
  • It is sometimes done as part of a joint adjustment/mobilization routinely performed by a chiropractor, osteopath or physical therapist. (wikipedia.org)
  • examination
  • After the clinical evaluation that established the most clinically involved MCP joint to inject, patients underwent an US examination of the joint by an experienced sonographer. (bmj.com)
  • abduction
  • Accordingly, it is an object of this invention to provide an MCP joint implant wherein, when a finger is in the extended position, the finger can make an abduction movement radius-ad but cannot make an abduction movement ulna-ad. (google.com)
  • disorders
  • In the end, it presents a clear vision where to go when aiming at further improvement of prevention, diagnosis, prognostication, and treatment strategies for degenerative joint disorders. (uu.nl)
  • medical
  • The aging process, as well as a number of medical conditions can favor the appearance of MCP joint pain. (jointhealthmagazine.com)
  • However, medical research has so far failed to conclusively demonstrate a connection between knuckle cracking and long-term joint problems. (wikipedia.org)
  • humans
  • In fact, although the term fetlock does not specifically apply to other species' metacarpophalangeal joints (for instance, humans), the "second" or "mid-finger" knuckle of the human hand does anatomically correspond to the fetlock on larger quadrupeds. (wikipedia.org)
  • Assessment
  • After the baseline US assessment (T0), the MCP joints were injected with 20 mg triamcinolone acetonide under sonographic guidance. (bmj.com)
  • possible
  • In order to simulate the possible motions of a natural MCP joint to a high degree, the aperture defining side walls in the first joint part and the corresponding sides of the second joint part are of a shape such that as the joint bends, the pivoting movement experiences a gradual and continuously increasing limitation. (google.com)
  • Most reported cases of DEH in the literature have been treated surgically, with excision of the mass, as well as by the correction of any deformity, while preserving the integrity of the affected joint as much as possible. (wikipedia.org)
  • transverse
  • The side walls defining the aperture and the sides of the second joint part are shaped to permit sidewise pivoting of the second joint part to one side transverse to the plane of pivoting of the. (google.com)
  • Briefly, the invention provides a hinging metacarpophalangeal joint (hereinafter referred to as a MCP joint) comprised of a first joint part having a slot-like aperture, a pivot pin secured in the first joint part across the aperture and a second joint part which is pivotally mounted on the pivot pin for pivoting in a plane transverse to the pivot pin and through an approximately right angle. (google.com)
  • These sides and side walls are shaped to permit pivoting of the second joint part towards one of the side walls in a direction transverse to the plane in which the second joint part pivots on the pin when the stem of the second joint part is extended in a direction axial of the stem of the first joint part. (google.com)
  • The plates of the MCP and IP joints are structurally and functionally similar, except that in the MCP joints they are interconnected by a deep transverse ligament. (wikipedia.org)
  • synovial
  • It is usually aimed at one or more 'target' synovial joints with the aim of achieving a therapeutic effect. (wikipedia.org)
  • When individual peripheral synovial joints are manipulated, the distinct force-time phases that occur during spinal manipulation are not as evident. (wikipedia.org)
  • The kinematics of a complete spinal motion segment when one of its constituent spinal joints are manipulated are much more complex than the kinematics that occur during manipulation of an independent peripheral synovial joint. (wikipedia.org)
  • Even so, the motion that occurs between the articular surfaces of any individual synovial joint during manipulation should be very similar and is described below. (wikipedia.org)
  • This sound is believed to be the result of a phenomenon known as cavitation occurring within the synovial fluid of the joint. (wikipedia.org)
  • When a manipulation is performed, the applied force separates the articular surfaces of a fully encapsulated synovial joint. (wikipedia.org)
  • Distal expansion of the long bones as well as painful, swollen joints and synovial villous proliferation are often seen. (wikipedia.org)
  • ligament
  • In most cases of a complete tear, the aponeurosis of the adductor pollicis muscle may be interposed between the bones of the MCP joint and the torn ligament. (wikipedia.org)
  • ankle
  • The usual symptoms are the appearance of an osseous protuberance, on one side of the knee, ankle or foot joint which gradually increases Radiologically, the condition shows a nonuniformity of growth and multiple unconnected ossification centers around the epiphyses. (wikipedia.org)
  • Dysplasia epiphysealis hemimelica of the ankle joint: a case report" (PDF). (wikipedia.org)
  • occur
  • Each joint in the body can be dislocated, however, there are common sites where most dislocations occur. (wikipedia.org)
  • force
  • Great and sudden force applied, by either a blow or fall, to the joint can cause the bones in the joint to be displaced or dislocated from normal position. (wikipedia.org)
  • In particular, the rapid rate of change of force that occurs during the thrust phase when spinal joints are manipulated is not always necessary. (wikipedia.org)
  • therapeutic
  • These studies were therefore never designed to form models of therapeutic manipulation, and the models formed were erroneous in that they described the target joint as being configured at the end range of a rotation movement, during the orientation phase. (wikipedia.org)
  • neutral
  • However, after re-examining the original studies on which the kinematic models of joint manipulation were based, Evans and Breen argued that the optimal prethrust position is actually the equivalent of the neutral zone of the individual joint, which is the motion region of the joint where the passive osteoligamentous stability mechanisms exert little or no influence. (wikipedia.org)
  • This new model predicted that the physiologic barrier is only confronted when the articular surfaces of the joint are separated (gapped, rather than the rolling or sliding that usually occurs during physiological motion), and that it is more mechanically efficient to do this when the joint is near to its neutral configuration. (wikipedia.org)
  • subsequent
  • These agents can retard or prevent disease progression and, thus, joint destruction and subsequent loss of function. (medscape.com)
  • bones
  • A joint dislocation, also called luxation, occurs when there is an abnormal separation in the joint, where two or more bones meet. (wikipedia.org)
  • commonly
  • In North America and Europe, joint manipulation is most commonly performed by chiropractors (estimated to perform over 90% of all manipulative treatments), American-trained osteopathic physicians, occupational therapists, physiotherapists, and European osteopaths. (wikipedia.org)
  • usually
  • A dislocated joint usually can be successfully reduced into its normal position only by a trained medical professional. (wikipedia.org)
  • Once a diagnosis is confirmed, the joint is usually manipulated back into position. (wikipedia.org)
  • This is usually done through a course of physiotherapy, which will also help reduce the chances of repeated dislocations of the same joint. (wikipedia.org)
  • pain
  • Demographic and disease measures including Disease Activity Score in 28 joints, IgM rheumatoid factor, anti-CCP, Health Assessment Questionnaire, visual analog scale scores for pain and global and physician assessment, and magnetic resonance imaging (MRI) of the nondominant hand were recorded at baseline. (jrheum.org)
  • Treatment focuses toward alleviating pain and in maintaining functionality of the affected joints through use of nonsteroidal anti-inflammatory drugs, corticosteroids, antimalarial drugs and physiotherapy. (wikipedia.org)
  • blood
  • It is important the joint is reduced as soon as possible, as in the state of dislocation, the blood supply to the joint (or distal anatomy) may be compromised. (wikipedia.org)
  • individual
  • Early models describing the kinematics of an individual target joint during the various phases of manipulation (notably Sandoz 1976) were based on studies that investigated joint cracking in MCP joints. (wikipedia.org)