• Ruchelsman et al evaluated clinical, radiographic, and functional outcomes after open reduction and internal fixation of capitellar fractures in 16 patients. (medscape.com)
  • Open reduction and internal fixation with volar locking plate is reliable and excellent methods of management of intra-articular fracture of distal end of radius especially shear type of injury (AO type B2 and B3) in adults. (ijoro.org)
  • Doi K, Hattori Y, Otsuka K, Abe Y, Yamamoto H. Intra-articular fractures of distal aspect of radius: arthroscopically assisted reduction compared with open reduction and internal fixation. (ijoro.org)
  • Open reduction and internal fixation of displaced intra-articular fractures of the distal radius. (ijoro.org)
  • Irrespective of surgical or non-surgical resolution to the fracture, a physical therapist can advise on progressive weight-bearing exercises and help with strengthening muscles of the leg, improving range of motion of the knee and in reducing stiffness. (wikipedia.org)
  • The energy of the blow is absorbed by the fracture and may cause damage to the articular cartilage of both the patella and the femoral condyles. (medscape.com)
  • If the extensor mechanism has not been disrupted and if intra-articular stepoff is less than 2 mm, the fracture may be treated nonoperatively. (medscape.com)
  • This type of fracture, with less than 2 mm of intra-articular stepoff, can be treated with a nonoperative modality. (medscape.com)
  • Although much is known regarding the effects of bone density on fracture risk and the treatment options for prevention of fragility fractures, whether bone quality alters clinical outcomes after fracture fixation is unknown. (psu.edu)
  • The purpose of this study was to determine whether bone quality correlates with clinical outcomes after fracture fixation. (psu.edu)
  • This fracture pattern is typically through the lateral metaphysis extending into the epiphysis and often extends into the articular surface. (posna.org)
  • Type II fracture extends through the articular surface, and type III involves complete displacement (Jakob, 1975). (posna.org)
  • Other alternative imaging such as MRI and ultrasound have been shown to adequately identify the fracture and articular surface, however their clinical use is limited across the nation. (posna.org)
  • Clinical outcomes and shoulder kinematics for the "gray zone" extra-articular scapula fracture in 5 patients. (cdc.gov)
  • Predicting patient-reported and objectively measured functional outcome 6 months after ankle fracture in people aged 60 years or over in the UK: prognostic model development and internal validation. (ox.ac.uk)
  • OBJECTIVE: To predict functional outcomes 6 months after ankle fracture in people aged ≥60 years using post-treatment and 6-week follow-up data to inform anticipated recovery, and identify people who may benefit from additional monitoring or rehabilitation. (ox.ac.uk)
  • The fracture fragment is intra-articular and requires treatment and reduction to reestablish normal elbow motion. (medscape.com)
  • Difficulty arises from the varying sizes of the fracture fragment and from the amount of suitable subchondral bone that is present to achieve stable fixation and to allow early elbow motion. (medscape.com)
  • Articular cartilage surgeon, Dr. Matthew Provencher provides diagnosis and both surgical and nonsurgical treatment options for patients in Vail who need articular cartilage treatment. (matthewprovenchermd.com)
  • With the increase in high velocity trauma, the incidence of intra-articular fractures of distal end of radius, particularly in adults- the working class of society is increasing. (ijoro.org)
  • The present study was undertaken to evaluate the results of using volar locking plate for fixation of intra-articular fractures of distal end radius, with emphasis on return to pre-injury employment assessment. (ijoro.org)
  • Twenty patients of intra-articular fractures of distal end of radius (AO type B2 and B3) were treated with volar locking plate through volar approach. (ijoro.org)
  • The combination of hydrodilatation and corticosteroid injection may expedite recovery of pain free range of motion compared with corticosteroid injection alone. (aafp.org)
  • Purpose: To compare the clinical outcomes of MSC injection and arthroscopic marrow stimulation treatment with those of arthroscopic marrow stimulation treatment alone for the treatment of OLTs in older patients. (researchgate.net)
  • Patients were divided into 2 groups: 35 patients (37 ankles) treated with arthroscopic marrow stimulation treatment alone (group A) and 30 patients (31 ankles) who underwent MSC injection along with arthroscopic marrow stimulation treatment (group B). Clinical outcomes were evaluated according to the visual analog scale (VAS) for pain, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, and the Roles and Maudsley score. (researchgate.net)
  • 90 patients with primary frozen shoulder were randomized to receive an intra-articular glenohumeral corticosteroid injection via a rotator interval approach (n=45) or a posterior approach (n=45). (myorthoevidence.com)
  • Kenalog ® -10 Injection (triamcinolone acetonide injectable suspension, USP) is triamcinolone acetonide, a synthetic glucocorticoid corticosteroid with marked anti-inflammatory action, in a sterile aqueous suspension suitable for intralesional and intra-articular injection. (druglib.com)
  • The intra-articular or soft tissue administration of Kenalog-10 Injection (triamcinolone acetonide injectable suspension, USP) is indicated as adjunctive therapy for short-term administration (to tide the patient over an acute episode or exacerbation) in acute gouty arthritis, acute and subacute bursitis, acute nonspecific tenosynovitis, epicondylitis, rheumatoid arthritis, synovitis, or osteoarthritis. (druglib.com)
  • OBJECTIVE: To assess the effectiveness of intra-articular triamcinolone injection and physiotherapy singly or combined in the treatment of adhesive capsulitis of the shoulder. (druglib.com)
  • CONCLUSION: Corticosteroid injection is effective in improving shoulder-related disability, and physiotherapy is effective in improving the range of movement in external rotation 6 weeks after treatment. (druglib.com)
  • Adductor canal block versus intra-articular steroid and lidocaine injection for knee osteoarthritis: a randomized controlled study. (sportsmedreview.com)
  • TOFS is a successful surgical approach for reduction and fixation of AO type C intra-articular distal humerus fractures, with excellent tendon healing rates. (scielo.org.za)
  • INTRODUCTION: Pilon fractures involve the distal articular surface of the tibia. (eastjmed.org)
  • Articular cartilage defects occur when cartilage of the knee becomes damaged and can eventually lead to osteoarthritis. (matthewprovenchermd.com)
  • The purpose of this prospective randomized study was to compare the clinical, instrumental and X-ray outcome of two ACL reconstruction techniques with hamstring tendons: one with a single intra-articular bundle associated to an extra-articular sling, the second with a more anatomic double-bundle technique that reproduces better the native ACL function. (nih.gov)
  • The double-bundle technique for ACL reconstruction described in this paper has demonstrated significantly better subjective, objective and functional results compared with a double-stranded hamstrings plus extra-articular sling at a minimum 3-year follow-up. (nih.gov)
  • MAIN OUTCOME MEASURES: Postoperative outcomes were compared among younger, middle-aged, and older adults before surgery and at 3 and 6 months after surgery using analysis of variance modeling. (duke.edu)
  • Meniscal repair is an effective procedure leading to excellent patient reported outcome measures with low rates of revision, even in isolated procedures without ACL Reconstruction. (tasmanmedicaljournal.com)
  • This allowed stable fixation, early motion, and improved rates of bony union. (medscape.com)
  • Extensile lateral exposure and articular fixation with buried cannulated variable-pitch headless compression screws was performed at a mean of 10 days after injury. (medscape.com)
  • It is proposed that immediate controlled range of motion and rehabilitation be considered in these patients and could be the focus of a larger prospective study. (cdc.gov)
  • Boon, AJ & Smith, J 2000, ' Manual scapular stabilization: Its effect on shoulder rotational range of motion ', Archives of Physical Medicine and Rehabilitation , vol. 81, no. 7, pp. 978-983. (elsevierpure.com)
  • Rehabilitation outcomes after surgery are described by knee strength, range of motion, ability to perform daily activities, walking, balance, and quality of life. (bethesdaphysiocare.com)
  • In this study, we aimed to show and compare the clinical outcomes of arthroscopy and total hip arthroplasty (THA) in pigment Villonodular synovitis of the hip. (bvsalud.org)
  • Over time, the articular cartilage will wear down to the bone and cause painful osteoarthritis. (matthewprovenchermd.com)
  • Methods Thirty-two patients (32 knees) with a mean age of 61.2 years were selected from our prospectively-collected data base with severe knee range of motion limitation (rheumatoid arthritis, psoriasis, ankylosing spondylitis, posttraumatic and postoperative osteoarthritis). (researchsquare.com)
  • While satisfactory results can be expected in most standard cases 1 , worse outcomes are often observed for cases characterized by more advanced pathology, including primary or secondary osteoarthritis (OA), e.g. posttraumatic or rheumatoid arthritis, or in patients following previous failed orthopedic procedures. (researchsquare.com)
  • Method of measurement: Knee injury and Osteoarthritis Outcome Score(KOOS). (who.int)
  • Prior to surgery, patients suffering from osteoarthritis or knee injury, have limited range of motion. (bethesdaphysiocare.com)
  • 1 - 4 But what happens at the tissue level to promote repair and remodelling of tendon, muscle, articular cartilage and bone? (bmj.com)
  • They become problematic if the extensor mechanism of the knee is nonfunctional, articular congruity is lost, or stiffness of the knee joint ensues. (medscape.com)
  • 2 Such limitation of preoperative range of motion (ROM) and severe deformity may cause postoperative recurrence of stiffness, limited postoperative ROM and reduced functional and clinical outcomes after TKA. (researchsquare.com)
  • Range of motion (ROM), neutral zone (NZ), and neutral zone stiffness (NZS) were determined in flexion/extension, lateral bending, and axial rotation. (londonspine.com)
  • [ 1 ] To avoid these problems, the surgeon must achieve anatomic restoration of the joint and must allow early motion. (medscape.com)
  • Surgeons should have a low threshold for open reduction as an anatomic articular reduction is important for obtaining a good clinical outcome. (posna.org)
  • A randomized controlled trial of intra-articular triamcinolone and/or physiotherapy in shoulder capsulitis. (druglib.com)
  • Dr. Matthew Provencher, Vail, Aspen, Colorado Springs and Denver, Colorado orthopedic knee surgeon, usually begins articular cartilage treatment with non-surgical measures. (matthewprovenchermd.com)
  • There are several surgical techniques performed by Dr. Provencher to treat articular cartilage damage. (matthewprovenchermd.com)
  • What is the Recovery Following Surgical Articular Cartilage Treatment? (matthewprovenchermd.com)
  • Reply to the letter to the editor regarding "a clinical prediction model to assess surgical outcome in patients with cervical spondylotic myelopathy: Internal and external validation using the prospective multicenter AOSpine North American and International datasets of 743 patients. (illinois.edu)
  • In recent decades, improvements in medicine, technology, and surgical procedures have improved outcomes for knee surgery patients, but there is always a road to recovery. (bethesdaphysiocare.com)
  • MRI can be beneficial to assess the integrity of the articular surface, however, it is costly and often requires sedation of the patient. (posna.org)
  • Arthrogram is a useful adjunt to assess the articular surface intraoperatively. (posna.org)
  • Subjects completed questionnaires [Simple Shoulder Test (SST), PROMIS Global Health Scale vs 1.1, PROMIS SF vs 1.0 Physical Function 12a, and the American Shoulder and Elbow Surgeons Score (ASES)] and physical exams were performed to assess range of motion and strength. (cdc.gov)
  • The aim of the study was to assess the influence of oral use of prednisolone in the postoperative period on the final results in a patient after TKA with severely limited postoperative range of motion. (researchsquare.com)
  • Our paper presents the outcomes of five such scapula fractures treated non-operatively. (cdc.gov)
  • Motion analysis demonstrated similar recruitment of the scapula during the glenohumeral rhythm for the fractured shoulders compared with the same arm of age matched control subjects. (cdc.gov)
  • No significant differences occurred in either range of motion (ROM) or scapula-humeral coordination when comparing uninjured scapulae to the same arm of age matched control subjects. (cdc.gov)
  • However, the kinematic analysis showed no differences in measured scapula-humeral rhythm or range of motion. (cdc.gov)
  • The glenoid is an area of articular cartilage on the lateral aspect of the scapula, where the humeral head articulates with the scapula to form the glenohumeral joint. (orthopaedia.com)
  • Figure 2: A) The 4 straight motions of the scapula: elevation (purple arrow), depression (red arrow), protraction (yellow arrow), and retraction (green arrow). (orthopaedia.com)
  • In the awake patient, the chief complaint is often pain along the scapula and posterior chest wall, along with limited range of motion of the shoulder joint itself. (orthopaedia.com)
  • Objectives: To study the effect of a recently described method of measuring shoulder rotational range of motion in which the scapula is manually stabilized, and to determine the reliability of that technique compared with measurements taken with the scapula unstabilized. (elsevierpure.com)
  • Design: Fifty high school athletes underwent measurement of shoulder rotational range of motion with and without the scapula manually stabilized. (elsevierpure.com)
  • Results: Rotational motion measured with the scapula stabilized was significantly less than when it was measured with the scapula unstabilized. (elsevierpure.com)
  • Treatment can range from physical therapy to arthroscopic or open surgery. (sciencedaily.com)
  • We measured short-term (6-months) clinical and functional outcomes and revision rates after arthroscopic meniscal repair with and without ACL reconstruction. (tasmanmedicaljournal.com)
  • Glenohumeral kinematics were obtained via motion analysis using the Trackstar 6 Degree of Freedom (DOF) motion tracking system by Northern Digital Incorporated. (cdc.gov)
  • Dancers who returned to work had less degeneration of the articular cartilage of the hip joint as determined by high resolution MRI. (sciencedaily.com)
  • This causes the joint to suffer slow degeneration and disease of the articular surfaces. (bethesdaphysiocare.com)
  • There are several treatment methods available aimed to restore stability, preserve range of motion, and reconstitute the articular surface. (openorthopaedicsjournal.com)
  • Large lesion size (≥109 mm(2)) and the existence of subchondral cysts were significant predictors of unsatisfactory clinical outcomes in group A (P = .04 and .03, respectively). (researchgate.net)
  • The baseline/6-week data model included the same baseline variables, minus EQ-5D-3L VAS, plus five 6-week predictors: radiological malalignment, injured ankle dorsiflexion and plantarflexion range of motion, and 6-week OMAS and EQ-5D-3L. (ox.ac.uk)
  • Poorer outcomes were associated with posterior comminution of the humerus requiring more extensive procedures. (medscape.com)
  • Successful functional outcome following TKA is influenced by the geometry and design of the components as well as their interaction with the soft tissue surrounding this articulation. (du.edu)
  • An MRI can produce cross-sectional images of internal structures required if the diagnosis is unclear or if other soft tissue injuries are suspected such ligament injuries or articular cartilage injuries. (danielbiggs.net)
  • Kinematics specifically studies pure motion without reference to the causes of motion such as forces. (du.edu)
  • Accurate joint kinematics is essential to protect articular functionality. (du.edu)
  • Thus, accurate measurement of healthy joint motion is needed to establish baseline kinematics and clinical parameters for assessment of natural joint func-tion, diagnosis of pathology, design of treatments, and evaluation of patient outcomes. (du.edu)
  • The main aim of human motion analysis is the description of joint kinematics during daily living activity. (du.edu)
  • Age range has also a significant impact on joint kinematics. (du.edu)
  • Outcomes with treatment are generally good. (wikipedia.org)
  • Outcomes with treatment are generally good, unless there is involvement of the articular surface or the quadriceps mechanism. (wikipedia.org)
  • Full resolution of symptoms without treatment has been the expected outcome for most patients over one to two years. (aafp.org)
  • A 2017 systematic review of seven studies found low-quality evidence that no treatment yielded some, but not complete improvement in range of motion after one to four years of follow-up. (aafp.org)
  • Articular cartilage treatment varies for each patient depending on patient's age, patient's activity level, defect size and location and associated knee injuries. (matthewprovenchermd.com)
  • What are the Treatment Options for Articular Cartilage Damage? (matthewprovenchermd.com)
  • Are you a candidate for articular cartilage treatment? (matthewprovenchermd.com)
  • We review the treatment outcome of ganglion in the literature and compare their recurrence and complication rates. (hindawi.com)
  • Electronic databases of Medline, PubMed, and the Cochrane libraries were searched with the key words "ganglion," "conservative treatment," "surgery" and "outcomes. (hindawi.com)
  • the patient's overall outcome is usually dictated by the associated injuries, if present. (orthopaedia.com)
  • Conclusions The administration of oral prednisolone for a longer postoperative time in patients with severe preoperative range of motion following TKA significantly improves functional results without steroid related complications at one year follow-up. (researchsquare.com)
  • It was hypothesized that oral administration of prednisolone could improve postoperative range of motion and thus positively influence the final result without causing significant steroid-related complications. (researchsquare.com)
  • Follow-up will also include assessments of mobility, ankle range of movement, health related quality of life and complications. (ox.ac.uk)
  • Recurrence rate, complications, and functional outcome were reviewed. (hindawi.com)
  • We propose that CCC may offer an equivalent functional outcome to ORIF and avoid the risks associated with surgery. (ox.ac.uk)
  • The influence of older age on 3- and 6-month pain outcomes were determined via multivariate regression analyses after accounting for preoperative, intraoperative, and postoperative prognostic factors. (duke.edu)
  • Type II factures, with intact articular hinge, have been successfully treated with closed reduction and pinning. (posna.org)
  • CONCLUSION: Single application of high-viscosity hyaluronan shows superior range of motion and pain reduction as well as improvement in clinical results. (druglib.com)
  • Conclusions: Our results suggest that decreased bone quality, as measured using preoperative CT, significantly correlates with inferior short-term clinical outcomes. (psu.edu)
  • The smooth, white substance covers the ends of each bone and provides a fluid, pain-free motion. (matthewprovenchermd.com)
  • Inflammatory infiltrate and pus may compress intra-articular vessels, thus reducing circulation to the cartilage and subchondral bone. (bvsalud.org)
  • Adhesive capsulitis, also known as "frozen shoulder," is a common shoulder condition characterized by pain and decreased range of motion, especially in external rotation. (aafp.org)
  • Shoulder pain accompanied by a marked decrease in range of motion is the chief characteristic of adhesive capsulitis. (aafp.org)
  • Future age-related research should consider use of movement-evoked pain intensity and experimental pain response as pain outcomes, as well as the utility of such measures in clinical care. (duke.edu)
  • Outcome measures were 6-month postinjury (primary) self-reported ankle function, using the Olerud and Molander Ankle Score (OMAS), and (secondary) Timed Up and Go (TUG) test by blinded assessor. (ox.ac.uk)
  • Other factors also influenced outcome. (sciencedaily.com)
  • Dr. Padgett said that identification of factors linked to better outcomes should help doctors with their ability to counsel patients. (sciencedaily.com)
  • The prosthetic size and height are two important factors in determining the clinical outcome of radial head arthroplasty. (biomedcentral.com)
  • The primary outcome was return to professional dance for at least three months, and the study found that the majority of dancers, 73% (29), were able to do this. (sciencedaily.com)
  • The primary outcome is the Olerud & Molander Ankle Score, a functional patient reported outcome measure, at 6 months. (ox.ac.uk)
  • Included patients had at least 12 months of clinical outcome data. (psu.edu)
  • Type I is nondisplaced with an intact articular surface. (posna.org)
  • further categorized based on displacement and integrity of the articular surface (Weiss, 2009). (posna.org)
  • Importantly, the authors noted that the majority of capitellar fractures turned out to be complex fractures of the articular surface involving both the capitellum and the trochlea. (medscape.com)
  • Intervention 1: Intervention group: Exercise training group with shock wave therapy: In this group, people with traumatic injury of the medial meniscus of the knee, in addition to the exercise training of the control group, receive 4 sessions of shockwave once a week for 4 weeks, on the medial articular surface of the knee (shockwave therapy is started from the second week of exercise training). (who.int)
  • [ 3 ] Any intra-articular incongruities lead to posttraumatic arthritis. (medscape.com)
  • range 18 to 65 years) had fresh osteochondral grafting of the tibiotalar joint. (wheelessonline.com)
  • In cases of painful shoulder and instability, the shoulder ligaments and tendons within the shoulder joint capsule, when damaged, can cause a "swelling" or thickening of the tissue within the shoulder, preventing normal range of motion. (jointrehab.com)
  • 6 In the acute form of IA, there is rapid onset of joint pain, heat, redness, swelling, and effusion (fluid accumulation), and joint restriction of both active and passive motion occurs, with these symptoms usually affecting a single joint, a pattern referred to as monoarticular . (uspharmacist.com)
  • There is also heat, redness, swelling, and restricted range of motion of the joint. (uspharmacist.com)
  • Ankle and subtalar joint range of motion (ROM) were evaluated at the last follow-up. (eastjmed.org)
  • Intervention 2: control group: Exercise training group: In this group, people with traumatic injury of the medial meniscus of the knee only do exercises training, these exercises 3 times a week, for 6 weeks, based on the return of the range of motion of the joint, increasing muscle strength, increasing endurance, and improving proprioception. (who.int)
  • Pressure within the joint may also induce necrosis of articular structures 1 . (bvsalud.org)
  • Oscillatory joint mobilization in TMD may be effective in increasing mandibular range of motion and opening of the mouth, as well as in reducing TMJ pain and masticatory musculature. (bvsalud.org)
  • Fresh osteochondral allografting is an alternative procedure to replace diseased articular cartilage. (wheelessonline.com)
  • hence, we decided to include the procedure for TKA patients demonstrating the most severe degree of knee pathology, resulting in limited range of motion. (researchsquare.com)
  • BACKGROUND AND PURPOSE: Shoulder pain is frequent after stroke and interferes with the rehabilitative process and outcome. (druglib.com)
  • To identify a core set of outcome variables for the assessment of children with juvenile arthritis (JA), to use the core set to develop a definition of improvement to determine whether individual patients demonstrate clinically important improvement, and to promote this definition as a single efficacy measure in JA clinical trials. (nih.gov)
  • The assessment of pain, range of motion, activity and grip strength were scored by Green and O'Brien's system. (ijoro.org)
  • The primary and secondary clinical outcomes included Foot and Ankle Outcome Scores (FAOS) and ankle range of motion (ROM). (psu.edu)
  • Results were evaluated using outcome scores, physical examinations, and standing ankle radiographs. (wheelessonline.com)
  • Relapse rates and functional scores were determined, with follow-ups ranging from 12 to 72 months, on average 36 months. (bvsalud.org)
  • There was no significant difference in the outcome scores of patients with or without ACL reconstruction. (tasmanmedicaljournal.com)
  • 2 patients (10%) showed good result (scores 80-89) while 1 patient (5%) had fair outcome (score 65-79). (ijoro.org)
  • This led to poor results because of intra-articular incongruity, nonunion, and poor motion. (medscape.com)
  • Results from patient-reported outcomes and clinical outcomes were inconclusive at 1 month, 3-6 months and 7-12 months of follow up. (ulster.ac.uk)
  • Early results demonstrate successful outcomes and good pain relief in over half the patients in this series. (wheelessonline.com)
  • Compromised results are most commonly observed for cases of limitation of knee motion. (researchsquare.com)
  • The description of human motion has a primary importance in different scientific areas such as medicine, sports, physical therapy. (du.edu)
  • Patients that engage in physical therapy have shown improved functional outcomes and mobility. (bethesdaphysiocare.com)
  • Range of motion outcomes did not significantly correlate with HU values. (psu.edu)
  • however, this did not necessarily correlate with a poor outcome. (wheelessonline.com)