Knee Disorders

Jan 15, 2019 Issue
Patellofemoral Pain Syndrome [Article]

The cardinal feature of patellofemoral pain syndrome is pain in or around the anterior knee that intensifies when the knee is flexed during weight-bearing activities. The diagnosis is clinical, and pain with squatting is the most sensitive physical examination finding. Treatment includes rest, a short course of nonsteroidal anti-inflammatory drugs, and strengthening exercises.

Nov 15, 2018 Issue
Braces and Splints for Common Musculoskeletal Conditions [Article]

Find out how to choose the appropriate brace or splint for your patient’s condition, and to determine the correct size, fit, and duration of use. Selecting an inappropriate brace or splint may lead to delayed healing or further injury.

Nov 1, 2018 Issue
Treatment of Knee Osteoarthritis [Implementing AHRQ Effective Health Care Reviews]

What are the clinical effectiveness and harms of cell-based therapies, oral glucosamine and/or chondroitin, physical treatment interventions, weight loss, and home-based and self-management therapies for knee osteoarthritis?

Nov 1, 2018 Issue
Knee Pain in Adults and Adolescents: The Initial Evaluation [Article]

Knee pain affects nearly 25% of adults. This article reviews the initial primary care office evaluation of knee pain and describes systematic approaches to evaluation. It also defines instances in which radiographic imaging, musculoskeletal ultrasound, magnetic resonance imaging, and laboratory tests should be performed.

Aug 15, 2018 Issue
Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA [POEMs]

Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.

Jul 1, 2017 Issue
Arthroscopic Meniscal Surgery Is Equivalent to Nonoperative Management [POEMs]

The existing research base, with biases that typically make interventions look better, is unable to demonstrate that arthroscopy for meniscal injuries is any better than nonoperative approaches. Because this is a costly intervention and is being used more often, perhaps insurance companies should reevaluate whether to continue paying for it.

Aug 15, 2016 Issue
Knee Surgery Does Not Reduce Knee Catching or Locking in Patients with Meniscal Tear [POEMs]

Removing the torn bits of meniscus in middle-aged patients who have intermittent knee catches or locking does not decrease their likelihood of experiencing symptoms in the following year compared with diagnostic arthroscopy (i.e., looking but not touching). In general, meniscectomy does not improve knee pain, regardless of the symptoms.

Apr 15, 2016 Issue
Hyaluronic Acid Equivalent to Sham Injections in Patients with Knee DJD [POEMs]

The highest quality studies, which are now fairly plentiful, show that hyaluronic acid injections are only minimally better than sham injections in improving pain and function in patients with knee DJD.

Nov 15, 2015 Issue
Nonsurgical Management of Knee Pain in Adults [Article]

Get the latest information on nonsurgical treatments for common causes of knee pain: osteoarthritis; patellofemoral pain syndrome; and ligament, tendon, and meniscal injuries. Find out which types of exercise are best for improving function and decreasing pain, and whether glucosamine/chondroitin supplementation is effective for osteoarthritis.

Aug 1, 2015 Issue
Management of ACL Injuries: Clinical Practice Guideline from the AAOS [Practice Guidelines]

Anterior cruciate ligament (ACL) injuries, which are usually related to sports, have an incidence of approximately 252,000 yearly. The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance in determining the best options for treating an ACL injury.

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