ITEMS IN AFP WITH KEYWORD:
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.
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.
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.
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.
Jul 15, 2014 Issue
Intra-articular Corticosteroid Injections for Osteoarthritis of the Knee [FPIN's Clinical Inquiries]
Intra-articular corticosteroid injections can be used to reduce pain by about 20% in the short term (one to three weeks) in patients with osteoarthritis of the knee.
This clinical guideline from the American Academy of Orthopaedic Surgeons (AAOS) updates the one previously published in 2008 and addresses treatment of symptomatic knee osteoarthritis in adults 19 years and older.
Compared with normal saline or hyaluronic acid, multiple intra-articular injections of platelet-rich plasma significantly improved knee function but did not reduce perceived pain or improve patient satisfaction in adults with symptomatic knee osteoarthritis.
Dextrose prolotherapy appears to be more effective in decreasing pain and stiffness, and improving function in patients with knee degenerative joint disease than saline injections and home exercise.
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.