Orthopedic Care and Consultation
Loose bodies in knee may be found in osteoarthritis and represent a loose [unattached to any tissue] piece of bone or cartilage or any other foreign object.
Following xray belongs to 56 years old lady who complained of knee pain that aggravated with walking. Loose bodies are visible.
Loose Bodies In Knee Joint
She was advised arthroscopic removal of the loose body.
Researchers from University of Manchester have reported that use of knee braces in patients of osteoarthritis can reduce the pain from osteoarthritis specifically in the kneecap.
The study, conducted by Michael Callaghan and colleagues included 126 individuals between 40 and 70 years of age with osteoarthritis in their knees.
The finding has been shared at osteoarthritis Research Society International meeting in Philadelphia tomorrow on Friday April 19.
A new review published in Cochrane Library has reported that serotonin and noradrenaline reuptake inhibitors (SNRIs) reduce pain, improve quality life but people are more likely to stop medication because of side effects.
The review by Hauser and colleagues is based on 10 studies with up to 6038 people and has been published on January 13, 2013.
Out of 10 included, 5 studies investigated duloxetine against placebo, and five investigated milnacipran against placebo. Both the drugs are SNRIs.
Fibromyalgia syndrome results in chronic widespread pain, sleep problems and fatigue.
At present, there is no treatment available which would cure fibromyalgia syndrome. [Read more...]
Plantar fasciitis, the most frequent cause of chronic heel pain is better and faster treated by botox rather than steroids.
This has been reported by in journal Foot and Ankle Surgery.
The research by Rodriguez appears in the journal Foot & Ankle International.
Various therapies for the condition, include steroids, regular stretching exercises or injecting botulinum toxin (botox).
For this study, the researcher conducted a prospective, experimental, randomized, double-blinded, and controlled clinical trial, where patients were treated either with steroids or with Botox for their painful feet. [Read more...]
Melorheostosis (also known as Leri disease) is an rare dysplasia manifesting as regions of sclerosing bone with a characteristic dripping wax appearance or flowing candle wax appearance
The disease, described by Leri and Joanny in 1922, is a rare, non-hereditary lesion.
Patients with meloreostosis may have associated
Etiopathology
The cause of meloreostosis is unknown, but one theory proposed is that the lesion arises from an abnormality of the sensory nerve of the affected sclerotome . [Read more...]
Contradicting previous studies, a new study has reported that vitamin D supplements have no effect on the pain of knee osteoarthritis.
The study by McAlindon and colleagues has been published in Jan. 9 issue Journal of American Medical Association [JAMA]. It is a randomized, placebo-controlled trial.
Previous epidemiologic studies had hinted at slower disease progression among patients with higher vitamin D levels.
146 people with symptomatic knee OA were enrolled for the study s between March 2006 and June 2009. The patients were and randomly assigned to receive oral cholecalciferol or placebo.
A target serum level of more than 36 ng/mL was to achieved beginning with initial dose 2,000 IU/day and increasing the dose if required. [Read more...]
Osteopoikilosis is a benign, autosomal dominant skeletal dysplasia that manifests radiographically as multiple bone islands which are especially seen near the joints, epiphyses, metaphyses of long and short tubular bones.
The islands are also seen in in the pelvis and scapulae. The distribution is typically bilateral and symmetrical.
They are rarely seen in ribs, clavicles, spine, and skull.
Males and females are equally affected. [Read more...]
Also called an enostosis.
Bone island, by is a focus of mature cortical bone within the cancellous bone.
Bone island is thought by some to be a tumor-like condition and by others a hamartoma. Most likely, the lesion is congenital or developmental in origin and reflects failure of resorption during endochondral ossification.
Mostly, the bone island is asymptomatic and the lesion is usually an incidental finding.
Pelvis, femur, and other long bones are most common sites though it may be found anywhere in the skeleton. Bone islands usually are 1 mm to 2 cm in diameter. When bone islands are larger than 2 cm, they are classified as giant bone islands. [Read more...]
A hamartoma is a benign tumor like mass composed of of an overgrowth of mature cells and tissues normally present in the affected part, but with disorganization and often with one element predominating.
A bone island is an example of an hamartoma.
It is not a tumor in true sense and is considered a developmental error. It can occur at a number of sites in the body.
Though itself non neoplastic by definition, tissue in the hamartoma have been noticed to show neoplastic changes in some of the cases. [Read more...]
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