Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Diagnostic criteria were established to improve the diagnostic accuracy of the meniscus lesion of the knee. Diagnostic criteria consist of combination of clinical scores and examination findings. Twelve findings probably occurring in meniscus lesion were selected and clinical scores were empirically assigned. Namely, they were such as the followings. 1. Locking phenomenon (30 points) 2. Snapping in movements (20 points) 3. Mass palpable on joint line in movement (20 points) 4. Locking-like phenomenon (15 points) 5. Giving-way (10 points) 6. Screw-home movement disturbance (10 points) 7. Quadriceps atrophy (10 points) 8. Clinical nomenclature test (10 points 9. Tenderness on joint line (5 points) 10. Full flexion disturbance (5 points) 11. Patella floating (3 points) 12. Pain in stepping upward and downward (1 point) Examination findings were classified into four groups according to their appearance as follows. 1. Typical...... Arthrogram shows abnormal line or pooling of contract medium and reveals the type of lesion in meniscus. Arthroscopy reveals lesion in meniscus directly. 2. Definitive...... Arthrogram shows abnormal line or pooling of contract medium, but does not reveal the type of lesion. Arthroscopy doesn't reveal lesion on meniscus directly but demonstrates abnormality occurring in meniscus lesion. 3. Suspective...... Arthrogram shows dullness of triangular corner or interruption of meniscus line, or deformity of meniscus image. Arthroscopy reveals discoloration or abnormal mobility of meniscus. 4. Nothing particular...... Arthrogram shows intact meniscus. Arthroscopy reveals intact meniscus. Diagnostic criteria, 1. When clinical score is more than 40 points, more than "suspective" results of clinical examination are required. 2. When clinical score is between 39 and 30 points, more than "definitive" results of clinical examination are required. 3. When clinical score is under 30 points, "typical" results of clinical examination are necessary. According to these criteria, 100 meniscectomies have been performed over 5 consecutive years. Since false positive results were obtained in none, the diagnostic value of the present criteria was 100%. This figure compares favorably with any values previously reported.
 ...
PMID:[The combination method for diagnosis of meniscus lesion in the knee (author's transl)]. 689 46

We reviewed 89 arthroscopically assisted patellar tendon anterior cruciate ligament (ACL) reconstructions for chronic isolated injuries with an average follow-up of 7 years (range 5.4 to 8.6 years). Pain was present in 7 knees (8%). Giving-way symptoms were reported by 7 patients (8%). A KT-2000 side-to-side difference over 5 mm at 30 lbs was recorded in 12 cases (16%). The pivot shift was glide in 17 cases (19%) and clunk in 10 (11%). A 3 degrees-5 degrees extension loss compared with the normal side was present in 20 knees (22%) and 6 degrees-10 degrees in 4 knees (4%). The intra-articular exit of the femoral tunnel was misplaced in the anterior 50% of the condyles along the roof of the notch in 10% of the knees. This positioning significantly (P = 0.003) increased the frequency of graft failure (62.5%) compared with the cases with a more posterior placement (graft failure 12%). An anterior position of the intra-articular exit of the tibial tunnel (in the anterior 15% of the sagittal width of the tibia) significantly (P = 0.01) increased the frequency of extension loss > 5 degrees. Medial meniscectomy was associated with a 35% incidence of narrowing of the medial joint space, which was significantly higher compared with knees with normal menisci (9%; P = 0.04) or with medial meniscal repair (7%; P = 0.05). In conclusion this study showed satisfactory anterior stability (KT-2000 side-to-side difference up to 5 mm and pivot absent or glide) in 83% of the knees. This percentage increases to 88% in the knees with a correct posterior and proximal femoral tunnel placement. Accuracy in tunnel positioning is essential for the success of ACL surgery. Meniscal repair was effective in decreasing joint space narrowing and should be attempted when possible.
 ...
PMID:Arthroscopic-assisted anterior cruciate ligament reconstruction with the central third patellar tendon. A 5-8-year follow-up. 933 23