Browsing Tag: knee replacement

Increase in Youth Soccer Related Injuries


Got a kid or grandkid playing soccer, here’s some news…

Study Reveals Increase In Soccer-Related Injuries, Concussions

Lindsey Tanner writing for the AP reported research has found an increase in soccer-related injuries among kids in the US being sent to emergency departments. The trend is “driven in part by young players with concussions seeking urgent medical care.” The findings were based on 25 years of data and found that the overall rate of injuries has “more than doubled to 220 per 10,000 players in 2013, from 106 per 10,000 players in 1990.”

Comment: One of my sons when he was playing soccer had 2 concussions.  This is a serious issue.

Degenerative Meniscus Tears Rarely Require Surgery


And your surgeon says you need surgery… maybe not… next

Meniscal Tears May Not Need Surgery

Jack Cush reporting in RheumNow cited a study published in the British Medical Journal examines whether knee surgery or conservative medical management benefits those with degenerative meniscal tears. Patients with knee pain from a degenerative meniscal tear were randomized to either arthroscopic surgery (followed by daily exercises at home) or physical therapy (neuromuscular and strength exercises) two to three times a week for 12 weeks.

Over the next 2 years both groups improved. Muscle strength had improved more, on average, in the physical therapy group at the three-month checkup, but at the final two-year checkup, there was essentially no difference between the surgery and therapy groups, including in pain, ability to function in sports and recreation activities, and quality of life. The researchers noted that 19 percent of the therapy group opted to have surgery at some point but had achieved “no additional benefit” by the end of the study.

Conservative exercise therapy was equal to arthroscopic intervention overall, but also showed positive effects over surgery short-term muscle strength.  Clinicians should consider conservative management and physical therapy in middle-aged patients with degenerative meniscal tears.

Comment: Degenerative meniscus tears are secondary to the arthritis. Surgery is not generally warranted.

Spironlactone for Knee Effusion


An old drug with a new use… next

Low-dose spironolactone seen as safe, effective treatment for patients with OA-related knee effusion

Reported in Healio… “Low dose spironolactone is a safe, effective and noninvasive treatment for osteoarthritis-related effusion. It is effective in mild and moderate cases and, to a lesser extent, in severe cases,” Sarah Ohrndorf, MD, specialist in internal medicine/rheumatology in the Department of Rheumatology and Clinical Immunology at Charité University Hospital in Berlin.

Researchers categorized 200 patients with unilateral knee effusion related to osteoarthritis (OA) into four groups with 50 patients in group 1 receiving spironolactone for 2 weeks, 50 patients in group 2 receiving ibuprofen for 2 weeks, 50 patients in group 3 using cold compresses twice daily for 2 weeks and 50 patients in group 4 receiving placebo for 2 weeks.  Group 1 outperformed all other groups.

Comment: Who would have thunk it?

Pain Predictor of Knee Osteoarthritis


Are there early warning signs of knee arthritis? Yup!

Persistent knee pain predicts structural arthritis early.

Sara Freeman writing in Rheumatology news reported on a study that showed that persistent knee pain is in important predictor of structural joint damage and could potentially be used to predict knee osteoarthritis earlier according to Dutch research reported at the World Congress on Osteoarthritis. The analysis found that women participating in the Rotterdam study who had knee pain on most days of the preceding month were more than 4 times more likely to develop knee osteoarthritis within 5 years on MRI than were those without frequent knee pain.

Comment: a key finding.

Heart Attack After Total Knee Replacement


Disturbing risk of knee replacement… next

Heart Attack After Total Knee Replacement

Bruce Jancin writing in rheumatology News reported on a British study of more than 13,000 patients who underwent total knee replacement. A matched nonsurgical group was used as control. During the first month after knee replacement, there was an almost 9 fold increase in the risk of heart attack compared with the control group. At 3 months the risk was four times greater and at 6 months 2 times greater. Another finding was that the risk of venous thromboembolism- a blood clot that goes to the lungs- remained elevated for 5 years.

Comment: Wow… not good news for you if you want to have a knee replaced.

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