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A meta-analysis found that ultrasound therapy is effective in reducing pain, increasing ROM, and reducing WOMAC functional scores in patients with knee osteoarthritis. [7] There are three potential therapeutic mechanisms of ultrasound in physical therapy. The first is the increase in blood flow in the treated area.
Ankle osteoarthritis. For the ankle, the Kellgren–Lawrence scale, as described for the hip, has been recommended. [16] The distances between the bones in the ankle are normally as follows: [17] Talus - medial malleolus: 1.70 ± 0.13 mm; Talus - tibial plafond: 2.04 ± 0.29 mm; Talus - lateral malleolus: 2.13 ± 0.20 mm
Because mesenchymal stem cells may regenerate cartilage, cartilage growth in human knees using autologous cultured mesenchymal stem cells is under research and preliminary clinical use, and appears to be safe as of 2016. [11] An advantage to this approach is that a person's own stem cells are used, avoiding tissue rejection by the immune system ...
The Ottawa knee rules are a set of rules used to help physicians determine whether an x-ray of the knee is needed. [1] They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following: Age 55 years or older; Tenderness at head of fibula; Isolated tenderness of patella
Interventional radiology (IR) is a medical specialty that performs various minimally-invasive procedures using medical imaging guidance, such as x-ray fluoroscopy, computed tomography, magnetic resonance imaging, or ultrasound.
Ligaments of the ankle. In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture. Before the introduction of the rules most patients with ankle injuries would have been imaged.
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Hip-knee-ankle angle (HKA), [11] which is an angle between the femoral mechanical axis and the center of the ankle joint. [12] It is normally between 1.0° and 1.5° of varus in adults. [13] The patient is to perform range-of-motion exercises, and hip, knee and ankle strengthening as directed daily.