Synovial haemangioma of the knee joint: an unusual cause of knee pain in a 14-month old girl

Meniscus injuries are the most common traumatic conditions of the knee. If until the early 2000s, menisci were considered structures of no major importance in the knee joint, subsequent studies have shown their importance in the biomechanics of the knee. Their role is not only for the natural suspension of the joint, but also for the protection of the cartilage or the achievement of the efficient and uniform circulation of the synovial fluid. Therefore, disruption of this joint balance can lead, in the absence of a well-conducted treatment, to premature knee wear. Most of the time, these meniscal tears are accompanied by associated lessions, ligaments or more severely cartilaginous lessions, creating a real challenge for the physician, specially for young pacients. There are many conservative treatments of the damaged meniscus, imagined precisely in the idea of preserving the menisci as much as possible. However, this is not always possible, especially due to the type of traumatic injury.

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Functional Arthralgies of Knee Joint as a Complex Problem in the Modern Rehabilitation System

Ukraïnsʹkij žurnal medicini bìologìï ta sportu ◽

10.26693/jmbs06.05.056 ◽

2021 ◽

Vol 6 (5) ◽

pp. 56-62

Author(s):

T. G. Turitska ◽

◽

A. A. Vinnyk ◽

O. S. Snisar

Keyword(s):

Knee Joint ◽

Knee Pain ◽

Local Level ◽

Pain Syndrome ◽

Rehabilitation Program ◽

Google Scholar ◽

Sources Of Information ◽

Surgical Interventions ◽

Muscle Imbalance ◽

The Impact

The purpose of the study was to search for and analyze data from modern sources of information on the features of the occurrence and manifestations of pain in the knee joint and approaches to treatment. Materials and methods. The paper presents an analysis and generalization of modern scientific and methodological literature of domestic and foreign authors according to the Internet and Google Scholar service on the peculiarities of arthralgia of the knee joint and concomitant manifestations of this disorder (back pain, posture, etc.). Results and discussion. The article analyzed modern views on the occurrence and development of the process of pain syndrome in the knee joint. Sources on request in the Google Scholar service were analyzed, where the overwhelming majority of publications are described by pain slander and approaches to its treatment after the occurrence of anatomical changes in the structures of bone and soft-wound structures or after surgical interventions. Thus, the prevailing approach is the purpose of non-steroidal anti-inflammatory drugs in combination with chondroprotectors. According to the authors of the article, this approach to the treatment of pain in the area of the knee joint does not take into account one of the main components of the occurrence of arthralgia – muscle imbalance, both at the local level of the lower extremities and muscular-fascial chains. According to the theory of muscular chains, the dislocation of bones forming the knee joint leads to uneven loading of the femoral and tibial bones to the metaphizar deposits, which leads to a circulatory disorder and further leads to degenerative-dystrophic diseases. Understanding this component of pathogenesis can give a specialist in physical therapy and ergotherapy a more informed approach to the development of balanced treatment tactics aimed at eliminating the primary causes of pain syndrome. Conclusion. Pain in the knee joint can be caused not only by degenerative-dystrophic changes in the bones, but also can be associated with muscle imbalance of the posterior surface line. The development of a rehabilitation program for knee pain should include not only the use of local remedies, but also take into account the impact on the relevant reflex areas in the spine. Emerging degenerative-dystrophic processes in the bones that are part of the structure of the knee joint can be caused by their dislocation due to muscle imbalance. Uncontrolled and unauthorized use of analgesics by patients with knee pain can smooth the clinical picture and reduce the effectiveness of rehabilitation measures

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Two cases of synovial haemangioma of the knee joint: Gd-enhanced image features on MRI and arthroscopic excision

The Knee ◽

10.1016/j.knee.2010.10.004 ◽

2011 ◽

Vol 18 (6) ◽

pp. 509-511 ◽

Cited By ~ 14

Author(s):

Takahisa Sasho ◽

Koichi Nakagawa ◽

Kei Matsuki ◽

Hiroko Hoshi ◽

Masahiko Saito ◽

...

Keyword(s):

Knee Joint ◽

Image Features ◽

Arthroscopic Excision ◽

Synovial Haemangioma

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Correction: Six degree-of-freedom knee joint kinematics in obese individuals with knee pain during gait

PLoS ONE ◽

10.1371/journal.pone.0213084 ◽

2019 ◽

Vol 14 (2) ◽

pp. e0213084 ◽

Cited By ~ 1

Author(s):

Jing-Sheng Li ◽

Tsung-Yuan Tsai ◽

David T. Felson ◽

Guoan Li ◽

Cara L. Lewis

Keyword(s):

Knee Joint ◽

Knee Pain ◽

Joint Kinematics ◽

Degree Of Freedom ◽

Knee Joint Kinematics ◽

Six Degree Of Freedom

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Topical application of Chinese herbal medicine DAEP relieves the osteoarthritic knee pain in rats

Chinese Medicine ◽

10.1186/s13020-019-0278-1 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 2

Author(s):

Wing Sum Siu ◽

Wai Ting Shum ◽

Wen Cheng ◽

Chun Wai Wong ◽

Hoi Ting Shiu ◽

...

Keyword(s):

Knee Joint ◽

Protein Expression ◽

Knee Pain ◽

Topical Application ◽

Weight Ratio ◽

Treadmill Running ◽

Morphologic Change ◽

Chinese Herbal ◽

Iκb Kinase ◽

Gene And Protein Expression

Abstract Background The potential adverse effects of conventional oral pharmacotherapy of osteoarthritis (OA) restrict their long-term use. Topical application of a Chinese herbal paste for relieving OA knee pain can be effective and safe. However, evidence-based scientific research is insufficient to support its application worldwide. The aim of this study was to investigate the in vivo efficacy of a topical Chinese herbal paste on relieving OA knee pain and its underlying mechanism. Methods An OA rat model was developed by anterior cruciate ligament transection (ACLT) followed by treadmill running. A herbal paste including Dipsaci Radix, Achyranthis Bidentatae Radix, Eucommiae Cortex and Psoraleae Fructus, named as DAEP, was applied topically on the knee joint of the rats (DAEP). The rats without DAEP treatment served as Control. Rats with surgery but without ACLT, treadmill running and DAEP treatment acted as Sham. The morphologic change of the knee joint was observed radiographically. Nociception from the knee of the rats was assessed using Incapacitent test and CatWalk gait system. The therapeutic mechanism was investigated by analyzing the gene and protein expression of inflammatory markers via qPCR and Western blot, respectively. Results Radiographic images showed less destruction at the posterior tibial plateau of the DAEP group compared with the Control after 2 weeks of treatment. The static weight ratio and the gait parameters of the Control were reduced significantly via Incapacitance test and CatWalk gait analysis, respectively. DAEP treatment increased the Print Area and Maximum Intensity significantly compared with the Control. DAEP significantly suppressed the upregulation of gene expression of interleukin (IL)-6, tumor necrosis factor (TNF)-α, and inducible nitric oxide synthase (iNOS). Conclusions DAEP exhibited its effect via the nuclear factor (NF)-κB pathway by suppressing the phosphorylation of IκB kinase αβ (p-IKKαβ) and cyclooxygenase-2 (COX-2) protein expression. This study provides scientific evidence to support the clinical application of the Chinese herbal paste on reliving OA pain.

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