Size of Medial Knee Osteophytes Correlates With Knee Alignment But Not With Coronal Laxity in Patients With Medial Knee Osteoarthritis

2019 ◽  
Vol 38 (3) ◽  
pp. 639-644
Author(s):  
Yoshinori Ishii ◽  
Hideo Noguchi ◽  
Junko Sato ◽  
Hana Ishii ◽  
Ryo Ishii ◽  
...  
2014 ◽  
Vol 30 (5) ◽  
pp. 632-636 ◽  
Author(s):  
Joaquin A. Barrios ◽  
Danielle E. Strotman

The prevalence of medial knee osteoarthritis is greater in females and is associated with varus knee alignment. During gait, medial knee osteoarthritis has been linked to numerous alterations. Interestingly, there has been no research exploring sex differences during walking in healthy individuals with and without varus alignment. Therefore, the gait mechanics of 30 asymptomatic individuals with varus knees (15 females) and 30 normally-aligned controls (15 females) were recorded. Gait parameters associated with medial knee osteoarthritis were analyzed with two-factor analyses of variance. In result, varus males exhibited the greatest peak knee adduction moments, while normal females showed the greatest peak hip adduction angles and pelvic drop excursions. By sex, females exhibited greater peak hip adduction angles and moments and greater pelvic drop excursion, but lesser peak knee adduction angles. By alignment type, varus subjects exhibited greater peak knee adduction angles and moments, midstance knee flexion angles and excursion, and eversion angles and lateral ground reaction forces, but lesser peak hip adduction angles. In conclusion, females generally presented with proximal mechanics related to greater hip adduction, whereas males presented with more knee adduction. Varus subjects demonstrated a number of alterations associated with medial knee osteoarthritis. The differential sex effects were far less conclusive.


2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Hiroshi Ohi ◽  
Hirotaka Iijima ◽  
Tomoki Aoyama ◽  
Eishi Kaneda ◽  
Kazuko Ohi ◽  
...  

2021 ◽  
pp. 026921552199363
Author(s):  
Martin Schwarze ◽  
Leonie P Bartsch ◽  
Julia Block ◽  
Merkur Alimusaj ◽  
Ayham Jaber ◽  
...  

Objective: To compare biomechanical and clinical outcome of laterally wedged insoles (LWI) and an ankle-foot orthosis (AFO) in patients with medial knee osteoarthritis. Design: Single-centre, block-randomized, cross-over controlled trial. Setting: Outpatient clinic. Subjects: About 39 patients with symptomatic medial knee osteoarthritis. Interventions: Patients started with either LWI or AFO, determined randomly, and six weeks later changed to the alternative. Main measures: Change in the 1st maximum of external knee adduction moment (eKAM) was assessed with gait analysis. Additional outcomes were other kinetic and kinematic changes and the patient-reported outcomes EQ-5D-5L, Oxford Knee Score (OKS), American Knee Society Clinical Rating System (AKSS), Hannover Functional Ability Questionnaire – Osteoarthritis and knee pain. Results: Mean age (SD) of the study population was 58 (8) years, mean BMI 30 (5). Both aids significantly improved OKS (LWI P = 0.003, AFO P = 0.001), AKSS Knee Score (LWI P = 0.01, AFO P = 0.004) and EQ-5D-5L Index (LWI P = 0.001, AFO P = 0.002). AFO reduced the 1st maximum of eKAM by 18% ( P < 0.001). The LWI reduced both maxima by 6% ( P = 0.02, P = 0.03). Both AFO and LWI reduced the knee adduction angular impulse (KAAI) by 11% ( P < 0.001) and 5% ( P = 0.05) respectively. The eKAM (1st maximum) and KAAI reduction was significantly larger with AFO than with LWI ( P = 0.001, P = 0.004). Conclusions: AFO reduces medial knee load more than LWI. Nevertheless, no clinical superiority of either of the two aids could be shown.


2010 ◽  
Vol 62 (4) ◽  
pp. 496-500 ◽  
Author(s):  
Michael A. Hunt ◽  
Fiona J. McManus ◽  
Rana S. Hinman ◽  
Kim L. Bennell

2020 ◽  
Vol 38 (10) ◽  
pp. 2262-2271
Author(s):  
Xavier Robert‐Lachaine ◽  
Yoann Dessery ◽  
Étienne L. Belzile ◽  
Sylvie Turmel ◽  
Philippe Corbeil

2014 ◽  
Vol 47 (2) ◽  
pp. 445-450 ◽  
Author(s):  
Yen-Hung Liu ◽  
Ting-Ming Wang ◽  
I-Pin Wei ◽  
Tung-Wu Lu ◽  
Shih-Wun Hong ◽  
...  

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