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GROUP D: INFLAMMATORY ARTHRITIS
Diagnosis Patients complain of swollen and inflamed joints with no obvious trauma. There may be single or multiple joint involvements with or without system symptoms. There may be a history of flare-ups. There are multiple causes for inflammatory knee arthritis and management will depend on the diagnosis, usually initiated by blood test investigations including CRP,…
Introduction
mike Lorem ipsum dolor sit amet, consectetur adipiscing elit. Morbi malesuada mauris interdum mauris sollicitudin egestas aliquet eros faucibus. Cras suscipit pharetra lectus vitae blandit. Nullam cursus, mi ac tempor aliquet, ipsum nibh pellentesque ligula, sit amet elementum orci lorem in neque. Nunc ac diam odio, in congue libero. Vestibulum ante ipsum primis in faucibus…
Mechanism of Injury
Typically, the ACL is injured in a non-contact, twisting movement involving rapid deceleration on the leg, or a sudden change of direction, such as during side stepping, pivoting or landing from a jump . Injuries are often associated with a popping sensation followed by swelling in the knee over the next few hours due to…
Recent Presentations
Recent Presentations to learned societies (Since 2007) Spalding TJW Rathinam M, Hussain F. Thompson P. Biological resurfacing of the knee.BASK Spring Meeting, Belfast March 2007 (Poster) Spalding TJW, Rathinam M, Thompson P. The 5 to 9 year results of Autologous Chondrocyte Implantation cartilage repair of the knee in active Armed Forces personnelEFORT congress Florence, Italy….
Pre-operative preparation
Preoperatively in outpatients alignment x-rays of the whole of both legs are taken to help determine the exact amount of correction required. A hinged knee brace is ordered which will support the leg while the bone heals and yet it will allow some early range of movement exercises.
Basic Science and Articular Cartilage Healing
Basic Science and Articular Cartilage Healing Articular cartilage has no blood supply and no nerve supply. Chondrocytes (articular cartilage cells) obtain their nutrition from the synovial fluid while the underlying bone provides nutrition to the deeper layers. Chondrocytes function to produce the extracellular matrix and work hard to produce proteoglycans. Collagen fibres turn over less…
