52 results match your criteria: "Bedside Ultrasonography Joint Assessment"

Background: Recurrent hemarthrosis and resultant hemophilic arthropathy are significant causes of morbidity in persons with hemophilia, despite the marked evolution of hemophilia care. Prevention, timely diagnosis, and treatment of bleeding episodes are key. However, a physical examination or a patient's assessment of musculoskeletal pain may not accurately identify a joint bleed.

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Article Synopsis
  • Foot and ankle injuries commonly show up in Emergency Departments, especially in rural areas where patients may need to be transferred for imaging diagnostics like X-rays.
  • The study aimed to evaluate the effectiveness of the Ottawa Foot and Ankle Rules (OFAR) combined with Point of Care Ultrasound (POCUS) to assess foot and ankle pain in rural settings.
  • Conducted from June to August 2022, the study revealed that novice POCUS users could accurately interpret ultrasound results, achieving high sensitivity (100%) and specificity (94%) when identifying fractures compared to subsequent radiographic evaluations.
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In the field of wound care, the prescription of antibiotics and antimicrobials is haphazard and irrational, which has led to unchecked overprescribing. Recent Joint Commission guidelines mandate that hospital outpatient clinics develop and implement antimicrobial stewardship programs (ASPs). Yet few ASPs exist in wound clinics across the United States (US).

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Background: Impaired microcirculation is a cornerstone of sepsis development and leads to reduced tissue oxygenation, influenced by fluid and catecholamine administration during treatment. Hyperspectral imaging (HSI) is a non-invasive bedside technology for visualizing physicochemical tissue characteristics. Machine learning (ML) for skin HSI might offer an automated approach for bedside microcirculation assessment, providing an individualized tissue fingerprint of critically ill patients in intensive care.

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Exploring the utility of bedside tests for predicting cardiorespiratory fitness in older adults.

Aging Med (Milton)

February 2024

Centre of Metabolism, Ageing & Physiology (COMAP), MRC-Versus Arthritis Centre for Musculoskeletal Ageing Research (CMAR), and Nottingham NIHR Biomedical Research Centre, School of Medicine University of Nottingham Derby UK.

Objectives: Cardiorespiratory fitness (CRF) declines with advancing and has also, independent of age, been shown to be predictive of all-cause mortality, morbidity, and poor clinical outcomes. In relation to the older patient, there is a particular wealth of evidence highlighting the relationship between low CRF and poor surgical outcomes. Cardiopulmonary exercise testing (CPET) is accepted as the gold-standard measure of CRF.

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Assessment of Musculoskeletal Ultrasound of Rheumatoid Arthritis.

Methods Mol Biol

January 2024

Department of Hematology, Clinical Immunology and Infectious Diseases, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.

Musculoskeletal ultrasound (MSUS) is a valuable tool that is used in outpatient clinics or at the bedside to assess multiple joint sites, including small joints. It provides detailed images of structures commonly observed in rheumatoid arthritis (RA), such as synovitis, tenosynovitis, bone erosions, cartilage damage, and synovial fluid accumulation. MSUS is frequently used in the management of RA and provides more objective information for an early diagnosis and disease activity assessment through imaging findings.

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  • The study aimed to measure kidney blood flow in brain-dead organ donors using contrast-enhanced ultrasonography (CEUS) to predict the risk of delayed graft function (DGF) after transplantation.
  • Researchers analyzed 90 donor kidneys and developed a new predictive index (CEUS-KDPI) based on various kidney perfusion metrics.
  • CEUS-KDPI demonstrated high accuracy in predicting DGF, suggesting it could be a useful noninvasive tool for evaluating kidneys before they are transplanted.
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Background: Synovitis is one of the defining characteristics of osteoarthritis (OA) in the carpometacarpal (CMC1) joint of the thumb. Quantitative characterization of synovial volume is important for furthering our understanding of CMC1 OA disease progression, treatment response, and monitoring strategies. In previous studies, three-dimensional ultrasound (3-D US) has demonstrated the feasibility of being a point-of-care system for monitoring knee OA.

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Purpose: We sought to externally validate ultrasonography (US) for quantification of suprapatellar effusion size to improve diagnosis and individualised rehabilitation strategies in knee rehabilitation after anterior cruciate ligament reconstruction (ACLR) surgery.

Methods: US was performed on 35 patients as part of the ongoing CAMOPED study. Data were collected in ACLR and post surgery in defined intervals up to one year post-operation.

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A retrospective study of hip posterior fracture-dislocation: closed reduction at the emergency department or in the operation theater?

J Orthop Traumatol

December 2022

Division of Orthopedic Traumatology, Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, 33302, Tao-Yuan City, Taiwan.

Background: For hip posterior fracture-dislocation, the current consensus is to perform joint reduction within 6 h to prevent sequelae. However, whether a closed reduction (CR) should be performed at the emergency department (ED) or in the operation theater (OT) remains debatable. We aimed to assess the incidence and factors predictive of CR failure at the ED in patients with hip posterior fracture-dislocation.

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  • The study aimed to create a reliable ultrasound (US) scanning protocol for diagnosing inflammatory lesions in children's ankles affected by arthritis.
  • Pediatric rheumatologists developed a standardized set of imaging views and scoring systems, assessing the reliability of these tools through multiple rounds of scoring and practical exercises.
  • The final scoring system showed high reliability in measuring synovitis and tenosynovitis with intraclass correlation coefficients (ICCs) ranging from 0.86 to 0.96, paving the way for potential clinical and research applications.
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Glenohumeral joint effusion assessment with point-of-care ultrasound.

JAAPA

July 2022

Brian J. Ahern practices in emergency medicine at William Beaumont Army Medical Center in El Paso, Tex. Audrey E. Falconi practices at Madigan Army Medical Center at Joint Base Lewis-McChord in Washington State. The views expressed in this article are those of the authors and do not reflect the official policy of William Beaumont Army Medical Center, the Department of Army, the Defense Health Agency, or the US government. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Ultrasound has favorable diagnostic accuracy for detecting glenohumeral joint effusions. This article describes an easy-to-learn and interpret limited glenohumeral joint ultrasound examination that can help guide further evaluation and treatment. We report on a patient ultimately diagnosed with septic arthritis of the glenohumeral joint, the associated joint effusion having been detected on bedside ultrasound.

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Background: Mammographic screening has reduced mortality in women through the early detection of breast cancer. However, the sensitivity for breast cancer detection is significantly reduced in women with dense breasts, in addition to being an independent risk factor. Ultrasound (US) has been proven effective in detecting small, early-stage, and invasive cancers in women with dense breasts.

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Background: Prompt diagnosis of bone marrow lesion (BML) is difficult but critical for correct treatment. Magnetic resonance imaging is the gold standard, although expensive and time consuming. Simple and reliable clinical test for BML detection is lacking.

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Purpose: Acute arterial thrombosis after hip arthroplasty is a rare event associated with potentially catastrophic complications. Early clinical diagnosis of progressive limb ischemia is often difficult in the immediate postoperative period because of residual neuraxial blockade and the nonspecific nature of signs. We describe the use of point-of-care ultrasound (POCUS) in the postanesthesia care unit (PACU) to diagnose this complication early and facilitate timely intervention.

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The recent evolution of ultrasound in juvenile idiopathic arthritis.

Clin Exp Rheumatol

November 2021

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

Juvenile idiopathic arthritis (JIA) is the most common chronic joint disease in paediatric rheumatology. Over the last two decades, ultrasound (US) has emerged as a tool with the potential to enhance disease assessment and management of JIA. This imaging modality is safe and well tolerated by children and can be easily applied bedside in the clinical setting.

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Septic Arthritis of Facet Joint in Children: A Systematic Review and a 10-year Consecutive Case Series.

Pediatr Infect Dis J

May 2021

Service de Réanimation Pédiatrique et d'Accueil des Urgences, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.

Background: Due to the low resolution of historical imaging technologies, descriptions of Septic Arthritis of Facet Joint (SAFJ) in children are scarce, though severe cases are known. We first aimed to estimate the incidence rate of SAFJ in children; we further aimed to specify SAFJ clinical, imaging and laboratory findings, and identify avenues for appropriate management.

Methods: A 10-year consecutive SAFJ case series using our imaging center database combined with a 50-year systematic review of literature cases.

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The Role of Point-of-Care Ultrasound (POCUS) in Envenomation by a Desert Viper.

Am J Case Rep

August 2020

Department of Emergency Medicine, Hamad Medical Corporation, Doha, Qatar.

BACKGROUND There are few reports of crotaline envenomation in Qatar, where clinically significant snakebite is infrequently encountered. This report presents a case that resulted in significant hematotoxicity. The report introduces the concept that there may be a role for point-of-care ultrasound (POCUS) as an Emergency Department (ED) bedside imaging tool in the early evaluation of crotaline snakebites.

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Objectives: Accurate diagnosis of osteoarthritis (OA) is the first important step in ensuring appropriate management of the disease. A multitude of tests involving assessment of biomarkers help in assessment of severity and grading of osteoarthritic damage. However, most tests are time consuming and are limited by the paucity in synovial fluid volume.

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Clinical applications of ultrasonography in the shoulder for the Orthopedic Surgeon: A systematic review.

Orthop Traumatol Surg Res

October 2020

Division of Orthopedic Surgery, University of Toronto, Toronto, Canada. Electronic address:

Background: Ultrasound imaging offers a non-invasive method to visualize the anatomy and function of the musculoskeletal system. Despite its benefits and widespread adoption in medicine, ultrasonography is still not well utilized by orthopaedic surgeons. The purpose of this systematic review was to provide a better understanding of the diagnostic accuracy and clinical utility of ultrasound of the shoulder for orthopaedic surgeons.

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Monteggia fracture: an easy fracture to miss.

Emerg Radiol

August 2020

Monash Imaging, Monash Health, 246 Clayton Rd, Clayton, 3168, VIC, Australia.

Purpose: To assess the incidence of missed Monteggia fracture by radiologists and bedside clinicians (emergency and orthopaedic doctors) at a tertiary hospital.

Methods: A comprehensive search was conducted on Picture Archiving and Communication System (PACS) and electronic medical records (EMR) between Jan 2010 and April 2019. All consecutive paediatric and adult patients who presented to the emergency department with the diagnosis of Monteggia fracture were included.

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Accuracy of Remote Interpretation of Pediatric Emergency Ultrasound Over Third Generation Networks Across Continents.

Pediatr Emerg Care

June 2020

From the Section of Emergency Medicine, Department of Pediatrics, School of Medicine, Yale University, New Haven, CT.

Objective: This study aimed to evaluate live-stream videos for evaluation of pediatric emergency medicine ultrasound using a third generation (3G) network.

Methods: The interrater reliability of a remote 3G network live-streaming assessment of ultrasound scans for abdominal free fluid, intussusception, and hip effusions was evaluated. Fifty-eight deidentified 6-second video clips in .

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Objective: The neural mechanisms of pain in knee osteoarthritis (OA) are not fully understood, and some patients have neuropathic-like pain associated with central sensitization. To address this, we undertook the present study in order to identify central sensitization using neuroimaging and PainDETECT and to relate it to postarthroplasty outcome.

Methods: Patients awaiting arthroplasty underwent quantitative sensory testing, psychological assessment, and functional magnetic resonance imaging (fMRI).

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Objectives: Musculoskeletal ultrasound (MSUS) has a crucial role in clinical assessment and monitoring of patients with rheumatologic diseases. Early detection of joint cartilage destruction is difficult. MSUS is a cheap, noninvasive, nonhazardous bedside tool that can be used for detection of cartilage damage.

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[Ultrasound of the elbow-standard examination technique and normal anatomy].

Radiologe

November 2018

Institut für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

Clinical/methodical Issue: Ultrasound of the elbow facilitates easily accessible evaluation of different pathologic conditions. The background for evaluating any pathologic state is the well-grounded knowledge of normal anatomy and standard ultrasound technique.

Standard Radiological Methods/methodical Innovations/performance: A unique feature of ultrasound compared to other imaging modalities of the elbow is the possibility of dynamic imaging, the examination of the patient at the bedside and the direct assessment of the contralateral side as a reference.

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