Knee Arthritis
Conditions
Brief summary
Knee osteoarthritis (KOA) is a common knee disorder. The pathological changes affecting the knee are typically examined by using X-ray imaging to assess the narrowing of the joint space and the presence of osteophytes. However, some previous clinical trials have revealed a discrepancy between the severity of joint pain and the image finding even with the use of knee MRI. Some studies have revealed that there are age-related changes in the type of fibers with the formation of a network of transverse fiber bands, and this may cause some compression or traction on the neurovascular content of the adductor canal. Other studies noted the presence of excessive yellow-colored adipose tissue that stretches or entangles some nerve fibers. The primary outcome of this study will be the incidence rate of tenderness over the midthigh corresponding to the AC in patients with KOA who are complaining of severe pain that is discordant with the radiological finding.
Interventions
OTHERadductor canal clinical examination
clinical examination of the adductor canal in patients with knee pain not matching the radiological changes
Sponsors
Cairo University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Adult patients with confirmed KOA by symptomatic (rated knee pain \> four on a 10-point numeric rating pain scale (NRP scale)) and radiologically (Kellgren-Lawrence grades I, II ) findings
Exclusion criteria
* Post-traumatic knee osteoarthritis, oncological diseases, endocrine diseases (gout, diabetes), autoimmune diseases (rheumatoid arthritis), infectious diseases and patients with a history of previous knee surgeries or endoscopies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of tenderness corresponding to the AC in patients complaining of severe pain with discordant with the radiological finding | time of clinical examination at the date of the visit to the pain clinic till the knee interventions up to 2 days | the presence of tenderness by hand pressing over AC for 3-4 cm depth |
Countries
Egypt
Outcome results
None listed