Sympathetically mediated anterior knee pain

Butler-Manuel, P. A.; Justins, D. M.; Heatley, F.W.

doi:10.3109/17453679209154858

Cited by 16 publications

(6 citation statements)

References 7 publications

(5 reference statements)

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“…We found that the scintigrams of 44% of the painful knees and 52% of the patients showed diffuse uptake. This is in agreement with previous studies 13 15 17 which reported uptake in 40-55% of the patients.…”

Section: Discussionsupporting

confidence: 94%

“…Butler-Manuel, 13 Hejgaard and Diemer, 15 and Dye and Boll 17 have reported diffused uptake on bone scintigraphy in 40-55% of patients with PFPS. The authors, however, interpreted this finding differently.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, other studies have reported diffuse uptake on bone scintigraphy in patients suffering from PFPS despite different inclusion criteria. 13 15 17 This could indicate that bone metabolism is involved in approximately half of the patients diagnosed with PFPS and AKP.…”

Section: Discussionmentioning

confidence: 99%

“…10 11 Merchant 12 suggested that one subgroup of PFPS was reflex sympathetic dystrophy of the patella. Butler-Manuel 13 reported an involvement of the sympathetic nervous system in PFPS.…”

mentioning

confidence: 99%

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Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome

Odenbring

Näslund³

et al. 2005

Br J Sports Med

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Objectives: Painful disorders of the patellofemoral joint are one of the most frequent complaints in orthopaedic and sports medicine. The aims of this study were to determine whether bone scintigrams of patients suffering from patellofemoral pain syndrome (PFPS) show diffuse uptake and in what bony compartment of the knee uptake, if any, was localised. Methods: Fifty eight patients with chronic PFPS were examined. All patients underwent a detailed clinical history and a thorough physical examination of the knee. Anterior and lateral static images of both knees were made using a gamma camera 3 h after injection of 550 MBq of 99m Tc-HMDP. Two experienced radiologists visually evaluated the scans blindly and separately. As 51 patients had bilateral pain, 109 painful knees are included in the results. Results: Diffuse uptake on bone scintigrams was found in 48 knees in 30 of the patients. In 33 knees the uptake was localised to only one bone compartment, in 10 knees diffuse uptake was found in two of the bones forming the knee joint, and in six knees all three bone compartments (the distal femur, the patella, and the proximal tibia) exhibited diffuse uptake. Conclusions: Scintigrams of approximately half of the patients with PFPS will show diffuse uptake in one or more of the bony compartments of the knee joint and radioactive tracer accumulation will occur as often in the proximal tibia as in the patella.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…10 11 Merchant 12 suggested that one subgroup of PFPS was reflex sympathetic dystrophy of the patella. Butler-Manuel 13 reported an involvement of the sympathetic nervous system in PFPS.…”

mentioning

confidence: 99%

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Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome

Odenbring

Näslund³

et al. 2005

Br J Sports Med

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“…The participant has a permanent "hot foot" with a 4.0 degree Celsius temperature difference between the participant's left and right foot found at baseline, a sign of permanent sympathectomisation. [6] The participant was normotensive and an otherwise active and healthy non-smoker. The participant was relatively active, undertaking a minimum of 4.5 hours of moderate and high intensity exercise per week including team sports and strength and resistance training.…”

Section: Case Presentationmentioning

confidence: 99%

The effects of lumbar sympathectomy on bone and soft tissue haemodynamics of the leg recorded using near infrared spectroscopy: A case report

Meertens

Knapp

Casanova

et al. 2016

JBEI

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Near infrared spectroscopy (NIRS) is an established tool for the measurement of microvascular haemodynamics in different tissue types. This case report outlines the novel use of NIRS for measuring total oxygenation index (TOI) and relative oxygenated and deoxygenated haemoglobin concentration changes as markers of oxygenation and blood volume in muscle and bone tissue. In particular, NIRS is used to examine differences between the left and right leg in a participant who has experienced a permanent unilateral lumbar sympathectomy following an anterior lumbar intervertebral fusion. Anatomical sites at the lateral head of the gastrocnemius, tibial diaphysis and proximal tibia were investigated with NIRS during an arterial occlusion protocol at the distal femur. Consistent differences were observed between the sympathectomised left leg and the normal right leg. These included reduced baseline TOI, reduced deoxygenation rates during occlusion, and reduced reoxygenation rates post occlusion release in the sympathectomised leg at all anatomical sites. This case report demonstrates the potential of NIRS as a research tool for investigating the microvascular effects of lumbar sympathectomy. This may be useful for further investigation into the merit of chemical lumbar sympathectomy for the treatment of a variety of conditions, including hyperhidrosis and peripheral vascular disease.

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In Search of the Etiology of Anterior Knee Pain

Näslund

2011

Anterior Knee Pain and Patellar Instability

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Sympathetically mediated anterior knee pain

Cited by 16 publications

References 7 publications

Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome

Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome

The effects of lumbar sympathectomy on bone and soft tissue haemodynamics of the leg recorded using near infrared spectroscopy: A case report

In Search of the Etiology of Anterior Knee Pain

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