Rheumatology

Your Article Summary

See Latest Articles

Can an anterior quadriceps release improve range of motion in the stiff arthritic knee
Journal of Arthroplasty, 07/29/09

Tarabichi S et al. – The success in obtaining an immediate and significant improvement in range of motion (ROM) by releasing only the quadriceps muscle from its tethering adhesions and keeping other pathological changes such as large osteophytes, severe knee deformities, and irregular articular surfaces intact clearly demonstrates that the inadequate excursion of the quadriceps muscle and tendon is the main limiting factor to better knee flexion.

• Aim was to investigate if tethering adhesions of the quadriceps muscle are the major pathological structures responsible for a limited range of motion in the stiff arthritic knee
• 42 modified quadriceps muscle releases were performed on 24 pts with advanced OA scheduled for total knee arthroplasty
• Ranges of motion were documented intraoperatively both before and immediately after the release

• Passive flexion improved significantly in all pts following a modified quadriceps release, despite any presence of osteophytes or severe deformities
• These results strongly implicate adhesions of the quadricepsmuscle to the underlying femur, prevent the distal excursion of the quadriceps tendon

Related Articles

See all related articles

Graft Orientation Influences the Knee Flexion Moment During Walking in Patients With Anterior Cruciate Ligament Reconstruction
American Journal of Sports Medicine, 11/04/09    Relevance Score: 90%

Knee Extension and Flexion Weakness in People With Knee Osteoarthritis: Is Antagonist Cocontraction a Factor
Journal of Orthopaedic & Sports Physical Therapy, 11/02/09    Relevance Score: 90%

Knee Extension and Flexion Weakness in People With Knee Osteoarthritis: Is Antagonist Co-contraction a Factor
Journal of Orthopaedic & Sports Physical Therapy, 10/26/09    Relevance Score: 90%

The effect of religious practice on the prevalence of knee osteoarthritis
Clinical Rheumatology, 10/22/09    Relevance Score: 89%

Flexion contractures in secondary adrenal insufficiency
Clinical Rheumatology, 10/22/09    Relevance Score: 88%

Today in Osteoarthritis...keeping you current

Receive free subspecialty "5-minute updates" via email

The morbid anatomy of "erosive osteoarthritis" of the interphalangeal finger joints. an optimized scoring system to monitor disease progression in affected joints
Annals of Rheumatic Diseases, 12/11/09

Clinical observation on treatment of knee osteoarthritis by warm needling method
Journal of Acupuncture and Tuina Science, 12/11/09

Insurer and out-of-pocket costs of osteoarthritis in the US: Evidence from national survey data
Arthritis & Rheumatism, 12/10/09

 See all of Osteoarthritis