Joint crepitus--are we failing our patients?

Kingston University, St George's University of London, London, UK.
Physiotherapy Research International 12/2010; 15(4):185-8. DOI: 10.1002/pri.492
Source: PubMed
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    ABSTRACT: Articular release is a physiologic event that may or may not be audible. It is seen in patients with healthy joints as well as those with somatic dysfunction. After an articular release, there is a difference in joint spacing-with the release increasing the distance between articular surfaces. Not all noise that emanates from a joint signifies an articular release. A hypothesis about the noise that frequently accompanies this release is offered and includes anatomic, physiologic, and functional models of articular release. Repeated performance of articular release may decrease the occurrence of arthritis. Potential problems from repeated articular release (eg, hypermobility) are also examined.
    The Journal of the American Osteopathic Association 06/2002; 102(5):283-7.
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    Annals of the Rheumatic Diseases 08/1971; 30(4):348-58. DOI:10.1136/ard.30.4.348 · 10.38 Impact Factor
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    ABSTRACT: The detection and recording of vibration emission from human joints, a technique which we have termed "vibration arthrography", is a sensitive, non-invasive method for the objective study of the locomotor system. Using vibration sensors attached to bony prominences around the knee, we studied the joints of both normal and symptomatic subjects. Normal subjects produced three signal types--physiological patellofemoral crepitus, patellar clicks, and the lateral band signal. In symptomatic subjects we identified and categorised many signal types and related them to pathology. Lesions of the menisci produced distinctive signals, and it was possible not only to lateralise the tear, but in many cases to determine the type of meniscal injury present. Vibration arthrography promises to be a useful tool in the non-invasive diagnosis of knee disorders.
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