Diagnosis and Management of Extra-articular Causes of Pain After Total Knee Arthroplasty

Blaine T. Manning, Natasha Lewis, Tony H. Tzeng, Jamal K. Saleh, Anish G.R. Potty, Douglas A. Dennis, William Mihalko, Stuart B. Goodman, Khaled J. Saleh

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Postoperative pain, which has been attributed to poor outcomes after total knee arthroplasty (TKA), remains problematic for many patients. Although the source of TKA pain can often be delineated, establishing a precise diagnosis can be challenging. It is often classified as intra-articular or extra-articular pain, depending on etiology. After intra-articular causes, such as instability, aseptic loosening, infection, or osteolysis, have been ruled out, extra-articular sources of pain should be considered. Physical examination of the other joints may reveal sources of localized knee pain, including diseases of the spine, hip, foot, and ankle. Additional extra-articular pathologies that have potential to instigate pain after TKA include vascular pathologies, tendinitis, bursitis, and iliotibial band friction syndrome. Patients with medical comorbidities, such as metabolic bone disease and psychological illness, may also experience prolonged postoperative pain. By better understanding the diagnosis and treatment options for extra-articular causes of pain after TKA, orthopaedic surgeons may better treat patients with this potentially debilitating complication.

Original languageEnglish (US)
Pages (from-to)381-388
Number of pages8
JournalInstructional course lectures
Volume64
StatePublished - Jan 1 2015
Externally publishedYes

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Knee Replacement Arthroplasties
Joints
Pain
Postoperative Pain
Iliotibial Band Syndrome
Pathology
Bursitis
Tendinopathy
Osteolysis
Friction
Metabolic Bone Diseases
Ankle
Physical Examination
Blood Vessels
Comorbidity
Hip
Foot
Knee
Spine
Psychology

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Manning, B. T., Lewis, N., Tzeng, T. H., Saleh, J. K., Potty, A. G. R., Dennis, D. A., ... Saleh, K. J. (2015). Diagnosis and Management of Extra-articular Causes of Pain After Total Knee Arthroplasty. Instructional course lectures, 64, 381-388.

Diagnosis and Management of Extra-articular Causes of Pain After Total Knee Arthroplasty. / Manning, Blaine T.; Lewis, Natasha; Tzeng, Tony H.; Saleh, Jamal K.; Potty, Anish G.R.; Dennis, Douglas A.; Mihalko, William; Goodman, Stuart B.; Saleh, Khaled J.

In: Instructional course lectures, Vol. 64, 01.01.2015, p. 381-388.

Research output: Contribution to journalReview article

Manning, BT, Lewis, N, Tzeng, TH, Saleh, JK, Potty, AGR, Dennis, DA, Mihalko, W, Goodman, SB & Saleh, KJ 2015, 'Diagnosis and Management of Extra-articular Causes of Pain After Total Knee Arthroplasty', Instructional course lectures, vol. 64, pp. 381-388.
Manning BT, Lewis N, Tzeng TH, Saleh JK, Potty AGR, Dennis DA et al. Diagnosis and Management of Extra-articular Causes of Pain After Total Knee Arthroplasty. Instructional course lectures. 2015 Jan 1;64:381-388.
Manning, Blaine T. ; Lewis, Natasha ; Tzeng, Tony H. ; Saleh, Jamal K. ; Potty, Anish G.R. ; Dennis, Douglas A. ; Mihalko, William ; Goodman, Stuart B. ; Saleh, Khaled J. / Diagnosis and Management of Extra-articular Causes of Pain After Total Knee Arthroplasty. In: Instructional course lectures. 2015 ; Vol. 64. pp. 381-388.
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