Author Archives: Nicola Casartelli

Incidental meniscal findings on knee MRI in middle-aged and elderly persons

Meniscal damage detected on knee MRI is common among middle-aged and elderly persons with and without knee symptoms, and often accompanies knee osteoarthritis

Effect of intra-articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis: a randomized clinical trial

Intra-articular steroid injections do not result in less knee pain but greater cartilage volume loss in patients with symptomatic knee osteoarthritis

Impact of total knee replacement practice: cost effectiveness analysis of data from the Osteoarthritis Initiative

Total knee replacement has minimal effect on quality of life of patients with knee osteoarthritis, but its effectiveness would rise if the procedure were restricted to patients with more severe preoperatively functional status

Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial

An active training program aimed at improving muscle strength and coordination around the pelvis seems to be superior to conventional physiotherapy for the treatment of athletes with long-standing adductor-related groin pain

Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up

Arthroscopic partial meniscectomy is not superior to exercise for improving knee pain and function at two-years follow-up in middle aged patients with degenerative meniscal tears but no definitive evidence of knee osteoarthritis

The Besides Surgery Club

“The Besides Surgery Club” is my personal blog, created for all persons interested in the equipoise between the surgical and non-surgical management of various orthopaedic and sports medicine pathologies

A randomized trial of treatment for acute anterior cruciate ligament tears

Rehabilitation followed by early anterior cruciate ligament reconstruction does not result in less knee pain and better function than rehabilitation plus optional delayed anterior cruciate ligament reconstruction at two-years follow-up in young active adults with acute anterior cruciate ligament injury

Effect of physical therapy on pain and function in patients with hip osteoarthritis: a randomized clinical trial

A physical therapy program (exercise, manual therapy, education and advice) provides no additional benefits over sham treatment (inactive ultrasound, inert gel application) in improving pain and function at 9-months follow-up in patients with hip osteoarthritis

A randomized, controlled trial of total knee replacement

Total knee replacement followed by non-surgical management (exercise, education, dietary advice, use of insoles, pain medication) is superior to non-surgical management alone for improving knee pain and function at one-year follow-up in patients with end-stage knee osteoarthritis

Is there a dose-response relationship between weight loss and symptom improvement in persons with knee osteoarthritis?

Greater weight loss following a dietary and activity intervention results in greater pain relief and functioning in overweight and obese patients with symptomatic knee osteoarthritis, suggesting a dose-response relationship