{"id":"https://openalex.org/W4403135599","doi":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","title":"Co-existing Ankylosing Spondylitis and Rheumatoid Arthritis in a Patient Undergoing Total Knee Arthroplasty Under Peripheral Nerve Blocks","display_name":"Co-existing Ankylosing Spondylitis and Rheumatoid Arthritis in a Patient Undergoing Total Knee Arthroplasty Under Peripheral Nerve Blocks","publication_year":2024,"publication_date":"2024-01-01","ids":{"openalex":"https://openalex.org/W4403135599","doi":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","pmid":"https://pubmed.ncbi.nlm.nih.gov/39381283","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11458230"},"language":"en","primary_location":{"id":"doi:10.13107/jocr.2024.v14.i10.4816","doi":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029784049","display_name":"Sahil A. Sanghavi","orcid":"https://orcid.org/0000-0002-2217-2976","observed_orcids":["https://orcid.org/0000-0002-2217-2976"]},"institutions":[{"id":"https://openalex.org/I4210131763","display_name":"Sancheti Institute For Orthopaedics & Rehabilitation","ror":"https://ror.org/03yyfkv62","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210131763"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Sahil Sanghavi","raw_affiliation_strings":["Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210131763"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074921218","display_name":"Aashiket Sable","orcid":"https://orcid.org/0000-0003-2551-270X","observed_orcids":["https://orcid.org/0000-0003-2551-270X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aashiket Sable","raw_affiliation_strings":["Department of Arthroscopy and Sports Medicine, Sportsmed, Mumbai, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Arthroscopy and Sports Medicine, Sportsmed, Mumbai, Maharashtra, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037987777","display_name":"Rajeev Joshi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210131763","display_name":"Sancheti Institute For Orthopaedics & Rehabilitation","ror":"https://ror.org/03yyfkv62","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210131763"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rajeev Joshi","raw_affiliation_strings":["Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210131763"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002535020","display_name":"Bharati Adhye","orcid":"https://orcid.org/0000-0002-0924-308X","observed_orcids":["https://orcid.org/0000-0002-0924-308X"]},"institutions":[{"id":"https://openalex.org/I4210131763","display_name":"Sancheti Institute For Orthopaedics & Rehabilitation","ror":"https://ror.org/03yyfkv62","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210131763"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Bharati Adhye","raw_affiliation_strings":["Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210131763"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017681206","display_name":"Parag Kantilal Sancheti","orcid":"https://orcid.org/0000-0002-8903-1430","observed_orcids":["https://orcid.org/0000-0002-8903-1430"]},"institutions":[{"id":"https://openalex.org/I4210131763","display_name":"Sancheti Institute For Orthopaedics & Rehabilitation","ror":"https://ror.org/03yyfkv62","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210131763"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Parag Sancheti","raw_affiliation_strings":["Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210131763"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5049768234","display_name":"Ashok Kumar Shyam","orcid":"https://orcid.org/0000-0002-4022-0214","observed_orcids":["https://orcid.org/0000-0002-4022-0214"]},"institutions":[{"id":"https://openalex.org/I4210131763","display_name":"Sancheti Institute For Orthopaedics & Rehabilitation","ror":"https://ror.org/03yyfkv62","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210131763"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ashok Shyam","raw_affiliation_strings":["Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210131763"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5029784049"],"corresponding_institution_ids":["https://openalex.org/I4210131763"],"apc_list":{"value":250,"currency":"USD","value_usd":250},"apc_paid":{"value":250,"currency":"USD","value_usd":250},"fwci":0.2466,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.46992126,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":93},"biblio":{"volume":"14","issue":"10","first_page":"73","last_page":"78"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11092","display_name":"Spondyloarthritis Studies and Treatments","score":0.9545999765396118,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11092","display_name":"Spondyloarthritis Studies and Treatments","score":0.9545999765396118,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.011300000362098217,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.00419999985024333,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ankylosing-spondylitis","display_name":"ankylosing spondylitis","score":0.9959999918937683},{"id":"https://openalex.org/keywords/rheumatoid-arthritis","display_name":"rheumatoid arthritis","score":1.0},{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.9959999918937683},{"id":"https://openalex.org/keywords/peripheral-nerve-block","display_name":"peripheral nerve block","score":0.8579999804496765},{"id":"https://openalex.org/keywords/femoral-nerve-block","display_name":"femoral nerve block","score":0.9800000190734863},{"id":"https://openalex.org/keywords/obturator-nerve-block","display_name":"obturator nerve block","score":0.9990000128746033},{"id":"https://openalex.org/keywords/ultrasound-guided-regional-anesthesia","display_name":"ultrasound-guided regional anesthesia","score":0.824999988079071},{"id":"https://openalex.org/keywords/diagnostic-challenges","display_name":"diagnostic challenges","score":0.44999998807907104},{"id":"https://openalex.org/keywords/knee-arthritis","display_name":"knee arthritis","score":0.4320000112056732}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.970546543598175},{"id":"https://openalex.org/C2777402515","wikidata":"https://www.wikidata.org/wiki/Q52849","display_name":"Ankylosing spondylitis","level":2,"score":0.8789459466934204},{"id":"https://openalex.org/C2777575956","wikidata":"https://www.wikidata.org/wiki/Q187255","display_name":"Rheumatoid arthritis","level":2,"score":0.6519960761070251},{"id":"https://openalex.org/C125567185","wikidata":"https://www.wikidata.org/wiki/Q3267428","display_name":"Supine position","level":2,"score":0.6143940091133118},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.5459848642349243},{"id":"https://openalex.org/C2779650986","wikidata":"https://www.wikidata.org/wiki/Q2165411","display_name":"Spondylitis","level":3,"score":0.5378938913345337},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.514609694480896},{"id":"https://openalex.org/C2777077863","wikidata":"https://www.wikidata.org/wiki/Q170990","display_name":"Arthritis","level":2,"score":0.4313507080078125},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1298258900642395}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.13107/jocr.2024.v14.i10.4816","doi":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11458230","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11458230","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11458230/pdf/JOCR-14-73.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"},{"id":"pmid:39381283","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39381283","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.13107/jocr.2024.v14.i10.4816","doi":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2024.v14.i10.4816","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4403135599.pdf","grobid_xml":"https://content.openalex.org/works/W4403135599.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W196753297","https://openalex.org/W1968802040","https://openalex.org/W1991375462","https://openalex.org/W1992679755","https://openalex.org/W2020500997","https://openalex.org/W2021650798","https://openalex.org/W2035642791","https://openalex.org/W2072632361","https://openalex.org/W2080782971","https://openalex.org/W2089313058","https://openalex.org/W2121597127","https://openalex.org/W2273957273","https://openalex.org/W2332408752","https://openalex.org/W2615629158","https://openalex.org/W4323054024"],"related_works":["https://openalex.org/W3021646245","https://openalex.org/W3143987209","https://openalex.org/W2416815348","https://openalex.org/W2020500997","https://openalex.org/W2332408752","https://openalex.org/W2952532356","https://openalex.org/W2615629158","https://openalex.org/W2410643200","https://openalex.org/W3146421358","https://openalex.org/W4410705435"],"abstract_inverted_index":{"Introduction:":[0],"While":[1],"laboratory":[2,79,237],"tests":[3],"and":[4,19,34,78,85,97,138,174,180,236,243],"clinical":[5],"criteria":[6],"are":[7],"well-defined,":[8],"simultaneous":[9],"presence":[10],"of":[11,23,46,95,100,107,117,123,226],"concomitant":[12],"symptoms":[13],"can":[14,86,212,244],"lead":[15],"to":[16,140,154,223],"a":[17,44,88,108,114,129,160,166,246],"misdiagnosis":[18],"delay":[20],"in":[21,61,170,184],"initiation":[22],"appropriate":[24],"pharmacotherapy.":[25],"Similarly,":[26],"natural":[27],"joint":[28,64],"disease":[29],"progression":[30],"may":[31],"also":[32],"vary":[33],"present":[35],"with":[36,50,75,142,221,233],"atypical":[37],"presentations.":[38],"Case":[39],"Report:":[40],"Here":[41],"we":[42],"report":[43,104],"case":[45,106,116],"Ankylosing":[47],"Spondylitis":[48],"(AS)":[49],"Rheumatoid":[51,157],"Arthritis":[52],"(RA)":[53],"proven":[54],"clinically,":[55],"radiologically,":[56],"as":[57,59],"well":[58],"serologically,":[60],"whom":[62],"multiple":[63],"replacement":[65,196],"procedures":[66],"were":[67,188],"performed.":[68],"The":[69,125,149,193],"association":[70,232],"between":[71],"these":[72,227],"two":[73],"conditions":[74,228],"overlapping":[76,234],"features":[77,235],"markers":[80,238],"constitutes":[81,239],"an":[82,175,240],"interesting":[83,241],"phenomenon":[84,242],"pose":[87,245],"diagnostic":[89,247],"dilemma,":[90],"thus,":[91],"increasing":[92],"the":[93,105,121,171,185,224],"importance":[94],"awareness":[96],"early":[98],"diagnosis":[99],"this":[101,231],"co-existence.":[102],"We":[103],"63":[109],"year-old":[110],"gentleman":[111],"who":[112],"was":[113,151,197],"known":[115],"ankylosing":[118],"spondylitis":[119],"since":[120],"age":[122],"38.":[124],"patient":[126,150],"had":[127],"undergone":[128],"staged":[130],"bilateral":[131],"total":[132,194],"hip":[133],"arthroplasty":[134],"18":[135],"years":[136],"ago":[137],"presented":[139],"us":[141],"knee":[143,195],"arthritis":[144],"necessitating":[145],"Total":[146],"Knee":[147],"Arthroplasty.":[148],"subsequently":[152],"diagnosed":[153],"have":[155],"coexisting":[156,229],"Arthritis.":[158],"After":[159],"failed":[161],"attempt":[162],"for":[163],"spinal":[164],"anaesthesia,":[165],"para-sacral":[167],"sciatic":[168],"block":[169,179,183],"lateral":[172],"position":[173,187],"infra-inguinal":[176],"femoral":[177],"nerve":[178,182],"obturator":[181],"supine":[186],"given":[189],"under":[190],"ultrasound":[191],"guidance.":[192],"performed":[198],"successfully":[199],"without":[200],"any":[201],"intra-operative":[202],"complications.":[203],"Conclusion:":[204],"This":[205],"combined":[206],"entity":[207],"requires":[208],"accurate":[209],"assessment":[210],"or":[211],"be":[213],"easily":[214],"misleading.":[215],"No":[216],"definite":[217],"conclusion":[218],"is":[219],"possible":[220],"regards":[222],"etiopathogenesis":[225],"but":[230],"dilemma.":[248]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2024-10-05T00:00:00"}