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tendon rehabilitation

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https://www.readbyqxmd.com/read/29769829/creatine-supplementation-supports-the-rehabilitation-of-adolescent-fin-swimmers-in-tendon-overuse-injury-cases
#1
Imre Juhasz, Judit Plachy Kopkane, Pal Hajdu, Gabor Szalay, Bence Kopper, Jozsef Tihanyi
Our purpose was to investigate the effect of creatine (Cr) supplementation on regeneration periods in tendon overuse injury rehabilitation of adolescent fin swimmers. The participants of this study were injured adolescent competitive fin swimmers (n = 18). The subjects were randomly assigned the creatine (CR) or placebo (PL) groups with a double-blind research design. The subjects were given Cr supplementation or received the placebo as part of the conservative treatment of the tendinopathy. We measured the segmental lean mass (SLM;kg), the ankle plantar flexion peak torque (PFT;N·m), the pain intensity (NRS;values), prior to immobilization, after immobilization (R2) and after the 2nd (R4) and 4th (R6) weeks of the rehabilitation period of the injured limb...
June 2018: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/29767271/graft-failure-is-more-frequent-after-hamstring-than-patellar-tendon-autograft
#2
E Laboute, E James-Belin, P L Puig, P Trouve, E Verhaeghe
PURPOSE: The risk of graft failure after anterior cruciate ligament (ACL) reconstructions with hamstring or patellar tendon was evaluated in a French population of athletes. METHODS: Athletes who had undergone ACL autograft reconstruction and who received rehabilitation care at the European Center for Sports Rehabilitation (CERS; Capbreton, France) were screened for this prospective cohort study. Eligibility criteria included a simple hamstring autograft or patellar tendon autograft surgical technique...
May 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29766442/rate-of-improvement-of-pain-and-function-in-mid-portion-achilles-tendinopathy-with-loading-protocols-a-systematic-review-and-longitudinal-meta-analysis
#3
REVIEW
Myles Murphy, Mervyn Travers, William Gibson, Paola Chivers, James Debenham, Sean Docking, Ebonie Rio
BACKGROUND: Mid-portion Achilles tendinopathy is prevalent within both the athletic and non-athletic populations and loading protocols for Achilles tendinopathy are effective over time, though the rate of symptom change throughout rehabilitation is unknown. OBJECTIVE: The objective of this study was to determine the rate of change in pain and function over time in patients while completing a loading protocol for mid-portion Achilles tendinopathy. METHODS: A systematic review and longitudinal meta-analysis was conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
May 15, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29763339/the-v-shaped-distal-triceps-tendon-repair-a-comparative-biomechanical-analysis
#4
Bastian Scheiderer, Florian B Imhoff, Daichi Morikawa, Lucca Lacheta, Elifho Obopilwe, Mark P Cote, Andreas B Imhoff, Augustus D Mazzocca, Sebastian Siebenlist
BACKGROUND: Restoring footprint anatomy, minimizing gap formation, and maximizing the strength of distal triceps tendon repairs are essential factors for a successful healing process and return to sport. HYPOTHESIS: The novel V-shaped distal triceps tendon repair technique with unicortical button fixation closely restores footprint anatomy, provides minimal gap formation and high ultimate failure load, and minimizes iatrogenic fracture risk in acute/subacute distal triceps tendon tears...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29725745/accelerated-rehabilitation-results-in-good-outcomes-following-acute-repair-of-proximal-hamstring-ruptures
#5
Benjamin Léger-St-Jean, Zylyftar Gorica, Robert A Magnussen, W Kelton Vasileff, Christopher C Kaeding
PURPOSE: To assess outcomes of patients who underwent proximal hamstring repair utilizing an accelerated rehabilitation protocol with immediate weight bearing as tolerated and no bracing. METHODS: Retrospective chart review identified 47 proximal hamstring tendon repairs with suture anchors in 43 patients performed during 2008-2015. Rehabilitation included no immobilization or limited weightbearing. Patients were contacted by phone to assess outcomes utilizing the lower extremity functional score (LEFS), single-assessment numeric evaluation (SANE), and Marx activity scale...
May 3, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29724252/synthetic-versus-autologous-reconstruction-syn-var-of-the-medial-patellofemoral-ligament-a-study-protocol-for-a-randomised-controlled-trial
#6
Adam Tucker, Sam McMahon, Bronwyn McArdle, Bridgeen Rutherford, Danny Acton
BACKGROUND: Recurrent patellar instability incidence is 5.8/100,000 population, and recurrent dislocations are reported in the range of 15-80%. Recurrent instability is multifactorial and can be associated with disorder of limb alignment, osseous development, congruity of the patella in the trochlea and soft tissue static and dynamic constraints. The multifactorial aetiology makes management challenging, and a lack studies in a heterogeneous population with robust clinical outcomes compounds this further...
May 3, 2018: Trials
https://www.readbyqxmd.com/read/29722768/acl-allograft-advantages-and-when-to-use
#7
Matthew J Brown, Thomas Carter
It is commonly recommended to reconstruct a torn anterior cruciate ligament in active patients; however, there is no consensus concerning the tissue source to use for the reconstruction. Bone-patellar tendon-bone and hamstring (semitendinosis +/- gracilis) autografts are most commonly used, with allografts being another option. Each tissue has its pros and cons, with allografts often cited as having higher failure rates. However, review of the literature comparing autografts and allografts have showed similar outcomes in age-matched adult populations...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29712548/optimizing-recovery-after-achilles-tendon-pain-guidelines-help-deliver-quality-care
#8
(no author information available yet)
Achilles tendinopathy can temporarily stop many active people, and particularly those who participate in sports. Pain in the Achilles tendon often occurs in the middle of this fibrous tissue that connects the muscles at the back of the lower leg to the heel bone. Physical therapists can help ensure that patients with Achilles tendinopathy receive the best quality care to optimize their recovery. Guidelines published in the May 2018 issue of JOSPT recommend best practices from the published literature for evaluating, diagnosing, and treating Achilles tendon pain...
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29704937/a-retrospective-cohort-study-investigating-risk-factors-for-the-failure-of-thoroughbred-racehorses-to-return-to-racing-after-superficial-digital-flexor-tendon-injury
#9
N Tamura, K Kodaira, E Yoshihara, N Mae, Y Yamazaki, H Mita, T Kuroda, K Fukuda, A Tomita, Y Kasashima
A retrospective cohort study was conducted to investigate risk factors for the failure of Thoroughbred racehorses to return to racing after an injury of the superficial digital flexor tendon (SDFT). Successful return was defined as the completion of five or more races after SDFT injury. The official Japan Racing Association (JRA) medical records of racehorses with a core-type SDFT injury were reviewed for clinical variables related to the characteristics of the horse and the severity of SDFT injuries at the time of diagnosis...
May 2018: Veterinary Journal
https://www.readbyqxmd.com/read/29696322/-minimally-invasive-cheilectomy
#10
REVIEW
M Walther, P Chomej, S Kriegelstein, S Altenberger, A Röser
OBJECTIVES: Treatment of hallux rigidus by minimally invasive resection of the dorsal osteophytes, synovectomy and resection of the dorsal part of the metatarsal head. INDICATIONS: Hallux rigidus grades II and III CONTRAINDICATIONS: End-stage osteoarthritis of the first metatarsophalangeal joint with beginning ankylosis. SURGICAL TECHNIQUE: Osteophytes around the metatarsophalangeal joint are removed using a 1 cm incision dorsomedial, approximately 3 cm proximal of the joint space...
April 25, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29696317/cost-effectiveness-analysis-of-surgical-versus-non-surgical-management-of-acute-achilles-tendon-ruptures
#11
Olof Westin, Mikael Svensson, Katarina Nilsson Helander, Kristian Samuelsson, Karin Grävare Silbernagel, Nicklas Olsson, Jón Karlsson, Elisabeth Hansson Olofsson
PURPOSE: An Achilles tendon rupture is a common injury that typically affects people in the middle of their working lives. The injury has a negative impact in terms of both morbidity for the individual and the risk of substantial sick leave. The aim of this study was to investigate the cost-effectiveness of surgical compared with non-surgical management in patients with an acute Achilles tendon rupture. METHODS: One hundred patients (86 men, 14 women; mean age, 40 years) with an acute Achilles tendon rupture were randomised (1:1) to either surgical treatment or non-surgical treatment, both with an accelerated rehabilitation protocol (surgical n = 49, non-surgical n = 51)...
April 25, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29691618/patients-with-an-achilles-tendon-re-rupture-have-long-term-functional-deficits-in-function-and-worse-patient-reported-outcome-than-primary-ruptures
#12
Olof Westin, Katarina Nilsson Helander, Karin Grävare Silbernagel, Kristian Samuelsson, Annelie Brorsson, Jón Karlsson
PURPOSE: The aim of this study was to perform a long-term follow-up of patients treated for an Achilles tendon re-rupture, using established outcome measurements for tendon structure, lower extremity function and symptoms, and to compare the results with those for the uninjured side. A secondary aim was to compare the outcome with that of patients treated for primary ruptures. The hypotheses were that patients with a re-rupture recover well, and have similar long-term outcome as primary ruptures...
April 24, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29690810/recent-evolutions-in-flexor-tendon-repairs-and-rehabilitation
#13
Jin Bo Tang
This article reviews some recent advancements in repair and rehabilitation of the flexor tendons. These include placing sparse or no peripheral suture when the core suture is strong and sufficiently tensioned, allowing the repair site to be slightly bulky, aggressively releasing the pulleys (including the entire A2 pulley or both the A3 and A4 pulleys when necessary), placing a shorter splint with less restricted wrist positioning, and allowing out-of-splint active motion. The reported outcomes have been favourable with few or no repair ruptures and no function-disturbing tendon bowstringing...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29682311/acl-reconstruction-with-hamstring-tendon-autograft-and-accelerated-brace-free-rehabilitation-a-systematic-review-of-clinical-outcomes
#14
Rob P A Janssen, Nicky van Melick, Jan B A van Mourik, Max Reijman, Lodewijk W van Rhijn
Objective: To investigate the clinical outcomes after hamstring tendon autograft ACL reconstruction (ACLR) with accelerated, brace-free rehabilitation. Design: Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Data sources: Embase, MEDLINE Ovid, Web of Science, Cochrane CENTRAL and Google scholar from 1 January 1974 to 31 January 2017. Eligibility criteria for selecting studies: Study designs reporting outcomes in adults after arthroscopic, primary ACLR with hamstring autograft and accelerated, brace-free rehabilitation...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29680779/effects-of-localized-vibration-on-knee-joint-position-sense-in-individuals-with-anterior-cruciate-ligament-reconstruction
#15
Takashi Nagai, Nathaniel A Bates, Timothy E Hewett, Nathan D Schilaty
BACKGROUND: Anterior cruciate ligament injury can disrupt one's mechanoreceptors and result in decreased proprioception such as joint position sense and ultimately altered motor function. The application of localized vibration has been used to investigate the integrity of the sensorimotor system and the mechanisms of quadriceps function after anterior cruciate ligament injury and reconstruction. The purpose of the study is to evaluate joint position sense with and without vibration and compare among anterior cruciate ligament reconstructed, contralateral, and control limbs...
April 14, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29679207/the-swimmer-s-shoulder-multi-directional-instability
#16
REVIEW
Ivan De Martino, Scott A Rodeo
PURPOSE OF REVIEW: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability. RECENT FINDINGS: Swimmers may develop increased shoulder laxity over time due to repetitive use...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29663013/bone-to-bone-integrations-were-complete-within-5-months-after-anatomical-rectangular-tunnel-anterior-cruciate-ligament-reconstruction-using-a-bone-patellar-tendon-bone-graft
#17
Hironari Masuda, Shuji Taketomi, Hiroshi Inui, Naoya Shimazaki, Nobuhiro Nishihara, Seikai Toyooka, Hirotaka Kawano, Takumi Nakagawa
PURPOSE: Anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BTB) graft is known to provide secure fixation due to the direct bone-to-bone integration of the bone plug and bone tunnel. It is important to know the time required for bone integration when designing the postoperative rehabilitation protocol or deciding when the patient can return to competition-level activity, especially if the patient is an athlete. However, because reports are scarce, the period necessary for bone-to-bone integration after ACL reconstruction using a BTB graft remains unclear...
April 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29658519/biomechanical-evaluation-of-tendon-connection-with-novel-suture-techniques
#18
Zhe Chen, Jun Wang, Jia-Sen Wei, Zhao-Yang Hou, Min Li, Qi-Xin Chen
PURPOSE: Achilles tendon rupture is a severe injury with poor curative effect due to its anatomical characteristic and mechanical peculiarity. Internal fixation of limited loop (IFLL) with steel-wire has been applied on patients with tendon rupture to fix the broken ends before physical rehabilitation. The purpose of this study is to investigate the biomechanical property and radiological characteristic of such suture technique for the repairment of tendon rupture. METHODS: Tendons of pigs' hint feet were separated for the biomechanical study...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29657480/a-novel-method-for-reducing-gap-formation-in-tendon-repair
#19
Ryan Dean, Paul Sethi
Background: This study investigates gap formation in tendon repair using a novel tensioning method. Hypothesis: The novel stitch will demonstrate less gap formation than the other suture configurations tested. Methods: Porcine tendons stitched with classic Krackow stitch configurations were compared to a Krackow stitch modified with a proximal Tension-Assist Loop. Each group was cyclically loaded followed by analysis of the tendon-suture construct for gap formation...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29627930/flexor-digitorum-longus-tendon-transfer-to-the-navicular-tendon-to-tendon-repair-is-stronger-compared-with-interference-screw-fixation
#20
Daniel Marsland, Joanna M Stephen, Toby Calder, Andrew A Amis, James D F Calder
PURPOSE: To assess whether early rehabilitation could be safe after flexor digitorum longus (FDL) tendon transfer, the current biomechanical study aimed to measure tendon displacement under cyclic loading and load to failure, comparing a traditional tendon-to-tendon (TT) repair with interference screw fixation (ISF). METHODS: 24 fresh-frozen cadaveric below knee specimens underwent FDL tendon transfer. In 12 specimens a TT repair was performed via a navicular bone tunnel...
April 7, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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