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tendon rehabilitation

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https://www.readbyqxmd.com/read/28331139/arthroscopic-removal-and-tendon-repair-for-refractory-rotator-cuff-calcific-tendinitis-of-the-shoulder
#1
Hiroshi Hashiguchi, Satoshi Iwashita, Atsushi Okubo, Shinro Takai
BACKGROUND: The purpose of this study was to evaluate clinical and radiological outcomes of arthroscopic treatment for refractory rotator cuff calcific tendinitis of the shoulder. METHODS: Subjects were 37 patients (35 women and 2 men; mean age, 47.8 years; age range 34-61 years) who had undergone arthroscopic treatment for calcific tendinitis of the shoulder. Despite sufficient nonsurgical treatments, all patients had residual calcific deposit with persistent or recurrent pain...
2017: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/28298052/allograft-augmentation-of-hamstring-autograft-for-younger-patients-undergoing-anterior-cruciate-ligament-reconstruction
#2
Cale A Jacobs, Jeremy M Burnham, Eric Makhni, Chaitu S Malempati, Eric Swart, Darren L Johnson
BACKGROUND: Younger patients and those with smaller hamstring autograft diameters have been shown to be at significantly greater risk of graft failure after anterior cruciate ligament (ACL) reconstruction. To date, there is no information in the literature about the clinical success and/or cost-effectiveness of increasing graft diameter by augmenting with semitendinosus allograft tissue for younger patients. HYPOTHESIS: Hybrid hamstring grafts are a cost-effective treatment option because of a reduced rate of graft failure...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28297577/surgical-excision-of-heterotopic-ossification-leads-to-re-emergence-of-mesenchymal-stem-cell-populations-responsible-for-recurrence
#3
Shailesh Agarwal, Shawn Loder, David Cholok, John Li, Chris Breuler, James Drake, Cameron Brownley, Joshua Peterson, Shuli Li, Benjamin Levi
Trauma-induced heterotopic ossification (HO) occurs after severe musculoskeletal injuries and burns, and presents a significant barrier to patient rehabilitation. Interestingly, the incidence of HO significantly increases with repeated operations and after resection of previous HO. Treatment of established heterotopic ossification is challenging because surgical excision is often incomplete, with evidence of persistent heterotopic bone. As a result, patients may continue to report the signs or symptoms of HO, including chronic pain, nonhealing wounds, and joint restriction...
March 2017: Stem Cells Translational Medicine
https://www.readbyqxmd.com/read/28293194/quantification-of-internal-stress-strain-fields-in-human-tendon-unraveling-the-mechanisms-that-underlie-regional-tendon-adaptations-and-mal-adaptations-to-mechanical-loading-and-the-effectiveness-of-therapeutic-eccentric-exercise
#4
REVIEW
Constantinos N Maganaris, Panagiotis Chatzistergos, Neil D Reeves, Marco V Narici
By virtue of their anatomical location between muscles and bones, tendons make it possible to transform contractile force to joint rotation and locomotion. However, tendons do not behave as rigid links, but exhibit viscoelastic tensile properties, thereby affecting the length and contractile force in the in-series muscle, but also storing and releasing elastic stain energy as some tendons are stretched and recoiled in a cyclic manner during locomotion. In the late 90s, advancements were made in the application of ultrasound scanning that allowed quantifying the tensile deformability and mechanical properties of human tendons in vivo...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28291948/eccentric-training-for-tendon-healing-after-acute-lesion-a-rat-model
#5
Jean-François Kaux, Vincent Libertiaux, Pierre Leprince, Marianne Fillet, Vincent Denoel, Clémence Wyss, Christelle Lecut, André Gothot, Caroline Le Goff, Jean-Louis Croisier, Jean-Michel Crielaard, Pierre Drion
BACKGROUND: The tendon is a dynamic entity that remodels permanently. Platelet-rich plasma (PRP) injection has been shown to have a beneficial effect on tendon healing after lesion in rats. Furthermore, eccentric exercise seems to improve the mechanical quality of the tendon. HYPOTHESIS: A combination of PRP injection and eccentric training might be more effective than either treatment alone. STUDY DESIGN: Controlled laboratory study. METHODS: Adult male rats were anesthetized, an incision was performed in the middle of their left patellar tendon and an injection of physiological fluid (PF) or homologous PRP was randomly made at the lesion level...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28282504/soleus-atrophy-is-common-after-the-nonsurgical-treatment-of-acute-achilles-tendon-ruptures
#6
Juuso Heikkinen, Iikka Lantto, Tapio Flinkkila, Pasi Ohtonen, Jaakko Niinimaki, Pertti Siira, Vesa Laine, Juhana Leppilahti
BACKGROUND: It remains controversial whether nonsurgical or surgical treatment provides better calf muscle strength recovery after an acute Achilles tendon rupture (ATR). Recent evidence has suggested that surgery might surpass nonsurgical treatment in restoring strength after an ATR. PURPOSE: To assess whether magnetic resonance imaging (MRI) findings could explain calf muscle strength deficits and the difference between nonsurgical and surgical treatments in restoring calf muscle strength...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28259710/no-beneficial-effect-of-bracing-after-anterior-cruciate-ligament-reconstruction-in-a-cohort-of-969-athletes-followed-in-rehabilitation
#7
P Bordes, E Laboute, A Bertolotti, J F Dalmay, P Puig, P Trouve, E Verhaegue, P A Joseph, P Dehail, M De Seze
OBJECTIVE: Compare the clinical outcomes of different knee braces in the early phase of rehabilitation after anterior cruciate ligament reconstruction (ACLR) in athletes. MATERIALS AND METHODS: We conducted a retrospective database study of athletes during early rehabilitation in a tertiary referral hospital between 1 February 2008 and 30 October 2010 after ACLR using bone patellar tendon bone (BPTB) or hamstring autograft. Differences in mid-patellar knee circumference, pain, and range of motion were assessed at admission...
March 1, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28257677/acute-rupture-open-repair-techniques
#8
REVIEW
Robert D Santrock, Andrew J Friedmann, Andrew E Hanselman
Achilles tendon injuries can be serious injuries requiring either operative or nonoperative management. For appropriate surgical candidates, operative intervention may provide lower rerupture rates and adequate end-to-end tendon healing. Our preference is an open Achilles tendon repair, specifically a limited open technique using the PARS device (Arthrex, Naples, FL). Postoperatively, we use functional rehabilitation and early range of motion. Although the current literature remains controversial regarding operative versus nonoperative management, the authors have obtained satisfactory results in appropriately chosen surgical candidates...
April 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28257676/acute-achilles-tendon-rupture-clinical-evaluation-conservative-management-and-early-active-rehabilitation
#9
REVIEW
Merrell Kauwe
The Achilles tendon (AT) is the strongest, largest, and most commonly ruptured tendon in the human body. Physical examination provides high sensitivity and specificity. Imaging studies are not recommended unless there are equivocal findings in the physical examination. Recent studies have shown that the risk of re-rupture is negated with implementation of functional rehabilitation protocols. Heterogeneity in study design makes conclusions on the specifics of functional rehabilitation protocols difficult; however, it is clear that early weight bearing and early controlled mobilization lead to better patient outcome and satisfaction in both surgically and conservatively treated populations...
April 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28242243/effect-of-the-optimal-asymmetry-on-the-strength-of-six-strand-tendon-repair-an-ex%C3%A2-vivo-biomechanical-study
#10
Naoya Kozono, Takamitsu Okada, Naohide Takeuchi, Takeshi Shimoto, Hidehiko Higaki, Yasuharu Nakashima
PURPOSE: To evaluate the mechanical properties of a 6-strand core suture repair with asymmetric purchase in the 2 tendon ends, in comparison with a repair with symmetric suture purchases. METHODS: Under cyclic loading of the tendons, we recorded the fatigue strength (Forces × Cycles) of a 6-strand flexor tendon repair with different symmetry in the lengths of suture purchase in 60 porcine tendons. The symmetric repair was made with 3 groups of parallel Kessler repairs of equal suture purchase (10 mm from the cut end) in the 2 tendon stumps...
February 24, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28222571/the-edurep-approach-plus-manual-therapy-for-the-management-of-insertional-achilles-tendinopathy-a-case-report
#11
Francesco Sartorio, Anna Zanetta, Giorgio Ferriero, Elisabetta Bravini, Stefano Vercelli
BACKGROUND: Insertional Achilles tendinopathy (IAT) is a challenging overuse disorder. The aim of this case report was to study the feasibility of a comprehensive rehabilitative approach according to the Education, Unloading, Reloading, and Prevention (EdUReP) framework combined with Instrument-Augmented Soft Tissue Mobilization (I-ASTM). METHODS: An active 51-year-old man patient with chronic IAT was studied. Clinical assessment battery was composed by visual analogue scale for pain during the Achilles tendon palpation test, passive straight leg raise test, single leg hop test, Patient-Specific Functional Scale, and Foot and Ankle Ability Measure...
February 21, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28203592/suture-only-repair-versus-suture-anchor-augmented-repair-for-achilles-tendon-ruptures-with-a-short-distal-stump-a-biomechanical-comparison
#12
Michael A Boin, Matthew A Dorweiler, Christopher J McMellen, Gregory C Gould, Richard T Laughlin
BACKGROUND: Chronic noninsertional Achilles tendinosis can result in an acute Achilles tendon rupture with a short distal stump. In such tendon ruptures, there is a limited amount of adequate tissue that can hold suture, thus presenting a challenge for surgeons who elect to treat the rupture operatively. HYPOTHESIS: Adding suture anchors to the repair construct may result in biomechanically stronger repairs compared with a suture-only technique. STUDY DESIGN: Controlled laboratory study...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28194391/simultaneous-bilateral-patellar-tendon-rupture
#13
Diogo Lino Moura, José Pedro Marques, Francisco Manuel Lucas, Fernando Pereira Fonseca
Bilateral patellar tendon rupture is a rare entity, often associated with systemic diseases and patellar tendinopathy. The authors report a rare case of a 34-year-old man with simultaneous bilateral rupture of the patellar tendon caused by minor trauma. The patient is a retired basketball player with no past complaints of chronic knee pain and a history of steroid use. Surgical management consisted in primary end-to-end tendon repair protected temporarily with cerclage wiring, followed by a short immobilization period and intensive rehabilitation program...
January 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28151759/patellar-tendinopathy-and-potential-risk-factors-an-international-database-of-cases-and-controls
#14
Sarah Morton, Sean Williams, Xavier Valle, David Diaz-Cueli, Peter Malliaras, Dylan Morrissey
OBJECTIVES: Numerous risk factors have been identified for patellar tendinopathy (PT), often in small population studies. The aim was to use an international online questionnaire to generate a large database and identify significant risk factors. DESIGN: Case-control study. SETTING: Private practice and sporting teams recruited from England, Spain, and Italy with the questionnaire available in all 3 languages (equivalence between online and self-administration shown previously)...
February 1, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28149400/the-effect-of-different-decline-angles-on-the-biomechanics-of-double-limb-squats-and-the-implications-to-clinical-and-training-practice
#15
Jim Richards, James Selfe, Jonathan Sinclair, Karen May, Gavin Thomas
Bilateral decline squatting has been well documented as a rehabilitation exercise, however, little information exists on the optimum angle of decline. The aim of this study was to determine the ankle and knee angle, moments, the patellofemoral joint load, patellar tendon load and associated muscle activity while performing a double limb squat at different decline angles and the implications to rehabilitation. Eighteen healthy subjects performed double limb squats at 6 angles of declination: 0, 5, 10, 15, 20 and 25 degrees...
September 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28145739/achilles-tendon-loading-during-heel-raising-and-lowering-exercises
#16
Andrew Revak, Keith Diers, Thomas W Kernozek, Naghmeh Gheidi, Christina Olbrantz
CONTEXT: Achilles tendinopathies are common injuries during sport participation, although men are more prone to Achilles tendon injuries than women. Heel-raising and -lowering exercises are typically suggested for Achilles tendon rehabilitation. OBJECTIVE: To compare the estimated Achilles tendon loading variables and the ankle range of motion (ROM) using a musculoskeletal model during commonly performed heel-raising and -lowering exercises. DESIGN: Controlled laboratory study...
February 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28135230/team-approach-repair-and-rehabilitation-following-flexor-tendon-lacerations
#17
Nathan T Morrell, Anne Hulvey, Jennifer Elsinger, George Zhang, Adam B Shafritz
No abstract text is available yet for this article.
January 10, 2017: JBJS Reviews
https://www.readbyqxmd.com/read/28127650/primary-surgical-repair-of-acute-achilles-tendon-rupture-comparative-results-of-three-surgical-techniques
#18
Dragan Lonzarić, Aleksandar Kruščić, Dejan Dinevski, Petra Povalej Bržan, Breda Jesenšek Papež
PURPOSE: To determine which of the three surgical techniques for acute unilateral complete rupture of Achilles tendons in use at the University Clinical Centre Maribor gives the best short-term functional results. METHODS: In the retrospective analysis of the results of 3 surgical techniques, 262 patients of which 244 (93.1%) were men (mean age 41.6 ± 10.0 years, range 21.5-83.0 years) operated on during the period from 2000 to 2008 were included. Group A (open technique with fascial augmentation) included 42 (16%) patients, group B (original modification of percutaneous suturing according to Čretnik and Kosanović) included 159 (60...
January 26, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/28125270/response-to-tendon-vibration-questions-the-underlying-rationale-of-proprioceptive-training
#19
Anat Vilnai Lubetzky, Sarah Westcott McCoy, Robert Price, Deborah Kartin
CONTEXT: Proprioceptive training on compliant surfaces is used to rehabilitate and prevent ankle sprains. The ability to improve proprioceptive function via such training has been questioned. Achilles tendon vibration is used in motor-control research as a form of proprioceptive stimulus. Using measures of postural steadiness with nonlinear measures to elucidate control mechanisms, tendon vibration can be applied to investigate the underlying rationale of proprioceptive training. OBJECTIVE: To test whether the effect of vibration on young adults' postural control depended on the support surface...
February 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28111006/the-effect-of-early-range-of-motion-on-quality-of-life-clinical-outcome-and-repair-integrity-after-arthroscopic-rotator-cuff-repair
#20
Augustus D Mazzocca, Robert A Arciero, Kevin P Shea, John M Apostolakos, Olga Solovyova, Gregg Gomlinski, Karen E Wojcik, Vincent Tafuto, Harlan Stock, Mark P Cote
PURPOSE: To compare the effect of early versus delayed motion protocols on quality of life, clinical outcomes, and repair integrity in patients who have undergone arthroscopic single-tendon rotator cuff repair. METHODS: This was a prospective, randomized, investigator-blinded clinical trial. Seventy-three patients from a single surgeon's practice who underwent arthroscopic repair of a single-tendon rotator cuff tear were randomized to either an early motion protocol (starting 2 to 3 days after surgery) or a delayed motion protocol (starting 28 days after surgery)...
January 19, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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