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"Tendinopathy"

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https://www.readbyqxmd.com/read/29226423/patellar-tendinopathy-with-intra-tendinous-alteration-on-mri-may-be-related-to-patellofemoral-dysplasia
#1
Philippe M Tscholl, Roland M Biedert, Florian Wanivenhaus, Sandro F Fucentese
Patellar tendinopathy (PT) is a frequent overuse-injury of the extensor knee apparatus whereas as up to 30% of the athletes might suffer from persisting symptoms during their entire career. In the present case-control study, 47 patients (30.8±11.4 years) with PT with intra-tendinous alteration (PTita) of a minimum of ≥ 25% of the axial surface on MRI and minimum Blazina score of II (pain during without limiting sports activity) were included; MR images were analysed for trochlear geometry, patellar height/tilt, and tibial tubercle trochlear groove distance (TT-TG)...
December 11, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29225020/arthroscopic-wafer-procedure-versus-ulnar-shortening-osteotomy-as-a-surgical-treatment-for-idiopathic-ulnar-impaction-syndrome
#2
Won-Taek Oh, Ho-Jung Kang, Yong-Min Chun, Il-Hyun Koh, Hae-Mo-Su An, Yun-Rak Choi
PURPOSE: To compare clinical and radiologic outcomes and complication rates of the arthroscopic wafer procedure (AWP) and ulnar shortening osteotomy (USO) for idiopathic ulnar impaction syndrome (UIS). METHODS: From May 2009 to June 2014, 42 patients who were aged 45 years or older with idiopathic UIS underwent either the AWP or USO under the following identical surgical indications: (1) less than 4 mm of positive ulnar variance, (2) Palmer classification 2C or 2D lesion of the triangular fibrocartilage complex, (3) stable distal radioulnar joint (DRUJ) and/or lunotriquetral joint, and (4) no evidence of osteoarthritis of the DRUJ or ulnocarpal joint...
December 7, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29219218/rotator-cuff-tendon-assessment-using-magic-angle-insensitive-3d-ultrashort-echo-time-cones-magnetization-transfer-ute-cones-mt-imaging-and-modeling-with-histological-correlation
#3
Yanchun Zhu, Xin Cheng, Yajun Ma, Jonathan H Wong, Yaoqin Xie, Jiang Du, Eric Y Chang
BACKGROUND: Rotator cuff tendons (RCTs) are challenging to image due to the "magic angle effect" and their short T2 . PURPOSE: To assess the degree of magic angle sensitivity of human RCTs and to utilize a 3D ultrashort echo time Cones sequence with magnetization transfer preparation (UTE-Cones-MT) and two-pool quantitative MT modeling with histological correlation. We hypothesized that MT parameters would be less sensitive to the magic angle compared with conventional T2 measurements...
December 8, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29218618/metal-artifact-reduction-mri-of-total-ankle-arthroplasty-implants
#4
Cesar de Cesar Netto, Lucas F Fonseca, Benjamin Fritz, Steven E Stern, Esther Raithel, Mathias Nittka, Lew C Schon, Jan Fritz
OBJECTIVES: To assess high-bandwidth and compressed sensing-(CS)-SEMAC turbo spin echo (TSE) techniques for metal artifact reduction MRI of total ankle arthroplasty (TAA) implants. METHODS: Following institutional approval and consent, 40 subjects with TAA implants underwent 1.5-T MRI prospectively. Evaluations included bone-implant interfaces, anatomical structures, abnormal findings and differential diagnoses before and after MRI. AUCs of P-P plots were used to determine superiority...
December 7, 2017: European Radiology
https://www.readbyqxmd.com/read/29217766/ultrasonographic-scoring-system-for-superficial-digital-flexor-tendon-injuries-in-horses-intra-and-inter-rater-variability
#5
Rafael Alzola Domingo, Chris M Riggs, David S Gardner, Sarah L Freeman
Superficial digital flexor tendon (SDFT) tendinopathy is an important musculoskeletal problem in horses. The study objective was to validate an ultrasonographic scoring system for SDFT injuries. Ultrasonographic images from 14 Thoroughbred racehorses with SDFT lesions (seven core; seven diffuse) and two controls were blindly assessed by five clinicians on two occasions. Ultrasonographic parameters evaluated were: type and extent of the injury, location, echogenicity, cross-sectional area and longitudinal fibre pattern of the maximal injury zone (MIZ)...
December 7, 2017: Veterinary Record
https://www.readbyqxmd.com/read/29210775/isometric-exercise-to-reduce-pain-in-patellar-tendinopathy-in-season-is-it-effective-on-the-road
#6
Ebonie Rio, Craig Purdam, Michael Girdwood, Jill Cook
OBJECTIVE: To investigate the effectiveness of an isometric squat exercise using a portable belt, on patellar tendon pain and function, in athletes during their competitive season. DESIGN: Case series with no requirements to change any aspect of games or training. The object of this pragmatic study was to investigate this intervention in addition to "usual management." A control or sham intervention was considered unacceptable to teams. SETTING: In-season...
November 27, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29209736/magnetic-resonance-imaging-based-morphological-and-alignment-assessment-of-the-patellofemoral-joint-and-its-relationship-to-proximal-patellar-tendinopathy
#7
Michel D Crema, Larissa G Cortinas, Giovanni B P Lima, Rene Jorge Abdalla, Sheila Jean McNeill Ingham, Abdalla Y Skaf
OBJECTIVE: To assess the differences in morphology and alignment of the knee between patients with proximal patellar tendinopathy (PPT) and a control group, using MRI and focusing on the patellofemoral joint. METHODS: We retrospectively included 35 patients with clinically diagnosed and unequivocal findings of PPT on knee MRI, the case group. For the control group, we included 70 patients who underwent knee MRI for other reasons, with no clinical or MRI evidence of PPT...
December 5, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29207984/individualised-radial-extracorporeal-shock-wave-therapy-reswt-for-symptomatic-calcific-shoulder-tendinopathy-a-retrospective-clinical-study
#8
Nikolaos Malliaropoulos, Dawn Thompson, Maria Meke, Debasish Pyne, Dimosthenis Alaseirlis, Henry Atkinson, Vasileios Korakakis, Heinz Lohrer
BACKGROUND: A retrospective single centre cohort analysis was performed to evaluate an individualised radial extracorporeal shock wave therapy (rESWT) protocol for treatment of symptomatic calcific shoulder tendinopathy. METHODS: 67 patients (79 Shoulders) were identified with 76 shoulders included for analysis. rESWT treatment protocol was adapted according to individual response to treatment. Variables included number of sessions, shockwave impulses, pressure and frequency...
December 6, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29205610/three-dimensional-morphology-and-volume-of-the-free-achilles-tendon-at-rest-and-under-load-in-people-with-unilateral-mid-portion-achilles-tendinopathy
#9
Leila Nuri, Steven J Obst, Richard Newsham-West, Rod S Barrett
Mid-portion Achilles tendinopathy (MAT) adversely affects free Achilles tendon (AT) structure and composition. However, it is not known how these pathological alterations associated with MAT change the normal three-dimensional (3D) morphology of free AT at rest and under load throughout the entire free tendon length. Here, we used 3D ultrasound to examine the effect of unilateral MAT on free tendon 3D morphology [length, cross-sectional area (CSA), antero-posterior (AP) diameter, and medio-lateral (ML) diameter] and volume at rest and during a sub-maximal (50%) voluntary isometric plantarflexion contraction bilaterally in individuals with unilateral MAT (n = 10) compared to a matched healthy control group (n = 10)...
December 3, 2017: Experimental Physiology
https://www.readbyqxmd.com/read/29203638/cytokines-in-tendon-disease-a-systematic-review
#10
W Morita, S G Dakin, S J B Snelling, A J Carr
OBJECTIVES: Emerging evidence indicates that tendon disease is an active process with inflammation that is critical to disease onset and progression. However, the key cytokines responsible for driving and sustaining inflammation have not been identified. METHODS: We performed a systematic review of the literature using MEDLINE (U.S. National Library of Medicine, Bethesda, Maryland) in March 2017. Studies reporting the expression of interleukins (ILs), tumour necrosis factor alpha (TNF-α) and interferon gamma in diseased human tendon tissues, and animal models of tendon injury or exercise in comparison with healthy control tissues were included...
December 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/29203002/complete-tendon-achilles-rupture-following-injection-of-aethoxysklerol-polidocanol-for-the-treatment-of-chronic-achilles-tendinopathy
#11
Christopher Fenelon, John G Galbraith, Paul Hession, Lester G D'Souza
Achilles tendinopathy can be a chronic disabling condition affecting both athletic and sedentary patients. Multiple new treatment approaches have developed, including shock wave therapy and various types of injection. One of the novel treatment methods used is the injection of Aethoxysklerol or polidocanol, a sclerosing substance injected under ultrasound guidance targeting areas of neovascularisation. We report the case of a 78-year-old lady who suffered a complete Achilles tendon rupture following injection of Aethoxysklerol...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29202989/cadaveric-experiments-to-evaluate-pressure-wave-generated-by-radial-shockwave-treatment-of-plantar-fasciitis
#12
Srdjan Cirovic, David H Gould, Derek H Park, Matthew C Solan
BACKGROUND: Shockwave treatment is increasingly used for plantar fasciitis and Achilles tendinopathy. To be effective it is believed that high pressure must be achieved in the tissues. We report on the first human cadaveric experiments to characterize pressure from radial shockwave therapy (rSWT) for plantar fasciitis. METHODS: The pressure from rSWT was measured in two cadaveric feet using a needle hydrophone. Maximal pressure and energy flux were calculated from the measurements...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29193343/response-to-considerations-on-achilles-and-patellar-tendinopathy-display-opposite-changes-in-elastic-properties
#13
Brooke Kaye Coombes, Kylie Tucker, Bill Vicenzino, Viana Vuvan, Rebecca Mellor, Luke Heales, Antoine Nordez, François Hug
We thank Wu (2017) and the editors for the opportunity to provide greater discussion on the association of tendon shear wave velocity (SWV) with potentially important covariates including sex and age. We would like to first clarify that we did not directly compare the Achilles and patellar tendinopathy groups. Instead, the (most) affected tendon from each tendinopathy group was compared with a matched tendon from the healthy control group. This article is protected by copyright. All rights reserved.
November 28, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29193329/a-few-considerations-on-achilles-and-patellar-tendinopathy-display-opposite-changes-in-elastic-properties
#14
Chueh-Hung Wu
I read with great interest the article by Coombes and colleagues1 , who utilized shear wave ultrasound elastography to measure shear wave velocity (SWV) of the patellar and Achilles tendons in those with patellar and Achilles tendinopathy. This article is protected by copyright. All rights reserved.
November 28, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29189707/management-and-effect-of-platelet-rich-plasma-on-wound-healing-small-reality-of-oglio-po-hospital
#15
Fioralba Follo, Dario Oliver Dejana, Marzia Belletti, Nicolina Bongiovanni, Giuseppina Scarpa, Patrizia Pezzali, Sandra Borsi, Laura Sanfilippo, Nadia Lusetti, Luigi Zaini, Patrizia Loritto, Francesco Pogliacomi, Alessio Pedrazzini
Platelet Rich Plasma (PRP) represents a relatively new approach in regenerative medicine. Its use is increasing in the treatment of a variety of orthopedic conditions, such as the management of acute wounds, chronic non-healing lesions, acceleration of bone formation, tendinopathy and chondropathy. The Orthopaedic Unit at Oglio Po Hospital uses PRP Gel in wound care since 2008. More than 70 patients have been treated with this procedure. The aim of this study is to show our patients outcome. We present 3 cases of severe traumatic wound treated with our PRP protocol...
November 30, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29189597/ultrasonic-percutaneous-tenotomy-of-common-extensor-tendons-for-recalcitrant-lateral-epicondylitis
#16
Christopher T Battista, Matthew A Dorweiler, Michael L Fisher, Bernard F Morrey, Matthew P Noyes
Tennis elbow is a common musculoskeletal condition affecting middle-aged patients with symptoms usually lasting from 6 months to 2 years. The vast majority of individuals will respond to conservative therapy; however, some will require surgical intervention. A new treatment system has been developed for use with ultrasound guidance in the ultrasonic microresection of tendinopathic tissue. This technology has been implemented in the TX1 Tissue Removal System and is used to treat various tendinopathies by debridement using targeted ultrasonic energy...
November 16, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29185674/effectiveness-of-extracorporeal-shock-wave-therapy-and-kinesio-taping-in-calcific-tendinopathy-of-the-shoulder-a-randomized-controlled-trial
#17
Paolo Frassanito, Carlo Cavalieri, Roberto Maestri, Guido Felicetti
BACKGROUND: Extracorporeal shock wave therapy (ESWT) is effective in the treatment of calcific tendinopathy of the rotator cuff, eliciting an analgesic/anti-inflammatory action and promoting tissue regeneration. Kinesio taping (KT), another recently-introduced rehabilitative tool, exerts an analgesic and biomechanical action on joints and muscles. ESWT and KT may have a synergic effect when used in combination, but the effectiveness of the association has not been established. AIM: To test if the association of KT with ESWT is superior to ESWT alone in the treatment of rotator cuff calcific tendinopathy...
November 29, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29177701/ultrasound-classification-of-traumatic-distal-biceps-brachii-tendon-injuries
#18
Javier de la Fuente, Marc Blasi, Sílvia Martínez, Pablo Barceló, Carlos Cachán, Maribel Miguel, Carles Pedret
OBJECTIVE: The present work is aimed at analysing ultrasound findings in patients with distal biceps brachii tendon (DBBT) injuries to assess the sensitivity of ultrasound in detecting the different forms of injury, and to compare ultrasound results with magnetic resonance imaging (MRI) and surgical results. MATERIALS AND METHODS: A total of 120 patients with traumatic DBBT injuries examined between 2011 and 2015 were analysed. We compared ultrasound results with MRI results when surgery was not indicated and with MRI and surgical results when surgery was indicated...
November 24, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29177568/tachon-syndrome-rare-side-effect-of-articular-injections-of-corticosteroids-a-report-of-two-cases
#19
Sonia Rekik, Soumaya Boussaid, Hedia Ben Abla, Ilhem Cheour, Med Ben Amor, Med Elleuch
Epidural or intra-articular injections of corticosteroids are an option for the treatment of several pain conditions but are not without adverse effects. Here, we discuss a rare systemic side effect of this therapy: Tachon syndrome. We report two cases, a 64-year-old woman and a 43-year-old man, who presented with Tachon syndrome after receiving, respectively, a shoulder and a lumbar injection of cortivazol 3.75 mg/1.5 ml suspension for injection in pre-filled syringes. The indication for this therapy was, respectively, tendinopathy of the supraspinatus and a mechanical L5 lumbosciatica...
November 24, 2017: Drug Safety—Case Reports
https://www.readbyqxmd.com/read/29177072/efficacy-of-platelet-rich-plasma-injections-for-symptomatic-tendinopathy-systematic-review-and-meta-analysis-of-randomised-injection-controlled-trials
#20
Larry E Miller, William R Parrish, Breana Roides, Samir Bhattacharyya
Aim: To determine the efficacy of platelet-rich plasma (PRP) injections for symptomatic tendinopathy. Design: Systematic review of randomised, injection-controlled trials with meta-analysis. Data sources: Systematic searches of MEDLINE and EMBASE, supplemented by manual searches. Eligibility criteria for selecting studies: Randomised controlled trials with 3 months minimum follow-up that evaluated pain reduction with PRP versus control (saline, local anaesthetic, corticosteroid) injections in patients with symptomatic tendinopathy...
2017: BMJ Open Sport & Exercise Medicine
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