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Tom J Crijns, David N Bernstein, David Ring, Ron Gonzalez, Danielle Wilbur, Warren C Hammert
PURPOSE: Surgery for nontraumatic upper-extremity problems is largely discretionary and preference-sensitive. Psychological and social determinants of health correlate with greater symptoms and limitations and might be associated with discretionary operative treatment. METHODS: We used routinely collected patient-reported outcome measures from patients with de Quervain tendinopathy, ganglion cyst, trapeziometacarpal arthritis, trigger digit, and carpal tunnel syndrome to study factors associated with discretionary surgery using multiple logistic regression...
June 13, 2018: Journal of Hand Surgery
Valentina Studentsova, Keshia M Mora, Melissa F Glasner, Mark R Buckley, Alayna E Loiselle
Type II Diabetes (T2DM) negatively alters baseline tendon function, including decreased range of motion and mechanical properties; however, the biological mechanisms that promote diabetic tendinopathy are unknown. To facilitate identification of therapeutic targets we developed a novel murine model of diabetic tendinopathy. Mice fed a High Fat Diet (HFD) developed diet induced obesity and T2DM and demonstrated progressive impairments in tendon gliding function and mechanical properties, relative to mice fed a Low Fat Diet (LFD)...
June 15, 2018: Scientific Reports
Daniel Ramskov, Sten Rasmussen, Henrik Sørensen, Erik Thorlund Parner, Martin Lind, Rasmus Nielsen
Study Design Randomized clinical trial, etiology. Background Training intensity and volume have been proposed to be associated with specific running-related injuries. If such an association exists, secondary preventive measures could be initiated by clinicians based on symptoms of a specific injury diagnosis. Objectives To test the following hypotheses: (i) A running schedule focusing on intensity will increase the risk of sustaining Achilles tendinopathy, gastrocnemius injuries and plantar fasciitis compared with hypothesized volume-related injuries...
June 12, 2018: Journal of Orthopaedic and Sports Physical Therapy
Babak Vahdatpour, Hadi Forouzan, Fatemeh Momeni, Mehdi Ahmadi, Parisa Taheri
Background: In this study, we aimed to evaluate the effectiveness of extracorporeal shockwave treatment (ESWT) on pain and ankle-hindfoot scale of the American Orthopedic Foot and Ankle Society (AOFAS) score of patients with chronic Achilles tendinopathy (AT). Materials and Methods: In this double-blind clinical trial, 43 patients with chronic AT were selected and randomly allocated in two groups to receive a basic treatment with ESWT or sham SWT (radial and focused shock waves, four sessions once a week for 4 weeks)...
2018: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
Antonio Frizziero, Filippo Vittadini, Michele Barazzuol, Giuseppe Gasparre, Paolo Finotti, Andrea Meneghini, Nicola Maffulli, Stefano Masiero
No abstract text is available yet for this article.
June 2018: Journal of Sports Medicine and Physical Fitness
Silvia Ramon, Daniel Moya, Maria C D'agostino, Carlos Leal, José Eid, Leonardo Guiloff, José R Aranzabal, Wolfgang Schaden
No abstract text is available yet for this article.
June 2018: Journal of Sports Medicine and Physical Fitness
Luca Maria Sconfienza, Domenico Albano, Georgina Allen, Alberto Bazzocchi, Bianca Bignotti, Vito Chianca, Fernando Facal de Castro, Elena E Drakonaki, Elena Gallardo, Jan Gielen, Andrea Sabine Klauser, Carlo Martinoli, Giovanni Mauri, Eugene McNally, Carmelo Messina, Rebeca Mirón Mombiela, Davide Orlandi, Athena Plagou, Magdalena Posadzy, Rosa de la Puente, Monique Reijnierse, Federica Rossi, Saulius Rutkauskas, Ziga Snoj, Jelena Vucetic, David Wilson, Alberto Stefano Tagliafico
OBJECTIVES: To update the 2012 European Society of Musculoskeletal Radiology (ESSR) clinical consensus guidelines for musculoskeletal ultrasound referral in Europe. METHODS: Twenty-one musculoskeletal imaging experts from the ESSR participated in a consensus study based on a Delphic process. Two independent (non-voting) authors facilitated the procedure and resolved doubtful issues. Updated musculoskeletal ultrasound literature up to July 2017 was scored for shoulder, elbow, wrist/hand, hip, knee, and ankle/foot...
June 6, 2018: European Radiology
Renee A McDougall, Sherman O Canapp, Debra A Canapp
Objective: To report sonographic findings for dogs with a supraspinatus tendinopathy (ST) treated with an ultrasound-guided intratendinous injection of bone marrow aspirate concentrate (BMAC) and platelet-rich plasma (PRP). Methods: Medical records for dogs diagnosed with an ST and treated with a BMAC-PRP injection were reviewed. Data collected included patient signalment, radiographic findings at the time of initial evaluation, and sonographic findings, including cross-sectional area (CSA), fiber pattern, and echogenicity...
2018: Frontiers in Veterinary Science
Ryan T Lewinson, Isabelle A Vallerand, Laurie M Parsons, Jeremy M LaMothe, Alexandra D Frolkis, Mark W Lowerison, Gilaad G Kaplan, Scott B Patten, Cheryl Barnabe
Objectives: Imaging studies in patients with cutaneous psoriasis have demonstrated asymptomatic bone and tendon changes, commonly of the foot and ankle. We sought to determine if patients with cutaneous psoriasis have an increased risk of clinically significant foot and ankle tendinopathy or enthesopathy compared with the general population. Methods: Patients with cutaneous psoriasis and a general population cohort were identified in The Health Improvement Network, a general practice medical records database from the UK...
2018: RMD Open
Joel Ang, Chih-Kang David Liou, Harry P Schneider
Placental membrane grafts have long been used in the realms of wound care and ophthalmology to assist in the healing cascade. Recently, surgeons have started to implant placental membrane grafts in a wide variety of foot and ankle surgeries to take advantage of their many touted benefits. The application of placental membrane grafts for cases of lower extremity tendinopathy is detailed in this article.
July 2018: Clinics in Podiatric Medicine and Surgery
Karoliina Mikola, Alessandro Piras, Laura Hakala
CASE HISTORY:  Five juvenile Labrador Retrievers between the ages of 6 and 8 months were presented to our referral centres with a history of intermittent forelimb lameness. CLINICAL EXAMINATION:  The clinical examination revealed the presence of bilateral orthopaedic problems in four out of five cases. DIAGNOSTIC IMAGING FINDINGS:  Radiographic and computed tomography examinations showed the presence of a radiolucent defect corresponding to the area of insertion of the infraspinatus or supraspinatus tendons on the proximal humerus...
June 2, 2018: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Alexandre Hardy, Romain Rousseau, Samir Issa, Antoine Gerometta, Hugues Pascal-Moussellard, Benjamin Granger, Frédéric Khiami
INTRODUCTION: Insertional Achilles tendinopathy is a generic term that encompasses several types of ailments. While conservative treatment is less effective than for conditions isolated to the tendon body, there is no consensus as to the best type of surgical care. HYPOTHESIS: Surgical treatment for insertional Achilles tendinopathy that is tailored to the severity of the tendon involvement will lead to satisfactory functional outcomes. MATERIAL AND METHODS: Forty-six patients were included with an average age of 44...
May 28, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Seán Mc Auliffe, Rodney Whiteley, Peter Malliaras, Kieran O'Sullivan
No abstract text is available yet for this article.
May 30, 2018: British Journal of Sports Medicine
Mahyar Etminan, Michael Guo, Bruce Carleton
BACKGROUND: Fluoroquinolone (FQ) prescription rates have increased over the last 10 years despite recent warnings of serious adverse effects such as peripheral neuropathy and tendinopathy. Currently, there are no published data on the extent or appropriateness of FQ prescribing in children METHODS:: Drug prescription data from the PharMetrics Plus™ health claims database (United States) were analyzed to examine dispensing of ciprofloxacin, levofloxacin, moxifloxacin, ofloxacin, or gemifloxacin to children from 2006 to 2015...
May 24, 2018: Pediatric Infectious Disease Journal
Heng'an Ge, Amrit Shrestha, Centao Liu, Peng Wu, Biao Cheng
Tendinopathy is a common musculoskeletal disorder with characteristic hypervascularity. The mechanism of angiogenesis in tendinopathy remains unclear. The present study aimed to investigate the roles of miR-148a-3p in angiogenesis development of tendinopathy. In this study, we demonstrated that miR-148a-3p expression was increased in tendinopathy tissues and positively correlated with CD34 levels which is a specific marker for angiogenesis. We identified Krüppel-like factor 6 (KLF6) as a direct target gene of miR-148a-3p in tenocytes...
May 26, 2018: Biochemical and Biophysical Research Communications
Jan M Pestka, Gernot Lang, Dirk Maier, Norbert P Südkamp, Peter Ogon, Kaywan Izadpanah
PURPOSE: Return to sports rates in amateur and professional athletes with chronic patellar tendinopathy following arthroscopic patellar release are unpredictable. The present study aims to analyse the effectiveness of arthroscopic patellar release in professional compared to amateur athletes. METHODS: A total of 34 amateur and 20 professional athletes with chronic patellar tendinopathy, refractory to conservative treatment, were studied prospectively and underwent arthroscopic tendon release at the inferior patellar pole...
May 27, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Jorge Chahla, Robert F LaPrade
Biological approaches have a promising future in the orthopaedic field because of their potential benefits that include their minimal invasiveness, potential for accelerated healing, and promise for rapid recovery. However, as the initial hype for these therapies starts to fade, it should be replaced by solid basic and clinical science research to tailor each compound to a determined patient/pathology. Blood contains several products that can be both beneficial and detrimental for every specific tissue, and therefore a one-fits-all approach should be avoided...
June 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
Z J Zhang, W C Lee, G Y F Ng, S N Fu
PURPOSE: This study aims to compare the isometric strength of hip abductors and external rotators in male athletes with and without patellar tendinopathy (PT), and to examine the correlation between hip strength, pain, and functional scores. METHODS: Sixty male athletes (30 with PT and 30 controls) were recruited from local volleyball and basketball teams. The isometric strength of the hip abductors and external rotators was quantified using a belt-stabilized handheld dynamometer...
May 26, 2018: European Journal of Applied Physiology
Brandi Cole, Patrick Lam, Lisa Hackett, George A C Murrell
Background: Subacromial corticosteroid injections are frequently performed for pain associated with supraspinatus tendinopathy. Glucose prolotherapy has been used clinically for multiple tendinopathies and is hypothesized to be an alternate injection therapy for supraspinatus tendinopathy. Methods: A prospective, randomized, double blinded clinical trial was conducted. Thirty-six patients with supraspinatus tendinopathy were randomized into two groups: 17 received an ultrasound-guided injection of glucose into the tendinopathic parts of the supraspinatus tendon and 19 received an ultrasound-guided injection of corticosteroid into the subacromial bursa...
July 2018: Shoulder & Elbow
Luciana D Mendonça, Juliana M Ocarino, Natália F N Bittencourt, Luciana G Macedo, Sérgio T Fonseca
Study Design Clinical measurement, cross-sectional. Background Investigations on the causes of patellar tendinopathy (PT) should consider impairments at the hip and foot/ankle since they are known to influence movement patterns and affect patellar tendon loading. Objectives To investigate, by means of CART analysis, impairments of the hip and foot/ankle that are associated with PT in volleyball and basketball athletes. Methods One-hundred and ninety athletes were assessed for impairments of the hip and foot/ankle including: shank-forefoot alignment (SFA), ankle dorsiflexion range of motion (DF ROM), iliotibial band flexibility, passive hip internal rotation (IR) ROM, and hip external rotator (ER) and hip abductor isometric strength...
May 23, 2018: Journal of Orthopaedic and Sports Physical Therapy
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