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https://www.readbyqxmd.com/read/29671490/common-running-injuries-evaluation-and-management
#1
Michael J Arnold, Aaron L Moody
Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with eccentric exercise. Iliotibial band syndrome and patellofemoral pain syndrome are less common than patellar tendinopathy and are treated by strengthening exercises for the core and legs in addition to flexibility exercises. Acute hamstring strains and medial tibial stress syndrome require a period of relative rest, followed by stretching and graded return to activity...
April 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29658926/evaluation-of-stem-cell-therapies-in-a-bilateral-patellar-tendon-injury-model-in-rats
#2
John R Wagner, Takashi Taguchi, Jane Y Cho, Chandrashekhar Charavaryamath, Dominique J Griffon
Regenerative medicine provides novel alternatives to conditions that challenge traditional treatments. The prevalence and morbidity of tendinopathy across species, combined with the limited healing properties of this tissue, have prompted the search for cellular therapies and propelled the development of experimental models to study their efficacy. Umbilical cord matrix-derived mesenchymal stem cells (UCM-MSC) are appealing candidates because they are abundant, easy to collect, circumvent the ethical concerns and risk of teratoma formation, yet resemble primitive embryonic stem cells more closely than adult tissue-derived MSCs...
March 30, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29658150/proximal-patellar-tendon-pathology-can-develop-during-adolescence-in-young-ballet-dancers-a-2-year-longitudinal-study
#3
A Rudavsky, J L Cook, S Docking
PURPOSE: Patellar tendinopathy (tendon pain and dysfunction), or jumper's knee is prevalent in adult jumping athletes. Pathology in the proximal patellar tendon is a key risk factor for developing patellar tendinopathy. When pathology develops in the proximal patellar tendon is not known, though it is reported to exist in adolescent athletes. The aim of this study was to follow young jumping athletes (ballet dancers) through adolescence to identify if pathology develops and its relation to the adolescent growth spurt...
April 15, 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29649012/clinical-improvements-are-not-explained-by-changes-in-tendon-structure-on-utc-following-an-exercise-program-for-patellar-tendinopathy
#4
Mathijs van Ark, Ebonie Rio, Jill Cook, Inge van den Akker-Scheek, James E Gaida, Johannes Zwerver, Sean Docking
OBJECTIVES: The aim of this study was to investigate the effects of a 4-week in-season exercise program of isometric or isotonic exercises on tendon structure and dimensions as quantified by Ultrasound Tissue Characterization (UTC). DESIGN: Randomized clinical trial. Volleyball and basketball players (16-31 years, n=29) with clinically diagnosed patellar tendinopathy were randomized to a 4-week isometric or isotonic exercise program. The programs were designed to decrease patellar tendon pain...
April 11, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29626145/risk-factors-for-lower-limb-injuries-during-initial-naval-training-a-prospective-study
#5
Daniel R Bonanno, S E Munteanu, G S Murley, K B Landorf, H B Menz
INTRODUCTION: This study aimed to identify risk factors associated with the development of common lower limb injuries during initial defence training in naval recruits who were enrolled in a randomised trial. METHODS: Three-hundred and six naval recruits were randomly allocated flat insoles (n=153) or foot orthoses (n=153) while undertaking 11 weeks of initial training. Participant characteristics (including anthropometrics, general health, physical activity, fitness and foot characteristics) were collected at the baseline assessment and injuries were documented prospectively...
April 6, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29625184/clinical-results-of-peroneal-tendon-repair-in-a-retrospective-series-of-30-patients
#6
C Bourgault, C Pougès, C Szymanski, C Lalanne, A Thioun, K Soudy, C Maynou
INTRODUCTION: Peroneal tendinopathy is an under-diagnosed pathology, mainly triggered by ankle sprain. Failure of medical treatment often leads to surgery, with modalities adapted to the lesion type. The present study aimed to assess clinical and functional results of tendon repair and to analyze the influence of hindfoot alignment on quality of outcome. The study hypothesis was that hindfoot varus impairs medium-term results. MATERIAL AND METHODS: A retrospective series of 30 patients undergoing peroneal tendon repair or tenodesis was analyzed at a mean 20 months' follow-up...
April 3, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29620182/response-of-decorin-to-different-intensity-treadmill-running
#7
Shao-Yong Xu, Sheng-Yao Liu, Lei Xu, Song-Yun Deng, Yong-Bin He, Shu-Fen Li, Guo-Xin Ni
Decorin is widely understood to affect collagen fibrillogenesis. However, little is understood about its response to various mechanical loading conditions. In the present study, 36 Wistar rats were randomly divided into control (CON), moderate treadmill running (MTR) and strenuous treadmill running (STR) groups. Animals in the MTR and STR groups were subjected to a 4‑ or 8‑week treadmill running protocol. Subsequently, all Achilles tendons were harvested to perform histological and biochemical analyses...
March 28, 2018: Molecular Medicine Reports
https://www.readbyqxmd.com/read/29610612/the-effectiveness-of-radial-extracorporeal-shock-wave-therapy-for-chronic-achilles-tendinopathy-a-case-report-with-18-months-follow-up
#8
Erieta Dimitrije Nikolikj-Dimitrova, Cvetanka Gjerakaroska-Savevska, Valentina Koevska, Biljana Mitrevska, Marija Gocevska, Maja Manoleva, Biljana Kalchovska-Ivanovska
BACKGROUND: Achilles tendinopathy (AT) is a pathological state resulting from repetitive loading or stress on the tendon. The article aims to evaluate the effects of the low - energy radial extracorporeal shockwave therapy (RESWT) in the treatment of the adult with chronic insertional Achilles tendinopathy (AT) after the unsuccessful conservative treatment, with 18 months follow - up evaluation. CASE REPORT: We report the case of a 55 years - old male suffering from severe right posterior heel pain for 4 months...
March 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29605861/synergistic-activity-of-platelet-rich-plasma-and-high-volume-image-guided-injection-for-patellar-tendinopathy
#9
Michele Abate, Luigi Di Carlo, Sandra Verna, Patrizia Di Gregorio, Cosima Schiavone, Vincenzo Salini
PURPOSE: Platelet rich plasma and high volume image guided injections of saline have been used in the treatment of patellar tendinopathy with positive results. As the different mechanisms of action do not interfere each other, it can be hypothesized that they can be used in combination. Aim of this study was twofold: first, to evaluate the efficacy of these two treatments in the management of patellar tendinopathy; second, to verify whether the combination of these therapies could provide further advantages...
March 31, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29601383/is-platelet-rich-plasma-injection-effective-for-chronic-achilles-tendinopathy-a-meta-analysis
#10
Yi-Jun Zhang, San-Zhong Xu, Peng-Cheng Gu, Jing-Yu Du, You-Zhi Cai, Chi Zhang, Xiang-Jin Lin
BACKGROUND: Chronic Achilles tendinopathy is common in the general population, and platelet-rich plasma (PRP) is seeing increased use to treat this problem. However, studies disagree as to whether PRP confers a beneficial effect for chronic Achilles tendinopathy, and no one to our knowledge has pooled the available randomized trials in a formal meta-analysis to try to reconcile those differences. QUESTIONS/PURPOSES: In the setting of a systematic review and meta-analysis of randomized controlled trials (RCTs), we asked: Does PRP plus eccentric strength training result in (1) greater improvements in Victorian Institute of Sports Assessment-Achilles (VISA-A) scores; (2) differences in tendon thickness; or (3) differences in color Doppler activity compared with placebo (saline) injections plus eccentric strength training in patients with chronic Achilles tendinopathy? METHODS: A search of peer-reviewed articles was conducted to identify all RCTs using PRP injection with eccentric training for chronic Achilles tendinopathy in the electronic databases of PubMed, Web of Science (SCI-E/SSCI/A&HCI), and EMBASE from January 1981 to August 2017...
March 28, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29601207/nonsurgical-treatments-of-patellar-tendinopathy-multiple-injections-of-platelet-rich-plasma-are-a-suitable-option-a-systematic-review-and-meta-analysis
#11
Luca Andriolo, Sante Alessandro Altamura, Davide Reale, Christian Candrian, Stefano Zaffagnini, Giuseppe Filardo
BACKGROUND: Patellar tendinopathy is a condition characterized by anterior knee activity-related pain. It has a high incidence among athletes engaged in jumping sports and may become a chronic condition. Nonoperative management is the first choice in these patients, and several nonsurgical treatment options have been proposed. Nonetheless, clear indications on the most effective approach to address patellar tendinopathy are still lacking. PURPOSE: To analyze the evidence on nonoperative options to treat chronic patellar tendinopathy through a systematic review of the literature and to perform a meta-analysis to identify the most effective nonsurgical option...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29593382/tendinopathy-injury-repair-and-current-exploration
#12
REVIEW
Kelsey Lipman, Chenchao Wang, Kang Ting, Chia Soo, Zhong Zheng
Both acute and chronic tendinopathy result in high morbidity, requiring management that is often lengthy and expensive. However, limited and conflicting scientific evidence surrounding current management options has presented a challenge when trying to identify the best treatment for tendinopathy. As a result of shortcomings of current treatments, response to available therapies is often poor, resulting in frustration in both patients and physicians. Due to a lack of understanding of basic tendon-cell biology, further scientific investigation is needed in the field for the development of biological solutions...
2018: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/29576916/deferring-routine-wrist-radiography-does-not-affect-management-of-de-quervain-tendinopathy-patients
#13
Nikolas H Kazmers, Tiffany C Liu, Chia H Wu, David R Steinberg, David J Bozentka, L Scott Levin, Benjamin L Gray
Background  Obtaining wrist radiographs prior to surgeon evaluation may be wasteful for patients ultimately diagnosed with de Quervain tendinopathy (DQT). Questions/Purpose  Our primary question was whether radiographs directly influence treatment of patients presenting with DQT. A secondary question was whether radiographs influence the frequency of injection and surgical release between cohorts with and without radiographs evaluated within the same practice. Patients and Methods  Patients diagnosed with DQT by fellowship-trained hand surgeons at an urban academic medical center were identified retrospectively...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29574453/infographic-achilles-and-patellar-tendinopathy-rehabilitation-strive-to-implement-loading-principles-not-recipes
#14
Peter Malliaras, Jorge Rodriguez Palomino, Christian J Barton
No abstract text is available yet for this article.
March 24, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29573932/radiologic-and-histologic-evaluation-of-proximal-bicep-pathology-in-patients-with-chronic-biceps-tendinopathy-undergoing-open-subpectoral-biceps-tenodesis
#15
Clayton W Nuelle, Derek C Stokes, Keiichi Kuroki, Julia R Crim, Seth L Sherman
PURPOSE: To correlate preoperative magnetic resonance imaging (MRI) and intraoperative anatomic findings within the proximal long head biceps tendon to histologic evaluation of 3 separate zones of the tendon in patients with chronic biceps tendinopathy. METHODS: Sixteen patients with chronic biceps tendinopathy were treated with open subpectoral biceps tenodesis. Preoperative MRI tendon grading was as follows: normal tendon, increased signal, tendon splitting, incomplete/complete tear...
March 21, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29570396/carbon-14-bomb-pulse-dating-shows-that-tendinopathy-is-preceded-by-years-of-abnormally-high-collagen-turnover
#16
Katja Maria Heinemeier, Peter Schjerling, Tommy F Øhlenschlæger, Christian Eismark, Jesper Olsen, Michael Kjær
Tendons are essential weight-bearing structures that are often affected by tendinopathy, which leads to pain and impaired mobility. In healthy Achilles tendons, no significant renewal of the weight-bearing collagen matrix seems to occur during adult life, but tendinopathy may lead to increased turnover. The carbon-14 ([14 C]) bomb pulse method was used to measure lifelong replacement rates of collagen in tendinopathic and healthy Achilles tendons (tendinopathic: n = 25, born 1937-72. Healthy: n = 10, born 1929-66)...
March 23, 2018: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://www.readbyqxmd.com/read/29564047/what-is-the-most-effective-eccentric-stretching-position-in-lateral-elbow-tendinopathy
#17
Joong-Bae Seo, Sung-Hyun Yoon, Joon-Yeul Lee, Jun-Kyom Kim, Jae-Sung Yoo
Background: A variety of treatment options suggest that the optimal treatment strategy for lateral elbow tendinopathy (LET) is not known, and further research is needed to discover the most effective treatment for LET. The purpose of the present study was to verify the most effective position of eccentric stretching for the extensor carpi radialis brevis (ECRB) in vivo using ultrasonic shear wave elastography. Methods: A total of 20 healthy males participated in this study...
March 2018: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29557811/efficacy-of-extracorporeal-shock-wave-therapy-for-lower-extremity-tendinopathy-a-meta-analysis-of-randomised-controlled-trials
#18
Chun-De Liao, Jau-Yih Tsauo, Hung-Chou Chen, Tsan-Hon Liou
OBJECTIVE: Extracorporeal shock wave therapy (ESWT), including radial shock wave (RaSW) and focused shock wave (FoSW) types, is widely used for managing tendinopathies. The difference in efficacy between the 2 shock wave characteristics with different dosage levels remains controversial, and the purpose of this meta-analysis was to examine it for patients with lower extremity (LE) tendinopathy. DESIGN: A comprehensive search of online databases and search engines was performed...
March 19, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29551579/a-simple-treatment-option-for-achilles-tendinopathy
#19
Johannes Möst
No abstract text is available yet for this article.
February 17, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29550694/new-lower-limb-gait-biomechanical-characteristics-in-individuals-with-achilles-tendinopathy-a-systematic-review-update
#20
REVIEW
Ikponmwonsa Ogbonmwan, Bhavesh D Kumar, Bruce Paton
BACKGROUND: Variations in lower-limb biomechanics have recurrently been associated as aetiological factors for Achilles tendinopathy. OBJECTIVE: To update a previous systematic review examining lower-limb gait biomechanics in Achilles tendinopathy. DESIGN: Systematic Review. DATA SOURCES: MEDLINE, EMBASE, CINAHL PLUS, SPORTDiscus and PUBMED databases searched from inception to May 2016. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies investigating adults with Achilles tendinopathy and lower-limb gait biomechanics including kinematics, kinetics, dynamic plantar-pressures, temporospatial parameters and muscle activity...
March 8, 2018: Gait & Posture
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