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https://www.readbyqxmd.com/read/27904790/current-concepts-in-the-treatment-of-gross-patellofemoral-instability
#1
Grant Buchanan, LeeAnne Torres, Brian Czarkowski, Charles E Giangarra
: Patellofemoral instability is a painful and commonly recurring condition, which often must be managed surgically. Diagnosis can be aided by the use of a variety of physical exam signs, such as the Q angle, Beighton hypermobility score, glide test, J sign, patellar tilt test, and apprehension test. Imaging modalities including x-ray, CT, and MRI guide both diagnosis and management by revealing trochlear dysplasia, bony malalignment, and ligamentous injury that contribute to instability...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27863848/hypermobility-and-musculoskeletal-pain-in-adolescents
#2
Susan L Morris, Peter B O'Sullivan, Kevin J Murray, Natasha Bear, Beth Hands, Anne J Smith
OBJECTIVE: To determine the prevalence of generalized joint hypermobility (GJH) in a large cohort of Australian children and determine the associations between GJH and musculoskeletal pain. STUDY DESIGN: This is a cross-sectional analysis of the Western Australian Pregnancy Cohort (Raine) Study. Hypermobility was measured in 1584 participants at 14 years of age using the Beighton scoring system, along with a range of other factors including musculoskeletal pain status...
November 16, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27857136/differentiating-lipedema-and-dercum-s-disease
#3
K Beltran, K L Herbst
BACKGROUND: People with lipedema or Dercum's disease (DD) can have a similar distribution of excess painful nodular subcutaneous adipose tissue (SAT) making them difficult to differentiate. METHODS: Case series of 94 patients with DD, 160 with lipedema and 18 with both diagnoses (Lip+DD) from a single clinic in an academic medical center to improve identification and differentiation of these disorders by comparison of clinical findings, prevalence of type 2 diabetes (DM2), hypermobility by the Beighton score, and assessment of a marker of inflammation, Total complement activity (CH50)...
November 18, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27856128/generalised-ligamentous-laxity-and-revision-acl-surgery-is-there-a-relation
#4
M Adeel Akhtar, R Bhattacharya, J F Keating
BACKGROUND: The aim of the present study was to investigate the relationship between generalised ligamentous laxity (GLL) and requirement for revision anterior cruciate ligament (ACL) reconstruction. METHODS: The study cohort consisted of 139 patients undergoing primary ACL reconstruction, 44 patients undergoing revision ACL surgery and a control group of 70 patients without any knee ligament injury. A Beighton score of four or more was classified as generalised ligamentous laxity...
December 2016: Knee
https://www.readbyqxmd.com/read/27849244/influence-of-generalized-joint-hypermobility-on-temporomandibular-joint-and-dental-occlusion-a-cross-sectional-study
#5
Lais Chiodelli, Andrielle de Bitencourt Pacheco, Taiane Secretti Missau, Ana Maria Toniolo da Silva, Eliane Castilhos Rodrigues Corrêa
Purpose: To evaluate the dental occlusion and temporomandibular joint in women with and without generalized joint hypermobility. Methods: Generalized joint hypermobility was assessed by the Beighton score. Individuals were divided into two groups: with and without hypermobility. The Research Diagnostic Criteria for Temporomandibular Disorders was used to evaluate the temporomandibular joint. Dental occlusion was assessed according to Angle classification, overjet and overbite measures, presence of open bite or crossbite, pattern of disocclusion, and occlusal interference...
September 2016: CoDAS
https://www.readbyqxmd.com/read/27826402/the-prevalence-of-selected-intrinsic-risk-factors-for-ankle-sprain-among-elite-football-and-basketball-players
#6
Farzin Halabchi, Hooman Angoorani, Maryam Mirshahi, Mohammad Hosein Pourgharib Shahi, Mohammad Ali Mansournia
BACKGROUND: Lateral ankle sprains (LAS) are among the most common sports- related injuries and the reinjury rate is very high. OBJECTIVES: This study aimed to evaluate the prevalence of some intrinsic risk factors among professional football and basketball players with or without history of acute or recurrent ankle sprain. PATIENTS AND METHODS: One hundred and six professional football and basketball players who were referred for pre-participation examinations were recruited in this study...
September 2016: Asian Journal of Sports Medicine
https://www.readbyqxmd.com/read/27761474/generalized-joint-laxity-and-ligament-injuries-in-high-school-aged-female-volleyball-players-in-japan
#7
Ted Sueyoshi, Gen Emoto, Tomoki Yuasa
BACKGROUND: Generalized joint laxity has been linked to ligamentous injuries such as anterior cruciate ligament tear and ankle sprain. PURPOSE/HYPOTHESIS: The purpose of this study was to investigate generalized joint laxity and incidence of ligament injuries in high school-aged female volleyball players. It was hypothesized that volleyball players with a past history of sprains would have increased generalized joint laxity compared with those without any history and that athletes with multiple sprains would demonstrate with a higher generalized joint laxity score than those who had only 1 sprain...
October 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27737608/a-prospective-cohort-study-investigating-the-effect-of-generalized-joint-hypermobility-on-outcomes-after-arthroscopic-anterior-shoulder-stabilization
#8
Loukas Koyonos, Matthew J Kraeutler, Daniel F O'Brien, Michael G Ciccotti, Christopher C Dodson
OBJECTIVES: Generalized joint laxity has been proposed as a significant risk factor for failure after arthroscopic anterior shoulder stabilization. The purpose of this study was to prospectively measure joint mobility in patients undergoing arthroscopic anterior shoulder stabilization and to determine whether hypermobility is a risk factor for worse outcomes compared with patients having normal joint mobility. METHODS: Patients with anterior shoulder instability were prospectively enrolled...
October 13, 2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27727061/arthroscopic-plication-for-multidirectional-instability-50-patients-with-a-minimum-of-2-years-of-follow-up
#9
Caroline Witney-Lagen, Abdul Hassan, Anouska Doodson, Balachandran Venkateswaran
BACKGROUND: Treatment of patients who have not improved after physiotherapy for multidirectional instability (MDI) remains challenging, with no agreed best practice. The purpose of this study was to ascertain whether arthroscopic plication is safe and effective for these patients. METHODS: Fifty consecutive patients who had not improved after at least 6 months of specialized shoulder physiotherapy for symptomatic MDI and no labral lesion at arthroscopy underwent arthroscopic plication between 2006 and 2013...
October 7, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27727051/three-dimensional-analysis-of-the-locked-position-in-patients-with-recurrent-shoulder-instability
#10
Julien Clément, Jérémie Ménard, Maxime Raison, Jennifer Dumais, Laura Dubois, Dominique M Rouleau
BACKGROUND: Although recurrent anterior shoulder instability (RASI) is a common condition in young patients, no studies to date have measured the 3-dimensional (3D) locked position of the glenohumeral joint during an anterior dislocation. Therefore, our goal was to estimate it with 3D computed tomography (CT) scans. METHODS: Patients in this prospective observational study were separated in 3 groups: normal laxity, hyperlaxity, and epilepsy. They were characterized by questionnaires (Western Ontario Shoulder Instability Index, 11-item version of the Disabilities of the Arm, Shoulder and Hand, and Beighton Laxity Score), and a CT scan revealing bipolar bone defects...
October 7, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27717972/assessment-of-demographic-and-pathoanatomic-risk-factors-in-recurrent-patellofemoral-instability
#11
Laurie Anne Hiemstra, Sarah Kerslake, Mark Lafave
PURPOSE: The WARPS/STAID classification employs clinical assessment of presenting features and anatomic characteristics to identify two distinct subsets of patients within the patellofemoral instability population. The purpose of this study was to further define the specific demographics and the prevalence of risky pathoanatomies in patients classified as either WARPS or STAID presenting with recurrent patellofemoral instability. A secondary purpose was to further validate the WARPS/STAID classification with the Banff Patella Instability Instrument (BPII), the Marx activity scale and the Patellar Instability Severity Score (ISS)...
October 7, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27660160/acidogenicity-of-dual-species-biofilms-of-bifidobacteria-and-streptococcus-mutans
#12
Bruno Mello de Matos, Fernanda Lourenção Brighenti, Thuy Do, David Beighton, Cristiane Yumi Koga-Ito
OBJECTIVE: The aim of this study was to evaluate the acidogenicity of dual-species biofilms of bifidobacteria and Streptococcus mutans. MATERIALS AND METHODS: The following strains were tested: Bifidobacterium dentium DSM20436, Parascardovia denticolens DSM10105, and Scardovia inopinata DSM10107. Streptococcus mutans UA159 and Lactobacillus acidophilus ATCC4356 were used as control. Bifidobacteria were studied planktonically as they were not able to form monospecies biofilm, they were grown in biofilms associated with S...
September 23, 2016: Clinical Oral Investigations
https://www.readbyqxmd.com/read/27568883/inter-and-intra-rater-reliability-of-clinical-tests-associated-to-functional-lumbar-segmental-instability-and-motor-control-impairment-in-patients-with-lbp-a-systematic-review
#13
Lenie Denteneer, Gaetane Stassijns, Willem De Hertogh, Steven Truijen, Ulrike Van Daele
OBJECTIVE: To provide a comprehensive overview of clinical tests associated with functional lumbar segmental instability and motor control impairment in patients with low back pain (LBP) and to investigate their intra and/or inter-rater reliability. DATA SOURCES: A systematic computerized search was conducted in four different databases on the 1(st) of December 2015: Pubmed (1972 - ) , Web of Science (1955 - ), Embase (1947 - ), Medline ( 1946 - ). STUDY SELECTION: PRISMA guidelines were followed during design, search and reporting stages of this review...
August 25, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27565481/an-evaluation-of-the-effectiveness-of-medial-patellofemoral-ligament-reconstruction-using-an-anatomical-tunnel-site
#14
Kars P Valkering, Aysha Rajeev, Nick Caplan, Wim E Tuinebreijer, Deiary F Kader
PURPOSE: Medial patellofemoral ligament (MPFL) reconstruction for recurrent patellar instability has gained popularity, and anatomical and biomechanical studies have recently altered our operative techniques. The aim of this study was to report the clinical outcome of this new anatomical MPFL reconstructive technique and investigate whether correlating factors could be identified. METHODS: Between 2009 and 2012, a total of 31 consecutive patients underwent MPFL reconstruction using an autologous gracilis graft and anatomical tunnel placement...
August 26, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27496909/modified-brostr%C3%A3-m-procedure-for-chronic-lateral-ankle-instability-in-patients-with-generalized-joint-laxity
#15
He-Xing Xu, Keun-Bae Lee
BACKGROUND: Generalized joint laxity (GJL) has been considered a risk factor for late failure of ligament reconstruction in the knee; however, it is not known whether GJL is the cause of recurrent instability after the modified Broström procedure for chronic lateral ankle instability. PURPOSE: To compare the clinical results of the modified Broström procedure for chronic lateral ankle instability in patients with or without GJL. STUDY DESIGN: Cohort study; Level of evidence, 3...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27496265/benign-joint-hypermobility-minimally-impacts-autonomic-abnormalities-in-pediatric-subjects-with-chronic-functional-pain-disorders
#16
Gisela Chelimsky, Katja Kovacic, Pippa Simpson, Melodee Nugent, Donald Basel, Julie Banda, Thomas Chelimsky
OBJECTIVE: To determine if children with benign joint hypermobility (BJH) syndrome and chronic functional pain disorders have more autonomic dysfunction. STUDY DESIGN: Retrospective chart review study of pediatric patients seen in the pediatric neurogastroenterology and autonomic clinic who underwent autonomic testing and had either a Beighton score of ≥6 and met Brighton criteria for BJH (with BJH) or a score of ≤2 (no BJH). RESULTS: Twenty-one female subjects (10 without BJH) met inclusion criteria; 64% of BJH had diagnosis confirmed by genetics consultation...
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27483212/generalized-hyperalgesia-in-children-and-adults-diagnosed-with-hypermobility-syndrome-and-ehlers-danlos-syndrome-hypermobility-type-a-discriminative-analysis
#17
M C Scheper, V Pacey, L Rombaut, R D Adams, L Tofts, P Calders, L L Nicholson, R H H Engelbert
INTRODUCTION: Lowered pressure pain thresholds have been demonstrated in adults with Ehlers-Danlos Hypermobility type(EDS-HT), however it remains unclear if these findings are also present in children. Therefore, the objectives of the study were to: (1)determine if generalized hyperalgesia is present in Hypermobility syndrome (HMS)/EDS-HT children, (2)explore potential differences in pressure pain thresholds between HMS/EDS-HT children and adults, and (3)determine the discriminative value of generalized hyperalgesia...
August 2, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27463535/frequency-of-joint-hypermobility-in-turkish-patients-with-knee-osteoarthritis-a-cross-sectional-multicenter-study
#18
Gülcan Gürer, Gulnur Tasci Bozbas, Tiraje Tuncer, Ayse Iyiyapici Unubol, Ulku Gurbuz Ucar, Ozge Illeez Memetoglu
AIM: Osteoarthritis (OA) of the knee is one of the major causes of joint dysfunction and physically disabling conditions in the older population. The risk factors for the development of knee OA are very diverse. We aimed to determine the frequency of joint hypermobility in patients with knee OA. METHODS: Five hundred and three patients (402 female and 101 male) with bilateral knee OA were enrolled in five different clinics from three regions of Turkey. In this study, joint hypermobility was evaluated in the participants by using the Beighton scoring system and a Beighton score of at least 4 was considered as joint hypermobility...
July 27, 2016: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/27428527/the-effect-of-hypermobility-on-the-incidence-of-injury-in-professional-football-a-multi-site-cohort-study
#19
Matt Konopinski, Ian Graham, Mark I Johnson, Gareth Jones
BACKGROUND: A recent study demonstrated joint hypermobility increased the incidence of injury in an elite football team utilising a univariate statistical model. OBJECTIVES: To compare injury incidence between hypermobile and non-hypermobile elite football players incorporating a multi-site design and multivariate inferential statistics. METHODS: 80 players comprising 3 English Championship football teams were followed prospectively during the 2012-2013 season...
September 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27413535/the-association-between-generalized-joint-hypermobility-and-active-horizontal-shoulder-abduction-in-10-15%C3%A2-year-old-competitive-swimmers
#20
Tina Junge, Peter Henriksen, Heidi Lund Andersen, Linette Dyg Byskov, Hans Kromann Knudsen, Birgit Juul-Kristensen
BACKGROUND: Increased shoulder mobility and Generalised Joint Hypermobility (GJH) are assumed to be predisposing risk factors for shoulder injuries. The association between GJH and shoulder mobility among competitive swimmers is unknown. The aim was to study the association between GJH and active horizontal shoulder abduction (AHSA) in young, competitive swimmers and to describe normative values of AHSA in this group. METHODS: In total, 92 swimmers (10-15 years) without shoulder pain participated...
2016: BMC Sports Science, Medicine and Rehabilitation
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