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John D Johnson, Laura A Chachula, Ryan J Bickley, Claude D Anderson, Paul M Ryan
Introduction: Literature on functional outcomes after ankle surgery is for the most part limited to return to sport studies. The purpose of this study was to determine occupational and functional outcomes following operative treatment of unstable ankle fractures in the active duty military population. Materials and Methods: All ankle fractures treated with open reduction internal fixation at a single institution from 2013 to 2015 were reviewed. Inclusion criteria included active duty personnel with a single-sided injury requiring operative management...
December 4, 2018: Military Medicine
Kelly A Jeans, Lori A Karol, Ashley L Erdman, Wilshaw R Stevens
BACKGROUND: The purpose of this study was to assess function, at the age of 10 years, of children initially treated nonoperatively for clubfoot with either the Ponseti or French physiotherapy program and to compare outcomes in feet that had undergone only nonoperative treatment with those that required subsequent surgery. METHODS: Gait analysis, isokinetic ankle strength, parent-reported outcomes, and daily step activity data were collected when patients who had been treated for idiopathic clubfoot reached the age of 10 years...
December 5, 2018: Journal of Bone and Joint Surgery. American Volume
Bibek Banskota, Prakash Yadav, Tarun Rajbhandari, O P Shrestha, Divya Talwar, Ashok Banskota, David A Spiegel
BACKGROUND: To our knowledge, there are no reports of the Ponseti method initiated after walking age and with >10 years of follow-up. Our goal was to report the clinical findings and patient-reported outcomes for children with a previously untreated idiopathic clubfoot who were seen when they were between 1 and 5 years old, were treated with the Ponseti method, and had a minimum follow-up of 10 years. METHODS: A retrospective review of medical records was supplemented by a follow-up evaluation of physical findings (alignment and range of motion) and patient-reported outcomes using the Oxford Ankle Foot Questionnaire for Children (OxAFQ-C)...
December 5, 2018: Journal of Bone and Joint Surgery. American Volume
Serdar Kesikburun, Ümüt Güzelküçük, Ulaş Fidan, Yasin Demir, Ali Ergün, Arif Kenan Tan
Background: Pregnancy-induced hormonal and physiologic changes increase the risk of musculoskeletal problems in pregnancy. The purpose of this report is to provide a comprehensive look at the musculoskeletal pain and symptoms experienced during pregnancy. Methods: A total of 184 women (mean age 30.9 ± 5.0 years) who gave birth in the obstetrics clinic of a tertiary hospital were included in the study. The participants who had given birth at 37-42 weeks of pregnancy (term pregnancy) and aged over 18 years were selected for participation...
December 2018: Therapeutic Advances in Musculoskeletal Disease
Benedict Hayhoe, Dani Kim, Paul P Aylin, F Azeem Majeed, Martin R Cowie, Alex Bottle
OBJECTIVE: Clinical guidelines on heart failure (HF) suggest timings for investigation and referral in primary care. We calculated the time for patients to achieve key elements in the recommended pathway to diagnosis of HF. METHODS: In this observational study, we used linked primary and secondary care data (Clinical Practice Research Datalink, a database of anonymised electronic records from UK general practices) between 2010 and 2013. Records were examined for presenting symptoms (breathlessness, fatigue, ankle swelling) and key elements of the National Institute for Health and Care Excellence-recommended pathway to diagnosis (serum natriuretic peptide (NP) test, echocardiography, specialist referral)...
December 4, 2018: Heart: Official Journal of the British Cardiac Society
Martin Grimmer, Brendan T Quinlivan, Sangjun Lee, Philippe Malcolm, Denise Martineli Rossi, Christopher Siviy, Conor J Walsh
Previous ankle exoskeleton assistance techniques that were able to demonstrate metabolic reductions can be categorized into those that delivered moment profiles similar to the biological ankle moment throughout the stance phase, and others that delivered positive power only during push off. Both assistance techniques and a powered-off condition were compared in treadmill walking (1.5 m s-1 ) with a soft exosuit. We hypothesized that both techniques can result in a similar metabolic reduction when providing a similar level of average positive exosuit power at each ankle (0...
November 20, 2018: Journal of Biomechanics
C Antza, I Doundoulakis, M Natsis, V Kotsis
Artery disease can be identified from ankle-brachial index (peripheral artery disease), pulse wave velocity (arterial stiffness), carotid intima media thickness (atherosclerosis) and flow-mediated dilation (endothelial disfunction). Arterial stiffness is a marker of cardiovascular disease associated with cardiovascular events. Increased vascular ageing is the acceleration of arterial stiffness inappropriate for the given chronological age. Treatment of early vascular ageing seems to be important if we target on primary cardiovascular prevention...
December 4, 2018: Current Pharmaceutical Design
Chandra da Silveira Langoni, Thais de Lima Resende, Andressa Bombardi Barcellos, Betina Cecchele, Juliana Nunes da Rosa, Mateus Soares Knob, Tatiane do Nascimento Silva, Tamiris de Souza Diogo, Irenio Gomes da Silva, Carla Helena Augustin Schwanke
OBJECTIVE: To determine the effects of group exercises on balance, mobility, and depressive symptoms in community-dwelling older adults with mild cognitive impairment. DESIGN: Single blinded, randomized, matched pairs clinical trial. SETTING: Four primary healthcare units. SUBJECTS: Fifty-two sedentary subjects with mild cognitive impairment were paired (age, sex, body mass index, and Addenbrooke's Cognitive Examination Revised score), tested, and then randomized into an intervention group ( n = 26) and a control group ( n = 26)...
December 4, 2018: Clinical Rehabilitation
Zhan-Zong Liu, Jia-Fu Qu, Bo Zhang
OBJECTIVE: To analyze the operative methods and clinical effects of autologous distal tibial cancellous bone graft with periosteum in treating cartilage injury of talus with Hepple III-IV type. METHODS: From June 2014 to August 2017, 25 patients (25 feet) with Hepple III to IV cartilage injury of talus were treated with autogenous ipsilateral distal tibial cancellous bone graft. Including 14 males and 11 females, aged from 18 to 52 years with an average of (38.4±3...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Mohamed A Eid, Sobhy M Aly, Rasha A Mohamed
OBJECTIVES: To evaluate the effectiveness of twister wrap orthosis (TWO) on foot pressure distribution and postural balance in children with spastic diplegic cerebral palsy (CP). METHODS: Thirty children with spastic diplegic CP, with ages ranging from 6 to 8 years, were assigned randomly into two groups. The control group received the conventional physical therapy and ankle foot orthosis (AFO), whereas the study group received the same program as the control group in addition to TWO...
December 1, 2018: Journal of Musculoskeletal & Neuronal Interactions
Wenbin Chen, Shuang Wu, Tiancheng Zhou, Caihua Xiong
Passive exoskeletons have potential advantages in reducing metabolic energy cost. We consider a passive elastic exoskeleton (peEXO) providing hip flexion moment to assist hip flexors during walking, our goal is to use a biomechanical model to explore the biological mechanics and energetics of the hip joint muscle-tendon-exotendon system for obtaining the optimum stiffness of this peEXO at the muscle-level. Based on our developed hip musculoskeletal model capable of replicating human-like behaviors, the hip peEXO is firstly abstracted as a spring (i...
December 4, 2018: Bioinspiration & Biomimetics
Tuba Tülay Koca, Hasan Göğebakan, Burhan Fatih Koçyiğit, Vedat Nacitarhan, Cem Zafer Yildir
ABTRACT: AIM: Because of the wide diversity of developmental stages in spondyloarthropathies (SpA), clinical and radiographic weak correlations are often found in the development of enthesopathies. In this study, foot functions of ankylosing spondylitis (AS) patients were analyzed with clinical and radiological features. METHOD: Sixty-two AS patients and 39 age-matched, gender-matched, and body mass index (BMI)-matched healthy volunteers were included in this study...
December 3, 2018: Clinical Rheumatology
Nidhi Shankar Kikkeri, Ragha Chaitanya Sakuru, Ruben Ngnitewe Massa'a, Pradeep C Bollu, Raghav Govindarajan
Peroneal neuropathy is the most common mononeuropathy encountered in the lower extremities. Isolated injuries to the dorsal cutaneous peroneal nerve (DCPN) are uncommon, and most of the reported cases are due to trauma or iatrogenic causes. We report a case of a middle-aged woman who presented with a nine-month history of tingling sensation over the dorsum of her left foot with normal electromyography (EMG) findings and was subsequently diagnosed with entrapment of the DCPN at the ankle by ultrasonographic examination...
September 24, 2018: Curēus
Yinshuan Deng, Chenhui Dong, Xiaojie Yang, Rui Liu, Feiyi Hou, Shensong Li, Kanglai Tang
High-energy trauma can cause transsyndesmotic ankle fracture dislocation. These fractures are quite rare. Here we present a clinical case of a male patient with this type of injury. A systematic review of PubMed, Ovid MEDLINE, and Embase electronic databases revealed only two prior publications on a similar topic. We discuss the typical clinical features of these injuries, the treatment of high-energy trauma which can cause transsyndesmotic ankle fracture dislocation, and its prognosis.
2018: Case Reports in Orthopedics
Ryosuke Nakagawa, Satoshi Yamaguchi, Seiji Kimura, Aya Sadamasu, Yohei Yamamoto, Yuta Muramatsu, Yasunori Sato, Ryuichiro Akagi, Takahisa Sasho, Seiji Ohtori
BACKGROUND: The purpose of this study was to clarify the 2-year clinical and radiological outcomes of nonoperative treatment using foot orthosis for hallux valgus patients. METHODS: Patients who underwent nonoperative treatment using foot orthosis were surveyed prospectively. Foot orthoses were made by one certified orthotist using the standardized method. Pain and quality of life were evaluated using subjective and objective assessment measures at 3, 6, 12, 18, and 24 months...
November 30, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Ádám Horváth, Éva Borbély, Kata Bölcskei, Nikolett Szentes, Tamás Kiss, Mátyás Belák, Tibor Rauch, Tibor Glant, Róza Zákány, Tamás Juhász, Edina Karanyicz, Ferenc Boldizsár, Zsuzsanna Helyes, Bálint Botz
OBJECTIVE: The regulatory role of capsaicin-sensitive peptidergic sensory nerves has been shown in acute inflammation, but little is known about their involvement in T/B-cell driven autoimmune arthritis. This study integratively characterized the function of these nerve endings in the proteoglycan-induced chronic arthritis (PGIA), a translational model of rheumatoid arthritis. METHODS: Peptidergic afferents were defunctionalized by resiniferatoxin (RTX) pretreatment in BALB/c mice, PGIA was induced by repeated antigen challenges...
December 3, 2018: Journal of Neuroinflammation
Yongmei Liu, Peiling Zhao, Mingliang Cheng, Lei Yu, Zhuo Cheng, Linda Fan, Chi Chen
BACKGROUND: Previous studies have revealed that triglyceride to high-density lipoprotein cholesterol (HDL-C) ratio (henceforth TG/HDL-C) is one of the major risk factors for cardiovascular disease, insulin resistance and metabolism syndrome. However, there are fewer investigations of the correlations between the aspartate aminotransferase (AST) to alanine aminotransferase (ALT) ratio and brachial ankle pulse wave velocity (baPWV). This study was undertaken to investigate the relationship between the AST to ALT ratio and brachial-ankle pulse wave velocity (baPWV) in a Japanese population...
December 3, 2018: Lipids in Health and Disease
Lujuan Gao, Junjun Chen, Di Gao, Ming Li
BACKGROUND: Microascus cirrosus, the teleomorph of Scopulariopsis spp., is a saprobic species with a worldwide distribution and rarely causes human infection. In the present paper, we present the first case of primary cutaneous M. cirrosus infection in a Chinese female. CASE PRESENTATION: A 17-year-old female presented with tender ulceration on her left ankle for three months. Histology revealed multiple branching, septate hyphae and moniliform fungal elements in the dermis...
December 3, 2018: BMC Infectious Diseases
Stephanie Piatek, Jürgen Hartmann, Petra Günther, Daniela Adolf, Egbert J Seidel
AIMS: Back strain is a common musculoskeletal complaint affecting musicians, which may be related to unsuitable playing positions causing fatigue and muscle tension. In this study, three saxophone-carrying systems (neck-strap, shoulder-strap, and Saxholder) were examined for their effects on spinal column kinematics. METHODS: The influence of saxophone-carrying systems was investigated in 14 physically healthy alto saxophonists using ultrasound topometry. Additional tests were performed on 1 subject to examine the influence of the different weights of alto, tenor, and baritone saxophones with the three different carrying systems...
December 2018: Medical Problems of Performing Artists
Pamela Mikkelsen, Daneille N Jarvis, Kornelia Kulig
AIMS: Dancers have high injury rates of the lower extremity. External factors such as footwear likely alter the work demands placed on the lower extremity joints when performing dance-style movements. Research on pedestrians shows an increase in knee work demand when wearing heels, which may occur in dancers as well. The purpose of this study was to assess the effect of heeled shoes on lower extremity joint work demand during a basic dance-specific jump (sauté) in dancers when compared to barefoot...
December 2018: Medical Problems of Performing Artists
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