keyword
https://read.qxmd.com/read/38472436/the-significance-of-heterotopic-ossification-following-total-ankle-arthroplasty-a-systematic-review-and-meta-analysis
#21
JOURNAL ARTICLE
James J Butler, Hazel Healy, Utkarsh Anil, Akram Habibi, Mohammad T Azam, Raymond J Walls, John G Kennedy
PURPOSE: The purpose of this systematic review and meta-analysis was to evaluate the prevalence and clinical significance of heterotopic ossification (HO) following total ankle replacement (TAR). METHODS: During August 2023, the PubMed, Embase and Cochrane library databases were systematically reviewed to identify clinical studies reporting HO following TAR. Data regarding surgical characteristics, pathological characteristics, subjective clinical outcomes, ankle range of motion, radiographic outcomes, reoperation rates were extracted and analysed...
March 12, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38472435/functional-outcomes-and-rates-of-return-to-sport-activities-in-a-non-athlete-population-after-the-open-brostrom-gould-repair-a-seven-year-follow-up
#22
JOURNAL ARTICLE
Danilo Ryuko Cândido Nishikawa, Guilherme Honda Saito, Alberto Abussamra Moreira Mendes, Alberto Marangon, Carlos Henrique Tardini, Adilson Sanches de Oliveira Junior, Fernando Aires Duarte, Marcelo Pires Prado
INTRODUCTION: After an ankle sprain, up to 20% of patients may develop chronic lateral ankle instability (CLAI) requiring surgical treatment. The objective of this study was to investigate the functional outcomes and rates of return to sport activities in a cohort of non-athlete patients with chronic lateral ankle instability (CLAI) who underwent the opened Brostrom-Gould technique (BGT). MATERIALS AND METHODS: Seventy-nine patients (seventy-nine feet) from three different centers undergoing BGT were reviewed...
March 12, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38470706/incidence-and-risk-factors-for-acute-articular-cartilage-tears-in-military-and-other-occupational-settings-a-systematic-review
#23
REVIEW
Kristy Robson, Rodney Pope, Robin Orr
UNLABELLED: Damage to the articular cartilage resulting in an acute tear can lead to functional changes within the joint and increase the risk of osteoarthritis developing. There is limited understanding of the association between occupational risk factors and sustaining an acute articular cartilage tear in the military and other physically demanding occupations. Therefore, the aim of this systematic review was to identify and evaluate original research reporting on occupational risk factors associated with sustaining acute articular cartilage tears...
March 6, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38470658/effects-of-peroneus-brevis-versus-peroneus-longus-muscle-training-on-muscle-function-in-chronic-ankle-instability-a-randomized-controlled-trial
#24
JOURNAL ARTICLE
Dukhan Ko, Yongchul Choi, Kyujin Lee
Chronic ankle instability (CAI) is a common injury that can occur in daily life or sporting events. Injuries to the anterior talofibular, posterior talofibular, and calcaneofibular ligaments are common, and the core of rehabilitation training involves strengthening the peroneus muscle. Many studies on rehabilitation training have focused on strengthening the peroneus brevis muscle, and few studies have focused on specific training to strengthen the peroneus longus muscle. Therefore, this study aims to investigate changes in the symptoms and functions of patients by applying training to strengthen the peroneus longus and peroneus brevis muscles...
February 26, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38470376/influence-of-walking-over-unexpected-uneven-terrain-on-joint-loading-for-individuals-with-transtibial-amputation
#25
JOURNAL ARTICLE
Kristen M Stewart, Glenn Klute, Richard Neptune
Individuals with transtibial amputation (TTA) experience asymmetric lower-limb loading which can lead to joint pain and injuries. However, it is unclear how walking over unexpected uneven terrain affects their loading patterns. This study sought to use modeling and simulation to determine how peak joint contact forces and impulses change for individuals with unilateral TTA during an uneven step and subsequent recovery step and how those patterns compare to able-bodied individuals. We expected residual limb loading during the uneven step and intact limb loading during the recovery step would increase relative to flush walking...
March 12, 2024: Journal of Biomechanical Engineering
https://read.qxmd.com/read/38469940/simultaneous-mpfl-reconstruction-and-guided-growth-result%C3%A2-in-low-rates-of-recurrent-patellofemoral-instability
#26
JOURNAL ARTICLE
Joshua T Bram, Olivia C Tracey, Emilie Lijesen, Don T Li, Danielle E Chipman, Julia S Retzky, Peter D Fabricant, Daniel W Green
PURPOSE: Implant-mediated guided growth (IMGG) is used to address coronal plane deformity in skeletally immature patients. Few studies have reported on IMGG and simultaneous medial patellofemoral ligament (MPFL) reconstruction for paediatric patients with concurrent genu valgum and patellofemoral instability (PFI). This study aimed to report on the outcomes of these simultaneous procedures. MATERIALS AND METHODS: This was a retrospective review of paediatric patients undergoing simultaneous MPFL reconstruction and IMGG between 2016 and 2023...
March 12, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38469922/the-tipping-point-in-medial-opening-wedge-high-tibial-osteotomy-relates-to-the-shape-of-the-proximal-tibia-more-than-to-lower-limb-alignment-correction
#27
JOURNAL ARTICLE
Ahmed Mabrouk, Levi Reina Fernandes, Christophe Jacquet, Kristian Kley, Steven Claes, Matthieu Ollivier
PURPOSE: The tipping point (TP) of the knee joint is the centre of rotation of the joint in the coronal plane. This study aimed to define the TP in medial opening wedge high tibial osteotomy (MOWHTO). METHODS: Data from 154 consecutive patients with varus knee malalignment, who underwent MOWHTO between 2017 and 2021, was retrospectively reviewed. The degree of preoperative osteoarthritis (OA), using the Kellgren-Lawrence (KL) grading system, was recorded...
March 12, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38469862/chronic-ankle-instability-affects-the-association-between-knee-joint-angle-and-loading-musculoskeletal-simulation-study
#28
JOURNAL ARTICLE
Hoon Kim, Kristof Kipp
The purpose of this study was to calculate and compare (1) knee loads, (2) muscle-specific contributions to knee loads, and (3) effects of knee flexion angle on knee loads and muscle-specific load contributions during a forward jump-landing task in people with and without chronic ankle instability (CAI). Eight CAI patients and seven healthy controls performed a forward jump-landing task. We collected 3D kinematics, ground reaction force, and muscle activation and used musculoskeletal modeling. The results showed that only healthy controls exhibited an association between knee flexion angle and knee compressive impulse ( r  = 0...
March 12, 2024: Computer Methods in Biomechanics and Biomedical Engineering
https://read.qxmd.com/read/38469575/distal-fibular-metastasis-of-colorectal-carcinoma-a-case-report
#29
JOURNAL ARTICLE
Lauren Luther, Patrick J McGlone, Kyle D Hardacker, Daniel Alsoof, Roman A Hayda, Richard M Terek
CASE: A 62-year-old woman presenting with ankle pain was initially treated for a non-displaced fracture. Persistent pain despite months of conservative management for her presumed injury prompted repeat radiographs which demonstrated the progression of a lytic lesion and led to an orthopedic oncology referral. Following a complete work-up, including biopsy and staging, she was diagnosed with colorectal carcinoma metastatic to the distal fibula. CONCLUSION: Secondary tumors of the fibula are uncommon but an important diagnosis to consider for intractable lower extremity pain especially in patients with history of malignancy or lack of age-appropriate cancer screening...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38468977/pickleball-and-paddleball-related-injuries-in-the-lower-extremity-description-treatment-options-and-return-to-play
#30
JOURNAL ARTICLE
Olivia A Opara, Parker L Brush, Nicholas Pohl, Sebastian Fras, Daren Aita, Joshua Hornstein, Daniel Fletcher, Selene Parekh
Background Pickleball and paddleball are the fastest-growing sports in the United States. However, there are limited studies on the types of lower extremity injuries and treatment options in an outpatient clinic setting. Hypothesis/purpose This study reports the incidence rate, treatments, and return-to-play (RTP) outcomes for patients presenting to a single orthopedic outpatient center with pickleball- and paddleball-related lower extremity injuries. Study design This study is a retrospective case series, with level IV evidence...
February 2024: Curēus
https://read.qxmd.com/read/38466058/improving-clinical-outcomes-hightibialosteotomy-plate-placement-combined-with-arthroscopic-surgery
#31
JOURNAL ARTICLE
Qiang Shen, Shucheng Deng, Juan Hong, Bo Liu, Guoyong Cao, Qiang Zhou, Han Zhao
OBJECTIVE: Our study aimed to investigate the clinical efficacy of hightibialosteotomy (HTO) posterior plate placement combined with arthroscopic surgery for degenerative injury of the posterior horn of the medial meniscus with poor force lines in the lower extremity, improve joint function or relieve pain. METHODS: The case data of 98 patients with osteoarthritis of the knee admitted to the Department of Orthopedics in our hospital from January 2019 to January 2023 were selected for retrospective analysis...
March 8, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38465086/lateral-ankle-ligaments-an-insight-into-their-functional-anatomy-variations-and-surgical-importance
#32
JOURNAL ARTICLE
Akhalaq Ahmed, Pravash Mishra, Bishnu Patra, Praveen Kumar Ravi
BACKGROUND: Ankle sprains are prevalent injuries leading to functional impairment. The lateral ankle ligament complex (LLC), comprising the anterior talofibular ligament (ATFL), posterior talofibular ligament (PTFL), and calcaneofibular ligament (CFL), is weak and prone to injury. The morphometric data of these ligaments are essential for orthopedic practices, including techniques like direct repair or ATFL reconstruction with autograft/allograft, which are limited in the literature. The present study aims to document the anatomy and morphometry of the LLC...
February 2024: Curēus
https://read.qxmd.com/read/38465081/achilles-tendon-tear-following-an-unusual-pattern-of-open-pure-ankle-dislocation-a-case-report
#33
Taha El Aissaoui, Aboubacar Lawan, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi
We present a rare case of concurrent open Achilles tendon tear and pure subtalar dislocation in a 20-year-old male following a motorcycle accident, highlighting the complexity of managing such unique musculoskeletal injuries. The patient was initially admitted with an open and deformed left ankle, underwent prompt primary debridement, and received immediate medical intervention. Despite unsuccessful attempts to reduce the dislocation through external maneuvers, subsequent radiographic evaluation revealed a subtalar dislocation associated with a 90° rotation of the talus...
February 2024: Curēus
https://read.qxmd.com/read/38463138/current-concept-review-of-achilles-tendinopathy
#34
JOURNAL ARTICLE
Pradeep Moonot, Shubham Dakhode
Achilles tendinopathy is a common overuse injury affecting the ankle and foot. It manifests as a clinical condition that includes pain, edema, and decreased functionality. This condition can be broadly categorized into two main types based on anatomical location: insertional and noninsertional tendinopathy. The development of Achilles tendinopathy involves various factors, both internal and external. Patients with Achilles tendinopathy often experience stiffness worsened by prolonged rest, and pain exacerbated by physical activity...
March 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38462596/computed-tomography-changes-diagnosis-management-and-surgical-planning-of-ankle-fractures
#35
JOURNAL ARTICLE
N S B Mansur, C M S C C Neves, F S Celestino, J P P Gonçalves, V F Pereira, P D V Silva, F T Matsunaga, C A S Nery, D C Astur
PURPOSE: To demonstrate how the use of adjunctive Computed Tomography (CT) can modify diagnosis, treatment options, and operative planning of ankle fractures in comparison with conventional radiographs (CR) in isolation. MATERIALS AND METHODS: A total of 53 patients diagnosed with an ankle fracture between 2011 and 2016, were assessed with CT and CR. Evaluations of the fractures using CR in isolation and CR combined with CT were compared using different readers...
March 11, 2024: Musculoskeletal Surgery
https://read.qxmd.com/read/38460507/differences-in-lower-extremity-joint-coordination-during-two-landing-phases-of-a-drop-jump-task
#36
JOURNAL ARTICLE
JiaWei Wang, Ye Liu
The aim of the present study was to compare the differences in joint coordination patterns and variability in the lower extremity between the first and second landing phases of the drop jump. Eighteen resistance-trained men (age: 22.8 ± 1.8 years) performed drop jumps from a height of 0.40 m. An eight-camera motion capture system was utilized to record kinematic trajectories. Modified vector coding technique and circular statistics were used to determine the coordination pattern and variability of the following joint couples during the first and second landings: hip frontal-knee frontal (HfKf), hip sagittal-knee frontal (HsKf), hip sagittal-knee sagittal (HsKs), knee frontal-ankle frontal (KfAf), knee sagittal-ankle frontal (KsAf), and knee sagittal-ankle sagittal (KsAs)...
March 8, 2024: Motor Control
https://read.qxmd.com/read/38457916/operative-management-of-osteochondral-lesions-of-the-talus-2024-recommendations-of-the-working-group-clinical-tissue-regeneration-of-the-german-society-of-orthopedics-and-traumatology-dgou
#37
REVIEW
Markus Walther, Oliver Gottschalk, Matthias Aurich
The working group 'Clinical Tissue Regeneration' of the German Society of Orthopedics and Traumatology (DGOU) issues this paper with updating its guidelines. Literature was analyzed regarding different topics relevant to osteochondral lesions of the talus (OLT) treatment. This process concluded with a statement for each topic reflecting the best scientific evidence available with a grade of recommendation. All group members rated the statements to identify possible gaps between literature and current clinical practice...
March 5, 2024: EFORT Open Reviews
https://read.qxmd.com/read/38457751/talar-neck-fractures-with-associated-ipsilateral-foot-and-ankle-fractures-have-a-higher-risk-of-avascular-necrosis
#38
JOURNAL ARTICLE
Arjun Srinath, Wyatt G S Southall, Mark R Nazal, Charles A Mechas, Jeffrey A Foster, Jarod T Griffin, Maaz Muhammad, Eric S Moghadamian, David C Landy, Arun Aneja
OBJECTIVES: To determine if talar neck fractures with concomitant ipsilateral foot and/or ankle fractures (TNIFAFs) are associated with higher rates of avascular necrosis (AVN) compared to isolated talar neck fractures (ITNs). DESIGN: Retrospective Cohort. SETTING: Single Level I Trauma Center. PATIENT SELECTION CRITERIA: Skeletally mature patients who sustained talar neck fractures from January 2008 to January 2017 with at least six months follow-up...
March 7, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38456685/effects-of-shoe-collar-height-and-limb-dominance-on-landing-knee-biomechanics-in-female-collegiate-volleyball-players
#39
JOURNAL ARTICLE
Lindsey Legg, Tyler Donahue, Shelby Peel, Scott Piland, Tanner Thorsen
Volleyball-specific footwear with higher collar heights (a mid-cut shoe) are worn to restrict ankle motion. Reduced ankle dorsiflexion has been associated with increased frontal plane motion and injury risk at the knee. With the high frequency of unilateral landings in volleyball, the purpose of this study was to determine the effect of volleyball-specific shoes and limb dominance on knee landing mechanics in collegiate volleyball players. It was hypothesized that participants would exhibit smaller sagittal plane and greater frontal plane knee joint mechanics in mid-cut and dominant limb and that vertical and posterior directed ground reaction forces would be greater wearing mid-cut, yet similar between limbs...
March 8, 2024: Journal of Sports Sciences
https://read.qxmd.com/read/38455438/influence-of-torsional-stiffness-in-badminton-footwear-on-lower-limb-biomechanics
#40
JOURNAL ARTICLE
Siqin Shen, Jin Teng, Gusztáv Fekete, Qichang Mei, Jia Zhao, Fan Yang, Yaodong Gu
Torsional stiffness of athletic footwear plays a crucial role in preventing injury and improving sports performance. Yet, there is a lack of research focused on the biomechanical effect of torsional stiffness in badminton shoes. This study aimed to comprehensively investigate the influence of three different levels of torsional stiffness in badminton shoes on biomechanical characteristics, sports performance, and injury risk in badminton players. Fifteen male players, aged 22.8 ± 1.96 years, participated in the study, performing badminton-specific tasks, including forehand clear stroke [left foot (FCL) and right foot (FCR)], 45-degree sidestep cutting (45C), and consecutive vertical jumps (CVJ)...
March 2024: Journal of Sports Science & Medicine
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