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Chronic ankle instability

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https://www.readbyqxmd.com/read/29685564/postoperative-outcome-of-the-modified-brostr%C3%A3-m-procedure-in-the-active-duty-military-population-a-retrospective-cohort-study
#1
Thomas J Melton, Joseph H Dannenbaum, Nicholas J Drayer, Justin Robbins, Paul M Ryan
Ankle sprains are common injuries and typically treated conservatively. Chronic ankle instability, however, can require surgery when nonoperative measures fail. We evaluated the clinical outcomes of an active duty population in a retrospective study of patients who had undergone a modified Broström procedure at our facility from January 2010 through April 2014 by a single surgeon. The electronic medical records and Army E-profile database were reviewed to determine whether the patients had returned to active duty and whether they had any permanent postoperative lower extremity activity restrictions...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29667844/lower-extremity-biomechanics-during-a-drop-vertical-jump-in-participants-with-or-without-chronic-ankle-instability
#2
C Collin Herb, Kaitlyn Grossman, Mark A Feger, Luke Donovan, Jay Hertel
CONTEXT:   Chronic ankle instability (CAI) is a condition characterized by range-of-motion, neuromuscular, and postural-control deficits and subjective disability, reinjury, and posttraumatic osteoarthritis. Differences have been reported in kinematics, kinetics, surface electromyography (EMG), and ground reaction forces during functional tasks performed by those with CAI. These measures are often collected independently, and the research on collecting measures simultaneously during a movement task is limited...
April 18, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29655649/clinical-outcomes-of-the-modified-brostr%C3%A3-m-technique-in-the-management-of-chronic-ankle-instability-after-early-intermediate-and-delayed-presentation
#3
Sami Hassan, Daniel Thurston, Tanvir Sian, Rohi Shah, Abdul Aziz, Paresh Kothari
The modified Broström technique (MBT) is considered the reference standard for surgical management of ankle instability, with good short-term outcomes. However, limited evidence is available regarding outcomes for delayed presentations of instability. We report our outcomes for patients who underwent ligament repair using the MBT, from a single-surgeon retrospective study of consecutive patients. The minimum postoperative follow-up period was 6 months during a 5-year study period. The patients were retrospectively divided into 3 groups according to the delay in presentation: group 1, 6 months to 2 years; group 2, 2 to 4 years; and group 3, >4 years...
April 11, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29605554/ankle-arthritis-combined-with-chronic-instability-of-the-syndesmosis-after-ankle-fracture-with-syndesmotic-injury-a-case-report
#4
Bi O Jeong, Jong Hun Baek, Wook Jae Song
Syndesmotic injuries associated with ankle fractures are commonly treated with reduction and fixation using a transfixing screw. On rare occasions, however, progression to chronic instability of the syndesmosis is observed. Several surgical techniques have been applied in such cases but usually without a report on the results. We report a case of chronic syndesmotic instability and ankle joint osteoarthritis after ankle fracture-dislocation in a 21-year-old male patient who underwent distal tibiofibular arthrodesis...
March 28, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29602302/assessing-outcomes-in-people-having-chronic-ankle-instability-the-ability-of-functional-performance-tests-to-measure-deficits-in-physical-function-and-perceived-instability
#5
Leif P Madsen, Emily A Hall, Carrie L Docherty
Study Design Laboratory base, cross-sectional study. Background Functional performance tests (FPTs) assess short bouts of unilateral hops for either distance or speed. More research is needed to identify specific FPTs that are useful for measuring asymmetry outcomes related to functional performance and perceived instability deficits in subjects with chronic ankle instability (CAI). Objectives To identify FPTs that are sensitive to subjective and objective deficits associated with CAI. Methods Twenty-four subjects with unilateral CAI (10 males, 14 females; 20...
March 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29600268/healing-of-complete-tear-of-the-anterior-talofibular-ligament-and-early-ankle-stabilization-after-autologous-platelet-rich-plasma-a-case-report-and-literature-review
#6
Mark Wai Wah Lai, Regina Wing Shan Sit
Lateral Ankle sprain (LAS) is a common sports injury associated with recurrent ankle sprain, chronic ankle instability (CAI) and post-traumatic ankle osteoarthritis (PTOA). Platelet Rich Plasma (PRP) has been increasingly used for herapeutic applications in sports-related injuries, and is thought to stimulate tissue healing. We reported a case of LAS with complete tear of anterior talofibular ligament, which showed complete healing of ligament and early ankle stabilization after PRP. The healing is supported by dynamic ultrasound images and magnetic resonance imaging...
March 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29584525/differences-in-the-modified-disablement-in-the-physically-active-scale-in-those-with-and-without-chronic-ankle-instability
#7
Johanna M Hoch, Shelby E Baez, Robert J Cramer, Matthew C Hoch
CONTEXT: The modified disablement in the physically active scale (mDPA) has become a commonly utilized patient-reported outcome instrument (PRO) for physically active patients. However, the factor structure of this instrument has not been verified in individuals with chronic ankle instability (CAI). Furthermore, additional evidence examining the mDPA in individuals with CAI is warranted. OBJECTIVE: The purpose of this study was to verify the factor structure of the modified Disablement in the Physically Active Scale (mDPA) and compare the physical summary component (PSC) and mental summary component (MSC) in those with and without CAI...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29578869/orthopedic-injuries-in-professional-surfers-a-retrospective-study-at-a-single-orthopedic-center
#8
Eric Hohn, Sean Robinson, Jarrad Merriman, Robin Parrish, Warren Kramer
BACKGROUND: Literature regarding surfing injuries is scarce and most studies report a high number of minor injuries. Recent literature suggests that musculoskeletal injuries are more common than previously reported. In the mid 2000s, competitive surfing has seen an increase in aerial maneuvers, as they have become more highly rewarded by the judging panel, which may be contributing to a change in injury patterns. Our goal was to evaluate orthopedic injuries in professional surfers. HYPOTHESIS: Orthopedic injuries in professional surfers are diverse and have evolved with skill and technology...
March 23, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29571697/efficacy-of-non-surgical-interventions-on-dynamic-balance-in-patients-with-ankle-instability-a-network-meta-analysis
#9
REVIEW
Konstantinos Tsikopoulos, Dimitris Mavridis, Dimitrios Georgiannos, Mary Spencer Cain
OBJECTIVES: To identify non-surgical treatments which were deemed to be more effective in improving dynamic postural control in patients with chronic ankle instability (CAI). DESIGN: Systematic review and random-effects network meta-analysis. METHODS: We searched Scopus, CENTRAL, and PubMed until 26 August 2017. We used data from randomized trials comparing the results of different non-surgical interventions for lateral CAI. We assessed dynamic postural control in terms of the star-excursion balance test in the posteromedial direction...
March 7, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29569943/whole-body-vibration-training-and-balance-in-recreational-athletes-with-chronic-ankle-instability
#10
Rafael Sierra-Guzmán, Fernando Jiménez-Diaz, Carlos Ramírez, Paula Esteban, Javier Abián-Vicén
CONTEXT:   Deficits in the propioceptive system of the ankle contribute to chronic ankle instability (CAI). Recently, whole-body-vibration training has been introduced as a preventive and rehabilitative tool. OBJECTIVE:   To evaluate how a 6-week WBV training program on an unstable surface affected balance and body composition in recreational athletes with CAI. DESIGN:   Randomized controlled clinical trial. SETTING:   Research laboratory...
March 23, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29552482/anatomical-arthroscopic-graft-reconstruction-of-the-anterior-tibiofibular-ligament-for-chronic-disruption-of-the-distal-syndesmosis
#11
Jesús Vilá-Rico, Enrique Sánchez-Morata, Elena Vacas-Sánchez, Cristina Ojeda-Thies
Injuries of the distal tibiofibular syndesmosis are commonly overlooked or mismanaged, and chronic instability is a debilitating condition leading to premature joint degeneration. Several methods of treatment have been described, mainly screw fixation, arthrodesis, or ligament reconstruction. Most clinical evidence is limited to case series, mainly screw fixation, and there is a general paucity of evidence regarding ligament reconstruction, which is considered to be more anatomic and to restore joint biomechanics...
February 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29544201/predictors-of-chronic-ankle-instability-analysis-of-peroneal-reaction-time-dynamic-balance-and-isokinetic-strength
#12
Rafael Sierra-Guzmán, Fernando Jiménez, Javier Abián-Vicén
BACKGROUND: Previous studies have reported the factors contributing to chronic ankle instability, which could lead to more effective treatments. However, factors such as the reflex response and ankle muscle strength have not been taken into account in previous investigations. METHODS: Fifty recreational athletes with chronic ankle instability and 55 healthy controls were recruited. Peroneal reaction time in response to sudden inversion, isokinetic evertor muscle strength and dynamic balance with the Star Excursion Balance Test and the Biodex Stability System were measured...
March 6, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29528723/intraoperative-findings-of-lateral-ligament-avulsion-fractures-and-outcome-after-refixation-to-the-fibula
#13
Jasmin Diallo, Joe Wagener, Christine Schweizer, Tamara Horn Lang, Roxa Ruiz, Beat Hintermann
BACKGROUND: An acute ankle sprain can result in a bony avulsion of the lateral ankle ligaments. The extent of concomitant lesions and subsequent instability patterns are not clearly understood. The high incidence of old avulsion fractures found in symptomatic chronic ankle instability may indicate the need for primary fixation. METHODS: Ten patients (5 male, 5 female; mean age, 34 years; range, 15-64 years) with bony avulsion fractures of the fibula after acute ankle sprains were included...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29505916/influence-of-rest-interval-on-foot-tibia-coordination-with-chronic-ankle-instability-during-the-star-excursion-balance-test
#14
Yong Ung Kwon, Brent L Arnold, Douglas W Powell, D S Blaise Williams
The purpose of this study was to determine whether different rest intervals affect performance on the Star Excursion Balance Test (SEBT) associated with chronic ankle instability (CAI) and whether foot-tibia coordination can be associated factors that may help discriminate between individuals with and without CAI during the SEBT. Participants included forty-eight individuals with (n = 24) and without CAI (n = 24). Subjects completed 3 trials in each of the 3 reach directions (anteromedial, medial, posteromedial) in random order...
March 2, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29501914/foot-and-ankle-kinematics-in-chronic-ankle-instability-subjects-using-a-midfoot-strike-pattern-when-running-including-influence-of-taping
#15
Kevin Deschamps, Giovanni Arnoldo Matricali, Bart Dingenen, Jente De Boeck, Sarah Bronselaer, Filip Staes
BACKGROUND: Investigate differences in multi-segment foot kinematics between controls and participants with chronic ankle instability during running with a midfoot striking pattern and to evaluate the effect of Low-Dye and High-Dye taping. METHODS: Three-dimensional multi-segment foot kinematics of 12 controls and 15 participants with chronic ankle instability were collected while running barefoot, and in both taping conditions. Ranges of motion occurring at each joint, each sub phase of stance, were compared between groups and between taping conditions (0-dimensional inference)...
February 27, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29498959/surgical-procedures-for-chronic-lateral-ankle-instability
#16
Youichi Yasui, Yoshiharu Shimozono, John G Kennedy
Surgical procedures for managing chronic lateral ankle instability include anatomic direct repair, anatomic reconstruction with an autograft or allograft, and arthroscopic repair. Open direct repair is commonly used for patients with sufficient ligament quality. Reconstruction incorporating either an autograft or an allograft is another promising option in the short term, although the longevity of this procedure remains unclear. Use of an allograft avoids donor site morbidity, but it comes with inherent risks...
March 1, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29489650/diagnosis-and-treatment-of-chronic-lateral-ankle-instability-with-ligamentum-bifurcatum-injury-an-observational-study
#17
Yaning Sun, Huijuan Wang, Yuchao Tang, Shiji Qin, Mingming Zhao, Fengqi Zhang
This study aimed to report our institution's experience in the diagnosis and treatment of chronic lateral ankle instability (CLAI) with ligamentum bifurcatum (LB) injury.This retrospective study included 218 consecutive patients with CLAI who underwent surgery from January 2012 to December 2015. The 218 patients received tendon allograft reconstruction of the lateral ligament. CLAI was combined with LB injury in 51.4% (112/218) of patients. The 112 patients with concurrent LB injury had this treated simultaneously; 36 patients underwent excision of the anterior process of the calcaneus, 68 underwent LB repair, and 8 underwent LB reconstruction...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29484236/efficacy-of-the-stretch-band-ankle-traction-technique-in-the-treatment-of-pediatric-patients-with-acute-ankle-sprains-a-randomized-control-trial
#18
Kathryn Iammarino, James Marrie, Mitchell Selhorst, Linda P Lowes
Background: Ankle injuries account for up to 40% of all sport related injuries. These injuries can result in weeks to months of missed sport or work. The PRICE (Protection, Rest, Ice, Compression, Elevation) treatment is standard care for most acute ankle sprains. Recently, early mobilization in adults has been shown to decrease time off from sport or work, and the likelihood of developing chronic instability. To date, no research has been performed assessing the effectiveness of early mobilization in pediatric patients (<18 years)...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29482789/role-for-primary-repair-of-deltoid-ligament-complex-in-ankle-fractures
#19
REVIEW
Ryan B Rigby, Ryan T Scott
Acute deltoid injuries may occur with ankle fractures. They are often left to heal without repair, possibly leading to chronic medial ankle instability. Stress radiographs identify the need for surgical repair of fractures or soft tissue damage. Gravity stress views have benefits over manually stressing the ankle. MRI can explore the extent of medial soft tissue injuries. Arthroscopy can evaluate and potentially treat deltoid injuries. Interposition of the deltoid may preclude adequate fracture reduction. Except with deltoid tear, fractures should be reduced and fixated, then the deltoid assessed...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29462775/gait-analysis-in-patients-with-chronic-obstructive-pulmonary-disease-a-systematic-review
#20
REVIEW
Matteo Zago, Chiarella Sforza, Daniela Rita Bonardi, Enrico Eugenio Guffanti, Manuela Galli
BACKGROUND: Gait instability is a major fall-risk factor in patients with chronic obstructive pulmonary disease (COPD). Clinical gait analysis is a reliable tool to predict fall onsets. However, controversy still exists on gait impairments associated with COPD. RESEARCH QUESTION: Thus, the aims of this review were to evaluate the current understanding of spatiotemporal, kinematic and kinetic gait features in patients with COPD. METHODS: In line with PRISMA guidelines, a systematic literature search was performed throughout Web of Science, PubMed Medline, Scopus, PEDro and Scielo databases...
February 13, 2018: Gait & Posture
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