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Chronic ankle instability

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https://www.readbyqxmd.com/read/29424168/-treatment-of-chronic-anterolateral-ankle-instability-by-reconstructing-lateral-ligament-with-semitendinosus-autograft
#1
Hao Zhang, Bing Xie, Hai-Peng Xue, Chao Yang, Bing Liu, Xin Ma, Jing Tian, Da-Peng Zhou, Liang-Bi Xiang
OBJECTIVE: To investigate clinical effects of chronic anterolateral ankle instability by reconstructing lateral ligament with semitendinosus autograft. METHODS: From September 2014 to November 2016, 28 patients with chronic anterolateral ankle instability underwent lateral ligament reconstruction with semitendinosus autograft. Among them, including 20 males and 8 females with an average age of 28.6 years(18 to 47 years old). Preoperative complications were recorded...
June 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29420055/functional-results-of-open-brostr%C3%A3-m-ankle-ligament-repair-augmented-with-a-suture-tape
#2
J Chris Coetzee, J Kent Ellington, James A Ronan, Rebecca M Stone
BACKGROUND: The Broström procedure is the most commonly used lateral ligament repair for chronic instability, but there is concern about the strength of the repair and the risk of reinjury. Currently, the InternalBraceTM ligament augmentation repair is an accepted augmentation method for management of a Broström procedure. Our hypothesis was that augmentation of the Broström repair with an InternalBraceTM would allow accelerated rehabilitation and return to activity and would aid in stability of the repair without a tendency to stretch...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29413768/open-and-arthroscopic-lateral-ligament-repair-for-treatment-of-chronic-ankle-instability-a-systematic-review
#3
REVIEW
Matteo Guelfi, Marco Zamperetti, Andrea Pantalone, Federico G Usuelli, Vincenzo Salini, Xavier Martin Oliva
BACKGROUND: Chronic ankle instability is defined by an instability lasting more than 6 months, in those cases where a comprehensive conservative treatment fails a surgical stabilization is required. Several surgical techniques have been proposed for the management of the chronic lateral instability of the ankle and even after 50 years, the Broström-Gould technique is still considered the gold standard for the treatment of this pathology. Recently, many authors have developed completely arthroscopic lateral ligament repair and the use of these procedures is rapidly increasing...
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29412694/lateral-ankle-sprain-in-a-mouse-model-lifelong-sensorimotor-dysfunction
#4
Erik A Wikstrom, Tricia Hubbard-Turner, Sophie Guderian, Michael J Turner
CONTEXT:   Ankle sprains are the most common orthopaedic injury that occurs during sport and physical activity. Many individuals who sprain their ankles develop chronic ankle instability (CAI), a condition characterized by recurrent injury, decreased physical activity, and decreased quality of life. These residual impairments are believed to persist for the remainder of the patient's life, in part due to the link between CAI and posttraumatic ankle osteoarthritis. However, this belief remains speculative due to the lack of long-term prospective investigations...
February 7, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29409289/a-randomized-comparison-between-lateral-ligaments-augmentation-using-suture-tape-and-modified-brostr%C3%A3-m-repair-in-young-female-patients-with-chronic-ankle-instability
#5
Byung-Ki Cho, Ji-Kang Park, Seung-Myung Choi, Nelson F SooHoo
BACKGROUND: Although various minimally invasive procedures for chronic ankle instability are increasingly being used, a question regarding whether these procedures can be a viable alternative of the modified Broström procedure remains controversial. This study was conducted to compare the intermediate-term clinical outcomes between lateral ligaments augmentation using suture-tape and modified Broström repair in a selected cohort of patients. METHODS: Sixty female patients with chronic lateral ankle instability were randomly assigned and underwent surgical treatments by one surgeon...
October 18, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409246/prospective-study-of-the-inside-out-arthroscopic-ankle-ligament-technique-preliminary-result
#6
Caio Nery, Lucas Fonseca, Fernando Raduan, Marcus Moreno, Daniel Baumfeld
BACKGROUND: Lateral ankle ligament injury is among the most common orthopedic injuries. The objective of this study is to present the preliminary prospective results of treatment using the "Inside-Out" variant of the fully arthroscopic Broström-Gould technique. METHODS: Twenty six patients were included: 20 male and 6 female, aged 19-60 years, mean 41 years. All patients had positive "anterior drawer" and "talar tilt" tests. When necessary, cartilage injuries were treated with microfracture and arthroscopic resection for anterior impingement; three patients had hindfoot varus, on whom Dwyer osteotomy was performed; one patient had peroneal tendinopathy and was treated with tendoscopic debridement and another one had partial injury of the deltoid ligament, which was treated by direct repair...
March 22, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409189/the-peroneal-strength-deficits-in-patients-with-chronic-ankle-instability-compared-to-ankle-sprain-copers-and-normal-individuals
#7
Byung-Ki Cho, Ji-Kang Park, Seung-Myung Choi, Sang-Woo Kang, Nelson F SooHoo
BACKGROUND: Despite a consensus regarding the correlation of peroneal strength deficit with chronic ankle instability (CAI), there are conflicting reports in regards to peroneal strength as assessed by isokinetic dynamometer in patients with CAI. The purpose of this study was to evaluate the changes of isokinetic strength in patients with CAI compared to ankle sprain copers and normal individuals. METHODS: Forty-two patients (CAI group) with chronic ankle instability who were scheduled for the modified Broström procedure met inclusion criteria...
November 11, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409185/reconstruction-of-the-lateral-ankle-ligaments-using-the-anterior-half-of-peroneus-longus-tendon-graft
#8
Yaning Sun, Huijuan Wang, Yuchao Tang, Haitao Zhao, Shiji Qin, Fengqi Zhang
BACKGROUND: This study aimed to report our institution's experience in the treatment of chronic lateral ankle instability using the anterior half of the peroneus longus tendon (AHPLT) to reconstruct the lateral ligament. METHODS: This retrospective study included 32 consecutive patients with chronic lateral ankle instability who underwent surgery from January 2013 to December 2014. All patients had failed to resolve with conservative treatment. A total of 32 ankles underwent AHPLT transfer...
November 23, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409174/all-inside-arthroscopic-allograft-reconstruction-of-the-anterior-talo-fibular-ligament-using-an-accesory-transfibular-portal
#9
Jesús Vilá-Rico, Josep María Cabestany-Castellà, Bernat Cabestany-Perich, César Núñez-Samper, Cristina Ojeda-Thies
BACKGROUND: Anatomic graft reconstruction of the anterior talo-fibular ligament is an alternative for patients who are bad candidates for standard procedures such as a Broström-Gould reconstruction (high-demand athletes, obesity, hyperlaxity or collagen disorders, capsular insufficiency or talar avulsions). The purpose of this study is to describe an all-inside arthroscopic technique for ATFL reconstruction, and the results in a series of patients with chronic ankle instability. METHODS: We reviewed patients with chronic ATFL ruptures treated with an all-inside arthroscopic allograft reconstruction of the ATFL, with a minimum 2-year follow-up...
December 23, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29405809/impairment-based-rehabilitation-increases-lower-leg-muscle-volumes-and-strength-in-chronic-ankle-instability-patients-a-preliminary-study
#10
Mark A Feger, Luke Donovan, C Collin Herb, Geoffrey G Handsfield, Silvia S Blemker, Joseph M Hart, Susan A Saliba, Mark F Abel, Joseph S Park, Jay Hertel
CONTEXT: Chronic ankle instability (CAI) patients have demonstrated atrophy of foot and ankle musculature and deficits in ankle strength. The effect of rehabilitation on muscle morphology and ankle strength has not previously been investigated in CAI patients. OBJECTIVE: Our objective was to analyze the effect of impairment-based rehabilitation on intrinsic and extrinsic foot and ankle muscle volumes and strength in CAI patients. DESIGN: Controlled laboratory study...
February 6, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29404669/clinical-and-magnetic-resonance-imaging-assessment-of-anatomical-lateral-ankle-ligament-reconstruction-comparison-of-tendon-allograft-and-autograft
#11
Qianru Li, Kui Ma, Hongyue Tao, Yinghui Hua, Shuang Chen, Shiyi Chen, Yutong Zhao
PURPOSE: To compare the results of anatomical lateral ankle ligament (LAL) reconstruction with tendon allograft and autograft using clinical scores and ultrashort echo time (UTE) sequence of MRI. METHODS: A total of 26 patients with LAL reconstruction were recruited in this study, including 16 using semitendinosus allografts and 10 using semitendinosus autograft. All of them were diagnosed as chronic ankle instability and accepted anatomic reconstruction. The American Orthopedic Foot and Ankle Society (AOFAS) score, Karlsson score, and radiological evaluation using MRI UTE scanning were extracted from each patient...
February 5, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29364036/six-sessions-of-anterior-to-posterior-ankle-joint-mobilizations-improve-patient-reported-outcomes-in-chronic-ankle-instability-patients-a-critically-appraised-topic
#12
Erik A Wikstrom, Sajad Bagherian, Nicole B Cordero, Kyeongtak Song
Clinical Scenario: Chronic ankle instability (CAI) is a complex musculoskeletal condition that results in sensorimotor and mechanical alterations. Manual therapies, such as ankle joint mobilizations are known to improve clinician-oriented outcomes like dorsiflexion range of motion but their impact of patient-reported outcomes remains less clear. Focused Clinical Question: Do anterior-to-posterior ankle joint mobilizations improve patient reported outcomes in patients with CAI? Summary of Key Findings: Three studies (2 RCT, 1 Prospective cohort) quantified the effect of at least 2-weeks of anterior-to-posterior ankle joint mobilizations on improving patient reported outcomes immediately after the intervention and at a follow-up assessment...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29363788/evaluation-of-the-anterior-talofibular-ligament-via-stress-sonography-in-asymptomatic-and-symptomatic-populations
#13
Daniel J Mizrahi, Levon N Nazarian, Laurence Parker
OBJECTIVES: Sonography during externally applied stress has the potential to identify ligamentous instability, but diagnostic parameters for the most commonly sprained ankle ligament, the anterior talofibular ligament (ATFL), have not yet been established. The purpose of this study was to determine normative values of the change in the length of the ATFL in an asymptomatic population during manual stress sonography and to compare these values to those in patients with clinical findings of anterolateral ankle instability...
January 24, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29332755/investigating-the-anticipatory-postural-adjustment-phase-of-gait-initiation-in-different-directions-in-chronic-ankle-instability-patients
#14
Zahra Ebrahimabadi, Sedigheh Sadat Naimi, Abbas Rahimi, Heydar Sadeghi, Seyed Majid Hosseini, Alireza Akbarzadeh Baghban, Syed Asadullah Arslan
OBJECTIVE: The main objective of the present study was to analyze how supra spinal motor control mechanisms are altered in different directions during anticipatory postural phase of gait initiation in chronic ankle instability patients. It seems that supra spinal pathways modulate anticipatory postural adjustment phase of gait initiation. Yet, there is a dearth of research on the effect of chronic ankle instability on the anticipatory postural adjustment phase of gait initiation in different directions...
January 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29299765/reliability-and-validity-of-preoperative-mri-for-surgical-decision-making-in-chronic-lateral-ankle-instability
#15
Antoine Morvan, Shahnaz Klouche, André Thes, Philippe Hardy, Thomas Bauer
PURPOSE: To evaluate the value of analyzing the anterior talofibular ligament (ATFL) on preoperative MRI as a decision-making tool to determine the surgical technique in patients undergoing surgery for chronic lateral ankle instability. METHODS: A retrospective study of prospective data was performed. All patients who underwent surgery between 2013 and 2016 for arthroscopic stabilization of the ankle were included. The ATFL was evaluated on preoperative MRI including axial T2-weighted images by two readers who were blinded to arthroscopic results...
January 3, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29288435/balance-training-does-not-alter-reliance-on-visual-information-during-static-stance-in-those-with-chronic-ankle-instability-a-systematic-review-with-meta-analysis
#16
REVIEW
Kyeongtak Song, Evan Rhodes, Erik A Wikstrom
BACKGROUND: Visual, vestibular, and somatosensory systems contribute to postural control. Chronic ankle instability (CAI) patients have been observed to have a reduced ability to dynamically shift their reliance among sources of sensory information and rely more heavily on visual information during a single-limb stance relative to uninjured controls. Balance training is proven to improve postural control but there is a lack of evidence regarding the ability of balance training programs to alter the reliance on visual information in CAI patients...
December 29, 2017: Sports Medicine
https://www.readbyqxmd.com/read/29278536/ability-of-functional-performance-tests-to-identify-individuals-with-chronic-ankle-instability-a-systematic-review-with-meta-analysis
#17
Adam B Rosen, Alan R Needle, Jupil Ko
OBJECTIVE: The purpose of this systematic review with meta-analysis was to determine the effectiveness of functional performance tests (FPTs) in differentiating between individuals with chronic ankle instability (CAI) and healthy controls. DATA SOURCES: The National Library of Medicine Catalog (PubMed), the Cumulative Index for Nursing and Allied Health Literature (CINAHL), and the SPORTDiscus, from inception to June 2017 were searched. Search terms consisted of: "Functional Performance Test*" OR "Dynamic Balance Test*" OR "Postural Stability Test*" OR "Star Excursion Balance Test*" OR "Hop Test*" AND "Ankle Instability" OR "Ankle Sprain...
December 22, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29274315/clinical-tests-have-limited-predictive-value-for-chronic-ankle-instability-when-conducted-in-the-acute-phase-of-a-first-time-lateral-ankle-sprain-injury
#18
Cailbhe Doherty, Chris Bleakley, Jay Hertel, Brian Caulfield, John Ryan, Eamonn Delahunt
OBJECTIVE: To evaluate whether a battery of clinical assessments for acute lateral ankle sprain (LAS) can be used to predict long-term recovery. DESIGN: Cohort study SETTING: University biomechanics laboratory PARTICIPANTS: Eighty-two individuals were assessed using a clinical test battery within two-weeks of incurring a first-time LAS. MAIN OUTCOME MEASURES: The clinical test battery included scores on the 'talar-glide' (deg), anterior-drawer, talar-tilt, figure-of-eight [figure8] for swelling (mm), knee-to-wall (mm) and hand-held goniometric range-of-motion [inversion; eversion; plantar-flexion (in degrees)]...
December 20, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29189883/arthroscopic-treatment-combined-with-the-ankle-stabilization-procedure-is-effective-for-sinus-tarsi-syndrome-in-patients-with-chronic-ankle-instability
#19
Sheng-Kun Li, Yu-Jie Song, Hong Li, Baofu Wei, Ying-Hui Hua, Hong-Yun Li
PURPOSE: This study aimed to investigate the results of arthroscopic treatment combined with ankle stabilization procedure for sinus tarsi syndrome (STS) in patients with chronic ankle instability (CAI). METHODS: A total of 57 patients (31 males and 26 females, average age 29.9 ± 8.4 years ranging from 15 to 52 years) with STS and CAI who accepted operation from 2013 to 2015 were included in this retrospective study. Surgical procedures included thorough tarsal sinus debridement and repair or reconstruction of lateral ankle ligaments according to the quality of ligaments...
November 30, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29175719/does-chronic-ankle-instability-influence-lower-extremity-muscle-activation-of-females-during-landing
#20
Yumeng Li, Jupil Ko, Marika A Walker, Cathleen N Brown, Julianne D Schmidt, Seock-Ho Kim, Kathy J Simpson
Much remains unclear about how chronic ankle instability (CAI) could affect knee muscle activations and interact with knee biomechanics. Therefore, the purpose of this study was to assess the influence of CAI on the lower extremity muscle activation at the ankle and knee joints during landings on a tilted surface. A surface electromyography system and two force plates were used to collect lower extremity muscle activation of 21 young female individuals with CAI and 21 pair-matched controls during a double-leg landing with test limb landing on the tilted surface...
November 22, 2017: Journal of Electromyography and Kinesiology
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