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Ligament sprain

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https://www.readbyqxmd.com/read/27900312/posterior-tibial-tendon-displacement-behind-the-tibia-and-its-interposition-in-an-irreducible-isolated-ankle-dislocation-a-case-report-and-literature-review
#1
Alessandro Ortolani, Roberto Bevoni, Alessandro Russo, Maurilio Marcacci, Mauro Girolami
Isolated posteromedial ankle dislocation is a rare condition thanks to the highly congruent anatomical configuration of the ankle mortise, in which the medial and lateral malleoli greatly reduce the rotational movement of the talus, and the strength of the ligaments higher than the malleoli affords protection against fractures. However, other factors, like medial malleolus hypoplasia, laxity of the ligaments, peroneal muscle weakness and previous ankle sprains, could predispose to pure dislocation. In the absence of such factors, only a complex high-energy trauma, with a rotational component, can lead to this event...
July 2016: Joints
https://www.readbyqxmd.com/read/27900310/rockwood-grade-i-and-ii-acromioclavicular-injuries-as-benign-as-commonly-believed
#2
Alexander Scott North
The acromioclavicular (AC) joint is the articulation between the distal clavicle and the acromion process of the scapula. As the upper limb moves, passive motion of the AC joint occurs in three planes, with the AC and coracoclavicular ligaments providing stability. Injuries are common, particularly during contact sports, and are classified using Rockwood's system. Grade I (sprain) and II (rupture) injuries only affect the AC ligaments and are generally managed conservatively. However, recent reports have indicated that long-term outcomes after these injuries are poor, perhaps due to an inadequate period of immobilization preventing complete ligamentous healing...
July 2016: Joints
https://www.readbyqxmd.com/read/27900178/self-reported-worst-injuries-in-women-s-australian-football-identify-lower-limb-injuries-as-a-prevention-priority
#3
Lauren V Fortington, Alex Donaldson, Caroline F Finch
BACKGROUND: Increasing participation by women in Australian football (AF) has made understanding their specific injury prevention needs a priority. In other sports, men and women have different injury profiles. This study aims to provide the first overview of self-reported injuries in women's AF. METHODS: Nationwide survey of women aged 17+ years who played in an AF competition was conducted following the 2014 playing season. The players' self-reported worst injury from the 2014 season is presented according to injury type, body part injured, treatment sought and games/training missed...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27863343/acrometastasis-following-colorectal-cancer-a-case-report-and-review-of-literature
#4
Kozar Agha, Khalid Akbari, Syed Husain Abbas, Simon Middleton, Daniel McGrath
INTRODUCTION: Colorectal cancer commonly metastasises to the liver, peritoneum and lungs. Bony metastases are uncommon in colorectal cancer and in particular metastases to the hands or feet (acrometastasis) are an extremely rare occurrence. CASE PRESENTATION: A 65-year-old male with a colonic malignancy underwent elective anterior resection. Intra-operatively he was found to have a pelvic collection necessitating an end colostomy. Histology confirmed complete Dukes B tumour excision with no evidence of lymph node metastases...
November 10, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27852613/vitamin-c-enriched-gelatin-supplementation-before-intermittent-activity-augments-collagen-synthesis
#5
Gregory Shaw, Ann Lee-Barthel, Megan Lr Ross, Bing Wang, Keith Baar
BACKGROUND: Musculoskeletal injuries are the most common complaint in active populations. More than 50% of all injuries in sports can be classified as sprains, strains, ruptures, or breaks of musculoskeletal tissues. Nutritional and/or exercise interventions that increase collagen synthesis and strengthen these tissues could have an important effect on injury rates. OBJECTIVE: This study was designed to determine whether gelatin supplementation could increase collagen synthesis...
November 16, 2016: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27834613/patient-outcomes-utilizing-the-mulligan-concept-of-mwm-to-treat-intercollegiate-patients-diagnosed-with-lateral-ankle-sprain-an-a-priori-case-series
#6
James M May, Alan Nasypany, Julie Paolino, Russell Baker, Jeffrey Seegmiller
CONTEXT: While the incidence and re-injury rates of lateral ankle sprain (LAS) continue to persist at high rates across many sporting activities, further exploration of assessment and treatment beyond the traditional ligamentous and strength/proprioceptive model is warranted. Further, assessing and treating both arthrokinematic and osteokinematic changes associated with LAS can provide insight into a more diverse approach to treating ankle pathology. OBJECTIVE: To examine the clinical use of the Mulligan Concept MWM while treating patients diagnosed with an acute grade I or II LAS through authentic patient care...
November 11, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27831747/neuromuscular-alterations-after-ankle-sprains-an-animal-model-to-establish-causal-links-after-injury
#7
Lindsey K Lepley, Patrick O McKeon, Shane G Fitzpatrick, Catherine L Beckemeyer, Timothy L Uhl, Timothy A Butterfield
CONTEXT:  The mechanisms that contribute to the development of chronic ankle instability are not understood. Investigators have developed a hypothetical model in which neuromuscular alterations that stem from damaged ankle ligaments are thought to affect periarticular and proximal muscle activity. However, the retrospective nature of these studies does not allow a causal link to be established. OBJECTIVE:  To assess temporal alterations in the activity of 2 periarticular muscles of the rat ankle and 2 proximal muscles of the rat hind limb after an ankle sprain...
November 10, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27826402/the-prevalence-of-selected-intrinsic-risk-factors-for-ankle-sprain-among-elite-football-and-basketball-players
#8
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
#9
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/27738709/-lateral-instability-of-the-upper-ankle-joint
#10
N Harrasser, K Eichelberg, F Pohlig, H Waizy, A Toepfer, R von Eisenhart-Rothe
Because of their frequency, ankle sprains are of major clinical and economic importance. The simple sprain with uneventful healing has to be distinguished from the potentially complicated sprain which is at risk of transition to chronic ankle instability. Conservative treatment is indicated for the acute, simple ankle sprain without accompanying injuries and also in cases of chronic instability. If conservative treatment fails, good results can be achieved by anatomic ligament reconstruction of the lateral ankle ligaments...
October 13, 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27699439/historical-perspective-on-the-discovery-of-the-anterolateral-ligament-of-the-knee
#11
Etienne Cavaignac, David Ancelin, Philippe Chiron, Jean-Louis Tricoire, Karine Wytrykowski, Marie Faruch, Elodie Chantalat
: There is a lively debate about the existence, origins and discoverer of the anterolateral ligament of the knee. The complex anatomy of the lateral aspect of the knee has made it difficult to differentiate between various structures such as the iliotibial band, capsulo-osseous layer, Kaplan's fibres and the anterolateral capsule. The "discovery" of a new anterolateral structure in 2013 was the culmination of many historical studies. In 1879, Paul Ferdinand Segond described a tibial plateau fracture in which he noted a pearly band reinforcing the joint capsule...
October 3, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27623865/modification-of-distal-tibiofibular-relationship-after-a-mild-syndesmotic-injury
#12
Marie-Lyne Nault, Laurence Gascon, Jonah Hébert-Davies, Stéphane Leduc, G Yves Laflamme, Dennis Kramer
BACKGROUND: The hypothesis of this study is that a sprain or tear of 1 or more of the 3 syndesmotic ligaments will result in a significant change in the osseous anatomy relationship when comparing injured to uninjured syndesmosis. Our secondary objective was to determine whether injuries to the syndesmosis as diagnosed on magnetic resonance imaging (MRI) could be found using static imaging. METHODS: This is a descriptive radiological study of ankle MRI reports over a 12-year period, from 2 different institutions, and divided in two groups: normal and injured syndesmotic ligaments...
September 13, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27602913/lisfranc-injuries-in-children-and-adolescents
#13
Jaclyn F Hill, Benton E Heyworth, Anneliese Lierhaus, Mininder S Kocher, Susan T Mahan
In this descriptive analysis of pediatric Lisfranc injuries, records of 56 children treated for bony or ligamentous Lisfranc injuries over a 12-year period were reviewed. Overall, 51% of fractures and 82% of sprains were sports-related (P=0.03). A total of 34% of the cohort underwent open reduction internal fixation, which was more common among patients with closed physes (67%). Full weight bearing was allowed in open reduction internal fixation patients at a mean of 14.5 weeks, compared to 6.5 weeks in the nonoperative group...
September 3, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27573356/the-epidemiology-of-lateral-ligament-complex-ankle-sprains-in-national-collegiate-athletic-association-sports
#14
Karen G Roos, Zachary Y Kerr, Timothy C Mauntel, Aristarque Djoko, Thomas P Dompier, Erik A Wickstrom
BACKGROUND: Ankle sprains are a common injury in collegiate sports. Few studies have examined the epidemiology of individual ligament injuries, specifically the lateral ligament complex (LLC) of the ankle. PURPOSE: To describe the epidemiology, including the estimated yearly national incidence, of LLC sprains among National Collegiate Athletic Association (NCAA) athletes. STUDY DESIGN: Descriptive epidemiology study. METHODS: Injury surveillance data for 25 sports from the NCAA Injury Surveillance Program (NCAA-ISP) for the academic years 2009-2010 to 2014-2015 were used for analysis...
August 29, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27543408/return-to-play-following-ankle-sprain-and-lateral-ligament-reconstruction
#15
REVIEW
Scott B Shawen, Theodora Dworak, Robert B Anderson
Ankle sprains are the most common musculoskeletal injury occurring during athletics. Proper initial treatment with supportive pain control, limited immobilization, early return to weight bearing and range of motion, and directed physical therapy are essential for preventing recurrent injury. Reconstruction of the lateral ligaments is indicated for patients with continued instability and dysfunction despite physical therapy. Return to athletic activity should be reserved for athletes who have regained strength, proprioception, and range of motion of the injured ankle...
October 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27541922/traumatic-avulsion-of-the-superior-extensor-retinaculum-of-the-ankle-as-a-cause-of-subperiosteal-haematoma-of-the-distal-fibula-in-children-a-retrospective-study-of-7-cases
#16
Juliette Ding, Antoine Moraux, Éric Nectoux, Xavier Demondion, Élisa Amzallag-Bellenger, Nathalie Boutry
OBJECTIVE: To describe a new sonographic feature for a traumatic lesion of the ankle in children. MATERIALS AND METHODS: We present a retrospective review of superior extensor retinaculum (SER) avulsions diagnosed by ultrasound (US) as a cause of subperiosteal haematoma (SPH) and periosteal apposition of the distal fibula in seven children (3 girls and 4 boys, mean age 13.4 years; age range 10-15 years) after an inversion trauma of the ankle. Two children were subsequently examined with magnetic resonance imaging (MRI)...
November 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27535328/long-term-prognosis-of-acute-lateral-ankle-ligamentous-sprains-high-incidence-of-recurrences-and-residual-symptoms
#17
Ellen Kemler, Karin M Thijs, Ilse Badenbroek, Ingrid G L van de Port, Arno W Hoes, Frank J G Backx
BACKGROUND: Acute lateral ankle ligamentous sprains (ALALS) are common injuries. This injury does not always have a favourable long-term outcome. Studies reporting the prognosis of ALALS after functional treatment are scarce. OBJECTIVE: To determine the prognosis of functionally treated ALALS, in terms of recurrent ALALS and residual symptoms. STUDY DESIGN: Retrospective cohort study. SETTING: Patients were recruited from 20 family practices, nine physical therapy practices, the emergency departments of a regional hospital and a university hospital...
August 17, 2016: Family Practice
https://www.readbyqxmd.com/read/27525185/chronic-ucl-injury-a-multimodal-approach-to-correcting-altered-mechanics-and-improving-healing-in-a-college-athlete-a-case-report
#18
Rachel Patrick, Josh McGinty, Ann Lucado, Beth Collier
BACKGROUND: Ulnar collateral ligament (UCL) tears and associated Tommy Johns surgical intervention from excessive and poor quality pitching has increased immensely-with more college and professional pitchers undergoing the surgery in 2014 alone than in the 1990s as a whole.(1) Faulty mechanics developed at young ages are often well-engrained by the late adolescent years and the minimal healing ability of the largely avascular UCL often leads to delayed safe return to sport.(2). PURPOSE: The purpose of this case study was to describe an innovative, multimodal approach to conservative management of a chronic UCL injury in a college-aged baseball pitcher...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27525183/conservative-management-of-an-isolated-grade-iii-lateral-collateral-ligament-injury-in-an-adolescent-multi-sport-athlete-a-case-report
#19
M Alex Haddad, Justin M Budich, Brian J Eckenrode
STUDY DESIGN: Case report. BACKGROUND: Isolated, grade III lateral collateral ligament knee injuries are an uncommon traumatic injury with little guidance available in the literature for conservative management and prognosis for return to sport. The purpose of this case report is to describe the clinical decision-making in both differential diagnosis and physical therapy management of an isolated grade III lateral collateral ligament sprain in an adolescent multi-sport high school athlete...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27525174/utilization-of-impact-testing-to-measure-injury-risk-in-alpine-ski-and-snowboard-athletes
#20
John Faltus, Brittney Huntimer, Thomas Kernozek, John Cole
BACKGROUND: While studies that have examined the prevalence of musculoskeletal injuries in alpine skiing and snowboarding exist, there has been no discussion of how neurocognitive deficits may influence such injuries. Recent authors have identified a possible link between Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) testing results and the prevalence of musculoskeletal injury in athletic populations. However, no study has specifically examined this in the alpine skiing and snowboard athletes who sustain injury and those that do not...
August 2016: International Journal of Sports Physical Therapy
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