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https://www.readbyqxmd.com/read/29769831/improvement-of-functional-ankle-properties-following-supplementation-with-specific-collagen-peptides-in-athletes-with-chronic-ankle-instability
#1
Patrick Dressler, Dominic Gehring, Denise Zdzieblik, Steffen Oesser, Albert Gollhofer, Daniel König
Following an initial ankle sprain it is not unlikely that chronic ankle instability (CAI) will develop. CAI is associated with impaired perceived functional and mechanical properties of the ligaments. Nutritional supplementation with collagen peptides has been shown to improve the functional and mechanical properties of the connective tissue. The purpose of this study was to investigate the effectiveness of specific collagen peptide supplementation (SCP) to improve ankle stability in athletes with CAI. 50 male and female athletes with CAI completed a randomized, double-blinded and placebo-controlled study with a daily oral administration of either 5 g SCP or 5 g placebo (Maltodextrin) over a period of six months...
June 2018: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/29712541/refractory-ulnar-nerve-symptoms-in-an-adolescent-pitcher-with-medial-apophysitis
#2
Aaron R Hellem, Elena J Jelsing, Wendy J Hurd
A 16-year-old high school baseball pitcher with a 3-week history of acute-onset pain in his medial elbow during throwing presented to physical therapy. Following examination, physical therapy was initiated and the patient was referred for imaging, with suspicion of ulnar collateral ligament (UCL) injury. Radiographs were noncontributory. Ultrasound imaging, however, was performed by a physiatrist and was suggestive of a partial-thickness tear of the UCL and ulnar nerve enlargement. The physiatrist ordered magnetic resonance imaging, which confirmed a medial apophyseal stress reaction, a mild UCL sprain, and reactive ulnar nerve edema...
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29679362/anatomical-variation-in-the-form-of-inter-and-intra-individual-laterality-of-the-calcaneofibular-ligament
#3
Hisayoshi Yoshizuka, Kentaro Shibata, Toyoko Asami, Akio Kuraoka
The lateral ligament complex of the ankle is involved in a large proportion of ankle sprains. The calcaneofibular ligament (CFL) is often involved in severe injuries. The purpose of this study was to evaluate the anatomical variation and laterality of the CFL to improve our understanding of the mechanisms of CFL-related injuries. This study utilized 110 paired ankles from 55 formalin-fixed Japanese cadavers (33 male and 22 female). The length and width of the CFL and the angle created by the CFL and long axis of the fibula (CF angle) were measured after exposing the CFL by careful dissection from the surrounding tissues...
April 20, 2018: Anatomical Science International
https://www.readbyqxmd.com/read/29657436/upper-extremity-weightlifting-injuries-diagnosis-and-management
#4
REVIEW
Kayvon Golshani, Mark E Cinque, Peter O'Halloran, Kenneth Softness, Laura Keeling, J Ryan Macdonell
Common upper extremity injuries in resistance training athletes include muscle strains, ligament sprains, pectoralis major tendon ruptures, distal biceps tendon ruptures, and chronic shoulder pain and capsulolabral injuries. While each injury is unique in its specific anatomic location and mechanism, each is preventable with proper exercise technique, safety and maintenance of muscle balance. Conservative treatment is the therapeutic modality of choice and these injuries generally resolve with workout modification, appropriate recovery, anti-inflammatory medication, and physical therapy...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29643135/arthroscopic-reduction-and-fixation-of-a-lateral-inverted-osteochondral-fracture-of-the-talus-lift
#5
Joao Teixeira, Manuel Carvalho, António Torres, Nuno Tavares
Some ankle sprains hide important lesions beyond the classic lateral ligament complex injuries. The lateral inverted osteochondral fracture of the talus (LIFT) represents a rare osteochondral lesion, whose diagnosis relies on a high clinical suspicion followed by correct image study interpretation. We present a successful arthroscopic fixation of a LIFT lesion in a 45-year-old active man. At 8 months follow-up, the patient was pain free and able to return to his daily activities without limitation. The imagiological study showed osteochondral fragment consolidation with no signs of hardware failure...
April 11, 2018: BMJ Case Reports
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/29578869/orthopedic-injuries-in-professional-surfers-a-retrospective-study-at-a-single-orthopedic-center
#7
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/29560491/comparative-evaluation-between-anatomic-and-non-anatomic-lateral-ligament-reconstruction-techniques-in-the-ankle-joint-a-computational-study
#8
Tserenchimed Purevsuren, Myagmarbayar Batbaatar, Batbayar Khuyagbaatar, Kyungsoo Kim, Yoon Hyuk Kim
Biomechanical studies have indicated that the conventional non-anatomic reconstruction techniques for lateral ankle sprain (LAS) tend to restrict subtalar joint motion compared to intact ankle joints. Excessive restriction in subtalar motion may lead to chronic pain, functional difficulties, and development of osteoarthritis. Therefore, various anatomic surgical techniques to reconstruct both the anterior talofibular and calcaneofibular ligaments have been introduced. In this study, ankle joint stability was evaluated using multibody computational ankle joint model to assess two new anatomic reconstruction and three popular non-anatomic reconstruction techniques...
March 12, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29538382/a-systematic-review-of-randomised-controlled-trials-assessing-effectiveness-of-prosthetic-and-orthotic-interventions
#9
Aoife Healy, Sybil Farmer, Anand Pandyan, Nachiappan Chockalingam
BACKGROUND: Assistive products are items which allow older people and people with disabilities to be able to live a healthy, productive and dignified life. It has been estimated that approximately 1.5% of the world's population need a prosthesis or orthosis. OBJECTIVE: The objective of this study was to systematically identify and review the evidence from randomized controlled trials assessing effectiveness and cost-effectiveness of prosthetic and orthotic interventions...
2018: PloS One
https://www.readbyqxmd.com/read/29528723/intraoperative-findings-of-lateral-ligament-avulsion-fractures-and-outcome-after-refixation-to-the-fibula
#10
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/29525025/hand-and-wrist-injuries-common-problems-and-solutions
#11
REVIEW
Nicholas Pulos, Sanjeev Kakar
Injuries to the hands and wrist are common in athletes. Injuries include acute fractures, dislocations, ligamentous, and tendon injuries, as well as more chronic injuries such as sprains and strains. Complications in the treatment of sports injuries of the hand and wrist may be divided into 2 categories: incorrect or delayed diagnosis and iatrogenic injury related to treatment. This article highlights common sports injuries of the hand and wrist and their complications, and includes tips for successful management...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29521168/influence-of-ankle-joint-plantarflexion-and-dorsiflexion-on-lateral-ankle-sprain-a-computational-study
#12
Tserenchimed Purevsuren, Kyungsoo Kim, Myagmarbayar Batbaatar, SuKyoung Lee, Yoon Hyuk Kim
Understanding the mechanism of injury involved in lateral ankle sprain is essential to prevent injury, to establish surgical repair and reconstruction, and to plan reliable rehabilitation protocols. Most studies for lateral ankle sprain posit that ankle inversion, internal rotation, and plantarflexion are involved in the mechanism of injury. However, recent studies indicated that ankle dorsiflexion also plays an important role in the lateral ankle sprain mechanism. In this study, the contributions of ankle plantarflexion and dorsiflexion on the ankle joint were evaluated under complex combinations of internal and inversion moments...
May 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/29514819/diagnosis-treatment-and-prevention-of-ankle-sprains-update-of-an-evidence-based-clinical-guideline
#13
Gwendolyn Vuurberg, Alexander Hoorntje, Lauren M Wink, Brent F W van der Doelen, Michel P van den Bekerom, Rienk Dekker, C Niek van Dijk, Rover Krips, Masja C M Loogman, Milan L Ridderikhof, Frank F Smithuis, Sjoerd A S Stufkens, Evert A L M Verhagen, Rob A de Bie, Gino M M J Kerkhoffs
This guideline aimed to advance current understandings regarding the diagnosis, prevention and therapeutic interventions for ankle sprains by updating the existing guideline and incorporate new research. A secondary objective was to provide an update related to the cost-effectiveness of diagnostic procedures, therapeutic interventions and prevention strategies. It was posited that subsequent interaction of clinicians with this guideline could help reduce health impairments and patient burden associated with this prevalent musculoskeletal injury...
March 7, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29484899/lnjuries-in-wrestling-systematic-review
#14
Roger E Thomas, Kamran Zamanpour
OBJECTIVES: To identify all studies of injuries in wrestling, assess risk of bias and compute weighted average injury rates. METHODS: 17 online databases and nine grey literature resources were searched with no language/date limitations. Abstracts were assessed for inclusion and data abstracted independently by two reviewers. RESULTS: Eleven studies of competitions, 27 databases, four surveys (699 wrestlers) and seventeen case reports (604 cases) were included...
March 9, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29480577/injuries-to-the-collateral-ligaments-of-the-metacarpophalangeal-and-interphalangeal-joints-sonographic-appearance
#15
REVIEW
Ferdinando Draghi, Salvatore Gitto, Stefano Bianchi
Injuries to the collateral ligaments of the metacarpophalangeal (MCP) and interphalangeal (IP) joints are commonly encountered in both athletes and nonathletes. They require prompt evaluation to ensure proper management and prevent loss of joint motion and permanent disability. Imaging is often required to confirm the diagnosis and assess injury severity. This review article aims to provide physicians with guidelines for sonographic assessment of the collateral ligaments of the MCP and IP and related injuries...
February 26, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29417776/-clinical-outcomes-tight-rope-versus-traditional-screw-fixation-for-the-treatment-of-injury-of-distal-tibiofibular-syndesmosis-in-ankle-fracture
#16
Yong-Zhi Ye, Long-Ying Zhang, Yu Chen
OBJECTIVE: To compare the clinical effectiveness for Tight rope fixation and traditional screw fixation in treating injury of distal tibiofibular syndesmosis in ankle fractures. METHODS: A retrospective study was carried out in patients with injury of distal syndesmosis in ankle fractures who received 2 surgical operations(observation group: 33 cases with Tight rope fixation; control group: 35 cases with traditional screw fixation) from May 2014 to February 2016...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29413777/advanced-conservative-treatment-of-complete-acute-rupture-of-the-lateral-ankle-ligaments-verifying-by-stabilometry
#17
Jana Řezaninová, Luboš Hrazdira, Dagmar Moc Králová, Zdeněk Svoboda, Azriel Benaroya
BACKGROUND: The aim of this study was to investigate the result of the specific conservative treatment of acute lateral ankle ligaments rupture and verify the effect of this therapy by stabilometry. METHODS: 17 young athletes were examined after acute lateral ankle sprain (grade III). Diagnosis was based on musculoskeletal ultrasound examinations. Pressure plate evaluated postural stability after conservative treatment at regular intervals during 1year. RESULTS: There were no significant differences in postural stability in double-leg stance between limbs...
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
#18
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...
March 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29363788/evaluation-of-the-anterior-talofibular-ligament-via-stress-sonography-in-asymptomatic-and-symptomatic-populations
#19
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/29325691/predictors-of-recurrent-sprains-after-an-index-lateral-ankle-sprain-a-longitudinal-study
#20
Fereshteh Pourkazemi, Claire E Hiller, Jacqueline Raymond, Deborah Black, Elizabeth J Nightingale, Kathryn M Refshauge
OBJECTIVE: To explore and identify the predictors of ankle sprain after an index (first) lateral ankle sprain. DESIGN: Prospective cohort study, Level of evidence II. SETTING: Musculoskeletal research laboratory at the University of Sydney. PARTICIPANTS: A sample of convenience (70 controls, 30 with an index sprain) was recruited. METHODS: Potential predictors of ankle sprain were measured including: demographic measures, perceived ankle instability, ankle joint ligamentous laxity, passive range of ankle motion, balance, proprioception, motor planning and control, and inversion/eversion peak power...
November 2, 2017: Physiotherapy
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