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Pathology dancer

Jessica H Heyer, Donald J Rose
BACKGROUND: An os trigonum is a potential source of posterior ankle pain in dancers, often associated with flexor hallucis longus (FHL) pathology. Options for operative excision include open excision, subtalar arthroscopy, and posterior endoscopy. The purpose of this paper was to present a series of dancers who underwent excision of a symptomatic os trigonum via an open posteromedial approach. METHODS: This study is a retrospective case series of 40 ankles in 38 dancers who underwent os trigonum excision via an open posteromedial approach with FHL tenolysis between 2000 and 2013...
August 22, 2016: Foot & Ankle International
Hiroki Funasaki, Hiroteru Hayashi, Kanako Sakamoto, Rei Tsuruga, Keishi Marumo
Stenosing tenosynovitis of the flexor hallucis longus (FHL) tendon is known as a major overuse lesion in female dancers. We describe arthroscopic surgical techniques in relation to the dynamic pathology of the disease. Crepitus and pain on moving the great toe with the ankle in plantar flexion on preoperative examination confirm the diagnosis of FHL stenosing tenosynovitis even if the os trigonum is not evident. The ankle is approached through standard posterolateral and posteromedial portals. A 4.0-mm-diameter 30° arthroscope is used...
December 2015: Arthroscopy Techniques
José M Castillo-López, Pedro V Munuera-Martínez, Cristina Algaba-Guisado, María Reina-Bueno, Nadia Salti-Pozo, Alfonso Vargas-Macías
BACKGROUND: The foot is the main element of artistic creation in flamenco dancing. At the professional level, the foot undergoes high musculoskeletal demands, predisposing the development of podiatric pathologic disorders in this group. The principal objective of this study was to determine the most common foot lesions in professional female flamenco dancers. METHODS: In a cross-sectional observational study of 44 female professional flamenco dancers, the participants completed a short questionnaire about their demographic features, number of hours danced per week, and years of professional activity...
January 2016: Journal of the American Podiatric Medical Association
Razia Rehmani, Yoshimi Endo, Phillip Bauman, William Hamilton, Hollis Potter, Ronald Adler
BACKGROUND: Altered biomechanics from repetitive microtrauma, such as long practice hours in en pointe (tip of the toes) or demi pointe (balls of the feet) predispose ballet dancers to a multitude of musculoskeletal pathologies particularly in the lower extremities. Both ultrasound and magnetic resonance imaging (MRI) are radiation-sparing modalities which can be used to confidently evaluate these injuries, with ultrasound (US) offering the added utility of therapeutic intervention at the same time in experienced hands...
October 2015: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Lazhari Assassi, Nadia Magnenat-Thalmann
PURPOSE: Given the crucial role of the mechanical behavior in the degenerative process of the hip joint, analyzing the contact mechanics in the articular layers during physical activities could contribute to understanding the pathology. Indeed, the development process of hip osteoarthritis generally evolves over a long time period, and therefore analyzing the mechanical behavior of the hip joint during extreme repetitive movements will be helpful to analyze degeneration causes. The aim of the study was to investigate the link between the excessive movements and the development of hip osteoarthritis...
May 2016: International Journal of Computer Assisted Radiology and Surgery
Daichi Hayashi, Frank W Roemer, Pieter D'Hooghe, Ali Guermazi
Posterior ankle impingement is a clinical diagnosis which can be seen following a traumatic hyper-plantar flexion event and may lead to painful symptoms in athletes such as female dancers ('en pointe'), football players, javelin throwers and gymnasts. Symptoms of posterior ankle impingement are due to failure to accommodate the reduced interval between the posterosuperior aspect of the talus and tibial plafond during plantar flexion, and can be due to osseous or soft tissue lesions. There are multiple causes of posterior ankle impingement...
November 2015: European Journal of Radiology
Alexander E Weber, Asheesh Bedi, Lisa M Tibor, Ira Zaltz, Christopher M Larson
CONTEXT: Dance, gymnastics, figure skating, and competitive cheerleading require a high degree of hip range of motion. Athletes who participate in these sports use their hips in a mechanically complex manner. EVIDENCE ACQUISITION: A search of the entire PubMed database (through December 2013) and additional searches of the reference lists of pertinent articles. STUDY DESIGN: Systematic review. LEVEL OF EVIDENCE: Level 3...
July 2015: Sports Health
Darrell Martin, Jamie Dowling, Fiachra Rowan, Mary Casey, Paul O'Grady
Ganglion cysts are common benign masses, usually occurring in the hands and feet. This report describes the case of a young female Irish dancer who presented with paresthesia of her foot due to a ganglion in near proximity to the superficial peroneal nerve. Midfoot ganglia in young girls engaged in Irish dance can limit their ability to participate. This pathology requires further epidemiological studies to investigate its prevalence. In the event of failed conservative management, surgical intervention to excise the cyst and decompress the nerve is an effective treatment to facilitate return to dancing...
June 2015: Journal of Dance Medicine & Science
William J Ribbans, Hannah A Ribbans, James A Cruickshank, Edward V Wood
A literature review has been undertaken to assess the efficacy of management of Posterior Ankle Impingement Syndrome with an emphasis on sport. The evidence is confined to Level IV and V studies. There is a lack of prospective studies on the natural history of this condition and the outcomes of conservative treatment. Dance dominates the literature accounting for 62% of reported sports. Forty-seven papers have reported on the surgical outcomes of 905 procedures involving both open and artho-endoscopic techniques...
March 2015: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Jatin P Ambegaonkar, Amanda M Caswell, Kristen L Kenworthy, Nelson Cortes, Shane V Caswell
OBJECTIVE: Postural deviations can predispose an individual to increased injury risk. Specifically, lumbar deviations are related to increased low back pain and injury. Dancers and gymnasts are anecdotally suggested to have exaggerated lumbar lordosis and subsequently may be at increased risk of lumbar pathologies. Our objective was to examine lumbar lordosis levels in dancers and gymnasts. METHODS: We examined lumbar lordosis in 47 healthy collegiate females (17 dancers, 29 gymnasts; mean age 20...
December 2014: Medical Problems of Performing Artists
Marie-Lyne Nault, Mininder S Kocher, Lyle J Micheli
Os trigonum syndrome is the result of an overuse injury of the posterior ankle caused by repetitive plantar flexion stress. It is predominantly seen in ballet dancers and soccer players and is primarily a clinical diagnosis of exacerbated posterior ankle pain while dancing on pointe or demi-pointe or while doing push-off maneuvers. Symptoms may improve with rest or activity modification. Imaging studies, including a lateral radiographic view of the ankle in maximal plantar flexion, will typically reveal the os trigonum between the posterior tibial lip and calcaneus...
September 2014: Journal of the American Academy of Orthopaedic Surgeons
Barry J O'Neill, Laura A Sweeney, Paul J Moroney, Kevin J Mulhall
Antiphospholipid syndrome and systemic erythematosus have been associated with metatarsal stress fractures. Stress fractures of the Lisfranc joint complex are uncommon injuries but have been reported to occur most frequently in ballet dancers. We present a case of an avulsion fracture of the Lisfranc joint complex that occurred spontaneously. We have reviewed the association between systemic conditions and metatarsal fractures and proposed a series of hypothetical pathological events that may have contributed to this unusual injury...
April 2014: Foot & Ankle Specialist
Nasir Muzaffar, Iftikhar Hussain, Nawaz Ahmad, Mohammad Moosa, Nissar Shah
Stress fractures are commonly seen among soldiers and athletes with the usual sites being the tibia, fibula or the metatarsals. Clinical examination may not be very helpful in such cases unless a high degree of suspicion is directed towards the pathology. We present a case of bilateral synchronous subtrochanteric stress fractures in a Sufi mystic dancer who presented with mild leg pain. The patient responded well to rest and conservative management.
July 2013: Ortopedia, Traumatologia, Rehabilitacja
Sarah M Yu, Marcella Dardani, Joseph S Yu
OBJECTIVE: Isolated cuboid stress fractures are rare. The purpose of this study was to evaluate the MRI appearance of this condition. MATERIALS AND METHODS: A retrospective search for patients with the diagnosis of a cuboid stress fracture was performed for a 19-year period. All patients underwent an initial three-view radiographic foot series for pain. MRI was performed because symptoms persisted beyond 4 weeks. RESULTS: Ten patients, nine of whom were women, were diagnosed with isolated cuboid stress fractures...
December 2013: AJR. American Journal of Roentgenology
Victoria B Duthon, Caecilia Charbonnier, Frank C Kolo, Nadia Magnenat-Thalmann, Christophe D Becker, Cindy Bouvet, Elia Coppens, Pierre Hoffmeyer, Jacques Menetrey
PURPOSE: To understand why professional female ballet dancers often complain of inguinal pain and experience early hip osteoarthritis (OA). Goals were to examine clinical and advanced imaging findings in the hips of dancers compared with those in a matched cohort of nondancers and to assess the femoral head translation in the forward split position using magnetic resonance imaging (MRI). METHODS: Twenty professional female ballet dancers and 14 active healthy female individuals matched for age (control group) completed a questionnaire on hip pain and underwent hip examination with impingement tests and measurement of passive hip range of motion (ROM)...
March 2013: Arthroscopy: the Journal of Arthroscopic & related Surgery
Jules Comin, Jill L Cook, Peter Malliaras, Moira McCormack, Michelle Calleja, Andrew Clarke, David Connell
INTRODUCTION: Sonographic abnormalities of the achilles and patellar tendons are common findings in athletes, and tendinopathy is a common cause of pain and disability in athletes. However, it is unclear whether the sonographic changes are pathological or adaptive, or if they predict future injury. We undertook a cohort study to determine what sonographic features of the achilles and patellar tendons are consistent with changes as a result of ballet training, and which may be predictive of future development of disabling tendon symptoms...
January 2013: British Journal of Sports Medicine
Kim Van Durme, Lien Goossens, Caroline Braet
Previous research shows that leanness- and weight-dependent sports increase the risk of developing disturbed eating behaviour. This study investigated whether adolescent aesthetic athletes (n=68, M=14.6 years), particularly ballet dancers and figure skaters, exhibit more eating pathology compared to the general population. Furthermore, it was investigated whether sport-related factors have explanatory value for the dieting behaviour of aesthetic athletes. To asses eating pathology, reliable and valid self-report questionnaires were used including the Eating Disorder Inventory-II, the Children's Eating Disorder Examination-Questionnaire and the Dutch Eating Behaviour Questionnaire...
April 2012: Eating Behaviors
Noam Reshef, David R Guelich
MTSS is a benign, though painful, condition, and a common problem in the running athlete. It is prevalent among military personnel, runners, and dancers, showing an incidence of 4% to 35%. Common names for this problem include shin splints, soleus syndrome, tibial stress syndrome, and periostitis. The exact cause of this condition is unknown. Previous theories included an inflammatory response of the periosteum or periosteal traction reaction. More recent evidence suggests a painful stress reaction of bone...
April 2012: Clinics in Sports Medicine
Robert Turner, Eilish O'Sullivan, Jaime Edelstein
Dancers frequently present with hip pain. The etiology of this pathology has not been clearly identified from an anatomical perspective. Structural variations including hip dysplasia and dynamic variables from the foot to the pelvis will be discussed. Understanding the etiology as a structural entity, neuromuscular entity or a combination of the two, allows for a successful rehabilitative process and a successful return to dance. This article describes the possible correlation between hip dysplasia and hip pain in the dancer, the relationship of dance postures to the kinematic chain and outlines possible treatment strategies for management...
March 2012: Current Reviews in Musculoskeletal Medicine
Claudine J C Lamoth, Marieke J G van Heuvelen
With age postural control deteriorates and increases the risk for falls. Recent research has suggested that in contrast to persons with superior balance control (dancer's athletes), with pathology and aging, predictability and regularity of sway patterns increase and stability decreases implying a less adaptive form of postural control. The aim of the present study was to determine, whether patterns of body sway of elderly (N=13) who practice a sport which challenges postural control (ice speed-skating), are more similar to that of young subjects (N=10) than to that of inactive elderly (N=10)...
March 2012: Gait & Posture
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