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Ankle instability

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https://www.readbyqxmd.com/read/29234555/spinal-and-peripheral-dry-needling-versus-peripheral-dry-needling-alone-among-individuals-with-a-history-of-lateral-ankle-sprain-a-randomized-controlled-trial
#1
Ainsley Rossi, Sara Blaustein, Joshua Brown, Kari Dieffenderfer, Elaine Ervin, Steven Griffin, Elizabeth Frierson, Kathleen Geist, Marie Johanson
Background: In addition to established interventions, dry needling may reduce impairments leading to greater functional abilities for individuals following ankle sprain. Hypothesis/Purpose: The purpose of this study was to compare effects of spinal and peripheral dry needling (DN) with peripheral DN alone on impairments and functional performance among individuals with a history of lateral ankle sprain. Study Design: Randomized controlled trial...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29213246/the-influence-of-footwear-on-the-modular-organization-of-running
#2
Alessandro Santuz, Antonis Ekizos, Lars Janshen, Vasilios Baltzopoulos, Adamantios Arampatzis
For most of our history, we predominantly ran barefoot or in minimalist shoes. The advent of modern footwear, however, might have introduced alterations in the motor control of running. The present study investigated shod and barefoot running under the perspective of the modular organization of muscle activation, in order to help addressing the neurophysiological factors underlying human locomotion. On a treadmill, 20 young and healthy inexperienced barefoot runners ran shod and barefoot at preferred speed (2...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/29211703/intra-articular-findings-during-the-modified-brostrom-procedure-for-lateral-instability-of-the-pediatric-ankle
#3
Brady T Evans, Frances A Tepolt, Emily Niu, Dennis E Kramer, Mininder S Kocher
The purpose of this study was to identify the rates of chondral injury, soft tissue impingement, and bony impingement in pediatric patients undergoing the modified Brostrom procedure with ankle arthroscopy for lateral ankle instability. A retrospective review of all patients undergoing a modified Brostrom procedure with ankle arthroscopy performed by two surgeons at a tertiary care children's hospital between October 2002 and April 2014 was performed. Data were collected regarding demographics, history and initial presentation, nonoperative management, surgical procedure and arthroscopic findings, and clinical follow-up...
January 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29196821/the-predictive-value-of-mri-in-the-syndesmotic-instability-of-ankle-fracture
#4
Young Hwan Park, Min A Yoon, Won Seok Choi, Gi Won Choi, Suk Joo Hong, Hak Jun Kim
OBJECTIVE: Although many types of ankle fracture can be combined with syndesmosis injury, preoperative imaging studies rarely reveal instability of the syndesmosis. This study assessed the use of magnetic resonance imaging (MRI) for syndesmotic instability in patients with unstable ankle fracture. METHODS: A total of 74 patients who were treated for Lauge-Hansen supination external rotation/Weber B type fracture or pronation external rotation/Weber C type fracture and who underwent MRI for preoperative assessment were enrolled...
December 1, 2017: Skeletal Radiology
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
#5
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/29188345/imaging-in-syndesmotic-injury-a-systematic-literature-review
#6
Nicola Krähenbühl, Maxwell W Weinberg, Nathan P Davidson, Megan K Mills, Beat Hintermann, Charles L Saltzman, Alexej Barg
OBJECTIVES: To give a systematic overview of current diagnostic imaging options for assessment of the distal tibio-fibular syndesmosis. MATERIALS AND METHODS: A systematic literature search across the following sources was performed: PubMed, ScienceDirect, Google Scholar, and SpringerLink. Forty-two articles were included and subdivided into three groups: group one consists of studies using conventional radiographs (22 articles), group two includes studies using computed tomography (CT) scans (15 articles), and group three comprises studies using magnet resonance imaging (MRI, 9 articles)...
November 30, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29178310/a-new-intraoperative-syndesmosis-instability-classification-system-utility-and-medium-term-results-in-closed-displaced-ankle-fractures
#7
Hai-Bin Qiu, Jun Jiang, Daniel Porter
OBJECTIVE: To investigate the utility and medium-term results of a new intra-operative classification system for distal tibiofibular syndesmosis injury in ankle fractures. METHODS: Between January 2010 and January 2015, 116 patients diagnosed with displaced closed Weber B and C ankle fractures were treated in our department. The etiology of injury was 56 cases of fall-sprain, 36 of traffic injury, 14 of fall from a height, and 10 of multiple injuries. After fixation of the fibular fracture, we classify syndesmosis stability as either normal or one of three grades of instability using the fibular hook traction test...
November 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/29175719/does-chronic-ankle-instability-influence-lower-extremity-muscle-activation-of-females-during-landing
#8
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
https://www.readbyqxmd.com/read/29175717/tibio-calcaneal-fusion-by-retrograde-intramedullary-nailing-in-charcot-neuroarthropathy
#9
Khaled M Emara, Ramy Ahmed Diab, Mohamed Amr Hemida
INTRODUCTION: Charcot's neuroarthropathy of ankle leads to instability, destruction of the joint with significant morbidity that may require an amputation. Aim of surgical treatment is to achieve painless stable plantigrade foot through arthrodesis. Achieving surgical arthrodesis in Charcot's neuroarthropathy has a high failure rate. We assess the outcomes of retrograde intramedullary interlocked nailing in tibio-talar arthrodesis for Charcot's neuroarthropathy. MATERIALS AND METHODS: 42 diabetic patients with a mean age of 49 year underwent ankle tibio-talar arthrodesis using retrograde nailing for Charcot's neuroarthropathy...
November 7, 2017: Foot
https://www.readbyqxmd.com/read/29171312/acute-lateral-ankle-sprain-to-chronic-ankle-instability-a-pathway-of-dysfunction
#10
Tyler M Miklovic, Luke Donovan, Omar A Protzuk, Matthew S Kang, Mark A Feger
Lateral ankle sprains (LAS) have been reported as one of the most common musculoskeletal injuries observed in sports and in individuals who are recreationally active. Approximately 40% of individuals who sustain a LAS develop a condition known as chronic ankle instability (CAI). Years of research has identified numerous impairments associated with CAI such as decreases in range of motion (ROM), strength, postural control, and altered movement patterns during functional activities when compared to individuals with no LAS history...
November 29, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29170335/38%C3%A2-a-comparison-of-two-interventions-in-the-treatment-of-severe-ankle-sprains-and-distal-fibular-avulsion-fractures-a-patient-perspective
#11
Sarah Powell
: Stable ankle injuries are highly prevalent in Emergency Departments across the UK. Appropriate management to enable patients to experience a smooth recovery and prevent chronic ankle instability or reoccurrence is a priority. Current literature states that stable ankle fractures and severe ankle sprains can be successfully managed with the below knee plaster or the aircast brace and crutches. The functional brace has proved to be clinically effective in several reports. There has however, been no research to measure patient satisfaction levels between these two treatments...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29162365/ankle-fracture-controversies-do-the-foot-and-ankle-specialists-have-a-different-vision
#12
G González-Lucena, D Pérez-Prieto, A López-Alcover, A Ginés-Cespedosa
OBJECTIVE: To analyse the differences in the management of ankle fractures between orthopaedic/trauma surgeons and foot and ankle specialists. MATERIAL AND METHOD: An e-mail survey was performed asking some of the country's orthopaedic surgeons controversial questions regarding the analysis of 5 clinical cases of different ankle fractures. RESULTS: Seventy-two surgeons responded to the questionnaire (response rate of 24.2%): 37 foot and ankle specialists and 35 non-specialist orthopaedic surgeons...
November 18, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29162077/subtalar-instability-imaging-features-of-subtalar-ligaments-on-3d-isotropic-ankle-mri
#13
Tae Hyung Kim, Sung Gyu Moon, Hong-Geun Jung, Na Ra Kim
BACKGROUND: MRI analysis of subtalar ligaments in the tarsal sinus has not been well performed. We retrospectively investigated the appearance of subtalar ligaments using 3D isotropic MRI and compared imaging findings of subtalar ligaments between patients with subtalar instability (STI) and controls. METHODS: Preoperative MRIs of 23 STI patients treated with arthroscopic subtalar reconstruction were compared to MRIs of 23 age- and sex-matched control subjects without STI...
November 21, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29160096/initial-fibular-displacement-as-a-predictor-of-medial-clear-space-widening-in-weber-b-ankle-fractures
#14
Zachary S Cavanaugh, Simran Gupta, Vinayak M Sathe, Lauren E Geaney
BACKGROUND: The diagnosis of medial ankle instability in Weber B ankle fractures remains controversial. Manual stress and gravity stress radiographs as well as magnetic resonance imaging (MRI) are used, but there is no consensus gold standard. The purpose of this study was to determine the relationship between initial fibular displacement and medial clear space widening on a gravity stress radiograph as a predictor of instability. METHODS: A retrospective review was conducted of all patients with isolated Weber B ankle fractures with both initial injury radiographs and gravity stress view from August 1, 2014, through April 1, 2016...
November 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29149741/the-isolated-posterior-malleolar-fracture-and-syndesmotic-instability-a-case-report-and-review-of-the-literature
#15
Diederik P J Smeeing, Roderick M Houwert, Moyo C Kruyt, Falco Hietbrink
INTRODUCTION: Ankle fractures are among the most common type of fractures in the lower extremity. A posterior malleolar fracture is frequently part of a more complex ankle fracture and only in rare cases it occurs as isolated injury. Posterior malleolar fractures often occur with associated injuries, such as a Maisonneuve fracture or with bi- or trimalleolar ligamentous injuries. Knowledge about these associated injuries is essential to prevent missed diagnoses. The aim of this article is to describe the isolated posterior malleolar fracture, the possible associated injuries, the diagnostic work-up and therapeutic consequences...
November 13, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29149639/translation-cross-cultural-adaptation-and-measurement-properties-of-the-brazilian-version-of-the-identification-of-functional-ankle-instability-idfai-questionnaire
#16
Bruna Reclusa Martinez, Andrea D Lopes Sauers, Cintia Lopes Ferreira, Luciana de Castro Lugli, Paola Christina Gama Turchetto, Carrie L Docherty, Liu Chiao Yi
OBJECTIVES: The aim of this research was to describe the translation and cultural adaptation, and to test the validity and reliability of the Brazilian version of the Identification of Functional Ankle Instability (IdFAI) questionnaire. DESIGN: This was a clinical measurement. SETTING: This research took place at the Federal University of Sao Paulo in Brazil. PARTICIPANTS: Fifty college students participated in the translation and cultural adaptation, while another 50 students participated in the measurements (validity and reliability)...
October 7, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29143300/effect-of-restraining-the-base-of-support-on-the-other-biomechanical-features-in-patients-with-cerebellar-ataxia
#17
C Conte, Mariano Serrao, L Cuius, A Ranavolo, S Conforto, F Pierelli, L Padua
This study aimed to analyze the biomechanical consequences of reducing the base of support in patients with ataxia. Specifically, we evaluated the spatio-temporal parameters, upper- and lower-body kinematics, muscle co-activation, and energy recovery and expenditure. The gaits of 13 patients were recorded using a motion analysis system in unperturbed and perturbed walking conditions. In the latter condition, patients had to walk using the same step width and speed of healthy controls. The perturbed walking condition featured reduced gait speed, step length, hip and knee range of motion, and energy recovery and increased double support duration, gait variability, trunk oscillation, and ankle joint muscle co-activation...
November 15, 2017: Cerebellum
https://www.readbyqxmd.com/read/29138920/concurrent-arthroscopic-osteochondral-lesion-treatment-and-lateral-ankle-ligament-repair-has-no-substantial-effect-on-the-outcome-of-chronic-lateral-ankle-instability
#18
Dong Jiang, Yin-Fang Ao, Chen Jiao, Xing Xie, Lin-Xin Chen, Qin-Wei Guo, Yue-Lin Hu
PURPOSE: The purpose of the study was to evaluate the effect of concurrent arthroscopic osteochondral lesion (OCL) treatment and lateral ankle ligament repair on the outcome of chronic lateral ankle instability. It was hypothesized that the arthroscopic OCL treatment might have some negative effect on the outcome of chronic lateral ankle instability (CLAI) by compromising the rehabilitation program. METHODS: Ankle arthroscopy and anatomic lateral ankle ligament repair with suture anchors were performed for 70 patients with CLAI between 2010 and 2012...
November 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29138918/anatomic-stabilization-techniques-provide-superior-results-in-terms-of-functional-outcome-in-patients-suffering-from-chronic-ankle-instability-compared-to-non-anatomic-techniques
#19
REVIEW
G Vuurberg, H Pereira, L Blankevoort, C N van Dijk
PURPOSE: To determine the best surgical treatment for chronic ankle instability (CAI) a systematic review was performed to compare the functional outcomes between various surgical stabilization methods. METHODS: A systematic search was performed from 1950 up to April 2016 using PubMed, EMBASE, Medline and the Cochrane Library. Inclusion criteria were a minimum age of 18 years, persistent lateral ankle instability, treatment by some form of surgical stabilization, described functional outcome measures...
November 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29122126/posterior-fragment-in-ankle-fractures-anteroposterior-vs-posteroanterior-fixation
#20
Dinko Vidović, Esmat Elabjer, I V A Muškardin, Milan Milosevic, Marijo Bekic, Bore Bakota
INTRODUCTION: The aim of this study was to compare reduction quality and functional outcome of posterior malleolus fractures treated with indirect reduction and anteroposterior (AP) fixation or with direct reduction via a posterolateral approach and posteroanterior (PA) fixation. METHODS: Forty-eight patients with trimalleolar fracture were enrolled in the study. Patients were randomised in two groups: indirect reduction and AP fixation (AP group) and direct reduction and PA fixation (PA group)...
November 2017: Injury
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