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Ankle instability

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https://www.readbyqxmd.com/read/29926748/eurovisco-recommendations-for-optimizing-the-clinical-results-of-viscosupplementation-in-osteoarthritis
#1
Thierry Conrozier, Jordi Monfort, Xavier Chevalier, Raghu Raman, Pascal Richette, Demirhan Diraçoglù, Hervé Bard, Dominique Baron, Jörg Jerosch, Alberto Migliore, Yves Henrotin
Objectives The 3 aims of the work were to identify population subgroups that can benefit the most from viscosupplementation (VS), to provide recommendations on injection techniques, and to discuss VS appropriateness in clinical situations that are commonplace in daily practice. Methods The task force members voted on their degree of agreement on 27 statements, 36 recommendations, and 22 clinical scenarios using a 9-point scale. The strength of agreement/appropriateness/recommendation (SOA/SOR) was classified as strong if the median agreement score was ≥8...
June 1, 2018: Cartilage
https://www.readbyqxmd.com/read/29914742/individuals-with-chronic-ankle-instability-exhibit-dynamic-postural-stability-deficits-and-altered-unilateral-landing-biomechanics-a-systematic-review
#2
REVIEW
Jeffrey D Simpson, Ethan M Stewart, David M Macias, Harish Chander, Adam C Knight
OBJECTIVE: To evaluate the literature regarding unilateral landing biomechanics and dynamic postural stability in individuals with and without chronic ankle instability (CAI). METHODS: Four online databases (PubMed, ScienceDirect, Scopus, and SportDiscus) were searched from the earliest records to 31 January 2018, as well as reference sections of related journal articles, to complete the systematic search. Studies investigating the influence of CAI on unilateral landing biomechanics and dynamic postural stability were systematically reviewed and evaluated...
June 13, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29911919/innovative-treatment-for-pes-cavovarus-a-pilot-study-of-13-children
#3
Ignacio Sanpera, Guillem Frontera-Juan, Julia Sanpera-Iglesias, Laura Corominas-Frances
Background and purpose - Pes cavovarus (PCV) is a complex deformity, frequently related to neurological conditions and associated with foot pain, callosities, and walking instability. The deformity has the tendency to increase during growth. Orthotic treatment is ineffective and surgery may be troublesome. We present the preliminary results of a new mini-invasive surgical technique for correction of this foot deformity. Patients and methods - We operated on 13 children (24 feet), age 7-13 years. In 7 children the deformity was neurological in origin...
June 18, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29902713/full-gait-cycle-analysis-of-lower-limb-and-trunk-kinematics-and-muscle-activations-during-walking-in-participants-with-and-without-ankle-instability
#4
Lynsey Northeast, Charlotte N Gautrey, Lindsay Bottoms, Gerwyn Hughes, Andrew C S Mitchell, Andrew Greenhalgh
BACKGROUND: Chronic ankle instability (CAI) has previously been linked to altered lower limb kinematics and muscle activation characteristics during walking, though little research has been performed analysing the full time-series across the stance and swing phases of gait. RESEARCH QUESTION: The aim of this study was to compare trunk and lower limb kinematics and muscle activity between those with chronic ankle instability and healthy controls. METHODS: Kinematics and muscle activity were measured in 18 (14 males, 4 females) healthy controls (age 22...
June 7, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29901592/the-heterogeneous-management-of-pediatric-ankle-traumas-a-retrospective-descriptive-study
#5
Philippe Voizard, James Moore, Stéphane Leduc, Marie-Lyne Nault
Frequent misdiagnosis of pediatric ankle traumas leads to inappropriate management, which may result in residual pain, instability, slower return to physical activity, and long-term degenerative changes. The purpose of this study was to evaluate the consistency of diagnosis, management, and the treatment of acute lateral pediatric ankle trauma in a tertiary care pediatric hospital. The hypothesis was that the initial diagnosis is often incorrect, and the treatment varies considerably amongst orthopedic surgeons...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29890893/anatomic-reconstruction-of-anterior-talofibular-ligament-with-tibial-tuberosity-patellar-tendon-autograft-for-chronic-lateral-ankle-instability
#6
Can Chen, Hongbin Lu, Jianzhong Hu, Xuqiang Qiu, Xiong Li, Deyi Sun, Jin Qu, Tao Zhang, Daqi Xu
INTRODUCTION: Anatomic repair of the anterior talofibular ligament (ATFL) is challenging when the local ligamentous tissue is severely attenuated. Anatomic reconstruction of the ATFL with tibial tuberosity-patellar tendon (TT-PT) autograft is a feasible choice that can avoid the complicated tendon-bone healing and restore ankle stability. MATERIALS AND METHODS: From 2009 to 2015, 31 chronic lateral ankle instability (CLAI) patients (31 ankles), who had a serious injury on the ATFL only, were treated with anatomic reconstruction of ATFL with TT-PT...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29889059/effect-of-ankle-taping-on-postural-control-measures-during-grasp-and-release-task-in-patients-with-chronic-ankle-instability
#7
Sayyed Hamed Fazeli, Ali Amiri, Ali Ashraf Jamshidi, Mohammad Ali Sanjari, Rasool Bagheri, Fereydoun Rahimi, Mahmood Akbari
OBJECTIVE: The aim of this study was to examine the effect of Mulligan ankle taping on center of pressure (COP) parameters during performance of a functional upper limb task in patients with chronic ankle instability (CAI). METHODS: A clinical controlled trial study designed between 4 ankle conditions: untapped and taped, CAI and healthy subjects. Fifteen subjects with CAI and 15 healthy controls were asked to grasp an object at their waist level and release it above shoulder level in an oblique pattern during performance of singleleg stance balance test...
May 27, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29888713/syndesmotic-screw-fixation-in-tibiofibular-diastasis
#8
S Sipahioglu, S Zehir, U E Isikan
Background: In chronic instability of syndesmosis, osteoarthritis and poor functional outcome were seen more prevalently. To avoid diastasis of ankle joint, the affected distal tibiofibular syndesmosis should be restored. We evaluated the clinical and radiological results of operative treatment of ankle fractures in patients who required syndesmotic stabilization. Materials and Methods: Twenty-one patients operated for ankle fracture were evaluated. Patients were followed up for 12 to 81 months, with a mean value of 49 months...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29887635/a-modified-brostr%C3%A3-m-repair-with-transosseous-fixation-for-chronic-ankle-instability-a-midterm-followup-study-in-soldiers
#9
Pei-Wei Weng, Chih-Yu Chen, Yang-Hwei Tsuang, Jui-Sheng Sun, Chian-Her Lee, Cheng-Kung Cheng
Background: Various surgical techniques are available to reduce chronic instability of the lateral ankle ligament complex. The most effective method for these procedures remains controversial. This report presents a surgical technique that is similar to the Broström procedure and uses a modified, nonaugmented repair technique. Materials and Methods: 38 soldiers with a history of chronic lateral ankle instability and poor ankle function underwent plication of the anterior talofibular ligament-lateral capsule complex with transosseous fixation of the calcaneofibular ligament through a fibular bone tunnel between 2004 and 2007...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29886782/acoustic-radiation-force-impulse-tissue-characterization-of-the-anterior-talofibular-ligament-a-promising-non-invasive-approach-in-ankle-imaging
#10
Thilo Hotfiel, Rafael Heiss, Rolf Janka, Raimund Forst, Martine Raithel, Christoph Lutter, Kolja Gelse, Milena Pachowsky, Tobias Golditz
OBJECTIVES: The anterior talofibular ligament (ATFL) is the most frequently injured ligament during inversion strains of the ankle. The purpose of this study was to evaluate the feasibility of acoustic radiation force impulse (ARFI) elastography and to determine the in vivo mechanical properties of the ATFL in healthy athletes. METHODS: Fifty-one healthy athletes (32 female, 28 male; 29 ±2 years) were recruited from the medical and sports faculty. ARFI values, represented as shear wave velocities (SWV) as well as conventional ultrasound were obtained for the ATFL in neutral ankle position...
June 9, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29886432/clinical-assessment-of-acute-lateral-ankle-sprain-injuries-roast-2019-consensus-statement-and-recommendations-of-the-international-ankle-consortium
#11
Eamonn Delahunt, Chris M Bleakley, Daniela S Bossard, Brian M Caulfield, Carrie L Docherty, Cailbhe Doherty, François Fourchet, Daniel T Fong, Jay Hertel, Claire E Hiller, Thomas W Kaminski, Patrick O McKeon, Kathryn M Refshauge, Alexandria Remus, Evert Verhagen, Bill T Vicenzino, Erik A Wikstrom, Phillip A Gribble
Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments...
June 9, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29883620/modified-use-of-proximal-humeral-interlocking-plate-philos-in-lateral-malleolus-fracture-fnctional-and-radiological-outcome-in-series-of-13-cases
#12
Obada Hasan, Shah Fahad, Masood Ume, Haroon Rashid
BACKGROUND: Lateral malleolus fracture can occur alone or is associated with the fracture of the medial malleolus leading to ankle instability. Treatment is aimed to achieve anatomical reduction and ensure stability. Compared to non-locking plate locking plate provide stable construct and compromise bone vascularity less. However, there is increase wound complication with locking plates than non-locking plates. PHILOS plate combines the principles of fixation with a conventional plate with those of locking screws...
June 5, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29876703/clinical-indications-for-musculoskeletal-ultrasound-updated-in-2017-by-european-society-of-musculoskeletal-radiology-essr-consensus
#13
Luca Maria Sconfienza, Domenico Albano, Georgina Allen, Alberto Bazzocchi, Bianca Bignotti, Vito Chianca, Fernando Facal de Castro, Elena E Drakonaki, Elena Gallardo, Jan Gielen, Andrea Sabine Klauser, Carlo Martinoli, Giovanni Mauri, Eugene McNally, Carmelo Messina, Rebeca Mirón Mombiela, Davide Orlandi, Athena Plagou, Magdalena Posadzy, Rosa de la Puente, Monique Reijnierse, Federica Rossi, Saulius Rutkauskas, Ziga Snoj, Jelena Vucetic, David Wilson, Alberto Stefano Tagliafico
OBJECTIVES: To update the 2012 European Society of Musculoskeletal Radiology (ESSR) clinical consensus guidelines for musculoskeletal ultrasound referral in Europe. METHODS: Twenty-one musculoskeletal imaging experts from the ESSR participated in a consensus study based on a Delphic process. Two independent (non-voting) authors facilitated the procedure and resolved doubtful issues. Updated musculoskeletal ultrasound literature up to July 2017 was scored for shoulder, elbow, wrist/hand, hip, knee, and ankle/foot...
June 6, 2018: European Radiology
https://www.readbyqxmd.com/read/29876639/a-new-minimally-invasive-method-for-anatomic-reconstruction-of-the-lateral-ankle-ligaments-with-a-tightrope-system
#14
Yongxing Cao, Yang Xu, Yuan Hong, Xiangyang Xu
BACKGROUND: Several minimally invasive anatomic reconstruction techniques of the lateral ligaments have been introduced for the treatment of chronic lateral ankle instability. However, these strategies may not always follow accurate ligament anatomic attachments, especially in the construction of the fibular bone tunnels. OBJECTIVES: This study reported a new percutaneous technique for reconstruction of the ligaments of lateral ankle anatomically with a Tightrope system...
June 6, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29876022/traumatic-peroneal-split-lesion-with-retinaculum-avulsion-diagnosis-and-post-operative-multymodality-imaging
#15
Aldo Fischetti, Jeries P Zawaideh, Davide Orlandi, Stefano Belfiore, Enzo SIlvestri
Tears of peroneus brevis tendon represent a cause of underdiagnosed lateral ankle pain and instability. The typical clinical presentation is retro-malleolar pain, in some cases associated with palpable swelling around the fibular malleolus, pain during activities and difficulty in walking. We present a case of peroneus brevis split lesion with superior peroneal retinaculum avulsion in a young athlete who referred to the emergency ward of our hospital for left ankle pain after an inversion injury. An early diagnosis allowed treating the injury and promptly resuming sport activity, after rehabilitation training...
May 28, 2018: World Journal of Radiology
https://www.readbyqxmd.com/read/29845371/-syndesmosis-injuries-at-the-ankle
#16
REVIEW
S Rammelt, E Manke
BACKGROUND: Injuries to the distal tibiofibular syndesmosis are frequent and continue to generate controversy due to an extensive range of diagnostic techniques and therapeutic options. OBJECTIVE: The aim of this review is to summarize the current knowledge on syndesmotic instability and to present some recommendations for the clinical practice for acute an chronic injuries. MATERIAL AND METHODS: Analysis of the current literature concerning the anatomy, etiology, diagnostics and treatment of syndesmosis injuries...
May 29, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29804692/reliability-minimal-detectable-change-and-responsiveness-of-the-quick-faam
#17
Johanna M Hoch, Cameron J Powden, Matthew C Hoch
OBJECTIVE: To determine the test-retest reliability, minimal detectable change (MDC) and responsiveness of the Quick-FAAM in people with chronic ankle instability (CAI). DESIGN: 10-week controlled laboratory study. SETTING: Laboratory. PARTICIPANTS: A total of 20 adults with self-reported CAI. MAIN OUTCOME MEASURES: Participants completed a supervised 4-week intervention. The Quick-FAAM was assessed 4-weeks before the intervention (T1), prior to the first intervention (T2), 24-h post-intervention (T3), and 2-weeks after the intervention (T4)...
April 9, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29803734/health-related-quality-of-life-is-decreased-in-middle-aged-adults-with-chronic-ankle-instability
#18
Janet E Simon, Carrie L Docherty
OBJECTIVES: The purpose of this study was to determine whether health-related quality of life and region-specific outcomes differ between middle-aged adults with and without chronic ankle instability. DESIGN: Cross-sectional. METHODS: Two hundred middle-aged individuals (40 years or older) volunteered to participate in the study. There were 75 individuals classified as having chronic ankle instability (51.5±7.3years, 175.8±3.7cm, 86.5±18...
May 23, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29802416/-injuries-of-the-medial-collateral-ligament-and-spring-ligament-complexes
#19
REVIEW
M Jordan, M Thomas, F Elser, W Fischer
The medial collateral ligament (MCL) complex is characterized by a complex anatomical arrangement of the individual ligamentous structures including three joints and the spring ligament complex. Biomechanically it serves as the main stabilizing structure in the ankle region against rotational and pronating forces. Lesions in the region of the MCL complex are more frequent than previously thought and like lesions of the spring ligament complex can lead to pain and instability. A thorough examination including the patient history with possible injury mechanisms often yields valuable information on the diagnosis of injuries to the MCL or spring ligament complex...
May 25, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29793768/a-laboratory-captured-giving-way-episode-in-an-individual-with-chronic-ankle-instability
#20
Alexandria Remus, Brian Caulfield, Cailbhe Doherty, Colum Crowe, Giacomo Severini, Eamonn Delahunt
This brief report details the first ever instrument-based motion description of an accidental "giving way" episode of the ankle joint incurred by a recreational male athlete (age = 22 years; height = 1.78 m; body mass = 97 kg) with chronic ankle instability whilst he was performing a change of direction task. Five inertial measurement units, as well as a high-speed video camera captured his lower limb kinematics during the performance of a maximum effort Agility T-Test, including his accidental "giving way" episode...
May 18, 2018: Journal of Biomechanics
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