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https://www.readbyqxmd.com/read/29896561/short-term-safety-and-effectiveness-of-a-second-generation-motion-guided-total-knee-system
#1
Adam I Harris, Tianyi David Luo, Jason E Lang, Branko Kopjar
Background: Modern knee prostheses are designed to more closely replicate normal knee kinematics. The JOURNEY II Bi-Cruciate Stabilized Total Knee System (Smith & Nephew Inc., Memphis, TN) is a second-generation motion-guided knee system that demonstrates axial rotation patterns during flexion, which resemble those of the normal knee. The aim of this study was to assess the short-term safety and effectiveness of this system in standard clinical practice. Methods: A total of 186 subjects (209 primary total knee arthroplasties [TKAs]) were enrolled at 12 U...
June 2018: Arthroplasty Today
https://www.readbyqxmd.com/read/29895234/progression-in-running-intensity-or-running-volume-and-the-development-of-specific-injuries-in-recreational-runners-run-clever-a-randomized-trial-using-competing-risks
#2
Daniel Ramskov, Sten Rasmussen, Henrik Sørensen, Erik Thorlund Parner, Martin Lind, Rasmus Nielsen
Study Design Randomized clinical trial, etiology. Background Training intensity and volume have been proposed to be associated with specific running-related injuries. If such an association exists, secondary preventive measures could be initiated by clinicians based on symptoms of a specific injury diagnosis. Objectives To test the following hypotheses: (i) A running schedule focusing on intensity will increase the risk of sustaining Achilles tendinopathy, gastrocnemius injuries and plantar fasciitis compared with hypothesized volume-related injuries...
June 12, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29876134/simultaneous-acetabular-labrum-and-ligamentum-teres-reconstruction-a-case-report
#3
Brian J White, Alexandra M Scoles, Mackenzie M Herzog
This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented following two left hip dislocations. A labral reconstruction was performed utilizing an iliotibial band allograft tissue with a concomitant ligamentum teres reconstruction using a tibialis anterior allograft...
July 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29847149/primary-circumferential-acetabular-labral-reconstruction-achieving-outcomes-similar-to-primary-labral-repair-despite-more-challenging-patient-characteristics
#4
John P Scanaliato, Daniel L Christensen, Catherine Salfiti, Mackenzie M Herzog, Andrew B Wolff
BACKGROUND: Treatment of acetabular labral tears with moderate or severe intrasubstance damage or segmental defects remains a substantial challenge. Circumferential labral reconstruction with iliotibial band allograft is a relatively new technique that has been proposed to restore stability and eliminate high-stress junction points. PURPOSE: To compare outcomes between hips treated with primary allograft circumferential labral reconstruction and primary labral repair...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29797320/the-prevalence-and-morphological-characteristics-of-the-knee-anterolateral-ligament-in-a-chinese-population
#5
Hua Zhang, Man Qiu, Zhongwei Xu, Weilin Wang, Shiyang Chen, Jian Zhang, Aiguo Zhou, Kaihui Lu, Michael Huo, Dianming Jiang
The anterolateral ligament, a distinct structure connecting the lateral femoral epicondyle to the anterolateral proximal tibia, is gaining attention because of its possible function in ensuring internal rotational stability of the tibia. To study the prevalence and precise anatomical characteristics of the anterolateral ligament and its relationship to adjacent structures in a Chinese population, a total of 20 amputated knee specimens were collected. The anterolateral regions of the knees underwent detailed surgical dissection, followed by precise measurement of the anterolateral ligament and its adjacent structures...
May 23, 2018: Journal of Anatomy
https://www.readbyqxmd.com/read/29792104/association-of-hip-and-foot-factors-with-patellar-tendinopathy-jumper-s-knee-in-athletes
#6
Luciana D Mendonça, Juliana M Ocarino, Natália F N Bittencourt, Luciana G Macedo, Sérgio T Fonseca
Study Design Clinical measurement, cross-sectional. Background Investigations on the causes of patellar tendinopathy (PT) should consider impairments at the hip and foot/ankle since they are known to influence movement patterns and affect patellar tendon loading. Objectives To investigate, by means of CART analysis, impairments of the hip and foot/ankle that are associated with PT in volleyball and basketball athletes. Methods One-hundred and ninety athletes were assessed for impairments of the hip and foot/ankle including: shank-forefoot alignment (SFA), ankle dorsiflexion range of motion (DF ROM), iliotibial band flexibility, passive hip internal rotation (IR) ROM, and hip external rotator (ER) and hip abductor isometric strength...
May 23, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29787473/factors-contributing-to-medial-tibial-stress-syndrome-in-runners-a-prospective-study
#7
James Becker, Mimi Nakajima, Will F W Wu
PURPOSE: Medial tibial stress syndrome (MTSS) is one of the most common overuse injuries sustained by runners. Despite the prevalence of this injury, risk factors for developing MTSS remain unclear. The purpose of this study was to prospectively evaluate differences in passive range of motion, muscle strength, plantar pressure distributions, and running kinematics between runners who developed MTSS and those who did not. METHODS: 24 NCAA Division 1 cross country runners participated in this study...
May 22, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29780839/comparison-of-lower-extremity-recovery-after-anterior-cruciate-ligament-reconstruction-with-transphyseal-hamstring-versus-extraphyseal-iliotibial-band-techniques-in-skeletally-immature-athletes
#8
Dai Sugimoto, Benton E Heyworth, Sara E Collins, Ryan T Fallon, Mininder S Kocher, Lyle J Micheli
Background: The influence of graft type on recovery after anterior cruciate ligament reconstruction (ACLR) has not been adequately studied in pediatric patients. Purpose: To describe lower extremity functional recovery parameters at the 6-month mark after ACLR across 3 distinct groups of skeletally immature patients: pediatric male patients with transphyseal hamstring grafts (PM-HS), pediatric female patients with transphyseal hamstring grafts (PF-HS), and pediatric male patients with extraphyseal iliotibial band grafts (PM-ITB)...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29762121/friction-syndromes-of-the-knee-the-iliotibial-band-and-anterior-fat-pads
#9
Robert D Wissman, Stephen J Pomeranz
As participation in sporting activities increases among the general population, the incidence of overuse injuries continues to rise. Friction syndromes of the knee are common and are often clinically diagnosed without the need for imaging. However, clinical symptoms may overlap with other joint abnormalities, and physical examination may be limited in individuals with excessive pain. Magnetic resonance imaging has remained the modality of choice for the evaluation of internal derangements of the joints and is a useful aid in the diagnosis of friction syndrome of the knee...
2018: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29705166/differences-in-knee-and-hip-adduction-and-hip-muscle-activation-in-runners-with-and-without-iliotibial-band-syndrome
#10
Robert L Baker, Richard B Souza, Mitchell J Rauh, Michael Fredericson, Michael D Rosenthal
BACKGROUND: Iliotibial band syndrome has been associated with altered hip and knee kinematics in runners. Previous studies have recommended further research on neuromuscular factors at the hip. The frontal plane hip muscles have been a strong focus in strength comparison but not for electromyography investigation. OBJECTIVE: To compare hip surface electromyography, and frontal plane hip and knee kinematics, in runners with and without iliotibial band syndrome. DESIGN: Observational cross-sectional study...
April 26, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29672748/biopsychosocial-profiles-and-functional-correlates-in-older-adults-with-chronic-low-back-pain-a-preliminary-study
#11
Debra K Weiner, Angela Gentili, Katherine Coffey-Vega, Natalia Morone, Michelle Rossi, Subashan Perera
Objective: To describe key peripheral and central nervous system (CNS) conditions in a group of older adults with chronic low back pain (CLBP) and their association with pain severity and self-reported and performance-based physical function. Design: Cross-sectional. Setting: Outpatient VA clinics. Subjects: Forty-seven community-dwelling veterans with CLBP (age 68.0 ± 6.5 years, range = 60-88 years, 12.8% female, 66% white) participated...
April 16, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29671490/common-running-injuries-evaluation-and-management
#12
Michael J Arnold, Aaron L Moody
Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with eccentric exercise. Iliotibial band syndrome and patellofemoral pain syndrome are less common than patellar tendinopathy and are treated by strengthening exercises for the core and legs in addition to flexibility exercises. Acute hamstring strains and medial tibial stress syndrome require a period of relative rest, followed by stretching and graded return to activity...
April 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29653444/effect-of-the-distal-femoral-joint-line-on-ligament-tensions-in-flexion-with-cruciate-retaining-total-knee-prostheses
#13
Rajkishen Narayanan, Nathaniel Lenz, Jordan Alexander Werner, Michael B Cross, Dean Hughes, Scott Laster, Ran Schwarzkopf
Proper ligament tension in knee flexion within cruciate-retaining (CR) total knee arthroplasty has long been associated with clinical success; however, traditional balancing principles have assumed that the distal femoral joint line (DFJL) affects only extension. The purpose of this study was to determine the effect DFJL may have on ligament strains and tibiofemoral kinematics of CR knee designs in flexion. A computational analysis was performed using a musculoskeletal modeling system for two different knee implants, the high-flex CR (HFCR) and guided-motion CR (GMCR)...
April 13, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29651911/the-effect-of-diacutaneous-fibrolysis-on-patellar-position-measured-using-ultrasound-scanning-in-patellofemoral-pain-syndrome-patients
#14
Pablo Fanlo-Mazas, Elena Bueno-Gracia, Alazne Ruiz de Escudero-Zapico, José Miguel Tricás-Moreno, María Orosia Lucha-López
CONTEXT: Tightness or lack of flexibility of flexibility of several muscles of the thigh has been associated with patellofemoral-join pain. A tight iliotibial band can lead to laterally located patella and an abnormal patellar tracking pattern. Diacutaneous fibrolysis is commonly used to reduce muscle tightness, but no studies have evaluated the effects of this technique in the treatment of patellofemoral pain syndrome patients. OBJECTIVE: To assess the effect of diacutaneous fibrolysis on patellar position in patients with patellofemoral pain syndrome...
April 13, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29622242/editorial-commentary-the-anterolateral-ligament-the-emperor-s-new-clothes
#15
EDITORIAL
Andy Williams
In the following editorial commentary, the lateral soft tissues responsible for resisting the pivot shift phenomenon with the anterior cruciate ligament (ACL) are considered. The recent history of the anterolateral ligament (ALL) has led to rapid adoption of surgical techniques that have often not been investigated with scientific due process. A step-by-step approach starts with biomechanical testing to establish the anatomy and biomechanical characteristics of soft tissue structures and questions the importance of the ALL and proposes a more important role for the iliotibial band (ITB) passing between attachments to the distal lateral femur and tibia...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29595538/labral-augmentation-with-native-tissue-preservation-with-a-7-5-year-follow-up-a-case-report
#16
Jonathan A Godin, Lorenzo Fagotti, Karen K Briggs, Marc J Philippon
CASE: Arthroscopic labral repair has resulted in excellent functional outcomes. However, extensive labral damage or diminutive size of the labrum may preclude a repair. In these cases, labral augmentation serves as an operative treatment option. We report the case of a labral augmentation with 7.5 years of follow-up, including intraoperative reexamination, which highlights the ability of an iliotibial band autograft to incorporate with the native labrum. CONCLUSION: When indicated in an appropriate patient, labral augmentation with an iliotibial band autograft is an established technique that can result in an excellent outcome...
January 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29582181/self-myofascial-vibro-shearing-a-randomized-controlled-trial-of-biomechanical-and-related-changes-in-male-breakdancers
#17
Christopher-Marc Gordon, Sophie Manuela Lindner, Niels Birbaumer, Pedro Montoya, Rachel L Ankney, Frank Andrasik
BACKGROUND: This randomized controlled trial explored the practicality and effectiveness of a novel tool-assisted self-help device, one that combines vibrational oscillation, leverage, and the shearing effect from the edges, for promoting meaningful changes in key biochemical tissue indices and related parameters. METHODS: One hundred and thirteen male breakdancers were randomized to an intervention or control group. Individuals assigned to the intervention group performed the self-help treatment on the quadriceps and the iliotibial band of their right thighs for 8 min, while individuals assigned to the control condition merely sat quietly during this period...
March 27, 2018: Sports Medicine—Open
https://www.readbyqxmd.com/read/29559494/combined-acl-reconstruction-and-segond-fracture-fixation-fails-to-abolish-anterolateral-rotatory-instability
#18
Levi Reina Fernandes, Herve Ouanezar, Adnan Saithna, Bertrand Sonnery-Cottet
The Segond fracture (SF) is considered pathognomonic of an anterior cruciate ligament (ACL) tear. However, the anatomy of the soft-tissue attachments responsible for the avulsion of SFs has been a cause of controversy. A 31-year-old male patient presented with an injury to his right knee that resulted in ACL tear and a SF. Open SF fixation and arthroscopic ACL reconstruction were performed. The anatomical dissection demonstrated that the avulsion of SFs had occurred because of the tibial attachment of the anterolateral ligament (ALL) with an intact Iliotibial band...
March 20, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29558208/anterolateral-knee-extra-articular-stabilizers-a-robotic-sectioning-study-of-the-anterolateral-ligament-and-distal-iliotibial-band-kaplan-fibers
#19
Andrew G Geeslin, Jorge Chahla, Gilbert Moatshe, Kyle J Muckenhirn, Bradley M Kruckeberg, Alex W Brady, Ashley Coggins, Grant J Dornan, Alan M Getgood, Jonathan A Godin, Robert F LaPrade
BACKGROUND: The individual kinematic roles of the anterolateral ligament (ALL) and the distal iliotibial band Kaplan fibers in the setting of anterior cruciate ligament (ACL) deficiency require further clarification. This will improve understanding of their potential contribution to residual anterolateral rotational laxity after ACL reconstruction and may influence selection of an anterolateral extra-articular reconstruction technique, which is currently a matter of debate. Hypothesis/Purpose: To compare the role of the ALL and the Kaplan fibers in stabilizing the knee against tibial internal rotation, anterior tibial translation, and the pivot shift in ACL-deficient knees...
May 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29509608/revision-acl-reconstruction-in-children-and-adolescents
#20
Melissa A Christino, Frances A Tepolt, Dai Sugimoto, Lyle J Micheli, Mininder S Kocher
BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction in pediatric patients has not been well studied. The purpose of this study was to assess the demographics, technique, and results of ACL revision surgery in children and adolescents. METHODS: This was a retrospective case series with outcomes assessment of patients 18 years old and younger who underwent revision ACL surgery over a 16-year period at a single institution. Medical records were reviewed for demographics, clinical and operative data, and patients were contacted for outcomes at a minimum of 1 year after revision surgery...
March 5, 2018: Journal of Pediatric Orthopedics
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