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https://www.readbyqxmd.com/read/28050542/epidemiological-profile-of-patients-diagnosed-with-athletic-pubalgia
#1
Anderson Luiz de Oliveira, Carlos Vicente Andreoli, Benno Ejnisman, Roberto Dantas Queiroz, Osvaldo Guilherme Nunes Pires, Guilherme Guadagnini Falótico
OBJECTIVE: To evaluate the clinical and epidemiological characteristics of pubalgia in patients from a Sports Medicine Center. METHODS: Data analysis from medical records of patients with athletic pubalgia attended to from January 2007 to January 2015. The diagnosis was made by an experienced hip surgeon, complemented with pelvic X-ray, abdominal wall ultrasound, and magnetic resonance imaging of the pelvis. RESULTS: Among 43 patients, 42 were men, with mean age of 33 years...
November 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28042750/pseudo-aneurysm-a-rare-complication-of-ankle-arthroscopy
#2
Mathew Davis, David Brooks, William Bryceson
A 53-year-old woman underwent arthroscopic ankle debridement for posttraumatic arthrofibrosis 2 years following a bimalleolar ankle fracture. Twelve months postarthroscopy, the patient returned to physical therapy with a 2-week history of pain and prominent swelling to her anterior ankle. Urgent follow-up was arranged with an orthopaedic surgeon, who ordered a radiograph and magnetic resonance imaging, which demonstrated a large heterogeneous mass. Doppler ultrasound was also ordered and confirmed the mass to be a pseudo-aneurysm of the anterior tibial artery...
January 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27996378/fast-early-recovery-after-transabdominal-preperitoneal-repair-in-athletes-with-sportsman-s-groin-a-prospective-clinical-cohort-study
#3
Herwig Pokorny, Christoph Resinger, Ines Fischer, Veit Lorenz, Helge Noske, Stefan Podar, Friedrich Längle, Rudolf Schrittwieser
BACKGROUND: Current literature on chronic groin pain suggests that laparoscopic mesh repair on athletes enables a faster recovery and subsequent return to unrestricted athletic activities. The aim of this study was to evaluate the role of transabdominal preperitoneal (TAPP) mesh repair in athletes resistant to conservative therapy. METHODS: A multidisciplinary approach with tailored physiotherapy. Thirty-nine professional athletes with chronic groin pain were referred to surgery at a single clinic...
December 20, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27903163/ultrasound-imaging-of-ulnar-collateral-ligament-injury
#4
Arie J van Duijn, Shawn D Felton
The patient was an 18-year-old collegiate baseball pitcher who injured his right throwing elbow during an overhead slider pitch. As a part of a study, preinjury ultrasound images of the throwing arm were obtained 2 weeks prior to the injury. One day postinjury, repeat ultrasound imaging of the medial elbow was performed. The attending team physician ordered a magnetic resonance arthrogram 2 days after injury, which confirmed the presence of a complete tear of the ulnar collateral ligament. J Orthop Sports Phys Ther 2016;46(12):1086...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27900300/treatment-of-proximal-hamstring-tendinopathy-related-sciatic-nerve-entrapment-presentation-of-an-ultrasound-guided-intratissue-percutaneous-electrolysis-application
#5
Gabriele Mattiussi, Carlos Moreno
BACKGROUND: Proximal Hamstring Tendinopathy-related Sciatic Nerve Entrapment (PHTrSNE) is a neuropathy caused by fibrosis interposed between the semimembranosus tendon and the sciatic nerve, at the level of the ischial tuberosity. METHODS: Ultrasound-guided Intratissue Percutaneous Electrolysis (US-guided EPI) involves galvanic current transfer within the treatment target tissue (fibrosis) via a needle 0.30 to 0.33 mm in diameter. The galvanic current in a saline solution instantly develops the chemical process of electrolysis, which in turn induces electrochemical ablation of fibrosis...
April 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27868077/platelet-rich-plasma-injections-with-needle-tenotomy-for-gluteus-medius-tendinopathy-a-registry-study-with-prospective-follow-up
#6
James J Lee, Julian R Harrison, Kwadwo Boachie-Adjei, Elizabeth Vargas, Peter J Moley
BACKGROUND: Gluteal tendinopathy is a prevalent condition that can be associated with significant pain and disability. To date, no studies have prospectively assessed the efficacy of intratendinous platelet-rich plasma (PRP) injections as a minimally invasive treatment for gluteus medius tendinopathy. PURPOSE: To prospectively assess the efficacy of intratendinous PRP injections as treatment for chronic recalcitrant gluteus medius tendinopathy. STUDY DESIGN: Case series; Level of evidence, 4...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27854082/randomized-controlled-trial-comparing-the-effectiveness-of-the-ultrasound-guided-galvanic-electrolysis-technique-usget-versus-conventional-electro-physiotherapeutic-treatment-on-patellar-tendinopathy
#7
F Abat, J L Sánchez-Sánchez, A M Martín-Nogueras, J I Calvo-Arenillas, J Yajeya, R Méndez-Sánchez, J C Monllau, P E Gelber
BACKGROUND: Patellar tendinopathy has a high prevalence rate among athletes. Different therapeutic options can be found in the current literature, but none of them has been clearly established as the gold standard. The purpose of this study is to compare, in a randomized controlled trial, the clinical efficacy of eccentric exercise combined with either an ultrasound-guided galvanic electrolysis technique (USGET) or conventional electrophysiotherapy to treat patellar tendinopathy. METHODS: Sixty patients diagnosed with patellar tendinopathy were randomized into two groups...
December 2016: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/27852593/humeral-retrotorsion-and-glenohumeral-motion-in-youth-baseball-players-compared-with-age-matched-nonthrowing-athletes
#8
Elliot M Greenberg, J Todd R Lawrence, Alicia Fernandez-Fernandez, Philip McClure
BACKGROUND: Baseball players exhibit a more posteriorly oriented humeral head in their throwing arm. This is termed humeral retrotorsion (HRT) and likely represents a response to the stress of throwing. This adaptation is thought to occur while the athlete is skeletally immature, however currently there is limited research detailing how throwing activity in younger players influences the development of HRT. In addition, it is presently unclear how this changing osseous orientation may influence shoulder motion within young athletes...
November 16, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27833972/evaluation-of-normal-and-pathological-achilles-tendon-by-real-time-shear-wave-elastography
#9
Pompiliu HoraŢiu Petrescu, Dragoş Andrei Izvernariu, Cătălina Iancu, Gabriel Ovidiu Dinu, Dan Crişan, Simona Alina Popescu, Roxana Lucia Denisa Şirli, Bogdan Mihai Nistor, Ion Călin RăuŢia, Dorela CodruŢa Lăzureanu, Sorin Dema, Ion Radu Prejbeanu, Ioan Sporea
Tendinopathy covers a range of several tendon conditions, mostly caused by overuse but at least in Achilles tendon pathology, favored by obesity, diabetes, inflammatory and autoimmune conditions. Subclinical tendon pathology is difficult to diagnose, as magnetic resonance imaging (MRI) examinations are sometimes inconclusive and not cost-effective. Elastography is an ultrasound examination method that uses mechanical impulses to produce shear waves in the tissue of interest, then measures the tissue displacement and calculates the shear wave speed or the elastic modulus of the examined tissue...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27825179/-manubriosternal-synchondrosis-a%C3%A2-rare%C3%A2-problem%C3%A2-in%C3%A2-sports%C3%A2-medicine
#10
A Rist, G Willscheid, H Rasch, J Paul
Non-traumatic, inflammatory and painful lesions of the manubriosternal joint are rare pathologies and, to our knowledge, have not been described in the literature of sports medicine. We report the case of a 30-year-old male strength athlete who developed chronic pain in the manubriosternal joint after exercise. Four-month abstinence from exercise combined with a conservative rehabilitation program performed after clinical and radiological tests did not bring any symptomatic relief. After a local ultrasound-guided single-shot sclerotherapy procedure performed in our clinic, the patient was free of symptoms and quickly regained his ability to exercise...
December 2016: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/27796198/effects-of-age-on-strength-and-morphology-of-toe-flexor-muscles
#11
Karen J Mickle, Salih Angin, Gillian Crofts, Christopher J Nester
Study Design Descriptive, cross-sectional. Background Age-related muscle atrophy is common in lower-limb muscles. We therefore speculated that foot muscles may also diminish with age. However, there is a paucity of literature characterizing foot muscle strength and morphology, and any relationship between these 2, in older people. Objective To compare the strength and size of the toe flexor muscles of older adults relative to their younger counterparts. Methods Seventeen young adults with a normal foot type were matched by sex and body mass index to 17 older adults with a normal foot type, from an available sample of 41 younger (18 to 50 years of age) and 44 older (60 or more years of age) adults...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27749733/acute-effects-of-lateral-thigh-foam-rolling-on-arterial-tissue-perfusion-determined-by-spectral-doppler-and-power-doppler-ultrasound
#12
Hotfiel T, Swoboda B, Krinner S, Grim C, Engelhardt M, Uder M, Hei R
Foam rolling has been developed as a popular intervention in training and rehabilitation. However, evidence on its effects on the cellular and physiological level is lacking. The aim of this study was to assess the effect of foam rolling on arterial blood flow of the lateral thigh. Twenty-one healthy participants (age 25 ± 2 years, height 177 ± 9 cm, body weight 74 ± 9 kg) were recruited from the medical and sports faculty. Arterial tissue perfusion was determined by spectral Doppler and power Doppler ultrasound, represented as peak flow (Vmax), time average velocity maximum (TAMx), time average velocity mean (TAMn), and resistive index (RI), and with semiquantitative grading that was assessed by four blind-folded investigators...
September 23, 2016: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/27716217/ultrasound-guided-gastrocnemius-recession-a-new-ultra-minimally-invasive-surgical-technique
#13
Manuel Villanueva, Álvaro Iborra, Guillermo Rodríguez, Pablo Sanz-Ruiz
BACKGROUND: Isolated gastrocnemius contracture is thought to lead to numerous conditions. Although many techniques have been described for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques require epidural anesthesia, lower limb ischemia, and stitches and may lead to damage of the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure...
October 3, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27714843/acute-tendon-changes-in-intense-crossfit-workout-an-observational-cohort-study
#14
F Y Fisker, S Kildegaard, M Thygesen, K Grosen, M Pfeiffer-Jensen
CrossFit is a fitness program that has become increasingly popular in the Western world, but as in other sports, the risk of injury is present. Only a few studies have addressed health benefits and injuries in CrossFit. It is known that chronically overloaded tendons will thicken and increase the risk of tendinopathy. However, it remains unknown whether acute overload caused by strenuous, high-intensity exercise will exert changes in tendons and if these changes can be detected and described by ultrasonography...
October 7, 2016: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/27676765/neuro-urology-followed-of-spinal-cord-injury-patients-recommendations-to-the-common-practice
#15
Herman Azanmasso, Samira Lahrabli, Etienne Alagnidé, Yvette Moigny, Fatima Lmidmani, Toussaint G Kpadonou, Abdellatif El Fatimi, Béatrice Carra, Jocelyne Boivin
OBJECTIVE: The life expectancy for SCI has become comparable to that of the general population. This improvement is the result of a follow-codified neuro-urology. The latest recommendations of GENULF constitute the largest part of this monitoring. OBJECTIVE: Make an inventory on the application of these recommendations and analyze failures in the application and the factors associated with these facts. MATERIALS/PATIENTS AND METHODS: This was a retrospective descriptive study on patients followed north hospital site Carbet Caribbean and seen from 1 January 2014 to 1 January 2016 as part of a re-hospitalization for functional assessment and neuro-urological annual control as recommended by the GENULF...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27633025/can-ultrasound-imaging-predict-the-development-of-achilles-and-patellar-tendinopathy-a-systematic-review-and-meta-analysis
#16
Seán McAuliffe, Karen McCreesh, Fiona Culloty, Helen Purtill, Kieran O'Sullivan
BACKGROUND: Ultrasound (US) imaging is commonly used to visualise tendon structure. It is not clear whether the presence of structural abnormalities in asymptomatic tendons predicts the development of future tendon symptoms in the Achilles or patellar tendon. AIM: To perform a systematic review and meta-analysis investigating the ability of US imaging to predict future symptoms of patellar or Achilles tendinopathy. METHODS: Prospective studies that performed US imaging of Achilles OR patellar tendon structure among asymptomatic patients at baseline and a clinical measure of pain and/or function at follow-up were included...
December 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27631395/the-impact-of-sport-participation-on-bone-mass-and-geometry-in-adolescent-males
#17
Dimitris Vlachopoulos, Alan R Barker, Craig A Williams, Sigurbjörn A Arngrímsson, Karen M Knapp, Brad S Metcalf, Ioannis G Fatouros, Luis A Moreno, Luis Gracia-Marco
PURPOSE: Exercise is an effective approach for developing bone mass and adolescence is a key period to optimize bone health. However, sports specific training may have different effects on bone outcomes. This study examined the differences on bone outcomes between osteogenic (football) and non-osteogenic (swimming and cycling) sports and a control group in adolescent males. METHODS: One hundred twenty one males (13.1±0.1 years) were measured: 41 swimmers, 37 footballers, 29 cyclists and 14 controls...
September 14, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27620544/physician-training-ultrasound-and-accuracy-of-diagnosis-in-rotator-cuff-tears
#18
Michael Day, M Phil, Richard A McCormack, Samir Nayyar, Laith Jazrawi
INTRODUCTION: Ultrasonography offers a fast and inexpensive method to evaluate the rotator cuff in the office setting. However, the accuracy of ultrasound is highly user dependent. The purpose of this study is to investigate the learning curve of an orthopaedic surgeon in using ultrasound to diagnose rotator cuff tears. METHODS: A sports medicine fellowship trained orthopaedic surgeon was taught how to perform and interpret an ultrasound examination of the shoulder by a musculoskeletal radiologist...
September 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27567912/diagnosis-and-management-of-testicular-rupture-after-blunt-scrotal-trauma-a-literature-review
#19
REVIEW
Zhao Wang, Jin-Rui Yang, Yu-Meng Huang, Long Wang, Long-Fei Liu, Yong-Bao Wei, Liang Huang, Quan Zhu, Ming-Qiang Zeng, Zheng-Yan Tang
Testicular rupture, one of the most common complications in blunt scrotal trauma, is the rupture of tunica albuginea and extrusion of seminiferous tubules. Testicular rupture is more inclined to young men, and injury mechanisms are associated with sports and motor accidents. After history taking and essential physical examination, scrotal ultrasound is the first-line auxiliary examination. MRI is also one of the vital complementary examinations to evaluate testicular rupture after blunt scrotal trauma. Surgical exploration and repair may be necessary when the diagnosis of testicular rupture is definite or suspicious...
December 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27555210/interventional-and-multimodal-pain-rehabilitation-in-a-child-with-meralgia-paresthetica
#20
Andrew D Franklin, G Bennett Cierny, Twila R Luckett
Meralgia paresthetica is a chronic pain syndrome that is extremely rare in the pediatric population. It is manifested by hypesthesia or pain in the distribution of the lateral femoral cutaneous nerve (LFCN) and is typically caused by entrapment as the nerve passes deep to the inguinal ligament. This sensory mononeuropathy is rare in children and diagnosis is typically delayed, often leading to prolonged functional impairment and unnecessary medical testing. A 9-year-old girl presented to the pain clinic with a 6-week history of right anterolateral thigh pain first noticed after a nontraumatic cheerleading practice...
September 2016: Journal of Clinical Anesthesia
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