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Chronic lateral ankle instability

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https://www.readbyqxmd.com/read/28899377/quantitative-magnetic-resonance-imaging-mri-analysis-of-anterior-talofibular-ligament-in-lateral-chronic-ankle-instability-ankles-pre-and-postoperatively
#1
Wei Liu, Hong Li, Yinghui Hua
BACKGROUND: The aim of this study was to quantitatively evaluate and characterize the dimension and signal intensity of anterior talofibular ligament (ATFL) using 3.0 T MRI in the mechanical ankle instability group pre- and postoperatively. METHODS: A total of 97 participants were recruited retrospectively in this study, including 56 with mechanical chronic ankle instability (CAI group) and 41 without ankle instability (Control group). All the subjects accepted MRI preoperatively...
September 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28842780/results-of-lateral-ankle-ligament-repair-surgery-in-one-hundred-and-nineteen-patients-do-surgical-method-and-arthroscopy-timing-matter
#2
Ibukunoluwa Araoye, Cesar De Cesar Netto, Brent Cone, Parke Hudson, Bahman Sahranavard, Ashish Shah
PURPOSE: Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surgery. METHODS: We retrospectively reviewed 119 cases (118 patients) of lateral ankle ligament surgery between 2006 and 2016. Patient charts and operative reports were examined for demographics, use and timing of ankle arthroscopy, ligament fixation method, type of surgical incision, presence of calcaneofibular ligament repair, and operative technique...
August 25, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28836446/modified-brostr%C3%A3-m-procedure-using-distal-fibular-periosteal-flap-augmentation-vs-anatomic-reconstruction-using-a-free-tendon-allograft-in-patients-who-are-not-candidates-for-standard-repair
#3
Hong Joon Choi, Dae Wook Kim, Jea Seok Park
BACKGROUND: The modified Broström procedure (MBP) is widely accepted as the primary operative treatment for chronic lateral ankle instability (CLAI). However, the MBP does not produce good clinical results in all patients, and anatomic reconstruction using a free tendon graft may be considered in those patients. The purpose of this study was to evaluate the efficacy of the MBP using distal fibular periosteal flap augmentation for CLAI in patients who were not candidates for standard repair...
August 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28826786/surgical-treatment-of-chronic-lateral-ankle-instability-using-an-inferior-extensor-retinaculum-flap-a-retrospective-study
#4
Faycal Trichine, Toufik Friha, Azzedine Boukabou, Lamine Belaid, Terek Bouzidi, Mahdjoub Bouzitouna
Chronic lateral ankle instability causes significant problems with physical activity. The purpose of the present study was to evaluate the results of ligamentous retensioning combined with reinforcement using an extensor retinaculum flap. A consecutive series of 38 patients were included with a minimum follow-up duration of 2 years. The functional results were assessed using the Karlsson and American Orthopaedic Foot and Ankle Society scale scores. The pre- and postoperative radiologic assessment was performed using stress radiographs to measure varus tilt and anterior drawer tests...
August 17, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28765981/-anatomic-stabilization-of-chronic-lateral-instability-of-the-ankle-gold-technique
#5
REVIEW
T Diermeier, B Scheiderer, L Lacheta, A B Imhoff
OBJECTIVES: Anatomical reconstruction of the lateral ligament complex in the ankle. INDICATIONS: Chronic lateral ankle instability. CONTRAINDICATIONS: Severe osteoarthritis, obesity, hindfoot varus, general contraindications (infection, circulatory disorders, diabetic foot syndrome). SURGICAL TECHNIQUE: Anatomical V‑shaped reconstruction of the lateral ligament complex with half of the peroneus brevis tendon and additional retinaculum stabilization...
August 1, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28745068/arthroscopic-capsular-shrinkage-for-treatment-of-chronic-lateral-ankle-instability
#6
Gwendolyn Vuurberg, Jasper S de Vries, Rover Krips, Leendert Blankevoort, Alex W F M Fievez, C Niek van Dijk
BACKGROUND: Capsular shrinkage is an arthroscopic stabilization technique that can be used in patients with chronic ankle instability (CAI), if desired in addition to primary arthroscopic procedures. Despite positive short-term results, long-term follow-up of these patients has not yet been performed. Therefore, our objective was to assess whether capsular shrinkage still provided functional outcome after 12-14 years compared to preoperative scores. METHODS: This study was a retrospective long-term follow-up of a prospectively conducted longitudinal multicenter trial...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28722491/comparative-effectiveness-of-plantar-massage-techniques-on-postural-control-in-those-with-chronic-ankle-instability
#7
Erik A Wikstrom, Kyeongtak Song, Ashley Lea, Nastassia Brown
CONTEXT:   One of the major concerns after an acute lateral ankle sprain is the potential for development of chronic ankle instability (CAI). The existing research has determined that clinician-delivered plantar massage improves postural control in those with CAI. However, the effectiveness of self-administered treatments and the underlying cause of any improvements remain unclear. OBJECTIVES:   To determine (1) the effectiveness of a self-administered plantar-massage treatment in those with CAI and (2) whether the postural-control improvements were due to the stimulation of the plantar cutaneous receptors...
July 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28717619/comparison-of-dynamic-postural-stability-scores-between-athletes-with-and-without-chronic-ankle-instability-during-lateral-jump-landing
#8
Zeinab Shiravi, Azadeh Shadmehr, Saeed Talebian Moghadam, Behrouz Attarbashi Moghadam
BACKGROUNDS: Many ankle injuries occur while participating in sports that require jumping and landing such as basketball, volleyball and soccer. Most recent studies have investigated dynamic postural stability of patients with chronic ankle instability after landing from a forward jump. The present study aimed to investigate the dynamic postural stability of the athletes who suffer from chronic ankle sprain while landing from a lateral jump. METHODS: Twelve athletes with self-reported unilateral chronic ankle instability (4 females and 8 males) and 12 matched controls (3 females and 9 males) voluntarily participated in the study...
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28677942/effect-of-fibular-repositioning-taping-in-adult-basketball-players-with-chronic-ankle-instability-a-randomized-placebo-controlled-crossover-trial
#9
Yanina Alves, Fernando Ribeiro, Anabela G Silva
BACKGROUND: Chronic ankle instability presents a high incidence and prevalence in basketbal players. It's important to develop strategies to reduce the functional and mechanical limitations resulting from this condition. To compare the effect of Mulligan ́s fibular repositioning taping with a placebo taping immediatly after application and after a running test (Yo-Yo IRT). METHODS: 16 adult basketball players (10 male, 6 female) with chronic ankle instability and mean age 21...
July 5, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28645550/intermediate-to-long-term-longevity-and-incidence-of-revision-of-the-modified-brostr%C3%A3-m-gould-procedure-for-lateral-ankle-ligament-repair-a-systematic-review
#10
REVIEW
Eric So, Nathaniel Preston, Timothy Holmes
The Broström-Gould procedure is an effective procedure for chronic lateral ankle instability. However, long-term studies are limited, and the durability of this procedure remains unclear. A systematic review of the published data was undertaken to determine the outcomes and incidence of revision after long-term follow-up. Eleven studies involving 669 Broström-Gould procedures met the inclusion criteria. The revision rate was 1.2% at a weighted mean follow-up period of 8.4 years. Our systematic review of the available data revealed that the Broström-Gould procedure results in low revision rates for chronic lateral ankle instability...
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28626319/short-term-effect-of-spiral-taping-on-the-pain-and-walking-performance-of-individuals-with-chronic-ankle-instability
#11
Chae-Gil Lim
[Purpose] This study was designed to investigate the effects of spiral taping (ST) on the pain and walking performance of individual with chronic ankle instability (CAI). [Subjects and Methods] 12 men and 13 women (mean: 21.52 years; range: 20-31 years) with unilateral CAI (Cumberland ankle instability score: ≤24) were included. All the participants received 3 mm-wide ST. The latter was applied in a 3 × 4 cross shape onto the medial malleolus, the lateral malleolus, and the anterior talotibial joint of the unstable ankle...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28610477/lower-extremity-joint-coupling-variability-during-gait-in-young-adults-with-and-without-chronic-ankle-instability
#12
Thomas Lilley, Christopher C Herb, Joseph Hart, Jay Hertel
Chronic ankle instability (CAI) is a condition resulting from a lateral ankle sprain. Shank-rearfoot joint-coupling variability differences have been found in CAI patients; however, joint-coupling variability (VCV) of the ankle and proximal joints has not been explored. Our purpose was to analyse VCV in adults with and without CAI during gait. Four joint-coupling pairs were analysed: knee sagittal-ankle sagittal, knee sagittal-ankle frontal, hip frontal-ankle sagittal and hip frontal-ankle frontal. Twenty-seven adults participated (CAI:n = 13, Control:n = 14)...
June 13, 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/28595864/hip-strength-and-star-excursion-balance-test-deficits-of-patients-with-chronic-ankle-instability
#13
Ryan S McCann, Ian D Crossett, Masafumi Terada, Kyle B Kosik, Brenn A Bolding, Phillip A Gribble
OBJECTIVES: To examine isometric hip strength in those with and without CAI, and determine the degree of Star Excursion Balance Test (SEBT) variance explained by isometric hip strength. DESIGN: Single-blinded, cross-sectional, case-control study. METHODS: Thirty individuals with CAI, 29 lateral ankle sprain (LAS) copers, and 26 healthy controls participated. We assessed dynamic postural control with the SEBT anterior (SEBT-ANT), posteromedial (SEBT-PM), and posterolateral (SEBT-PL) reaches, and isometric hip extension (EXT), abduction (ABD) and external rotation (ER) strength with hand-held dynamometry...
May 25, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28577065/treatment-of-talus-osteochondral-defects-in-chronic-lateral-unstable-ankles-small-sized-lateral-chondral-lesions-had-good-clinical-outcomes
#14
Hong Li, Yinghui Hua, Hongyun Li, Shengkun Li, Kui Ma, Shiyi Chen
PURPOSE: To assess and compare the clinical and MRI outcomes of patients with talus osteochondral defect (OCD) and patients without OCD in a cohort with chronic lateral ankle instability. METHODS: All patients who underwent open or arthroscopic anterior talofibular ligament repair of the lateral ligament complex by a single surgeon were included in this study. Ankle arthroscopic surgery was initially performed to manage any intra-articular OCD, including debridement and microfracture...
June 2, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28552041/magnetic-resonance-imaging-and-stress-radiography-in-chronic-lateral-ankle-instability
#15
Hong-Geun Jung, Na-Ra Kim, Tae-Hoon Kim, Joon-Sang Eom, Dong-Oh Lee
BACKGROUND: Studies regarding magnetic resonance imaging (MRI) findings of the lateral ankle ligaments in chronic lateral ankle instability and their clinical relevance for surgery are lacking. This study classified the lateral ankle ligament MRI findings of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) in chronic lateral ankle instability (CLAI) and correlated these findings with ankle stress radiographs. METHODS: We included 132 ankles with CLAI that underwent ligament reconstructions from 2006 to 2013...
June 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28535097/comparative-effectiveness-of-plantar-massage-techniques-on-postural-control-in-those-with-chronic-ankle-instability
#16
Erik A Wikstrom, Kyeongtak Song, Ashley Lea, Nastassia Brown
CONTEXT:   One of the major concerns after an acute lateral ankle sprain is the potential for development of chronic ankle instability (CAI). The existing research has determined that clinician-delivered plantar massage improves postural control in those with CAI. However, the effectiveness of self-administered treatments and the underlying cause of any improvements remain unclear. OBJECTIVES:   To determine (1) the effectiveness of a self-administered plantar-massage treatment in those with CAI as well and (2) whether the postural-control improvements were due to the stimulation of the plantar cutaneous receptors...
May 23, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28449249/t2-mapping-evaluation-of-early-cartilage-alteration-of-talus-for-chronic-lateral-ankle-instability-with-isolated-anterior-talofibular-ligament-tear-or-combined-with-calcaneofibular-ligament-tear
#17
Hongyue Tao, Yiwen Hu, Yang Qiao, Kui Ma, Xu Yan, Yinghui Hua, Shuang Chen
PURPOSE: To quantitatively evaluate the cartilage alteration of talus for chronic lateral ankle instability (LAI) with isolated anterior talofibular ligament (ATFL) tear and combined ATFL and calcaneofibular ligament (CFL) tear using T2 -mapping at 3.0T. MATERIALS AND METHODS: In all, 27 patients including 17 with isolated ATFL tear and 10 with ATFL+CFL tear, and 21 healthy subjects were recruited. All participants underwent T2 -mapping scan at 3T and patients completed American Orthopaedic Foot and Ankle Society (AOFAS) scoring...
April 27, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28439639/searching-for-consensus-in-the-approach-to-patients-with-chronic-lateral-ankle-instability-ask-the-expert
#18
Frederick Michels, H Pereira, J Calder, G Matricali, M Glazebrook, S Guillo, J Karlsson, Jorge Acevedo, Jorge Batista, Thomas Bauer, James Calder, Dominic Carreira, Woojin Choi, Nuno Corte-Real, Mark Glazebrook, Ali Ghorbani, Eric Giza, Stéphane Guillo, Kenneth Hunt, Jon Karlsson, S W Kong, Jin Woo Lee, Frederick Michels, Andy Molloy, Peter Mangone, Kentaro Matsui, Caio Nery, Saturo Ozeki, Chris Pearce, Hélder Pereira, Anthony Perera, Bas Pijnenburg, Fernando Raduan, James Stone, Masato Takao, Yves Tourné, Jordi Vega
PURPOSE: The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions. METHODS: A questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indications and timing of surgery, technical choices, and the influence of patient-related aspects. RESULTS: Thirty of the 32 invited surgeons (94%) responded...
April 25, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28419804/simultaneous-reconstruction-of-the-medial-and-lateral-collateral-ligaments-for-chronic-combined-ligament-injuries-of-the-ankle
#19
Toshito Yasuda, Hiroaki Shima, Katsunori Mori, Seiya Tsujinaka, Masashi Neo
BACKGROUND: Objective data on chronic injuries of the medial collateral ligament (MCL) of the ankle are scarce. Chronic MCL injuries are frequently associated with lateral collateral ligament (LCL) injuries. For patients with chronic combined MCL and LCL injuries, the authors have performed simultaneous surgery of the 2 ligaments. HYPOTHESIS: Simultaneous surgery of the 2 ligaments may be effectively used to treat chronic combined MCL and LCL injuries. STUDY DESIGN: Case series; Level of evidence, 4...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28400871/results-of-arthroscopic-ankle-arthrodesis-with-fixation-using-two-parallel-headless-compression-screws-in-a-heterogenic-group-of-patients
#20
Lukas Kolodziej, Boguslaw Sadlik, Sebastian Sokolowski, Andrzej Bohatyrewicz
BACKGROUND: As orthopedic surgeons become skilled in ankle arthroscopy technique and evidence -based data is supporting its use, arthroscopic ankle arthrodesis (AAA) will likely continue to increase, but stabilization methods have not been described clearly. We present a technique for two parallel 7.3-mm headless compression screws fixation (HCSs) for AAA in cases of ankle arthritis with different etiology, both traumatic and non-traumatic, including neuromuscular and inflammatory patients...
2017: Open Orthopaedics Journal
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