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21 papers 1000+ followers MH residency - ankle
Anders Ploug Boesen, Rudi Hansen, Morten Ilum Boesen, Peter Malliaras, Henning Langberg
BACKGROUND: Injection therapies are often considered alongside exercise for chronic midportion Achilles tendinopathy (AT), although evidence of their efficacy is sparse. PURPOSE: To determine whether eccentric training in combination with high-volume injection (HVI) or platelet-rich plasma (PRP) injections improves outcomes in AT. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: A total of 60 men (age, 18-59 years) with chronic (>3 months) AT were included and followed for 6 months (n = 57)...
July 2017: American Journal of Sports Medicine
Juuso Heikkinen, Iikka Lantto, Tapio Flinkkila, Pasi Ohtonen, Jaakko Niinimaki, Pertti Siira, Vesa Laine, Juhana Leppilahti
BACKGROUND: It remains controversial whether nonsurgical or surgical treatment provides better calf muscle strength recovery after an acute Achilles tendon rupture (ATR). Recent evidence has suggested that surgery might surpass nonsurgical treatment in restoring strength after an ATR. PURPOSE: To assess whether magnetic resonance imaging (MRI) findings could explain calf muscle strength deficits and the difference between nonsurgical and surgical treatments in restoring calf muscle strength...
May 2017: American Journal of Sports Medicine
Gabriella Sophie Schiftan, Lauren Ashleigh Ross, Andrew John Hahne
OBJECTIVES: To systematically summarise the evidence on the effectiveness of proprioceptive training in reducing the incidence and recurrence rates of ankle sprains in the sporting population. DESIGN: A systematic review and meta-analysis of randomised controlled trials. METHODS: A computer-based literature search of MEDLINE, EMBASE, CINAHL, SPORTDiscus and PEDro (to October 2013) was conducted. Methodological quality of individual studies was assessed using the PEDro scale...
May 2015: Journal of Science and Medicine in Sport
Phillip A Gribble, Chris M Bleakley, Brian M Caulfield, Carrie L Docherty, François Fourchet, Daniel Tik-Pui Fong, Jay Hertel, Claire E Hiller, Thomas W Kaminski, Patrick O McKeon, Kathryn M Refshauge, Evert A Verhagen, Bill T Vicenzino, Erik A Wikstrom, Eamonn Delahunt
The Executive Committee of the International Ankle Consortium presents this 2016 position paper with recommendations for information implementation and continued research based on the paradigm that lateral ankle sprain (LAS), and the development of chronic ankle instability (CAI), serve as a conduit to a significant global healthcare burden. We intend our recommendations to serve as a mechanism to promote efforts to improve prevention and early management of LAS. We believe this will reduce the prevalence of CAI and associated sequelae that have led to the broader public health burdens of decreased physical activity and early onset ankle joint post-traumatic osteoarthritis...
December 2016: British Journal of Sports Medicine
Nathan L Grimm, John C Jacobs, Jaewhan Kim, Annunziato Amendola, Kevin G Shea
BACKGROUND: Soccer has one of the highest rates of ankle injury in sports for both males and females. Several injury prevention programs have been developed to address this concern. The purposes of this study were to conduct a meta-analysis of ankle injury prevention programs for soccer players, assess the heterogeneity among the studies, and evaluate the reported effectiveness of the prevention programs. METHODS: A systematic search of the literature was conducted in PubMed (MEDLINE), Embase, CINAHL (Cumulative Index to Nursing and Allied Health), and the Cochrane Central Register of Controlled Trials (CENTRAL) database...
September 7, 2016: Journal of Bone and Joint Surgery. American Volume
Turab Arshad Syed, Anthony Perera
Haglund's syndrome encompasses several different pathologies, including Haglund's deformity, insertional Achilles tendonopathy, retrocalcaneal bursitis, and superficial bursitis. Traditionally treated with open surgery, there is increasing interest in a more minimally invasive approach to this difficult region to reduce complications and improve the rate and ease of recovery. We review the evidence available for 2 of these techniques: the endoscopic calcaneoplasty and percutaneous Zadek's calcaneal osteotomy (also known as Keck and Kelly's osteotomy)...
September 2016: Foot and Ankle Clinics
Kevin J Campbell, Max P Michalski, Katharine J Wilson, Mary T Goldsmith, Coen A Wijdicks, Robert F LaPrade, Thomas O Clanton
BACKGROUND: The deltoid ligament has both superficial and deep layers and consists of up to six ligamentous bands. The prevalence of the individual bands is variable, and no consensus as to which bands are constant or variable exists. Although other studies have looked at the variance in the deltoid anatomy, none have quantified the distance to relevant osseous landmarks. METHODS: The deltoid ligaments from fourteen non-paired, fresh-frozen cadaveric specimens were isolated and the ligamentous bands were identified...
April 16, 2014: Journal of Bone and Joint Surgery. American Volume
Michel De Maeseneer, Hardi Madani, Leon Lenchik, Monica Kalume Brigido, Maryam Shahabpour, Stefaan Marcelis, Johan de Mey, Aldo Scafoglieri
The anatomy of the nerves of the foot and ankle is complex, and familiarity with the normal anatomy and course of these nerves as well as common anatomic variants is essential for correct identification at imaging. Ultrasonography (US) and magnetic resonance (MR) imaging allow visualization of these nerves and may facilitate diagnosis of various compression syndromes, such as "jogger's heel," Baxter neuropathy, and Morton neuroma. It may be difficult to distinguish the nerves from adjacent vasculature at MR imaging, and US can help in differentiation...
September 2015: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Massimo Petrera, Tim Dwyer, John S Theodoropoulos, Darrell J Ogilvie-Harris
BACKGROUND: Anatomic techniques of ankle ligament repair have the advantage of restoring the anatomy and kinematics of the joint. This study presents a technique for anatomic reconstruction of the lateral ligament complex by way of lateral ligament advancement using suture anchors associated with immediate protected full weightbearing; 2- to 5-year clinical outcomes are reported. HYPOTHESIS: This technique of providing an anatomic reconstruction with a secure fixation will enable early rehabilitation with immediate, protected weightbearing, with favorable outcomes...
July 2014: American Journal of Sports Medicine
S Guillo, M Takao, J Calder, Jon Karlson, Frederick Michels, Thomas Bauer
UNLABELLED: Chronic ankle instability secondary to lateral ligament insufficiency is common after sports injury. Many surgical techniques have been described for the treatment of the lateral ankle ligament complex. They can be classified into repair or reconstruction, and non-anatomical or anatomical. A few authors have recently published innovative techniques for arthroscopic ankle ligament management. This paper describes the arthroscopic techniques enabling anatomical lateral ligament reconstruction using gracilis autograft or allograft for chronic ankle instability...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Pau Golanó, Jordi Vega, Peter A J de Leeuw, Francesc Malagelada, M Cristina Manzanares, Víctor Götzens, C Niek van Dijk
Understanding the anatomy of the ankle ligaments is important for correct diagnosis and treatment. Ankle ligament injury is the most frequent cause of acute ankle pain. Chronic ankle pain often finds its cause in laxity of one of the ankle ligaments. In this pictorial essay, the ligaments around the ankle are grouped, depending on their anatomic orientation, and each of the ankle ligaments is discussed in detail.
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Jeffrey D Seybold, J Chris Coetzee
Injuries to the foot are common in the athletic population, accounting for approximately 16% of sporting injuries. The bony and ligamentous structures around the first and second tarsometatarsal (TMT) joints, or Lisfranc joint complex, are the most commonly involved in injuries to the midfoot because of the limited static and dynamic stability of this region. The appropriate management of Lisfranc or TMT joint injuries in athletes is controversial, with multiple classification schemes and treatment methods and little evidence-based guidelines to deliver appropriate care...
October 2015: Clinics in Sports Medicine
Paul J Read, Jon L Oliver, Mark B A De Ste Croix, Gregory D Myer, Rhodri S Lloyd
Injuries reported in male youth soccer players most commonly occur in the lower extremities, and include a high proportion of ligament sprains at the ankle and knee with a lower proportion of overuse injuries. There is currently a paucity of available literature that examines age- and sex-specific injury risk factors for such injuries within youth soccer players. Epidemiological data have reported movements that lead to non-contact ligament injury include running, twisting and turning, over-reaching and landing...
August 2016: Sports Medicine
Jun-Ik Choi, Keun-Bae Lee
PURPOSE: The objectives of this study were to compare the clinical outcomes of the two common bone marrow stimulation techniques such as subchondral drilling and microfracture for symptomatic osteochondral lesions of the talus and to evaluate prognostic factors affecting the outcomes. METHODS: Ninety patients (90 ankles) who underwent arthroscopic bone marrow stimulation for small- to mid-sized osteochondral lesions of the talus constituted the study cohort. The 90 ankles were divided into two groups: a drilling group (40 ankles) and a microfracture group (50 ankles)...
July 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Marie-Lyne Nault, Mininder S Kocher, Lyle J Micheli
Os trigonum syndrome is the result of an overuse injury of the posterior ankle caused by repetitive plantar flexion stress. It is predominantly seen in ballet dancers and soccer players and is primarily a clinical diagnosis of exacerbated posterior ankle pain while dancing on pointe or demi-pointe or while doing push-off maneuvers. Symptoms may improve with rest or activity modification. Imaging studies, including a lateral radiographic view of the ankle in maximal plantar flexion, will typically reveal the os trigonum between the posterior tibial lip and calcaneus...
September 2014: Journal of the American Academy of Orthopaedic Surgeons
Philip Malloy, Alexander Morgan, Carolyn Meinerz, Christopher Geiser, Kristof Kipp
PURPOSE: While previous studies have examined the association between ankle dorsiflexion flexibility and deleterious landing postures, it is not currently known how landing kinetics are influenced by ankle dorsiflexion flexibility. The purpose of this study was to examine whether ankle dorsiflexion flexibility was associated with landing kinematics and kinetics that have been shown to increase the risk of anterior cruciate ligament (ACL) injury in female athletes. METHODS: Twenty-three female collegiate soccer players participated in a preseason screening that included the assessment of ankle dorsiflexion flexibility and lower-body kinematics and kinetics during a drop vertical jump task...
December 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
J Simon, C Docherty
The purpose of this study is to quantify nerve conduction velocity differences in individuals with functional ankle instability compared to a "healthy" population. 38 participants ages 18-30 were recruited from a large university with approximately 43,000 students. 19 subjects (9 men and 10 women; age=21.0±1.4 years; height=172.0±9.3 cm; mass=74.4±1 2.4 kg) with symptoms of functional ankle instability were in the functional ankle instability group. 19 subjects (10 men, 9 women; age=22.0±2...
August 2014: International Journal of Sports Medicine
Troels Mark-Christensen, Anders Troelsen, Thomas Kallemose, Kristoffer Weisskirchner Barfod
PURPOSE: The optimal treatment for acute Achilles tendon rupture (ATR) is continuously debated. Recent studies have proposed that the choice of either operative or non-operative treatment may not be as important as rehabilitation, suggesting that functional rehabilitation should be preferred over traditional immobilization. The purpose of this meta-analysis of randomized controlled trials (RCTs) was to compare functional rehabilitation to immobilization in the treatment of ATR. METHOD: This meta-analysis was conducted using the databases: PubMed, EMBASE, Rehabilitation and Sports Medicine Source, AMED, CINAHL, Cochrane Library and PEDro using the search terms: "Achilles tendon," "rupture," "mobilization" and "immobilization"...
June 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Tuomas T Huttunen, Pekka Kannus, Christer Rolf, Li Felländer-Tsai, Ville M Mattila
BACKGROUND: Population-based incidence rates and trends of acute Achilles tendon ruptures are not known. It is also not known whether recent high-quality randomized controlled trials not favoring surgery have had an effect on treatment protocols. PURPOSE: To assess the incidence of acute Achilles tendon ruptures in Sweden and to examine the trends in surgical treatment. STUDY DESIGN: Descriptive epidemiology study. METHODS: We conducted a nationwide registry-based study including all adult (≥18 years of age) inpatient and outpatient hospital visits because of an acute Achilles tendon rupture in Sweden between 2001 and 2012...
October 2014: American Journal of Sports Medicine
José Carlos Cohen
The complexity of its anatomy coupled with the biomechanics of the Achilles tendon may explain the frequency of injury to this structure. Its unique characteristic of the muscle crossing three joints (knee, ankle, and subtalar joints) makes it more susceptible to injury than muscles that span a single joint. A better understanding of the contributing pathologic conditions associated with functional shortening of the gastroc-soleus complex and its effects on the normal biomechanics of the foot and ankle may improve the treatment of the many and varied pathologies that occur within the tendon itself and the associated abnormalities that occur with a tight Achilles tendon...
December 2009: Foot and Ankle Clinics
2014-07-25 01:42:21
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