67,169 results match your criteria Ankle Fracture
Clin Anat 2018 Dec 10. Epub 2018 Dec 10.
School of Medicine, University of St Andrews, UK.
Regional anesthesia relies on a sound understanding of anatomy and the utility of ultrasound in identifying relevant structures. We assessed the ability to identify the point at which the superficial peroneal nerve (SPN) emerges through the deep fascia by ultrasound on 26 volunteers (mean age 27.85 years ±13. Read More
J Exp Orthop 2018 Dec 10;5(1):49. Epub 2018 Dec 10.
Department of Orthopaedic Surgery, Maartenskliniek, Nijmegen, The Netherlands.
Introduction: Medial closing wedge high tibial osteotomy (CWHTO) for valgus deformity correction was first described by Coventry whom performed an additional reefing of the medial collateral ligament (MCL) to prevent instability postoperative. In our clinic the additional reefing procedure has never been performed and instability has not been reported routinely by patients. Using instrumented laxity testing, pre- and postoperative valgus and varus knee laxity can be measured objectively. Read More
Rom J Morphol Embryol 2018 ;59(3):699-702
Discipline of Pharmacology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania;
Diabetes mellitus is the leading cause of non-traumatic amputations worldwide. Ulcer of the diabetic foot is one of the most prevalent lesions of diabetic patients and it occurs in the natural evolution of the disease as a tardive complication. Neuropathy is the main determinant of foot ulcer. Read More
Int J Sports Phys Ther 2018 Dec;13(6):993-1007
Niederrhein University of Applied Sciences, Faculty of Health Care, Therapeutic Sciences, Reinarzstr. 49, 47805 Krefeld, Germany.
Background: Ankle sprains frequently result in persistent sensorimotor deficits. Sufficient evidence of effects of sensorimotor training using unstable devices on physical functions is lacking. There is no insight as to whether simultaneous tactile stimulation of plantar foot mechanoreceptors using textured surfaces may influence outcomes in people with a history of ankle sprain. Read More
Case Rep Orthop 2018 11;2018:6207024. Epub 2018 Nov 11.
Klinik für Unfall und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Avulsion fractures of the calcaneal tuberosity represent a rare injury pattern that is caused by a powerful tension force from the Achilles tendon and is usually seen following minor trauma, especially in elderly patients. The objective of this study is to describe a surgical technique using cerclage wiring through cannulated screws in the treatment of extra- and intra-articular avulsion fractures of the calcaneal tuberosity and to present our results in a small patient's cohort. Through a 5. Read More
Evid Based Complement Alternat Med 2018 11;2018:8914090. Epub 2018 Nov 11.
College of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.
Objective: Blood stasis (BS) constitution represents a tendency to stagnation and positively associates with the severity of atherosclerosis. In this study, we have identified the interaction effect between BS constitution and atherosclerosis on cognitive impairment in the elderly people.
Methods: Eligible elderly people ≥65 years old who attended physical examination in the Mawei community of Fuzhou city during 2015 were enrolled in this study. Read More
Indian J Orthop 2018 Nov-Dec;52(6):645-650
Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
Background: Ponseti method is the gold standard treatment for idiopathic congenital clubfoot. Pirani clubfoot severity score is a vital tool in assessing treatment of clubfoot. This study determines whether, after a short training in the Pirani scoring, a nonmedical personnel can be as accurate as a doctor in assessing the degree of deformity in clubfoot. Read More
PLoS One 2018 10;13(12):e0208609. Epub 2018 Dec 10.
Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan.
Neuromuscular electrical stimulation (NMES) has been used to improve muscle strength and decrease spasticity of the ankle joint in stroke patients. However, it is unclear how NMES could influence dynamic spasticity of ankle plantarflexors and gait asymmetry during walking. The study aimed to evaluate the effects of applying NMES over ankle dorsiflexors or plantarflexors on ankle control during walking and gait performance in chronic stroke patients. Read More
Hypertens Res 2018 Dec 10. Epub 2018 Dec 10.
Institute of Hypertension, Jiangsu Province Hospital of Traditional Chinese Medicine, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Emerging evidence supports a causal role for the immunoglobulin-M (IgM) as a protector of atherosclerosis. Since arterial stiffness is an index of subclinical atherosclerosis, we propose that IgM may play an important role in arterial stiffness. As the level of IgM differs between sexes, we investigate the sex-specific association of serum IgM with arterial stiffness in a Chinese population. Read More
Angiol Sosud Khir 2018 ;24(4):177-182
First Department of Surgery, Russian Medical Academy of Continuing Professional Education under the RF Ministry of Public Health, Moscow, Russia.
Presented in the review is the data concerning contemporary criteria for assessing the degree of chronic lower limb ischaemia and quality of the treatment performed. Problems regarding objectivization of the degree of an ischaemic lesion of an extremity and assessment of quality of conservative treatment still remain unresolved. Currently, in the world practice along with instrumental methods (assessment of the ankle-brachial index) subjective criteria are mainly employed: assessment of pain-free walking distance or maximum distance walked. Read More
Khirurgiia (Mosk) 2018 (10):27-33
Meshalkin National Medical Research Center of Healthcare Ministry of Russia, Novosibirsk, Russia.
Aim: To evaluate long-term outcomes of spinal neurostimulation (SNS) in patients with critical lower limb ischemia (CLI).
Material And Methods: Long-term outcomes of SNS were assessed in 52 CLI patients. Changes of clinical status were considered by using of Rutherford R. Read More
J Neurol Phys Ther 2019 Jan;43(1):56-62
Geriatric Research Education and Clinical Centers, Malcom Randall VA Medical Center, Gainesville, Florida (J.W.S.); and Department of Applied Physiology and Kinesiology, University of Florida, Gainesville (E.A.C., C.J.H.).
Background And Purpose: Adequate lower limb strength and motor control are essential for mobility and quality of life. People with Parkinson disease (PD) experience a significant and progressive decline in motor capabilities as part of this neurodegenerative disease. The primary objective of this study was to examine the effect of PD on (1) muscular strength and (2) force steadiness in muscles that are primarily responsible for locomotion and stability. Read More
Curr Opin Pediatr 2018 Dec 10. Epub 2018 Dec 10.
Department of Orthopaedic Surgery.
Purpose Of Review: The purpose of this review is to discuss the epidemiology, pathoanatomy, diagnosis, and treatment for lateral ankle instability in pediatric patients.
Recent Findings: Chronic ankle instability is a common sequela of lateral ankle sprain in young athletes. Incidence is increasing, possibly due in part to inadequate treatment of first-time ankle sprains, as well as increased youth participation in organized and competitive sports. Read More
IEEE Trans Neural Syst Rehabil Eng 2018 Dec 7. Epub 2018 Dec 7.
Residual ankle muscles (i.e. previously antagonistic ankle muscles) of transtibial amputees are a potential source for continuous feedforward control of powered ankle prostheses using proportional myoelectric control. Read More
Foot (Edinb) 2018 Nov 6;38:12-18. Epub 2018 Nov 6.
Academic Center for Evidence based Sports medicine (ACES), The Netherlands; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), VUmc / AMC IOC Research Centre for Prevention of Injury and Protection of Athlete Health, The Netherlands; Amsterdam UMC, University of Amsterdam, Department of Musculoskeletal Radiology, The Netherlands; Musculoskeletal Imaging Quantification Center (MIQC), The Netherlands.
Background: Chronic ankle instability (CAI) is a multifactorial disabling condition. Ideally all factors contributing to CAI are identified and implemented in a risk assessment model. However, they need to meet strict reliability requirements. Read More
Nutrition 2018 Oct 5;60:53-58. Epub 2018 Oct 5.
Faculty of Environmental Symbiotic Sciences, Prefectural University of Kumamoto, Kumamoto, Japan.
Objective: The aim of this study was to examine the effects of regular high-cocoa chocolate consumption on arterial stiffness and fat oxidation during light- to moderate-intensity exercise.
Methods: This randomized, controlled, parallel-group intervention study included 32 Japanese college students (mean age, 20.7 ± 0. Read More
Osteoarthritis Cartilage 2018 Dec 7. Epub 2018 Dec 7.
Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
Objective: Conduct a systematic review of systematic reviews and randomised controlled trials (RCTs) from the past year evaluating rehabilitation for people with osteoarthritis, and provide narrative synthesis of findings focused on core recommended treatments for osteoarthritis (exercise, education, biomechanical interventions, weight loss).
Design: A comprehensive search strategy was used to search PubMed, EMBASE and Cochrane databases (16 May 2017 to 22 March 2018). Search terms included 'osteoarthritis', 'rehabilitation', 'systematic review', and 'randomised controlled trial'. Read More
Clin Biomech (Bristol, Avon) 2018 Nov 27;61:79-83. Epub 2018 Nov 27.
Department of Orthopaedic Surgery, University of Rochester, Rochester, NY, USA. Electronic address:
Background: Spring ligament tear is often found in advanced adult acquired flatfoot deformity and its reconstruction in conjunction with the deltoid ligament has been proposed to restore the tibiotalar and talonavicular joint stability. The aim of the present study is to determine the effect of spring ligament injury and subsequent reconstruction on static joint reactive force using a non-invasive method of measurement.
Methods: Ten fresh-frozen human cadaveric lower legs were disarticulated at the knee joint. Read More
Acta Trop 2018 Dec 7. Epub 2018 Dec 7.
Center of Mathematics, Computing, and Cognition, Federal University of ABC, São Bernardo, SP, Brazil.
Arboviral diseases have been considered a global public health problem due to their growing territorial dispersion and impact on the population around the world. Individuals affected by the chikungunya virus go through an acute febrile illness associated with severe pain and long-lasting polyarthralgia. After the initial stage, infected individuals may progress to the chronic stage, which has an epidemic character and a high rate of disability and reduced mobility, impacting negatively on their quality of life. Read More
Res Vet Sci 2018 Dec 1;122:179-185. Epub 2018 Dec 1.
Department of Veterinary Clinical Sciences, Laboratory of Veterinary Surgery, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo, Japan.
Pentosan polysulfate (PPS) is currently under investigation as a potential disease-modifying antiarthritic agent. In the present study the effects of PPS on arthritic profiles based on clinical score, ankle size, histological changes, and activity of inflammatory mediators using collagen-induced arthritic rat are reported. Model of arthritis was developed in Sprague Dawley rats by intradermal injection of bovine type II collagen emulsified with incomplete Freund's adjuvant. Read More
J Pharmacol Sci 2018 Nov 24. Epub 2018 Nov 24.
Department of Pharmacology and Therapeutics, Faculty of Pharmaceutical Sciences, Toho University, Funabashi, Chiba 274-8510, Japan. Electronic address:
We assessed effects of acetylcholine and Nω-Nitro-l-arginine methyl ester hydrochloride (l-NAME) on the cardio-ankle vascular index (CAVI), an indicator of arterial stiffness from origin of aorta to tibial artery, in halothane-anesthetized rabbits. Acetylcholine decreased the blood pressure, femoral vascular resistance and CAVI, whereas l-NAME did not affect the CAVI at a hypertensive dose. The acetylcholine-induced decrement of CAVI was completely suppressed by l-NAME. Read More
J Sci Med Sport 2018 Nov 22. Epub 2018 Nov 22.
Department of Sport Science, University of Innsbruck, Austria.
Objectives: Since the polymeric materials commonly used for ski boots feature viscoelastic properties, the results of ski boot flexion tests are expected to be influenced by flexion velocity. Devices testing at all skiing specific ankle angular velocities are currently not available. Therefore, the aims of this study were to (i) develop a system allowing the testing of ski boots at high ankle angular velocities, (ii) quantify the effect of ankle angular velocity on viscoelasticity and (iii) determine the repeatability of the system. Read More
J Biomech 2018 Nov 26. Epub 2018 Nov 26.
Kevin P. Granata Biomechanics Lab, Department of Biomedical Engineering and Mechanics, Virginia Tech, 208 Norris Hall, 495 Old Turner St., Blacksburg, VA 24061, USA; Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA.
Ankle osteoarthritis is a debilitating condition affecting about 1% of the population with approximately 50,000 new instances annually. One treatment is total ankle arthroplasty (TAA), however, its effects on balance are not well understood. This study analyzed balance over a two-year period following TAA. Read More
Foot Ankle Surg 2018 Nov 26. Epub 2018 Nov 26.
Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London. SE1 9RT. United Kingdom.
J Biomech 2018 Nov 16. Epub 2018 Nov 16.
School of Human Sciences, University of Western Australia, Perth, Australia. Electronic address:
The effectiveness of the plantarflexor muscle group to generate desired plantarflexion moments is modulated by the geometry of the Achilles tendon moment arm (ATMA). Children with cerebral palsy (CP) frequently have reduced plantarflexion function, which is commonly attributed to impaired muscle structure and function, however little attention has been paid to the potential contribution of ATMA geometry. The use of musculoskeletal modelling for the simulation of gait and understanding of gait mechanics, rely on accuracy of ATMA estimates. Read More
J Biomech 2018 Nov 29. Epub 2018 Nov 29.
Gold Coast Orthopaedics Research, Engineering and Education Alliance, Menzies Health Institute Queensland, School of Allied Health Sciences, Griffith University, 58 Parklands Drive, Southport, Queensland 4215, Australia. Electronic address:
Soldiers regularly transport loads weighing >20 kg at slow speeds for long durations. These tasks elicit high energetic costs through increased positive work generated by knee and ankle muscles, which may increase risk of muscular fatigue and decrease combat readiness. This study aimed to determine how modifying where load is borne changes lower-limb joint mechanical work production, and if load magnitude and/or walking speed also affect work production. Read More
Injury 2018 Dec 3;49 Suppl 4:S25-S28. Epub 2018 Dec 3.
University of Turin, Orthopaedic Clinic, C.T.O. Hospital, Turin, Italy.
Severe traumatic losses of soft tissues and bone at foot and ankle level are often treated by means of amputation, but this may involve important psychological and anatomic consequences for the patient. If there are good vascular conditions, reconstruction by means of composite free flaps is often the only alternative to this demolitive treatment. The transfer of composite free flaps that include vascularized bone from various donor sites may provide anatomical reconstruction and recovery of function of the foot and ankle. Read More
Injury 2018 Dec;49(12):2312-2317
Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, 100035 China.
Deltoid ligament reconstruction following type B ankle fractures continues to generate a vivid discussion amongst trauma surgeons. There is a difference of opinion as to whether operative or non operative treatment should prevail. We therefore conducted a prospective comparative cohort study to determine whether it is necessary to routinely repair the injured deltoid ligaments. Read More
Injury 2018 Dec;49(12):2161-2166
University of Edinburgh, Royal Infirmary of Edinburgh, Little France, Edinburgh, EH 16 4SU, United Kingdom.
Introduction: It is accepted that the incidence of fractures in patients aged ≥ 65 years is increasing but little is known about which fractures are becoming more common in this group of patients. Virtually all research has concentrated on the classic fragility fractures of the proximal femur, proximal humerus, pelvis, spine and distal radius but it is likely that other fractures are becoming more common.
Methods: We have examined two prospectively collected databases 10 years apart to see which fractures are becoming more common in ≥ 65 year old patients. Read More
Am J Trop Med Hyg 2018 Dec 10. Epub 2018 Dec 10.
Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
From April to September 2017, Bangladesh experienced a huge outbreak of acute Chikungunya virus infection in Dhaka. This series describes the clinical and laboratory features of a large number of cases (690; 399 confirmed and 291 probable) suffered during that period. This observational study was carried out at Dhaka Medical College Hospital, Bangladesh. Read More
J Neuroeng Rehabil 2018 Dec 10;15(1):115. Epub 2018 Dec 10.
Department of Kinesiology, University of Delaware, 540 S. College Ave, Newark, DE, 19713, USA.
Background: Stochastic Resonance (SR) Stimulation has been used to enhance balance in populations with sensory deficits by improving the detection and transmission of afferent information. Despite the potential promise of SR in improving postural control, its use in individuals with cerebral palsy (CP) is novel. The objective of this study was to investigate the immediate effects of electrical SR stimulation when applied in the ankle muscles and ligaments on postural stability in children with CP and their typically developing (TD) peers. Read More
J Sport Rehabil 2018 Dec 11:1-26. Epub 2018 Dec 11.
* Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, AZ.
Context:: There has been an increased interest in understanding how ankle injuries impact patient outcomes, however, it is unknown how the severity of a previous ankle injury influences health-related quality of life (HRQOL).
Objective:: To determine the impact of a previous ankle injury on current HRQOL in collegiate athletes.
Design:: Retrospective review of electronic medical records. Read More
J Sport Rehabil 2018 Dec 11:1-18. Epub 2018 Dec 11.
a Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Context:: Although taping has been proven effective in reducing ankle sprain events in individuals with chronic ankle insability (CAI), insight in the precise working mechanism remains limited.
Objectives:: The aim of this study was to evaluate whether the use of taping changes ankle joint kinematics during a sagittal and frontal plane landing task in subjects with CAI.
Design:: Repeated measure design. Read More
J Sport Rehabil 2018 Dec 11:1-17. Epub 2018 Dec 11.
1 Department of Kinesiology, University of Connecticut. Storrs, CT.
Clinical Scenario:: Ankle sprains are the most prevalent athletic related musculoskeletal injury treated by athletic trainers, often affecting activities of daily living and delaying return to play.1 Most of these cases present with pain and swelling in the ankle, resulting in decreased range of motion and strength deficits.1 Due to these impairments, proper treatment is necessary to avoid additional loss of play and prevent future injuries. Read More
J Sport Rehabil 2018 Dec 11:1-31. Epub 2018 Dec 11.
2 Department of Physical Therapy, Chungju University, Chungcheongbuk-do, Republic of Korea.
Context:: Kinesiology tape (KT), multidirectional resistance exercise, and interventions for decreased ankle dorsiflexion range of motion (ROM) are gaining popularity in the treatment of patients with chronic ankle instability (CAI). However, there is limited evidence of the effectiveness of combined interventions in CAI patients.
Objectives:: To compare the effects of KT alone, KT with resistance exercise (KT + resistance), and KT + resistance + heel raise-lower exercise (KT + resistance + heel) on the results of the dynamic balance test (star excursion balance test [SEBT]), functional performance (lateral step-down test), and ankle muscle activation in CAI patients. Read More
J Sport Rehabil 2018 Dec 11:1-17. Epub 2018 Dec 11.
1 Department of Physical Therapy, Chonbuk National Hospital, Republic of Korea.
Context:: It is very important to empirically determine the optimal ankle position for the quadriceps femoris (QF) strengthening during isometric exercises.
Objective:: To examine the effect of different ankle positions on torque and electromyography (EMG) activity of QF during maximal isometric contraction.
Study Design:: Within-subject, repeated measures. Read More
Foot Ankle Int 2018 Dec 10:1071100718805076. Epub 2018 Dec 10.
1 Department of Orthopaedic Surgery & Rehabilitation, Loyola University Medical Center, Maywood, IL, USA.
Background:: Deformity associated with Charcot foot arthropathy leads to a poor quality of life in affected individuals. Deformity in the midfoot appears to be predictive of clinical outcomes following operative correction. The goal of this retrospective study was to determine if that same methodology could be applied to patients treated for Charcot foot arthropathy involving the ankle joint. Read More
Foot Ankle Spec 2018 Dec 7:1938640018816378. Epub 2018 Dec 7.
Department of Orthopedic Surgery, Lebanese American Hospital Medical Center-Rizk Hospital, Beirut, Lebanon (CA, CS, TH, KY), Center for Evidence-based Anatomy, Sports and Orthopedic Research, Beirut, Lebanon.
Introduction: Soft tissue defects in the distal leg and foot are challenging conditions for reconstruction. The widely used reverse sural fascio-cutaneous flap (RSFCF) has been reported with large variation in complication frequency. Some authors reported higher complications in the diabetic population when compared with trauma patients. Read More
Am Fam Physician 2018 Dec;98(12):754-755
University of Massachusetts, USA.
Am Fam Physician 2018 Dec;98(12):Online
Br J Community Nurs 2018 Dec;23(Sup12):S14-S17
Senior Tissue Viability Clinical Nurse Specialist, Lincolnshire Community Health Services NHS Trust.
Venous leg ulceration is the most common form of leg ulceration, affecting 1.5% of the UK adult population. This was reviewed within the latest best practice statement (2016) which set out to create clear guidance on the assessment, management and preventing the reoccurrence of venous leg ulceration. Read More
Haemophilia 2018 Dec 6. Epub 2018 Dec 6.
Department of Sports Medicine, University of Wuppertal, Wuppertal, Germany.
Introduction: The objective of this work was to examine the interrelations of posturographic and surface EMG (SEMG) characteristics of ankle muscles in patients with haemophilia while standing naturally.
Methods: Surface EMG of five bilaterally recorded ankle muscles was conducted in 24 patients with haemophilia (PwH, age: 42  years, mean [SD], 22 A, 2 B, 21 severe, 3 moderate) with median (quartiles) WFH orthopaedic joint score of 30 (20/39) points and 24 non-haemophilic controls (Con, age: 42 ). Force plate (IBS) signals were captured simultaneously during bipedal stance with eyes open. Read More
Acta Bioeng Biomech 2018 ;20(4):43-49
Józef Piłsudski University of Physical Education in Warsaw, Faculty of Rehabilitation, Warsaw, Poland.
Purpose: Simulating the complexities of lower limb motion can be useful for orthosis or rehabilitation planning. The aim of this study was to develop an artificial neural network (ANN) able to accurately simulate the changes in the angle of the ankle, knee and hip joints during the gait cycle, then to use it to simulate the impact of a restricted range of ankle and hip joint angle changes on the progres- sion of the knee joint angle.
Methods: Thirty four young healthy students participated in the study. Read More
J Pain Res 2018 13;11:2859-2866. Epub 2018 Nov 13.
Sannoh Orthopedic Clinic, Pain Clinic and Rehabilitation for Musculoskeletal Disorders, Sannoh Hospital, Chiba, Japan,
Background: Complex regional pain syndrome type I (CRPS I) in children is a serious condition disrupting the family and school life of patients with the condition after it fully develops. It has been emphasized that early diagnosis is closely associated with earlier reduction of pain leading to preferable outcomes.
Objectives: To report a case of acute CRPS I in a boy who was found to develop this condition by a routine visual analog scale (VAS) pain monitoring and who recovered from CRPS I at an early phase by prompt pharmacological, physical, and educational therapies. Read More
J Atheroscler Thromb 2018 Dec 4. Epub 2018 Dec 4.
Department of Cardiology, National Hospital Organization Tokyo Medical Center.
Aim: Betatrophin, a recently identified circulating adipokine, affects lipid and glucose metabolism. However, association between plasma betatrophin levels and atherosclerotic diseases, such as coronary artery disease (CAD) and peripheral artery disease (PAD), has not been elucidated.
Methods: We investigated plasma betatrophin levels in 457 patients undergoing elective coronary angiography who also had ankle-brachial index (ABI) test for PAD screening. Read More