67,180 results match your criteria Ankle Impingement Syndrome


Functional evaluation outcomes correlate with histomorphometric changes in the rat sciatic nerve crush injury model: A comparison between sciatic functional index and kinematic analysis.

PLoS One 2018 12;13(12):e0208985. Epub 2018 Dec 12.

Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Elucidating whether there is a correlation between biomechanical functions and histomorphometric data in the rat sciatic nerve crush injury model would contribute to an accurate evaluation of the regeneration state without sacrificing animals. The gold standard for functional evaluation is the sciatic functional index (SFI) despite there being intrinsic shortcomings. Kinematic analysis is considered a reliable and sensitive approach for functional evaluation, most commonly assessed as ankle angle at various phases of a gait cycle. Read More

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December 2018

Incidence, Characteristics, and Outcomes of Myocardial Infarction in Patients With Peripheral Artery Disease: Insights From the EUCLID Trial.

JAMA Cardiol 2018 Dec 12. Epub 2018 Dec 12.

Stanford Center for Clinical Research, Department of Medicine, Stanford University School of Medicine, Stanford, California.

Importance: Patients with peripheral artery disease (PAD) are at high risk for myocardial infarction (MI).

Objective: To characterize the incidence and types of MI in a PAD population, identify factors associated with MI, and determine the association of MI with cardiovascular mortality and acute limb ischemia.

Design, Setting, And Participants: The Study Comparing Cardiovascular Effects of Ticagrelor and Clopidogrel in Patients With Peripheral Artery Disease (EUCLID) was a double-blind randomized clinical trial conducted at 811 sites in 28 countries that randomized 13 885 patients with symptomatic PAD to monotherapy with ticagrelor or clopidogrel. Read More

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December 2018

Calendar for December Issue.

Authors:

Foot Ankle Spec 2018 Dec;11(6):565-567

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December 2018

Clinical and radiologic outcomes of two patellar resection techniques during total knee arthroplasty: a prospective randomized controlled study.

Int Orthop 2018 Dec 11. Epub 2018 Dec 11.

Institution of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, No. 49 North, Garden Road, Haidian, Beijing, 100191, China.

Purpose: A cutting guide technique for patella resurfacing in total knee arthroplasty was expected to result in less patellofemoral syndromes. The aim of this study was to identify differences in the patellofemoral function, clinical outcomes, and radiographic parameters between the freehand and cutting guide patellar resection techniques in patients undergoing total knee arthroplasty.

Methods: A prospective randomized controlled trial was conducted. Read More

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December 2018
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Morphological evaluation of the calcaneofibular ligament in different ankle positions using a three-dimensional MRI sequence.

Surg Radiol Anat 2018 Dec 11. Epub 2018 Dec 11.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, 060-8543, Japan.

Purpose: Evaluating images of the lateral ligament of the ankle is not easy, and evaluation of the calcaneofibular ligament (CFL) in particular is difficult. We prospectively conducted morphological measurements of the CFL in different ankle positions and obtain basic data for use in functional assessment of the CFL, diagnosis of CFL injury, and determination of treatment effects.

Methods: The subjects were ten healthy volunteers (ten ankles) with a mean age of 27. Read More

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December 2018

Dance Functional Outcome Survey: Development and Preliminary Analyses.

Sports Med Int Open 2018 Nov 28;2(6):E191-E199. Epub 2018 Nov 28.

ADAM Center, New York, NY United States.

The Dance Functional Outcome Survey (DFOS) was developed as a self-report questionnaire for healthy and injured ballet and modern dancers, focusing on the low back and lower extremities. Our aim was to determine factor analysis and internal consistency of the 16 items and to investigate test-retest and equivalence reliability and validity of the DFOS compared to three orthopedic outcomes instruments. Data were collected from 80 healthy and injured adult ballet and modern pre-professional and professional dancers. Read More

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November 2018

Inter-Individual Variability in The Joint Negative Work During Running.

Sports Med Int Open 2018 Sep 23;2(5):E157-E162. Epub 2018 Nov 23.

National Institute of Advanced Industrial Science and Technology, Human Informatics Research Institute, Tokyo, Japan.

The inter-individual variability of running technique is an important factor affecting the negative work of lower extremity joints that leads to muscle damage. Our study examines the relationships between the negative work of the lower extremity joints and the associated mechanical parameters that account for inter-individual variability in the negative work. Twenty-four young male adults were asked to run on a runway at a speed of 3. Read More

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September 2018

Renal Function as a Predictor of Early Transmetatarsal Amputation Failure.

Foot Ankle Spec 2018 Dec 12:1938640018816371. Epub 2018 Dec 12.

Department of Orthopaedic Surgery (JA, KMR, GTL, DKW), University of Texas Southwestern Medical Center, Dallas, Texas.

Chronic kidney disease (CKD) is a major concern in patients with foot disease because it is associated with high rates of neuropathy, peripheral vascular disease, and poor wound healing. The purpose of this study was to evaluate renal dysfunction as a risk factor for reamputation after initial transmetatarsal amputation (TMA). Patients who underwent a TMA were retrospectively identified in the American College of Surgeons National Surgical Quality Improvement Program database. Read More

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December 2018

Septic embolization of left and right coronary arteries resulting in sudden death: A rare complication of infective endocarditis.

J Cardiol Cases 2014 Jul 1;10(1):22-24. Epub 2014 May 1.

Teaching Hospital Kandy, Kandy, Sri Lanka.

Bacterial endocarditis gives rise to a variety of complications due to local tissue damage, immunological phenomena, and embolic phenomena. Only a small number of cases of coronary embolization have been reported in infective endocarditis patients. This is a case of subacute bacterial endocarditis in a postpartum mother complicated by fatal left and right coronary artery embolization. Read More

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Metastatic chordoma to the left ventricle: A case report.

J Cardiol Cases 2013 Jan 15;7(1):e21-e23. Epub 2012 Oct 15.

Department of Cardiology, Matsushita Memorial Hospital, Sotojima 5-55, Moriguchi, Osaka 570-8540, Japan.

Chordoma is a rare neoplasm of bone that develops from the remnants of the primitive notochord. We present a 78-year-old woman with metastatic chordoma to the left ventricle. She had been diagnosed with sacral chordoma 5 years earlier, and chordoma gradually spread to numerous muscles, the ankle joint of the left leg, bilateral lungs, and the brain, despite repeated surgical excisions and carbon heavy-ion radiotherapy. Read More

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January 2013

A NEW COMPREHENSIVE PROCEDURE FOR CUSTOM-MADE TOTAL ANKLE REPLACEMENTS: MEDICAL IMAGING, JOINT MODELING, PROSTHESIS DESIGN, AND 3D PRINTING.

J Orthop Res 2018 Dec 11. Epub 2018 Dec 11.

Movement Analysis Laboratory, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Many failures in total joint replacement are associated to prosthesis-to-bone mismatch. With recent additive-manufacturing, i.e. Read More

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December 2018

Identifying the Emergence of the Superficial Peroneal Nerve through Deep Fascia on Ultrasound and by Dissection: Implications for Regional Anaesthesia in Foot and Ankle Surgery.

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

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December 2018
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Medial collateral ligament laxity in valgus knee deformity before and after medial closing wedge high tibial osteotomy measured with instrumented laxity measurements and patient reported outcome.

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

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December 2018

Histopathological changes in major amputations due to diabetic foot - a review.

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

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January 2018

THE INFLUENCE OF SENSORIMOTOR TRAINING MODALITIES ON BALANCE, STRENGTH, JOINT FUNCTION, AND PLANTAR FOOT SENSITIVITY IN RECREATIONAL ATHLETES WITH A HISTORY OF ANKLE SPRAIN: A RANDOMIZED CONTROLLED PILOT STUDY.

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

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December 2018

Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures.

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

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November 2018

The Interaction Effect between Blood Stasis Constitution and Atherosclerotic Factors on Cognitive Impairment in Elderly People.

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

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November 2018

Interobserver Reliability of Pirani Clubfoot Severity Scoring between an Orthopedic Surgeon, a Resident Doctor, and a Nonmedical Counsellor at a Clubfoot Clinic.

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

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December 2018

Effects of neuromuscular electrical stimulation on gait performance in chronic stroke with inadequate ankle control - A randomized controlled trial.

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

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December 2018

Sex-specific association between serum immunoglobulin-M and brachial ankle pulse wave velocity in a Chinese population: Danyang Study.

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

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December 2018

[Objective assessment of the degree of ischaemia and efficacy of treatment in chronic arterial insufficiency of lower limbs].

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

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January 2018
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[Long-term outcomes of spinal neurostimulation in patients with critical lower limb ischemia].

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

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January 2018
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Lower Extremity Muscle Strength and Force Variability in Persons With Parkinson Disease.

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

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January 2019

Pediatric and adolescent ankle instability: diagnosis and treatment options.

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

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December 2018

Voluntary Control of Residual Antagonistic Muscles in Transtibial Amputees: Reciprocal Activation, Coactivation, and Implications for Direct Neural Control of Powered Lower Limb Prostheses.

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

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December 2018

Risk of chronic ankle instability: A reliability study on radiographic assessment of the ankle joint geometry.

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

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November 2018

Effects of regular high-cocoa chocolate intake on arterial stiffness and metabolic characteristics during exercise.

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

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October 2018

OARSI year in review 2018: rehabilitation and outcomes.

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

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December 2018

Spring ligament tear decreases static stability of the ankle joint.

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

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November 2018

Evaluation of pain, functional capacity and kinesiophobia in women in the chronic stage of chikungunya virus infection: a cross-sectional study in northeastern Brazil.

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

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December 2018

Anti-arthritic effect of pentosan polysulfate in rats with collagen-induced arthritis.

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

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December 2018

Physiological role of nitric oxide for regulation of arterial stiffness in anesthetized rabbits.

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

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November 2018

On the measurement of ski boot viscoelasticity.

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

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November 2018

The effects of total ankle arthroplasty on postural stability and loading symmetry in quiet stance.

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

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November 2018

Fractures of the Anterior Process of the Calcaneum; a review and proposed treatment algorithm.

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.

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November 2018

Children with cerebral palsy have larger Achilles tendon moment arms than typically developing children.

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

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November 2018

Lower-limb joint work and power are modulated during load carriage based on load configuration and walking speed.

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

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November 2018

Free composite groin flap to solve a complex loss of tissue in a traumatic injury of the foot: A case report.

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

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December 2018

Does routinely repairing deltoid ligament injuries in type B ankle joint fractures influence long term outcomes?

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

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December 2018
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Fractures in older adults. A view of the future?

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

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December 2018

Clinical and Laboratory Characteristics of an Acute Chikungunya Outbreak in Bangladesh in 2017.

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

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December 2018

Stochastic resonance stimulation improves balance in children with cerebral palsy: a case control study.

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

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December 2018

The Impact of a Previous Ankle Injury on Current Health-Related Quality of Life in Collegiate Athletes.

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

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December 2018

Taping Benefits Ankle Joint Landing Kinematics in Individuals With Chronic Ankle Instability.

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

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December 2018

The Effectiveness of Deep Oscillation Therapy on Reducing Swelling and Pain in Athletes with Acute Lateral Ankle Sprains.

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

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December 2018

Effective Treatment for Chronic Ankle Instability During Lateral Step-Down - Kinesiology Tape, Resistance Exercise, or Both Accompanied with Heel Raise-Lower Exercise?

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

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December 2018

The Effects of Ankle Position on Torque and Muscle Activity of the Knee Extensor during Maximal Isometric Contraction.

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

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December 2018

Deformity and Clinical Outcomes Following Operative Correction of Charcot Ankle.

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

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December 2018

A Comparative Study of the Reverse Sural Fascio-Cutaneous Flap Outcomes in the Management of Foot and Ankle Soft Tissue Defects in Diabetic and Trauma Patients.

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

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December 2018