19,428 results match your criteria Ankle Sprain


Treatment of ankle sprain or instability in Korean medicine clinics: A protocol for a prospective multicenter observational study.

Integr Med Res 2020 Dec 19;9(4):100423. Epub 2020 May 19.

Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University, Seongnam, Republic of Korea.

Background: Korean medicine (KM), including acupuncture, has been used to treat many patients with ankle sprains in Korea. The purpose of this prospective observational study is to determine how ankle sprains are treated using KM practice and to assess the outcomes of these treatments.

Methods: We will perform a prospective observational study to include around 200 participants from KM clinics with a chief complaint of ankle sprain or ankle instability. Read More

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http://dx.doi.org/10.1016/j.imr.2020.100423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334374PMC
December 2020

Orthopedic Injuries in Professional Surfers: A Retrospective Study at a Single Orthopedic Center.

Clin J Sport Med 2020 Jul;30(4):378-382

Kramer Orthopedics, Newport Beach, CA.

Background: Literature regarding surfing injuries is scarce and most studies report a high number of minor injuries. Recent literature suggests that musculoskeletal injuries are more common than previously reported. In the mid 2000s, competitive surfing has seen an increase in aerial maneuvers, as they have become more highly rewarded by the judging panel, which may be contributing to a change in injury patterns. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000596DOI Listing

Identification of Ankle Injury Risk Factors in Professional Soccer Players Through a Preseason Functional Assessment.

Orthop J Sports Med 2020 Jun 24;8(6):2325967120928434. Epub 2020 Jun 24.

Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil.

Background: Etiologically, the risk of an ankle injury depends on extrinsic and intrinsic factors, such as muscle strength asymmetry, decreased flexibility, and decreased proprioception, as well as patient age and history of injuries.

Purpose/hypothesis: The purpose of this study was to identify risk factors present in the preseason assessment that may predispose professional soccer players to ankle injuries. We hypothesized that analysis of these parameters could relate the incidence of injuries to the deficits found during the preseason period, enabling the identification of risk factors to predict the occurrence of injuries. Read More

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http://dx.doi.org/10.1177/2325967120928434DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315686PMC

Center of pressure excursion and muscle activation during gait initiation in individuals with and without chronic ankle instability.

J Biomech 2020 Jul 22;108:109904. Epub 2020 Jun 22.

MOTION Science Institute &Department of Exercise & Sport Science University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

The aim of the current study was to determine differences in center of pressure (COP)excursion and muscle activation during gait initiation (GI) in those with and without chronic ankle instability (CAI). Thirty-four participants, 17 per group, volunteered to participate. Participants were asked to stand barefoot on a force plate before initiating gait upon hearing an auditory cue. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109904DOI Listing

Foot Muscle Strengthening and Lower Limb Injury Prevention.

Res Q Exerc Sport 2020 Jul 7:1-8. Epub 2020 Jul 7.

Massey University.

: The active and passive structures of the foot act in unison to not only be compliant enough to assist in ground reaction force attenuation but also resist deformation to provide a stable base of support. A foot that is unable to adjust to the imposed demands during high-intensity sporting activities may alter the moments and forces acting on the joints, increasing the risk of non-contact anterior cruciate ligament ruptures (ACLR) and lateral ankle sprains (LAS). Prophylactic strengthening programs are often used to reduce the risk of these injuries, but at present, very few prophylactic programs include foot-specific strengthening strategies. Read More

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http://dx.doi.org/10.1080/02701367.2020.1739605DOI Listing

MRI features of and factors related to ankle injuries in asymptomatic amateur marathon runners.

Skeletal Radiol 2020 Jul 6. Epub 2020 Jul 6.

Department of Radiology, The Affiliated Hospital of Hangzhou Normal University, No. 126, Wenzhou Road, Gongshu District, Hangzhou, 310000, Zhejiang, China.

Objective: To analyze the MRI manifestations of and factors related to ankle injuries in asymptomatic amateur marathon runners.

Materials And Methods: A total of 113 amateur marathon runners without any ankle joint symptoms were recruited. Each participant was asked to complete a questionnaire at the beginning of the study and underwent MRI of the ankle. Read More

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http://dx.doi.org/10.1007/s00256-020-03530-9DOI Listing

Open tendoachilles injuries due to squatting type of toilet seats: Five-year prospective observational study from a tertiary care center in India.

Injury 2020 Jun 29. Epub 2020 Jun 29.

Department of Plastic & Reconstructive Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, J&K, India.

Background: Open traumatic tendoachilles injuries due to toilet seats are least reported. The exact mechanism of such injuries is debatable. None of the studies have reported associated neurovascular injuries and the need for microvascular tissue transfer. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.051DOI Listing

Trends in operative ankle ligament surgery in Finland between 1986 and 2018.

Foot Ankle Surg 2020 Jun 18. Epub 2020 Jun 18.

Kuopio Musculoskeletal Research Unit, University of Eastern Finland, Kuopio University Hospital, Yliopistoranta 1, 70210 Kuopio, Finland.

Background: Ankle sprains are common musculoskeletal injuries. Until the 1990s, ankle ligament injuries were often treated operatively. The aim of this registry study was to determine how the change in treatment practice has affected the number of acute and elective ankle ligament surgeries in Finland. Read More

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http://dx.doi.org/10.1016/j.fas.2020.06.008DOI Listing

Differences in gait analysis and clinical outcome after TightRope® or screw fixation in acute syndesmosis rupture: study protocol for a prospective randomized pilot study.

Trials 2020 Jul 2;21(1):606. Epub 2020 Jul 2.

Clinic of Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.

Background: Ankle sprains and fractures are most common injuries in orthopedic and trauma surgery. The concurrent occurrence of syndesmosis ruptures in these injuries represents a more complex problem, as they often remain undetected. A proper and accurate treatment of injuries of the syndesmosis, both isolated and combined with fractures, is necessary to avoid long-term consequences (chronic instability, cartilage damage, and post-traumatic osteoarthritis). Read More

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http://dx.doi.org/10.1186/s13063-020-04550-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331157PMC

How many runners with new-onset Achilles tendinopathy develop persisting symptoms? A large prospective cohort study.

Scand J Med Sci Sports 2020 Jul 2. Epub 2020 Jul 2.

Department of Orthopaedic Surgery and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Zuid-Holland, The Netherlands.

Background: Achilles tendinopathy(AT) occurs in half of elite runners. AT is a difficult to treat tendon disease, which may progress from new-onset to a chronic state. It is unknown how many runners with new-onset AT develop persisting symptoms and which prognostic factors are associated with this course. Read More

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http://dx.doi.org/10.1111/sms.13760DOI Listing

[Injuries among Sapienza University students].

G Ital Med Lav Ergon 2020 Mar;42(1):11-15

Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma.

Summary: Background. The phenomenon of accidents during the university course is a public health problem. Students spend a lot of time at university and in structure for training. Read More

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Review of Variability in Rehabilitation Protocols after Lateral Ankle Ligament Surgery.

Kans J Med 2020 25;13:152-159. Epub 2020 Jun 25.

University of Kansas School of Medicine, Kansas City, KS.

Introduction: Ankle sprains are one of the most common athletic injuries. If a patient fails to improve through conservative management, surgery is an option to restore ankle stability. The purpose of this study was to analyze and assess the variability across different rehabilitation protocols for patients undergoing either lateral ankle ligament repair, reconstruction, and suture tape augmentation. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324062PMC

Prevalence of sports injuries in Korean fencers aged 14-40 years.

J Sports Med Phys Fitness 2020 Jun 30. Epub 2020 Jun 30.

Center for Sport Science in Jeju, Jeju Special Self- Governing Provincial Sports Council, Jeju, Korea -

Background: Although sites and types of injury frequently occurring in fencers have been well described, the type of injury caused by the use of fencing movements is still unknown. This study aimed to provide basic data for injury prevention by understanding the sports injury status in fencers.

Methods: A total of 584 Korean fencers were included in the survey and were classified according to the injured site, cause of injury, and movement that causes injury. Read More

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http://dx.doi.org/10.23736/S0022-4707.20.10900-9DOI Listing

All-inside endoscopic anatomic reconstruction leads to satisfactory functional outcomes in patients with chronic ankle instability.

Knee Surg Sports Traumatol Arthrosc 2020 Jun 30. Epub 2020 Jun 30.

Ramsay Santé, Clinique du Sport Paris V, Paris, France.

Purpose: Ankle sprain is a common injury that can be treated conservatively, though many injured patients do not seek treatment or are not adequately managed, both of which can lead to subsequent chronic ankle instability (CAI). The purpose of this study was to evaluate the functional scores and complication rates of an all-inside anatomic reconstruction technique to treat CAI at a minimum follow-up of 24 months.

Methods: The authors retrospectively collected the records of 41 patients that underwent all-inside endoscopic anatomic reconstruction of the ATFL and CFL including demographics, complications, satisfaction, American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson score, and ankle activity score (AAS), at a minimum follow-up of 24 months. Read More

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http://dx.doi.org/10.1007/s00167-020-06130-1DOI Listing

Mechanical Differences Between Adolescents and Adults During Two Landing Phases of a Drop Jump Task.

J Strength Cond Res 2020 Jun 24. Epub 2020 Jun 24.

Department of Exercise Science, East Stroudsburg University of Pennsylvania, East Stroudsburg, Pennsylvania.

Moir, GL, Munford, SN, Snyder, BW, and Davis, SE. Mechanical differences between adolescents and adults during two landing phases of a drop jump task. J Strength Cond Res XX(X): 000-000, 2020-The mechanical differences between the first and second landing phases of a drop jump (DJ) task performed by adolescent and adult male players were investigated. Read More

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http://dx.doi.org/10.1519/JSC.0000000000003683DOI Listing

Shoe collar height and heel counter-stiffness for shoe cushioning and joint stability in landing.

J Sports Sci 2020 Jun 30:1-8. Epub 2020 Jun 30.

Department of Biomedical Engineering, The Hong Kong Polytechnic University , Hong Kong, China.

This study examined the effects of shoe collar-height and counter-stiffness on ground reaction force (GRF), ankle and knee mechanics in landing. Eighteen university basketball players performed drop landing when wearing shoes in different collar height (high vs. low) and counter-stiffness (stiffer vs. Read More

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http://dx.doi.org/10.1080/02640414.2020.1785728DOI Listing

Recognition of Foot-Ankle Movement Patterns in Long-Distance Runners With Different Experience Levels Using Support Vector Machines.

Front Bioeng Biotechnol 2020 11;8:576. Epub 2020 Jun 11.

Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of São Paulo, São Paulo, Brazil.

Running practice could generate musculoskeletal adaptations that modify the body mechanics and generate different biomechanical patterns for individuals with distinct levels of experience. Therefore, the aim of this study was to investigate whether foot-ankle kinetic and kinematic patterns can be used to discriminate different levels of experience in running practice of recreational runners using a machine learning approach. Seventy-eight long-distance runners (40. Read More

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http://dx.doi.org/10.3389/fbioe.2020.00576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300177PMC

Epidemiology of Injuries in Elite Female Futsal Players: A Prospective Cohort Study.

Int J Sports Med 2020 Jun 26. Epub 2020 Jun 26.

Faculty of Education and Sport Sciences, Universidad de Vigo, Pontevedra, Spain.

Injuries are one of the worst case scenarios for an athlete and a team. The aim of this study was to analyze the injury incidence, characteristics and burden among a cohort of elite female futsal players. A prospective cohort study was designed over a season. Read More

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http://dx.doi.org/10.1055/a-1179-6280DOI Listing

Posteroinferior tibiofibular ligament - A cadaveric study.

Foot Ankle Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopedics, Clinica Del Remei, Barcelona, Spain; Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.

Background: Ankle injuries are one of the most common musculoskeletal disorder. The purpose of this study was to analyze and describe the detailed anatomical arrangement and relationship of posterior ligaments of the ankle, especially de posteroinferior tibiofibular ligament (PITFL) and intermalleolar ligament (IML). Controversy exists in the previous literature regarding their morphology and denomination, as well as the relation with ankle injuries including posterior soft tissue impingement syndrome. Read More

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http://dx.doi.org/10.1016/j.fas.2020.06.005DOI Listing

Prevalence and characteristics of chronic ankle instability and copers identified by the criteria for research and clinical practice in collegiate athletes.

Phys Ther Sport 2020 Jun 8;45:23-29. Epub 2020 Jun 8.

Faculty of Health Sciences, Hokkaido University, Sapporo, Japan.

Objectives: To investigate the prevalence and characteristics of chronic ankle instability (CAI) and copers among collegiate athletes as identified by criteria for research (CAI-R and copers-R) and for clinical practice (CAI-C and copers-C).

Design: Cross-sectional study.

Setting: University. Read More

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http://dx.doi.org/10.1016/j.ptsp.2020.05.014DOI Listing

Dorsal bridge plating versus. Transarticular screw fixation for lisfranc injuries: A systematic review and meta-analysis.

J Clin Orthop Trauma 2020 May-Jun;11(3):508-513. Epub 2020 Apr 3.

Department of Trauma and Orthopaedics, Leicester Royal Infirmary, United Kingdom.

Lisfranc injuries are relatively uncommon but carry devastating consequences if left untreated. Although many surgical techniques have been proposed for best operative management, there is an ongoing debate over which procedure is superior. We performed a systematic review and meta-analysis comparing the outcomes of transarticular screw fixation and dorsal bridge plating in management of Lisfranc injuries. Read More

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http://dx.doi.org/10.1016/j.jcot.2020.03.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303533PMC

Anterior and Posterior Subtalar Arthroscopy Via Anterolateral and Dorsolateral Portals.

Arthrosc Tech 2020 Jun 15;9(6):e837-e840. Epub 2020 Jun 15.

Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Hong Kong, China.

Sinus tarsi syndrome is the clinical syndrome of lateral heel pain with local tenderness at the sinus tarsi and is frequently associated with a history of inversion sprain to the ankle. The lateral heel pain can be due to the capsule-ligamentous structures lateral to the axis of the anterior and posterior subtalar joints. Anterior and posterior subtalar arthroscopies are needed to detect and treat the disorders of both joints. Read More

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http://dx.doi.org/10.1016/j.eats.2020.02.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301332PMC

Fibularis Intersection Syndrome - A Rare Cause of Lateral Foot Pain in Runners: A Case Report.

Am J Phys Med Rehabil 2020 Jun 22. Epub 2020 Jun 22.

Clinical Fellow, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto; University Health Network-Toronto Rehabilitation Institute, Toronto, Ontario, Canada; Email: Assistant Professor, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto; University Health Network-Toronto Rehabilitation Institute, Toronto, Ontario, Canada; Email: PGY5 - Resident, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, British Columbia, Canada Assistant Professor, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto; University Health Network-Toronto Rehabilitation Institute and Toronto General Hospital, Toronto, Ontario, Canada; Email:

Running is a common cause of foot and ankle injuries. Accurate diagnosis is important for appropriate management to resolve the issue. For clarity of diagnoses the physician should be able to perform a thorough physical examination in conjunction with point of care ultrasound (POCUS). Read More

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http://dx.doi.org/10.1097/PHM.0000000000001509DOI Listing

Lateral Collateral Ligament Reconstruction Using Suture-tape for Chronic Varus Metatarsophalangeal Instability of The Hallux.

J Foot Ankle Surg 2020 Jun 20. Epub 2020 Jun 20.

Researcher, Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.

Chronic varus instability or recurrent subluxation following isolated metatarsophalangeal dislocation of the hallux is a rare injury. A young Judo athlete with a history of repetitive sport injuries complained of recurrent medial dislocation of the hallux for 3 years. For prior injuries, he underwent manual reduction under local anesthesia and recovered with splint immobilization. Read More

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http://dx.doi.org/10.1053/j.jfas.2020.02.009DOI Listing

Directions of single-leg landing affect multi-segment foot kinematics and dynamic postural stability in male collegiate soccer athletes.

Gait Posture 2020 Jun 13;80:285-291. Epub 2020 Jun 13.

Faculty of Health and Sport Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan. Electronic address:

Background: Understanding lower limb kinematics and postural control in different directions of single-leg landings is critical to evaluate postural control and prevent lower limb injuries. However, foot and ankle kinematics and postural control during single-leg landings in different directions are less known.

Research Question: Does the difference in the direction of single-leg landing affect the foot kinematics on the frontal plane and dynamic postural stability?

Methods: A cross-sectional study was conducted. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2020.06.007DOI Listing

Effect of running-induced fatigue on lower limb mechanics in novice runners.

Technol Health Care 2020 Jun 12. Epub 2020 Jun 12.

Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China.

Background: Running-induced fatigue has received much attention in recent years. However, very few studies have investigated the effect of fatigue on lower limb biomechanics in three planes.

Objective: This study was designed to investigate biomechanical changes in the lower limb in three planes following running-induced fatigue. Read More

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http://dx.doi.org/10.3233/THC-202195DOI Listing

Ankle osteoarthritis and its association with severe ankle injuries, ankle surgeries and health-related quality of life in recently retired professional male football and rugby players: a cross-sectional observational study.

BMJ Open 2020 Jun 21;10(6):e036775. Epub 2020 Jun 21.

Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands.

Objectives: To determine (1) the prevalence of ankle osteoarthritis (OA) among former professional football and rugby players, (2) assess the association between ankle injuries or ankle surgeries with ankle OA, and (3) compare the mental and physical quality of life (QoL) between former professional football and rugby players with and without OA.

Methods: We conducted a questionnaire-based observational study with a cross-sectional design. Former professional football and rugby players were recruited by the Football Players Worldwide and the International Rugby Players. Read More

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http://dx.doi.org/10.1136/bmjopen-2020-036775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310999PMC

Plantar loading in the youth soccer player during common soccer movements and risk for foot injury.

Injury 2020 Jun 12. Epub 2020 Jun 12.

Applied Neuromechanics Research Group, Federal University of Pampa - Laboratory of Neuromechanics, 97500-970, Uruguaiana, RS, Brazil. Electronic address:

Introduction: Soccer players are at high risk of stress injuries in the foot. While most research addresses this issue in professional athletes, there is little information concerning young athletes. As soccer is practiced around the world since early infancy, we set out to determine whether young soccer athletes are susceptible to increased foot loading that increase risk factors for foot injuries in a similar manner as reported by the literature to the adult athlete. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.009DOI Listing

Lisfranc fleck sign: characteristics and clinical outcomes following fixation using a percutaneous position Lisfranc screw.

Eur J Trauma Emerg Surg 2020 Jun 19. Epub 2020 Jun 19.

Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Avulsion of the Lisfranc ligament, fleck sign, results in unstable Lisfranc injuries. This cross-sectional study was conducted to investigate the characteristics of Lisfranc injuries with fleck sign and the clinical and radiological outcomes following closed reduction and percutaneous screw fixation.

Methods: All consecutive operatively managed Lisfranc injuries with fleck sign were reviewed from 2016 to 2018. Read More

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http://dx.doi.org/10.1007/s00068-020-01415-zDOI Listing

Painful foot or ankle? Don't overlook these 5 injuries.

J Fam Pract 2020 Jun;69(5):228-236

Orthopedics, St. Elizabeth's Medical Center and Harvard Medical School, Boston, USA.

A missed diagnosis of one of these conditions risks delay in referral for orthopedic evaluation and surgical management-possibly leading to complications. Read More

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Lower Limb Biomechanics During Level Walking After an Isolated Posterior Cruciate Ligament Rupture.

Orthop J Sports Med 2019 Dec 31;7(12):2325967119891164. Epub 2019 Dec 31.

Institute of Sports Medicine, Peking University Third Hospital, Beijing, People's Republic of China.

Background: The posterior cruciate ligament (PCL) is an important structure in knee stabilization. Knee cartilage degeneration after a PCL injury has been reported in several studies. Understanding the changes in movement patterns of patients with PCL ruptures could help clinicians make specific treatment protocols to restore patients' sporting ability and prevent joint degeneration. Read More

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http://dx.doi.org/10.1177/2325967119891164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278319PMC
December 2019

Injury in the Women's National Basketball Association (WNBA) From 2015 to 2019.

Arthrosc Sports Med Rehabil 2020 Jun 16;2(3):e213-e217. Epub 2020 Apr 16.

Department of Orthopaedic Surgery and Rehabilitation Medicine, The University of Chicago, Chicago, Illinois, U.S.A.

Purpose: To provide an overview of the injuries suffered by Women's National Basketball Association (WNBA) athletes and to analyze the demographic data, injury rates, and games missed as a result of individual injuries.

Methods: Using publicly available data on WNBA player's injury history, we generated a database cataloguing the quantity, location, frequency, and longitudinal impact of injuries sustained during the WNBA regular season from 2015 to 2019. We analyzed the data using SPSS-25 data manipulation software to assess the number of injuries per athletic exposure. Read More

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http://dx.doi.org/10.1016/j.asmr.2020.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283941PMC

Anterocentral Portal in Ankle Arthroscopy.

Foot Ankle Int 2020 Jun 17:1071100720931095. Epub 2020 Jun 17.

Department of Orthopedics and Traumatology, LK Baden-Mödling, Baden, Austria.

Background: The anterocentral portal is not a standard portal in anterior ankle arthroscopy due to its proximity to the anterior neurovascular bundle. However, it provides certain advantages, including a wide field of vision, and portal changes become redundant. The purpose of this study was to evaluate the neurovascular complications after anterior ankle arthroscopy using the anterocentral portal. Read More

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http://dx.doi.org/10.1177/1071100720931095DOI Listing

[Occurrence pattern of musculoskeletal disorders and its influencing factors among manufacturing workers].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Jun;52(3):535-540

Department of Occupational and Environmental Health, Peking University School of Public Health, Beijing 100191, China.

Objective: To explore the occurrence pattern and its influencing factors of multi-site work-related musculoskeletal disorders (WMSDs) of the main affected body sites among manufacturing workers.

Methods: Musculoskeletal disorders questionnaire was adopted to investigate the prevalence of WMSDs and the influencing factors among workers from four manufacturing factories in China. The case of WMSDs was defined as the one who had symptoms such as pain, numbness, discomfort, or limitation of activities in one or more of the nine body sites, including neck, shoulder, elbow, wrist/hand, upper back, lower back, hip/thigh, knee and ankle/foot during the last year, which lasted for more than 24 hours and did not completely relieve after rest. Read More

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http://dx.doi.org/10.19723/j.issn.1671-167X.2020.03.021DOI Listing

Use of the Adductor Magnus Muscle Free Flap for Lower-Extremity Soft Tissue Coverage: An Alternative to the Gracilis Muscle Flap With Unfavorable Vascular Anatomy.

Ann Plast Surg 2020 Jun 11. Epub 2020 Jun 11.

From the Division of Plastic Surgery, Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston; and Memorial Hermann Hospital-Texas Medical Center, Houston, TX.

Background: The gracilis muscle free flap has proven to be a dependable tool for the reconstructive microsurgeon for coverage of small- to medium-sized lower-extremity soft tissue defects because of its reliable anatomy, ease of elevation, and minimal donor site morbidity. We describe our experience with the adductor magnus muscle free flap which we have utilized in cases when confronted with the rare situation in which the dominant vascular pedicle to the gracilis muscle is insufficient or absent.

Methods: We conducted a retrospective chart review of a single surgeon's experience (EG Melissinos) over an 18-year period of all patients that underwent adductor magnus muscle free flap coverage for lower-extremity soft tissue injuries. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002433DOI Listing

The Added Diagnostic Value of the Bright Rim Sign to Conventional MRI Assessment of Anterior Talofibular Ligament Disruption.

Acad Radiol 2020 Jun 10. Epub 2020 Jun 10.

Department of Radiodiagnosis, Faculty of Human Medicine, Benha University, Benha, Egypt.

Rationale And Objectives: The bright rim sign (BRS) was used as a reliable indicator of anterior talofibular ligament (ATFL) disruption beside other well-known diagnostic criteria. Although this sign can improve accuracy of conventional magnetic resonance imaging (MRI) in diagnosis of ATFL disruption, it was not adequately discussed in the literature. This study aimed to confirm the added diagnostic value of BRS to conventional MRI assessment of ATFL disruption. Read More

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http://dx.doi.org/10.1016/j.acra.2020.05.005DOI Listing

Immediate Effect of Balance Taping Using Kinesiology Tape on Dynamic and Static Balance after Ankle Muscle Fatigue.

Healthcare (Basel) 2020 Jun 9;8(2). Epub 2020 Jun 9.

Department of Physical Therapy, College of Nursing, Healthcare Sciences and Human Ecology, Dong-Eui University, Busan 47340, Korea.

The objective of this study was to investigate whether ankle balance taping (ABT) applied after muscle fatigue-inducing exercise can cause immediate improvements in dynamic and static balance. A total of 31 adults (16 males and 15 females) met the inclusion criteria. The experiment was designed using a single-blinded, randomized controlled trial. Read More

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http://dx.doi.org/10.3390/healthcare8020162DOI Listing

Ankle microinstability: arthroscopic findings reveal four types of lesion to the anterior talofibular ligament's superior fascicle.

Knee Surg Sports Traumatol Arthrosc 2020 Jun 9. Epub 2020 Jun 9.

Laboratory of Arthroscopic and Surgical Anatomy. Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Via Augusta, 281, 08023, Barcelona, Spain.

Purpose: ATFL's superior fascicle injury has been considered to be the underlying cause in cases of ankle microinstability. As its clinical diagnosis can be difficult, arthroscopic examination may be the only objective diagnostic tool. The purpose of this study was to determine what types of injuries to the ATFL's superior fascicle are associated with ankle microinstability, and to provide the reader with an arthroscopic classification of the types of microinstability affecting the ankle. Read More

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http://dx.doi.org/10.1007/s00167-020-06089-zDOI Listing

Risk Factors for Osteochondral Lesions and Osteophytes in Chronic Lateral Ankle Instability: A Case Series of 1169 Patients.

Orthop J Sports Med 2020 May 26;8(5):2325967120922821. Epub 2020 May 26.

Institute of Sports Medicine, Peking University Third Hospital, Beijing Key Laboratory of Sports Injuries, Beijing, China.

Background: Osteochondral lesions (OCLs) and bony impingement are common secondary lesions of chronic lateral ankle instability (CLAI), but the risk factors that predict OCLs and bony impingement are unknown.

Purpose: To analyze the risk factors for the development of OCLs and osteophytes in patients with CLAI.

Study Design: Case-control study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/2325967120922821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252382PMC

Functional Infrared Thermal Imaging: A Contemporary Tool in Soft Tissue Screening.

Sci Rep 2020 Jun 9;10(1):9303. Epub 2020 Jun 9.

Alfaisal University, College of Medicine, Department of Physiological Sciences, Riyadh, 11533, Kingdom of Saudi Arabia.

Soft tissue injury screening faces two main diagnostic challenges. One is the perceptual bias of the athlete in terms of referred pain and second injury assessment tools are not only in need of highly specialized personal but they are also financially demanding. Since ankle sprains is one of the leading soft tissue injuries, the current study was set to examine the suitability of functional infrared thermal imaging (fITI) in evaluating physiological alteration on the ankle as a result of exercise or injury. Read More

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http://dx.doi.org/10.1038/s41598-020-66397-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283266PMC

Progressive rehabilitation of the sprained ankle: A novel treatment method.

Foot (Edinb) 2020 Jun;43:101645

Faculty of Engineering, University of Balamand, Koura, Lebanon. Electronic address:

Objectives: This randomised, single blinded cohort study was designed to assess the immediate effect of manual fascial manipulation on walking pain and the range of ankle dorsiflexion within the first 4 days after ankle trauma.

Methods: Measurements were taken from 19 subjects, 5 female and 14 male, who presented with grade I-III ankle sprains. Ankle dorsiflexion was photographed in a standardised position and calculated by means of the Dartfish® Advanced Video Analysis Software and SPSS® (version 17) was used to compare the pre- and post-treatment data. Read More

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http://dx.doi.org/10.1016/j.foot.2019.09.007DOI Listing

Estimating upper extremity joint loads of persons with spinal cord injury walking with a lower extremity powered exoskeleton and forearm crutches.

J Biomech 2020 Jun 8;107:109835. Epub 2020 May 8.

Ottawa Hospital Research Institute, 505 Smyth Road, Ottawa, ON K1H8M2 Canada; University of Ottawa, Faculty of Medicine, 451 Smyth Rd, Ottawa, ON K1H8M5, Canada.

Lower extremity powered exoskeletons with crutch support can provide upright mobility to persons with complete spinal cord injury (SCI); however, crutch use for balance and weight transfer may increase upper extremity (UE) joint loads and injury risk. This research presented the first exoskeleton-human musculoskeletal model to estimate upper extremity biomechanics, driven by 3D motion data of persons with complete SCI walking with an exoskeleton and crutch assistance. Forearm crutches instrumented with strain gauges, force plates, and a 3D motion capture system were used to collect kinematic and kinetic data from five persons with complete SCI while walking with the ARKE exoskeleton. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109835DOI Listing

Clinical presentation and surgical treatment of distal fibular non-union with talus chondral lesions in a pediatric patient: a case report.

BMC Surg 2020 Jun 9;20(1):125. Epub 2020 Jun 9.

Orthopedic Department, San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900, Monza, Italy.

Background: In children, fracture non-union is uncommon yet, curiously, non-union of distal fibula fractures are rarely reported. Historically, the most common treatment of a lateral malleolus fracture after an ankle sprain is conservative, which usually leads to fracture union. However, even in clinically stable ankles, subsequent pain arising from fracture site could suggest non-union, thereby necessitating reexamination and possible secondary treatment. Read More

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http://dx.doi.org/10.1186/s12893-020-00782-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285572PMC

Occupational Outcomes and Return to Running After Operative Management of Lisfranc Injuries in a High-Demand Population.

Foot Ankle Spec 2020 Jun 9:1938640020933078. Epub 2020 Jun 9.

Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.

Literature evaluating outcomes following operative fixation of Lisfranc injuries has demonstrated high rates of chronic disability, particularly in those returning to prior levels of physical function. The purpose of this study is to evaluate the occupational outcomes and return to running after open reduction and internal fixation (ORIF) or arthrodesis for Lisfranc fracture-dislocations in a moderate- to high-demand military cohort. All active-duty servicemembers undergoing ORIF or primary arthrodesis (Current Procedural Terminology 28615 and 28730, respectively) for confirmed Lisfranc fracture-dislocations (International Classification of Diseases, Ninth Revision codes 838. Read More

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http://dx.doi.org/10.1177/1938640020933078DOI Listing

Posterior to anterior malleolar extended lateral approach to the ankle (PAMELA): a cadaveric anatomic study.

Arch Orthop Trauma Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Orthopedics and Traumatology, Lausanne University Hospital (CHUV), and University of Lausanne (UNIL), Pierre-Decker 4, CH 1011, Lausanne, Switzerland.

Introduction: The posterolateral approach is used in most cases of surgical treatment of ankle fractures involving the posterior and lateral malleoli. However, this approach does not allow access to the anterolateral structures of the ankle, which represent important landmarks to allow an anatomical reduction in case of complex ankle fracture. Our objective is to propose a novel surgical approach for optimal management of injuries including both a fracture of the posterior malleolus and a complex lesion of the lateral and/or anterolateral portions of the ankle. Read More

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http://dx.doi.org/10.1007/s00402-020-03507-2DOI Listing

Relationship Between Jump-Landing Kinematics and Lower Extremity Overuse Injuries in Physically Active Populations: A Systematic Review and Meta-Analysis.

Sports Med 2020 Jun 8. Epub 2020 Jun 8.

Department of Rehabilitation Sciences, Ghent University, Corneel Heymanslaan 10, 3B3, 9000, Ghent, Belgium.

Background: Lower extremity overuse injuries are common in athletes participating in sports with repeated bouts of landing manoeuvres. Biomechanical alterations during landing may be associated with these types of injuries. The objective of this systematic review with meta-analysis was to summarise and determine the relationship between kinematic alterations during a landing task and the development of lower extremity overuse injuries in physically active populations. Read More

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http://dx.doi.org/10.1007/s40279-020-01296-7DOI Listing

Surgery for lower extremity symptomatic neuroma: Long-term outcomes.

J Plast Reconstr Aesthet Surg 2020 Jan 23. Epub 2020 Jan 23.

Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA. Electronic address:

Introduction: Traumatic neuroma caused by injuries or surgery can result in neuropathic pain, functional impairment, and psychological distress, which has an impact on quality of life. The aim of this study was to identify the factors related to successful treatment of symptomatic lower extremity symptomatic neuromas using patient-reported outcome measures (PROMs).

Methods: Thirty-two patients with 48 symptomatic neuromas completed the PROMIS mobility, PROMIS pain interference (PI), Numeric Rating Scale (NRS) for pain (0-10) for both pre- and post-operative pain, and the PROMIS depression at a mean of 8. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.01.034DOI Listing
January 2020

Factors associated with musculoskeletal injuries in an infantry commanders course.

Phys Sportsmed 2020 Jun 17:1-11. Epub 2020 Jun 17.

Wingate College of Physical Education and Sports Sciences, Wingate Institute , Netanya, Israel.

Objectives: To evaluate the prevalence of injuries among young combat soldiers as assessed and reported by the military physicians, and to investigate whether parameters such as anthropometric measures, postural balance, proprioceptive ability, and chronic ankle instability are related to injuries during and following an infantry commanders course.

Methods: In this cross-sectional study, 165 soldiers were tested for anthropometric measurements, proprioceptive ability, and dynamic postural balance (DPB), as well as for their responses to an ankle stability questionnaire (CAIT), on three occasions: pre-course, middle-course, and end-course testing. All musculoskeletal injuries were assessed and recorded in the digital medical file of each participant by specialist military physicians and the course. Read More

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http://dx.doi.org/10.1080/00913847.2020.1780098DOI Listing

The effect of 8 weeks proprioception training without visual input on single-limb standing balance time in deaf students: A randomized controlled trial.

J Bodyw Mov Ther 2020 Apr 7;24(2):63-68. Epub 2019 Sep 7.

Corrective Exercises and Sports Injury Department, Faculty of Physical Education & Sport Sciences, University of Guilan, Rasht, Postcode No. 4199613776, Iran. Electronic address:

Introduction: The aim of this study was to determine the effects of 8 weeks proprioception training without visual input on the proprioception of the knee and ankle and single standing balance time in deaf students.

Methods: Twenty male deaf students participated in this study and were randomly assigned into control (n = 10) and experimental (n = 10) groups. Subjects' proprioception was measured using an electrogoniometer. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.09.002DOI Listing

Biomechanical Analysis of Conventional Partially Threaded Screws Versus Headless Compression Screws in Proximal Fifth Metatarsal (Jones) Fracture Fixation.

Foot Ankle Spec 2020 Jun 8:1938640020931668. Epub 2020 Jun 8.

Department of Orthopaedic Surgery and Rehabilitation (KL, RM, VP).

Background: Intramedullary screw fixation of Jones fractures using partially threaded screws is a common method of fixation for these injuries, but refracture continues to be a problem. Various other fixation strategies, such as headless compression screws, plantar plating, and tension-band wiring. have been developed to mitigate these issues. Read More

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http://dx.doi.org/10.1177/1938640020931668DOI Listing