67,206 results match your criteria Ankle Tibialis Posterior Tendon Injuries


Kinematics reduction applied to the comparison of highly-pronated, normal and highly-supinated feet during walking.

Gait Posture 2018 Dec 6;68:269-273. Epub 2018 Dec 6.

Departamento de Ingeniería Mecánica y Construcción, Universitat Jaume I, Av. Vicent Sos Baynat, s/n, 12071, Castellón, Spain. Electronic address:

Background: Kinematic analysis could help to study how variations in the static foot posture affect lower limb biomechanical function. The analysis of foot kinematics is complex because it involves managing the time-dependent joint angles in different joints and in all three planes of motion. But it could be simplified if joint angles are coordinated. Read More

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December 2018

Return to Sport After Ankle Syndesmotic Injury: A Systematic Review.

Sports Health 2018 Dec 14:1941738118816282. Epub 2018 Dec 14.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Context:: Ankle syndesmotic injuries present a significant challenge for athletes due to prolonged disability and recovery periods. The optimal management of these injuries and rates of return to sport in athletes remains unclear.

Objective:: The purpose of this study was to evaluate return to sport for athletes after ankle syndesmotic injuries. Read More

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December 2018

Association of epistaxis with atherosclerotic cardiovascular disease.

Laryngoscope 2018 Dec 13. Epub 2018 Dec 13.

Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland.

Objectives/hypothesis: To investigate the association between epistaxis and atherosclerotic cardiovascular disease.

Study Design: Case-control cohort study.

Methods: This study included patients from the tertiary-care ear, nose, and throat department at the University Hospital of Zurich between December 1, 2016 and June 1, 2017. Read More

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December 2018

Influence of reduced tip-apex distance on helical blade fixation - a biomechanical study.

J Orthop Res 2018 Dec 13. Epub 2018 Dec 13.

AO Research Institute Davos, Clavadelerstrasse 8, 7270 Davos Platz, Switzerland.

Migration profile of helical blades differs from conventional screw design. Tip-apex distance (TAD) greater than 25mm is associated with early failure in hip screws. This study investigates the effect of a reduced TAD on helical blade fixation. Read More

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December 2018

Hindfoot Fusion Nail with Adjuvant Hybrid External Fixation used as Limb-Salvage Procedure after Failed Open Reduction Internal Fixation of Ankle Fracture in a Charcot Joint: A Case Report.

P R Health Sci J 2018 Dec;37(4):235-238

Department of Orthopedic Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

The failure of the internal fixation of an ankle fracture due to Charcot joint/ neuroarthropathy is rare; such occurred in the case of a 52-year-old woman with uncontrolled diabetes who sustained a right ankle fracture after falling from standing height. The patient was treated with the internal fixation of both malleoli, which procedure failed as the patient progressed, until she eventually was diagnosed with Charcot arthropathy. The post operative images were reviewed and showed a catastrophic fixation failure with a diagnosis of Charcot neuroarthropathy. Read More

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December 2018

Impact of low-dose prednisolone on refractory pitting edema manifesting remitting seronegative symmetrical synovitis with pitting edema syndrome.

J Cardiol Cases 2016 Oct 15;14(4):119-122. Epub 2016 Jul 15.

Department of Cardiology, Nishinomiya Municipal Central Hospital, Nishinomiya, Japan.

We encountered an elderly male patient who after cardiac surgery for mitral stenosis had refractory pitting edema in both legs involving painful leg joints after a 1-month history of waxing and waning arthralgia. His family doctor had prescribed a combination of diuretics, 40 mg furosemide and 25 mg spironolactone; however, pitting edema in his lower legs persisted. He was diagnosed with worsening of congestive heart failure because of a previous cardiac surgery and was transferred to our hospital. Read More

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October 2016

Is Use of Bone Cement for Treatment of Second Metatarsal Stress Fractures Safe? A Case Report.

Cureus 2018 Oct 9;10(10):e3436. Epub 2018 Oct 9.

Orthopaedics, University of Alabama at Birmingham, Birmingham, USA.

Metatarsal stress fractures are common injuries of the foot and can be a source of chronic pain without appropriate management. Conservative management is first line, but surgery may be indicated in athletes, cases of nonunion, and fractures of the fifth metatarsal. We report a case of a 34-year-old female who presented to clinic for intractable pain of the left foot secondary to a stress fracture of the left second metatarsal, which had been previously treated with injectable acrylic bone cement. Read More

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October 2018
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Intuitive Clinician Control Interface for a Powered Knee-Ankle Prosthesis: A Case Study.

IEEE J Transl Eng Health Med 2018 23;6:2600209. Epub 2018 Nov 23.

Department of BioengineeringThe University of Texas at DallasRichardsonTX75080USA.

This paper presents a potential solution to the challenge of configuring powered knee-ankle prostheses in a clinical setting. Typically, powered prostheses use impedance-based control schemes that contain several independent controllers which correspond to consecutive periods along the gait cycle. This control strategy has numerous control parameters and switching rules that are generally tuned by researchers or technicians and not by a certified prosthetist. Read More

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November 2018

Effects of aspirin combined with cilostazol on thromboangiitis obliterans in diabetic patients.

Exp Ther Med 2018 Dec 8;16(6):5041-5046. Epub 2018 Oct 8.

Department of Blood Transfusion, Weifang People's Hospital, Weifang, Shandong 261041, P.R. China.

The present study explored the effects of aspirin combined with cilostazolin in the treatment of diabetic patients with thromboangiitis obliterans and the effects on the related inflammatory factors. A total of 90 diabetic patients with thromboangiitis obliterans admitted to Weifang People's Hospital from August 2015 to June 2017 were selected and divided into the control group (n=45) and the combination group (n=45). Patients in the control group were given aspirin, and those in the combination group were given aspirin combined with cilostazol. Read More

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December 2018

Closed-loop functional optogenetic stimulation.

Nat Commun 2018 Dec 13;9(1):5303. Epub 2018 Dec 13.

MIT Media Lab, Center for Extreme Bionics, Massachusetts Institute of Technology, Cambridge, 02139, MA, USA.

Optogenetics has been used to orchestrate temporal- and tissue-specific control of neural tissues and offers a wealth of unique advantages for neuromuscular control. Here, we establish a closed-loop functional optogenetic stimulation (CL-FOS) system to control ankle joint position in murine models. Using the measurement of either joint angle or fascicle length as a feedback signal, we compare the controllability of CL-FOS to closed-loop functional electrical stimulation (CL-FES) and demonstrate significantly greater accuracy, lower rise times and lower overshoot percentages. Read More

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December 2018

Poor relationship between frontal tibiofemoral and trochlear anatomic parameters: Implications for designing a trochlea for kinematic alignment.

Knee 2018 Dec 10. Epub 2018 Dec 10.

MSK Lab, Imperial College London, Charing Cross Campus, Laboratory Block, London W6 8RP, United Kingdom of Great Britain and Northern Ireland; South West London Elective Orthopaedic Center, Dorking Rd, Epsom KT18 7EG, United Kingdom of Great Britain and Northern Ireland. Electronic address:

Background: The kinematic alignment (KA) technique for total knee arthroplasty (TKA) is an emerging implant positioning philosophy that aims to restore constitutional knee anatomy to improve knee kinematics. At present, the KA technique aims to reconstruct native femorotibial (FT) joint alignment, however there is still insufficient consideration towards the inter-individual trochlear anatomy variability. Poor trochlear restoration may compromise clinical outcomes. Read More

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December 2018

Epidemiology of Adult Ankle Fractures: 1756 cases identified in Norrbotten County during 2009-2013 and classified according to AO/OTA.

BMC Musculoskelet Disord 2018 Dec 13;19(1):441. Epub 2018 Dec 13.

Sunderby Research Unit, Department of Surgical and Perioperative Sciences (orthopaedics), Umeå University, Umeå, Sweden.

Background: The ankle fracture is one of the most common fractures, increasing in an ageing population, but not generally seen as an osteoporotic fracture. The aim of this study was to examine the relationship between different AO/OTA classes of ankle fractures, age, sex and type of trauma.

Methods: Ankle fractures, treated at any of the hospitals in Norrbotten County in Sweden between 2009 and 2013, were retrospectively identified and classified according to the AO/OTA-classification system. Read More

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December 2018

Treat the congenital pseudarthrosis of the Tibia with Ilizarov technology: Case report.

Medicine (Baltimore) 2018 Dec;97(49):e13384

Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

Rationale: According to previously published studies, treating pediatric patients with congenital pseudarthrosis of the tibia (CPT) is challenging. More effective methods are needed to treat this patient population.

Patient Concerns: A 7-year-old girl with congenital pseudarthrosis of the distal tibia, previously misdiagnosed as a fracture, underwent plate fixation. Read More

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December 2018

Einschränkungen in der Gehfähigkeit und der Sprunggelenksdorsalflexion bei Kindern nach intensiver Krebsbehandlung.

Klin Padiatr 2018 Dec 13. Epub 2018 Dec 13.

Department of Molecular and Cellular Sports Medicine, Institute of Cardiovascular Research and Sports Medicine, German Sport University Cologne, Cologne, Germany.

Background: With improved survival rates in pediatric oncology, the detection of adverse side- and late-effects is gaining increased interest. This cross-sectional study investigated walking abilities and ankle dorsiflexion function in children with cancer.

Patients: Study participants included 16 children with various cancers (4-20 years, patient group) after completion of the intense treatment and 16 age- and gender-matched healthy peers (comparison group). Read More

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December 2018

Effects of repeated eccentric and isometric contractions with relatively low loading dose on joint stiffness.

J Sports Med Phys Fitness 2018 Dec 13. Epub 2018 Dec 13.

Department of Life Science, University of Tokyo, Meguro, Tokyo, Japan -

Background: The purpose of the present study was to compare changes in joint stiffness after repeated eccentric (ECC; leading to muscle fatigue) and isometric (ISO; leading to tendon fatigue) contractions and to elucidate the mechanisms responsible for decline in joint stiffness after repeated stretch-shortening cycle exercises reported previously.

Methods: Ankle joint stiffness (change in joint torque divided by change in joint angle during braking phase) and electromyographic activity (mEMG) of the plantar flexor muscles during drop jump using the ankle joint were measured before and after ECC, ISO, and control conditions.

Results: Peak ankle joint torque, range of motion, and joint stiffness during drop jump did not change after ECC or ISO. Read More

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December 2018

Evaluation of TurboHawk Plaque Rotation System in Treatment of Superficial Femoral Atherosclerosis.

Med Sci Monit 2018 Dec 13;24:9026-9031. Epub 2018 Dec 13.

Department of Vascular Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China (mainland).

BACKGROUND To investigate the curative effect and utility of the TurboHawk plaque circumcision system in the treatment of patients with superficial femoral atherosclerosis (SFA). MATERIAL AND METHODS We retrospectively analyzed 60 cases of superficial femoral atherosclerotic stenosis and occlusion treated with the TurboHawk plaque circumcision system for endovascular ablation of the superficial femoral artery in the People's Hospital of Xinjiang Uygur Autonomous Region between January 2016 and December 2017. RESULTS The sample comprised of 50 male and 10 female patients with an average age of 65±4. Read More

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December 2018

Leiomyoma of the Foot: A Case Report.

Cureus 2018 Oct 5;10(10):e3419. Epub 2018 Oct 5.

Orthopaedics, University of Alabama at Birmingham, Birmingham, USA.

Leiomyomas are benign tumors of smooth muscle origin. They are most commonly found in the uterus, but cutaneous leiomyomas may be occasionally present in the extremities and cause pain secondary to mass effect. Few studies have reported leiomyoma of the foot, and leiomyoma of the heel is particularly rare. Read More

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October 2018
3 Reads

[The association of limited health literacy and risk of arterial stiffness in community-dwelling older adults].

Nihon Ronen Igakkai Zasshi 2018 ;55(4):605-611

Department of Liberal arts and Sciences, Toyama Prefectural University.

Aim: This study aimed to investigate the effects of limited health literacy on arterial stiffness measured by the cardio-ankle vascular index (CAVI) in community-dwelling older adults.

Methods: A total of 288 older adults (mean age, 72.4 years, men, n = 99) participated. Read More

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January 2018

Gender Differences of Achilles tendon Cross-sectional Area during Loading.

Sports Med Int Open 2017 Jul 14;1(4):E135-E140. Epub 2017 Jul 14.

Sports Medicine and Sports Orthopaedics, University Outpatient Clinic Potsdam, Potsdam, Germany.

The Achilles tendon (AT) is larger and stiffer in males compared to females. AT stiffness is determined by length differences during loading. However, as some collagen fibres run transversely, changes in cross-sectional area (CSA) are also expected. Read More

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A Forefoot Strike Requires the Highest Forces Applied to the Foot Among Foot Strike Patterns.

Sports Med Int Open 2017 Feb 21;1(2):E37-E42. Epub 2017 Feb 21.

Faculty of Health and Sports Science, Juntendo University, Chiba, Japan.

Ground reaction force is often used to predict the potential risk of injuries but may not coincide with the forces applied to commonly injured regions of the foot. This study examined the forces applied to the foot, and the associated moment arms made by three foot strike patterns. 10 male runners ran barefoot along a runway at 3. Read More

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February 2017

Local Dynamic Stability of the Locomotion of Lower Extremity Joints and Trunk During Backward Upslope Walking.

J Mot Behav 2018 Dec 7:1-13. Epub 2018 Dec 7.

a Department of Orthopedic Surgery & Shanghai Key Laboratory of Orthopaedic Implant , Shanghai Ninth People's Hospital of Shanghai Jiao Tong University , Shanghai , China.

Backward slope walking was considered as a practical rehabilitation and training skill. However, its gait stability has been hardly studied, resulting in its limited application as a rehabilitation tool. In this study, the effect of walking direction and slope grade were investigated on the local dynamic stability of the motion of lower extremity joints and trunk segment during backward and forward upslope walking (BUW/FUW). Read More

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December 2018

Pseudo-tear appearance of the posterior tibiotalar ligament on fluid-sensitive sequences.

Surg Radiol Anat 2018 Dec 6. Epub 2018 Dec 6.

Department of Radiology, UZ Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.

Purpose: This study aimed at studying the MR imaging appearance of the tibiotalar ligament in asymptomatic volunteers.

Materials And Methods: Fourty-two ankles were imaged on a 3T MR system using proton density weighted images with fat saturation (TR, 2969 ms; TE 30 ms; NA, 2; slice thickness, 2.5 mm). Read More

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December 2018

[Contribution of the maximal exercise test to diagnosis the vascular origin of leg pain in athletes].

J Med Vasc 2018 Dec 14;43(6):379-383. Epub 2018 Nov 14.

Service d'imagerie et explorations vasculaires, 2, rue Henri Le Guilloux, 35000 Rennes, France.

Leg pain is a common debilitating symptom in athletes. Vascular disease is not often proposed as a possible cause. Maximal exercise with measure of the ankle-brachial index after exercise can be an interesting diagnostic test. Read More

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December 2018

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
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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
3 Reads

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
1 Read

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
4 Reads

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
1 Read

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
1 Read

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
1 Read

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
1 Read

[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
1 Read

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
1 Read

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