1,425 results match your criteria Calcaneofibular Ligament Injury


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

Early Versus Delayed Mobilization Postoperative Protocols for Lateral Ankle Ligament Repair: A Systematic Review and Meta-analysis.

Orthop J Sports Med 2020 Jun 22;8(6):2325967120925256. Epub 2020 Jun 22.

University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: The majority of patients with an acute lateral ankle ligamentous injury are successfully treated nonoperatively with functional rehabilitation; however, a small proportion of these patients experience persistent chronic instability and may require surgical intervention. Delayed primary repair of the ruptured ligaments is most commonly indicated for these patients. Optimal rehabilitation after lateral ankle ligament repair remains unknown, as surgeons vary in how they balance protection of the surgical repair site with immobilization against the need for ankle joint mobilization to restore optimal postoperative ankle range of motion. Read More

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http://dx.doi.org/10.1177/2325967120925256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309402PMC

Clinical Study of Ankle Fracture Combined With Deltoid Ligament Injury: Repair or Not? A Retrospective, Comparative Study.

J Foot Ankle Surg 2020 Jul - Aug;59(4):648-652

Professor, Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, China.

This study retrospectively evaluated patients with ankle fracture to compare the prognosis between patients who had primary repair of the superficial deltoid ligament and those who did not. A total of 71 patients with ankle fracture and fracture-dislocation combined with deltoid ligament injury were divided into 2 groups: repair of superficial layer group (33 cases) and nonrepair group (38 cases). For the repair group, patients first underwent open reduction and internal fixation of the lateral malleolus and received a stress test. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.07.005DOI 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

Biomechanical Effect on Joint Stability of Including Deltoid Ligament Repair in an Ankle Fracture Soft Tissue Injury Model With Deltoid and Syndesmotic Disruption.

Foot Ankle Int 2020 Jun 17:1071100720929007. Epub 2020 Jun 17.

Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.

Background: The current operative standard of treatment for bimalleolar equivalent ankle fracture is open reduction and internal fixation (ORIF) of the lateral malleolus followed by syndesmotic stabilization if indicated. There is controversy surrounding the indication and need for deltoid ligament repair in this setting. The purpose of this study was to quantify the biomechanical effect of deltoid ligament repair in an ankle fracture soft tissue injury model. Read More

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http://dx.doi.org/10.1177/1071100720929007DOI Listing

[Clinical analysis of full-repair strategy under small incision for closed Lauge-Hansen pronation-external rotation type ankle fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):730-736

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To investigate the safety, feasibility, and efficacy of full repair strategy under small incision in the treatment of closed Lauge-Hansen pronation-external rotation type Ⅳ ankle fracture.

Methods: The clinical data of 57 patients with closed Lauge-Hansen pronation-external rotation type Ⅳ ankle fracture treated by full repair strategy (fracture, ligament, and cartilage repair) under small incision between January 2012 and January 2017 were retrospectively analyzed. There were 31 males and 26 females, with an average age of 41. Read More

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http://dx.doi.org/10.7507/1002-1892.201911024DOI Listing

Arthroscopic Remnant-Preserving Anterior Talofibular Ligament Reconstruction does not Improve Mid-term Function in Chronic Ankle Instability.

Injury 2020 May 23. Epub 2020 May 23.

Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, 221009, PR China.

Background: Anterior talofibular ligament (ATFL) reconstruction is routinely undertaken to manage chronic lateral ankle instability (CLAI). This study evaluated the effects on clinical outcome of preserving or not preserving the ATFL remnant when reconstructing the ATFL.

Methods: From January 2015 to July 2017, 53 CLAI patients with ATFL injury were randomized to undergo either a remnant-preserving (preservation of ATFL) or a non-preserving (no preservation of ATFL) anatomic reconstruction of the ATFL using an ipsilateral free semitendinosus tendon autograft. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.011DOI Listing

The effectiveness of lateral ankle ligament reconstruction when treating chronic ankle instability: A systematic review and meta-analysis.

Injury 2020 May 26. Epub 2020 May 26.

Orthopaedics Department, Affiliated Xiaolan Hospital, Southern Medical University, No. 65, Jucheng Rd. Xiaolan Dist. 528415. Zhongshan, Guangdong Prov. PR China. Electronic address:

Chronic ankle instability predominantly occurs due to multiple exercise-related diseases. Conservative treatment methods regarding this condition have not effectively improved in recent years, which is why more focus has been put on exploring different novel reconstruction procedures of the lateral ankle ligament for the treatment of chronic ankle instability.

Objectives: This study aims to obtain the overall effectiveness of various lateral ankle ligament reconstruction methods for chronic ankle ligament instability. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.031DOI 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

Arthroscopic anterior talofibular ligament reconstructin in chronic ankle instability. Two years results.

Injury 2020 May 20. Epub 2020 May 20.

Department of Musculoskeletal Disorders, University of Salerno, Salerno, Italy; Centre for Sports and Exercise Medicine, Queen Mary University of London, London, England.

Purpose: . In chronic lateral ankle instability, primary ligament repair is not always possible because of poor quality of the local tissues. A free autologous or allograft tendon graft or synthetic grafts are suitable alternative. Read More

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http://dx.doi.org/10.1016/j.injury.2020.03.054DOI Listing

Lateral Ligament Instability: Review of Pathology and Diagnosis.

Curr Rev Musculoskelet Med 2020 Aug;13(4):494-500

Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA.

Purpose Of Review: Ankle sprains are a common injury that can lead to chronic lateral ankle instability resulting in pain, poor function, and decreased quality of life. The purpose of this review is to present information regarding injury mechanisms to the lateral ligaments of the ankle and the necessary steps to appropriately diagnose lateral ligament instability.

Recent Findings: The literature demonstrates that history and physical examination is often a reliable method for diagnosis of lateral ankle instability. Read More

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http://dx.doi.org/10.1007/s12178-020-09641-zDOI Listing

Incidence of Lower Extremity Injury in the National Football League: 2015 to 2018.

Am J Sports Med 2020 Jun 2:363546520922547. Epub 2020 Jun 2.

Bellin Health Titletown Sports Medicine and Orthopedics, Green Bay, Wisconsin, USA.

Background: Lower extremity injuries are the most common injuries in professional sports and carry a high burden to players and teams in the National Football League (NFL). Injury prevention strategies can be refined by a foundational understanding of the occurrence and effect of these injuries on NFL players.

Purpose: To determine the incidence of specific lower extremity injuries sustained by NFL players across 4 NFL seasons. Read More

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http://dx.doi.org/10.1177/0363546520922547DOI Listing

Efficacy of repair and reconstruction therapy for the treatment of lateral ankle ligament injury: A protocol of systematic review and meta-analysis.

Medicine (Baltimore) 2020 May;99(22):e20344

Second Ward of Orthopaedics Department, No. 215 Hospital of Shaanxi Nuclear Industry, Xianyang, Shaanxi, China.

Background: In this study, we will explore the efficacy and safety of repair and reconstruction therapy (RRT) for patients with lateral ankle ligament injury (LALI).

Methods: Searches will be carried out in the Medline, EMBASE, Web of Science, Cochrane Library, PsycINFO, China National Knowledge Infrastructure, along with a comprehensive search of grey literature. All databases will be searched from inception to the March 1, 2020 with no restrictions to language and publication status. Read More

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http://dx.doi.org/10.1097/MD.0000000000020344DOI Listing

Anatomical Study of Minimally Invasive Lateral Release Techniques for Hallux Valgus Treatment.

Foot Ankle Int 2020 May 26:1071100720920863. Epub 2020 May 26.

Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.

Background: Lateral release (LR) for the treatment of hallux valgus is a routinely performed technique, either by means of open or minimally invasive (MI) surgery. Despite this, there is no available evidence of the efficacy and safety of MI lateral release. Our aim was to study 2 popular techniques for MI LR in cadavers by subsequently dissecting the released anatomical structures. Read More

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http://dx.doi.org/10.1177/1071100720920863DOI Listing

An individualised approach to assess the sidestep manoeuvre in male rugby union athletes.

J Sci Med Sport 2020 Apr 4. Epub 2020 Apr 4.

Auckland Bioengineering Institute and Department of Engineering Science, University of Auckland, New Zealand; Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, New Zealand.

Objectives: This study aimed to (1) quantitatively assess external knee abduction moments between legs, and (2) qualitatively assess anterior cruciate ligament injury risk between group mean and individual athlete data during the sidestep manoeuvre.

Design: Descriptive cross-sectional study.

Methods: Sixteen male academy-level rugby union athletes (20. Read More

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http://dx.doi.org/10.1016/j.jsams.2020.03.015DOI Listing

Return to Play After a Lateral Ligament Ankle Sprain.

Curr Rev Musculoskelet Med 2020 Jun;13(3):281-288

Department of Orthopaedic Surgery, Aspetar Sports Medicine and Orthopedic Surgery Hospital, Sports City Street 1, Aspire Zone, P.O. Box: 29222, Doha, Qatar.

Purpose Of Review: The purpose of this review is to describe the current evidence on the most common sports-related ankle injuries. Joint anatomy, epidemiology, clinical findings, diagnostic approach, and treatment are presented with a specific focus on the available evidence towards return to play.

Recent Findings: Recent findings show that ankle sprain is the most common injury in the world of sports. Read More

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http://dx.doi.org/10.1007/s12178-020-09631-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251008PMC

Maisonneuve fracture.

Rozhl Chir 2020 ;99(2):77-85

Introduction: Maisonneuve fracture (MF) is a generally known entity in ankle trauma. However, details about this type of injury can be found only rarely in the literature. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. Read More

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http://dx.doi.org/10.33699/PIS.2020.99.2.77-85DOI Listing
January 2020

Medial tenderness revisited: Is medial ankle tenderness predictive of instability in isolated lateral malleolus fractures?

Injury 2020 Jun 5;51(6):1392-1396. Epub 2020 Apr 5.

Harvard Combined Orthopaedic Surgery Residency Program, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States; Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.

Introduction: Determining deltoid ligament incompetence in supination external rotation (SER) injuries commonly relies on stress radiography, given several studies demonstrating low predictive value of physical examination. Stress radiography can be difficult to obtain and may result in suboptimal radiographs with equivocal determination of stability. This study revisits the concept of medial ankle tenderness and its association with mortise instability. Read More

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http://dx.doi.org/10.1016/j.injury.2020.03.029DOI Listing

Chronic Lateral Ankle Instability: Results of Anatomic Repair with Polyester Tape Augmentation.

Ortop Traumatol Rehabil 2020 Feb;22(1):25-31

Faculty of medicine, Alexandria University, Egypt.

Background: Ankle sprains are one of the most common injuries in both athletes and the general population. A major problem accompanying ankle injury is the high rate of recurrence, with about 20% of acute ankle sprain patients developing chronic ankle instability. Unlike acute ankle sprain, chronic ankle instability usually needs surgical intervention. Read More

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http://dx.doi.org/10.5604/01.3001.0013.9781DOI Listing
February 2020

Evaluation of the anterior inferior tibiofibular and anterior talofibular ligaments using 2D oblique coronal imaging and 3D isotropic resolution T2-weighted fast spin-echo sequences at 3.0 T: Is there additional diagnostic value?

J Med Imaging Radiat Oncol 2020 Jun 1;64(3):338-346. Epub 2020 Apr 1.

Department of Radiology, Soonchunhyang University Seoul Hospitial, Bucheon-si, Korea.

Introduction: To compare diagnostic performance of additional two-dimensional (2D) oblique coronal view and three-dimensional (3D) T2-weighted fast spin-echo(FSE) images for diagnosing injury of the anterior inferior tibiofibular (AiTFL) and anterior talofibular ligaments (ATFL).

Methods: This study included 48 patients with ankle sprain who had undergone MRI using standard protocol and two additional sequences with 2D oblique coronal and 3D isotropic images, followed by arthroscopic surgery. Ligament injuries was subdivided by intact tendon, partial or complete tear. Read More

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http://dx.doi.org/10.1111/1754-9485.13028DOI Listing

A qualitative study of health professions curricula and management of lateral ankle ligament sprain demonstrates inconsistency.

BMC Med Educ 2020 Mar 31;20(1):99. Epub 2020 Mar 31.

ANU College of Health and Medicine, Australian National University, Acton, ACT, Australia.

Background: Health educators aim to graduate students who are safe, effective and practice evidence-based medicine (EBM). Clinical Practice Guidelines (CPGs) are tools for translating evidence into clinical practice for health professionals and educators who lack time to appraise the evidence. There have been CPGs published for lateral ankle ligament sprains (LALS) for physiotherapists, nurses, and doctors. Read More

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http://dx.doi.org/10.1186/s12909-020-02013-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7110746PMC

Sagittal instability with inversion is important to evaluate after syndesmosis injury and repair: a cadaveric robotic study.

J Exp Orthop 2020 Mar 30;7(1):18. Epub 2020 Mar 30.

Orthopaedic Robotics Laboratory, Department of Orthopaedic Surgery, Department of Bioengineering, University of Pittsburgh, 300 Technology Drive, Pittsburgh, PA, 15219, USA.

Purpose: Disruption of the syndesmosis, the anterior-inferior tibiofibular ligament (AITFL), the posterior-inferior tibiofibular ligament (PITFL), and the interosseous membrane (IOM), leads to residual symptoms after an ankle injury. The objective of this study was to quantify tibiofibular joint motion with isolated AITFL- and complete syndesmotic injury and with syndesmotic screw vs. suture button repair compared to the intact ankle. Read More

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http://dx.doi.org/10.1186/s40634-020-00234-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105555PMC

Differences in joint loading during a side-step cutting manoeuvre on different artificial turf infill depths.

Sports Biomech 2020 Mar 12:1-12. Epub 2020 Mar 12.

School of Health Sports & Leisure, Republic Polytechnic, Singapore, Singapore.

This study investigated differences in joint loading during a side-step manoeuvre on artificial grass turfs with different infill depths. The kinematics and kinetics of 17 trained male inter-college soccer players performing the manoeuvre were captured using 10 high-speed optical cameras synchronised to a force-platform at sampling frequencies of 250 Hz and 1000 Hz respectively. Significantly larger lateral forces (GRF) ( = 0. Read More

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http://dx.doi.org/10.1080/14763141.2020.1713206DOI Listing

The correlation between clinical and ultrasound evaluation of anterior talofibular ligament and calcaneofibular ligament tears in athletes.

J Sports Med Phys Fitness 2020 May 4;60(5):749-757. Epub 2020 Mar 4.

National Sports Institute, Bukit Jalil, Kuala Lumpur, Malaysia.

Background: The objectives of this study were to find correlation between the clinical and ultrasound grading in anterior talofibular ligament and calcaneofibular ligament tear, and to determine the sensitivity and specificity of the two stability tests among the athletes. Subsequently, we would like to propose a new grading criterion for an ultrasound examination.

Methods: Two blinded assessors examined thirty-five patients with a history of recent lateral ankle sprain. Read More

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http://dx.doi.org/10.23736/S0022-4707.20.10050-1DOI Listing

Validation and application of dynamic biplane radiography to study in vivo ankle joint kinematics during high-demand activities.

J Biomech 2020 Apr 26;103:109696. Epub 2020 Feb 26.

University of Pittsburgh, Department of Orthopaedic Surgery, United States. Electronic address:

Ankle ligament injuries are the most common musculoskeletal injury in physically active populations. Failure to restore native kinematics post-injury often leads to long-term consequences including chronic instability and arthritis. Using traditional motion capture, it is difficult to distinguish independent motions of the tibiotalar and subtalar joints to assess the effects of injury, surgical repair, and rehabilitation on ankle joint complex (AJC) kinematics. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109696DOI Listing

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium- and Long-Term Functional Follow-Up.

Orthop Surg 2020 Apr 2;12(2):505-514. Epub 2020 Mar 2.

Hand and Foot Microsurgery Department, Xuzhou Central Hospital, Xuzhou, China.

Objective: To evaluate the functional outcomes of arthroscopic anatomical repair of anterior talofibular ligament (ATFL) in the treatment of chronic lateral ankle instability (CLAI) during medium- and long-term follow-up.

Methods: From September 2014 to August 2017, the data of 37 patients (23 males, 14 females; 12 left ankles, 25 right ankles) aged between 21 and 56 years, with an average age of 32.17 ± 6. Read More

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http://dx.doi.org/10.1111/os.12651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189041PMC

Does fatigue expose functional deficits in chronic lateral ankle sprain?

J Phys Ther Sci 2020 Jan 22;32(1):20-22. Epub 2020 Jan 22.

Department of Physiotherapy, University of Patras: Psaron 6, Myrtia, 25100, Aigio, Greece.

[Purpose] The purpose of this study was to examine whether functionally induced fatigue affects balance and vertical jump performance more severely in individuals with a history of unilateral lateral ligament injury to the ankle joint. [Participants and Methods] Twenty-three participants volunteered for the study with the experimental group (EG n=12) comprising injured participants with stability deficits and lack of physiotherapy treatment tested against healthy controls (CG n=11). Balance was assessed via a single leg balance test with open eyes on a force platform. Read More

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http://dx.doi.org/10.1589/jpts.32.20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008013PMC
January 2020

The sensitivity of joint kinematics and kinetics to marker placement during a change of direction task.

J Biomech 2020 Mar 30;101:109635. Epub 2020 Jan 30.

Department of Life Sciences, University of Roehampton, London, UK.

The conventional gait model (CGM) refers to several closely related biomechanical models used in the objective analysis of human motion. Their use has become popular in the analysis of change of direction tasks to inform best practice in the prevention and rehabilitation of anterior cruciate ligament injury. As externally-placed markers define segment axes origins and orientations, kinematic and kinetic outputs from the CGM are sensitive to marker placement. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109635DOI Listing

Measurement of the Posterior Tibial Slope Depends on Ethnicity, Sex, and Lower Limb Alignment: A Computed Tomography Analysis of 378 Healthy Participants.

Orthop J Sports Med 2020 Jan 24;8(1):2325967119895258. Epub 2020 Jan 24.

Aix-Marseille Université, Marseille, France.

Background: There is no general consensus on the normal and pathological values for the posterior tibial slope (PTS).

Purpose/hypothesis: The primary aim of this study was to determine standard values for the PTS in healthy participants using 3-dimensional (3D) computed tomography (CT). A secondary aim was to determine the effect of demographic factors and coronal-plane lower limb alignment on the PTS measurement. Read More

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http://dx.doi.org/10.1177/2325967119895258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984458PMC
January 2020

In Vivo Ankle Kinematics Revealed Through Biplane Radiography: Current Concepts, Recent Literature, and Future Directions.

Curr Rev Musculoskelet Med 2020 Feb;13(1):77-85

The University of Pittsburgh School of Medicine, 3550 Terrace St, Pittsburgh, PA, 15213, USA.

Purpose Of Review: Lateral ligament repair, specifically the modified Broström-Gould (BG) procedure, has been described for patients with chronic ankle instability (CAI) after failure of nonoperative management. However, there is minimal data about native in vivo ankle bone kinematics and how repairs such as the BG procedure affect the kinematics. The objective of this review is to appraise existing literature that used biplane radiography to measure in vivo kinematics of the ankle in healthy, CAI, and BG populations. Read More

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http://dx.doi.org/10.1007/s12178-020-09601-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083983PMC
February 2020

Altered hip control during a standing knee-lift test is associated with increased risk of knee injuries.

Scand J Med Sci Sports 2020 May 5;30(5):922-931. Epub 2020 Feb 5.

Tampere Research Center of Sport Medicine, UKK Institute, Tampere, Finland.

A few prospective studies have investigated hip and pelvic control as a risk factor for lower extremity (LE) injuries. The purpose of this study was to investigate whether deficits in hip and lumbopelvic control during standing knee-lift test are associated with increased risk of acute knee and LE injuries in youth team sports. At baseline, 258 basketball and floorball players (aged 12-21 years) participated in a standing knee-lift test using 3-dimensional motion analysis. Read More

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http://dx.doi.org/10.1111/sms.13626DOI Listing

[Effectiveness of a modified posterior approach for arthroscopic resection on painful talocalcaneal coalition in adults].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jan;34(1):46-52

Department of Orthopedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou Fujian, 362000, P.R.China.

Objective: To investigate the effectiveness of arthroscopic talocalcaneal coalition resection in painful adults via a modified posterior approach.

Methods: Between January 2015 and December 2017, 9 patients with painful talocalcaneal coalition accepted arthroscopic resection via the posterior malleolus high lateral observation approach combined with the lower medial operation approach. Of them, 6 were male and 3 were female, aged from 19 to 30 years (mean, 24 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201905087DOI Listing
January 2020

Outcomes After Anatomic Lateral Ankle Ligament Reconstruction Using Allograft Tendon for Chronic Ankle Instability: A Systematic Review and Meta-analysis.

J Foot Ankle Surg 2020 Jan - Feb;59(1):117-124

Professor and Chief Surgeon, Department of Sports Medicine, Huashan Hospital, Shanghai, People's Republic of China. Electronic address:

The purpose of this study was to systematically review the current evidence in the literature to ascertain whether the anatomic ankle ligament reconstruction procedure with allograft resulted in improved patient outcomes after ≥2 years of follow-up. A literature search of Medline, EMBASE, and the Cochrane Library was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Clinical studies investigating anatomic lateral ankle ligament reconstruction procedures for chronic ankle instability with a mean of >2 years' follow-up were included. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.07.008DOI Listing

[Complete rupture of lateral collateral ligaments of ankle joint: a case report].

Zhongguo Gu Shang 2019 12;32(12):1148-1150

Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong, China;

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.12.016DOI Listing
December 2019

Biomechanical effect of anterior talofibular ligament injury in Weber B lateral malleolus fractures after lateral plate fixation: A finite element analysis.

Foot Ankle Surg 2019 Dec 5. Epub 2019 Dec 5.

Department of Orthopedic, The First Affiliated Hospital of Jinan University, Guangzhou, China. Electronic address:

Objective: To determine the biomechanical effect of anterior talofibular ligament injury in Weber B lateral malleolus fractures after lateral plate fixation.

Method: A three-dimensional model was established based on CT images from a healthy volunteer. The simulation of lateral malleolus fracture, and the modeling and assembly of plate were completed by referring to characteristics of Weber B lateral malleolus fractures, as well as the technical characteristics of open reduction and internal fixation of lateral plate. Read More

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http://dx.doi.org/10.1016/j.fas.2019.11.004DOI Listing
December 2019

[A comparative study of all-arthroscopic technique and modified open Broström technique in repair of anterior talofibular ligament with anchors].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Dec;33(12):1503-1509

Department of Orthopedics, the Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China;Academician Workstation in Luzhou, Luzhou Sichuan, 646000,

Objective: To compare the effectiveness of all-arthroscopic technique and modified open Broström technique in repair of anterior talofibular ligament (ATFL) for lateral instability of the ankle (LIA).

Methods: A retrospective analysis was made on 65 patients who underwent ATFL repair with anchors for LIA between January 2014 and January 2017. The ATFL was repaired by all-arthroscopic technique in 35 patients (arthroscopic group) and modified open Broström technique in 30 patients (open group). Read More

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http://dx.doi.org/10.7507/1002-1892.201905072DOI Listing
December 2019

Dynamic high-resolution ultrasound in the diagnosis of calcaneofibular ligament injury in chronic lateral ankle injury: a comparison with three-dimensional magnetic resonance imaging.

J Med Ultrason (2001) 2020 Apr 10;47(2):313-317. Epub 2019 Dec 10.

Department of Sports Medicine, Kameda Medical Center, 929 Higashi-cho, Kamogawa City, Chiba Prefecture, 2968602, Japan.

Purpose: To date, no gold standard imaging method has been used to assess calcaneofibular ligament (CFL) injuries. Ultrasound (US) has become increasingly important in the assessment of ligaments around the ankle. However, very few reports in the literature have focused on detecting CFL injuries. Read More

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http://dx.doi.org/10.1007/s10396-019-00993-9DOI Listing

Extremity CT and ultrasound in the assessment of ankle injuries: occult fractures and ligament injuries.

Br J Radiol 2020 Jan 4;93(1105):20180989. Epub 2019 Dec 4.

St Luke's Radiology Oxford Ltd, Oxford, UK.

Objective: To assess the rates of fractures and ligament injuries in patients with an acute ankle injury and a normal radiographic examination, and to consider the most appropriate examination protocol.

Methods: Patients with an acute ankle injury who presented to the John Radcliffe Hospital Emergency Department with a normal radiographic examination were eligible for the study. They were invited to receive a cone beam CT and ultrasound examination at a local radiology department within 5 days of their ankle injury. Read More

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http://dx.doi.org/10.1259/bjr.20180989DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948070PMC
January 2020

Endoscopic anatomic ligament reconstruction is a reliable option to treat chronic lateral ankle instability.

Knee Surg Sports Traumatol Arthrosc 2020 Jan 14;28(1):86-92. Epub 2019 Nov 14.

Orthopaedic Department, AZ Groeninge, President Kennedylaan 4, 8500, Kortrijk, Belgium.

Purpose: Anatomic reconstruction of the anterior talofibular ligament and calcaneofibular ligament is a valid treatment of chronic hindfoot instability. The purpose of this study was to investigate the outcomes of this procedure performed by an all-inside endoscopic technique.

Methods: This study is a retrospective evaluation of a prospective database. Read More

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http://dx.doi.org/10.1007/s00167-019-05793-9DOI Listing
January 2020

A prospective study of health problems at the 2018 17/U and 19/U Australian National Netball Championships with comparison of surveillance methodology.

J Sci Med Sport 2020 Mar 15;23(3):215-221. Epub 2019 Oct 15.

Athlete Availability Program, Australian Institute of Sport, Australia; Australian Collaboration for Research into Injury in Sport and its Prevention (ACRISP), Australia.

Objective: To investigate the incidence, site, nature and cause of injuries sustained during and four weeks following the 2018 Australian National Netball Championships (ANNC's) using medical attention and self-report surveillance tools.

Design: Prospective cohort study.

Method: Injuries were recorded prospectively using medical attention and self-report data collection methods. Read More

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http://dx.doi.org/10.1016/j.jsams.2019.10.004DOI Listing

Arthroscopic ankle fusion to manage sequel of loss of lateral malleoli in compound crushed ankle injury.

J Clin Orthop Trauma 2019 Oct 14;10(Suppl 1):S231-S233. Epub 2018 Dec 14.

Department of Trauma and Emergency, AIIMS Bhubaneswar, Sijua, Patrapada, Odisha, 751019, India.

Defect in the lateral malleolus along with lateral ligamentous injury of ankle is rare. It occurs mainly due to resection of distal fibula tumors and severe trauma leading to loss of lateral malleolus. Lateral malleoli has the major contribution in weight transmission to foot and ankle stability. Read More

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http://dx.doi.org/10.1016/j.jcot.2018.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823715PMC
October 2019
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MANAGEMENT OF ACUTE GRADE II LATERAL ANKLE SPRAINS WITH AN EMPHASIS ON LIGAMENT PROTECTION: A DESCRIPTIVE CASE SERIES.

Int J Sports Phys Ther 2019 Jun;14(3):445-458

Army-Baylor University Doctoral Fellowship in Orthopedic Manual Physical Therapy, Brooke Army Medical Center, Fort Sam Houston, TX, USA.

Background And Purpose: Lateral ankle sprain the most common injury in physically active populations. Individuals who sustain an acute lateral ankle sprain may not receive timely formal rehabilitation and are at an increased risk to have subsequent sprains which can lead to chronic pain and instability. Attention to essential factors for ligament protection and healing while preserving ankle movement, may result in a more stable yet mobile ankle offering improved outcomes. Read More

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http://dx.doi.org/10.26603/ijspt20190445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816301PMC

High Ankle Sprains in Professional Ice Hockey Players: Prognosis and Correlation Between Magnetic Resonance Imaging Patterns of Injury and Return to Play.

Orthop J Sports Med 2019 Sep 27;7(9):2325967119871578. Epub 2019 Sep 27.

University of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, Ontario, Canada.

Background: Hockey players sustain a greater incidence of ankle syndesmosis injuries than other athletes. These injuries have a higher morbidity and more unpredictable recovery than lateral ankle sprains. Magnetic resonance imaging (MRI) has been used to establish the diagnosis but has not been evaluated for its ability to predict return to play. Read More

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http://journals.sagepub.com/doi/10.1177/2325967119871578
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http://dx.doi.org/10.1177/2325967119871578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767727PMC
September 2019
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Diagnostic value of intraoperative tap test for acute deltoid ligament injury.

Eur J Trauma Emerg Surg 2019 Oct 17. Epub 2019 Oct 17.

Department of Orthopedics Trauma, Trauma Center, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, 650 Xin Songjiang Road, Shanghai, 201620, People's Republic of China.

Purpose: Deltoid ligament injuries appear with isolated or even no displacement of the lateral malleolus fracture which could easily lead to misdiagnosis, which frequently brings about ankle medial instability and talus shift that eventually lead to the occurrence of ankle osteoarthritis. This study is aimed to investigate the value of the tap test for assessing the integrity of the deltoid ligament intraoperatively.

Methods: Ninety-two patients with malleolar fractures and possible acute deltoid ligament injury treated in our hospital from March 2013 to May 2016 were enrolled in this prospective study. Read More

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http://dx.doi.org/10.1007/s00068-019-01243-wDOI Listing
October 2019
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Open ligamentous complex disruption of the lateral ankle without dislocation or fracture: Two case reports.

Medicine (Baltimore) 2019 Oct;98(41):e17447

Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Republic of Korea.

Introduction: Lateral ligamentous complex injury without fracture or dislocation is rare in the literature. Due to the rare injury, it is not clear yet about the proper treatment. This case report suggests a specific diagnosis of this injury as well as an appropriate surgical method. Read More

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http://dx.doi.org/10.1097/MD.0000000000017447DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6799453PMC
October 2019
1 Read