962 results match your criteria Iliotibial Band Syndrome


An Overview of Clinically Relevant Biomechanics of the Anterolateral Structures of the Knee.

Tech Orthop 2018 Dec 25;33(4):213-218. Epub 2017 Dec 25.

Steadman Philippon Research Institute.

Residual anterolateral rotatory laxity following injury and reconstruction of the anterior cruciate ligament (ACL) has become a popular topic and has generated interest in characterizing the relative contribution from the anterolateral structures of the knee. Studies have reported on the anatomic and biomechanical features of the anterolateral ligament (ALL), revealing a role in restraining internal tibial rotation in both ACL-intact and ACL-deficient knees. The Kaplan fibers of the iliotibial band have also been reported to provide significant restraint to internal tibial rotation. Read More

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December 2018

An Overview of Anatomy and Imaging of the Anterolateral Structures of the Knee.

Tech Orthop 2018 Dec 25;33(4):206-212. Epub 2017 Dec 25.

Hospital Sírio-Libanês.

Despite several previous articles in the literature, never before have so many studies with regard to anterolateral knee structures been performed. The anterolateral knee complex consists briefly of the iliotibial band, with its proximal and distal attachments, the joint capsule, and the anterolateral ligament (ALL). The recently introduced ALL has several different descriptions, making it difficult to build a consensus with regard to its anatomy. Read More

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December 2018

[Anterolateral stabilization using the modified Lemaire technique for ACL deficiency].

Oper Orthop Traumatol 2018 Nov 26. Epub 2018 Nov 26.

Klinik für Unfall‑, Hand und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland.

Objective: Treatment of persistent anterolateral knee instability.

Indications: Subjective/objective (rotational) instability of the knee after anatomic anterior cruciate ligament (ACL) reconstruction. ACL re-rupture including special demands (e. Read More

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November 2018
6 Reads

Can Elite Dancers Return to Dance After Ultrasound-Guided Platelet-Rich Plasma (PRP) Injections?

J Dance Med Sci 2018 Dec;22(4):225-232

Center for Musculoskeletal Care, New York University Langone Medical Center, New York, New York, USA.

Dancers exert tremendous stresses on the lower extremities rendering them prone to injuries that can curtail training and performance. The goal of this study was to evaluate clinical improvement in a population of elite dancers following treatment with ultrasound-guided platelet-rich plasma (PRP) injections of various lower extremity sites by assessing when they were able to return to dance. Nineteen dancers (13 female, 6 male; ages 15 to 42) were treated between 2009 and 2016 at sites that included: hamstring tendon (1), proximal iliotibial band (1), patellar tendon (3), posterior tibial tendon (5), peroneus brevis tendon (3), plantar fascia (3), and the first metatarsophalangeal (MTP) joint capsule (3). Read More

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December 2018
3 Reads

Some Effects of Supplemental Pilates Training on the Posture, Strength, and Flexibility of Dancers 17 to 22 Years of Age.

J Dance Med Sci 2018 Dec;22(4):192-202

Johns Hopkins Physical Medicine and Rehabilitation, Johns Hopkins Medical Center, Baltimore Maryland, USA.

Proper alignment in dancers is a pre-requisite for achieving aesthetic line and form and for efficient execution of movement. Pelvic alignment is a common deficit in dancers that results in faulty technique and impaired performance. Dancers must be able to obtain their personal neutral alignment to avoid injury and achieve ease of execution. Read More

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December 2018
3 Reads

Anterolateral ligament injuries on magnetic resonance imaging and pivot-shift testing for rotational laxity.

J Clin Orthop Trauma 2018 Oct-Dec;9(4):312-316. Epub 2017 Oct 7.

Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, United States.

Maintaining anterolateral rotational stability of the knee requires a complex set of structures, most notably the anterior cruciate ligament. However, lateral knee structures such as the anterolateral ligament (ALL) also play an important role. There has been controversy over the role the ALL plays in an ACL deficient knee to maintain rotational stability. Read More

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October 2017
5 Reads

Proximal iliotibial band thickness as a cause for recalcitrant greater trochanteric pain syndrome.

J Hip Preserv Surg 2018 Aug 8;5(3):296-300. Epub 2018 Aug 8.

Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.

To investigate iliotibial band (ITB) diameter thickness at the greater trochanter in patients requiring iliotibial band release who have failed conservative modalities, in comparison to an asymptomatic patient population. A total of 68 subjects were selected to be reviewed using T2 axial plane MRI. The ITB diameter thickness was measured in 34 subjects who underwent surgical ITB release, and compared with a match-paired asymptomatic hip cohort consisting of 34 subjects. Read More

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August 2018
2 Reads

The anterolateral ligament and the deep structures of the iliotibial tract: MRI visibility in the paediatric patient.

Injury 2018 Oct 29. Epub 2018 Oct 29.

Dept. of Radiology, Medical University of Innsbruck, Innsbruck, Austria.

Purpose: To assess the visibility of both the anterolateral ligament (ALL) and the deep structures of the iliotibial tract (ITT) by means of MRI in paediatric patients. To determine reproducibility for such measurements.

Methods: Knee MRI data from patients aged <18a without lesions of the capsule or ligaments, fractures, bone edemas, foreign material or motion artifacts were analyzed by two musculoskeletal radiologists separately and twice. Read More

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October 2018
4 Reads

Effects of Capsular Reconstruction With an Iliotibial Band Allograft on Distractive Stability of the Hip Joint: A Biomechanical Study.

Am J Sports Med 2018 Dec 1;46(14):3429-3436. Epub 2018 Nov 1.

Steadman Philippon Research Institute, Vail, Colorado, USA.

Background:: The capsular ligaments and the labral suction seal cooperatively manage distractive stability of the hip. Capsular reconstruction using an iliotibial band (ITB) allograft aims to address capsular insufficiency and iatrogenic instability. However, the extent to which this procedure may restore hip distractive stability after a capsular defect is unknown. Read More

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December 2018
1 Read

[Clinical diagnosis and treatment for iliotibial band syndrome].

Zhongguo Gu Shang 2018 Oct;31(10):965-970

Department of Orthopaedic & Traumatology, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China;

As an usually occurs in athletes, iliotibial band syndrome is payed more attention for people, the disease is diagnosed mainly by clinical symptoms, physical examination and MRI, but there is no uniform diagnostic criteria. The pathogenesis of iliotibial band syndrome is considered to be related to pressure and friction factors. As for the treatment, manipulation, muscle exercise, mainly drugs and physical therapy and so on both at home and abroad are recognized to use to achieve desired effect. Read More

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October 2018
1 Read

Anterior knee pain and its intrinsic risk factors among runners in under-resourced communities in Ekurhuleni, Gauteng.

S Afr J Physiother 2018 13;74(1):452. Epub 2018 Sep 13.

Department of Institutional Planning, Sefako Makgatho Health Sciences University, South Africa.

Background: Anterior knee pain (AKP) is the most common injury among runners, especially in females and young runners. Because of a deficit of rehabilitation services in under-resourced communities, runners train and compete with injuries, resulting in further complications.

Objectives: This study aimed to determine the prevalence and modifiable intrinsic risk factors for AKP among runners in under-resourced communities in Ekurhuleni, Gauteng Province. Read More

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September 2018
1 Read

Anatomic and Histological Study of the Anterolateral Aspect of the Knee: A SANTI Group Investigation.

Orthop J Sports Med 2018 Oct 11;6(10):2325967118799970. Epub 2018 Oct 11.

Centre Orthopédique Santy, Lyon, France.

Background: The structure and function of the anterolateral aspect of the knee have been significantly debated, with renewed interest in this topic since the description of the anterolateral ligament (ALL).

Purpose: To define and describe the distinct structures of the lateral knee and to correlate the macroscopic and histologic anatomic features.

Study Design: Descriptive laboratory study. Read More

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October 2018
6 Reads

Total Hip Arthroplasty in Ankylosing Spondylitis With Extension Contracture of Hips.

J Arthroplasty 2019 Jan 29;34(1):71-76. Epub 2018 Aug 29.

Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Background: Despite significant pain relief following total hip arthroplasty (THA) in patients with ankylosing spondylitis, a small subset of patients presenting with extra-articular extension contracture of hips remains unsatisfied.

Methods: We retrospectively evaluated the patients with ankylosing spondylitis who underwent simultaneous bilateral THA and had extensor tightness of both hips preoperatively. They were managed with modified Z-plasty of iliotibial band. Read More

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January 2019
1 Read

Iliotibial band friction syndrome: An original technique of digastric release of the iliotibial band from Gerdy's tubercle.

Orthop Traumatol Surg Res 2018 Dec 17;104(8):1209-1213. Epub 2018 Oct 17.

Centre chirurgical Emile-Gallé, 49, rue Hermite, 54000 Nancy, France.

The various surgical techniques to treat iliotibial band friction syndrome consist in releasing the iliotibial band by means of plasties that partially interrupt its continuity or by release of the deep aspect. We describe an original technique of digastric distal iliotibial band release from Gerdy's tubercle. Via a 2 cm approach above Gerdy's tubercle, the iliotibial band is incised longitudinally and partially released from the tubercle. Read More

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December 2018
7 Reads

Diagnoses and time to recovery among injured recreational runners in the RUN CLEVER trial.

PLoS One 2018 12;13(10):e0204742. Epub 2018 Oct 12.

Section for Sports Science, Department of Public Health, Aarhus University, Aarhus, Denmark.

Purpose: The purpose of the present study was to describe the incidence proportion of different types of running-related injuries (RRI) among recreational runners and to determine their time to recovery.

Methods: A sub-analysis of the injured runners included in the 839-person, 24-week randomized trial named Run Clever. During follow-up, the participants reported levels of pain in different anatomical areas on a weekly basis. Read More

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October 2018
11 Reads

[Surgical refixation of gluteal tendon tears by mini-open double-row technique].

Oper Orthop Traumatol 2018 Dec 1;30(6):410-418. Epub 2018 Oct 1.

Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Objective: Stable refixation of gluteal tendons at the anatomic footprint by large-area contact by the means of knotless double-row anchor fixation (HipBridge technique).

Indications: Symptomatic tear of gluteus medius and/or gluteus minimus tendon with persisting pain after nonsurgical treatment, or primarily reconstructable mass rupture with gluteal insufficiency, revision surgeries.

Contraindications: Primary nonreconstructable mass ruptures, atrophic or fatty degeneration of gluteal muscles grade Goutallier 4, local infections. Read More

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December 2018
14 Reads

Combined ACL and Anterolateral Ligament Reconstruction.

JBJS Essent Surg Tech 2018 Mar 10;8(1):e2. Epub 2018 Jan 10.

Department of Orthopaedic Surgery and Sports Medicine, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Generale de Sante, Hôpital Privé Jean Mermoz, Lyon, France.

Background: Clinical results of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction have demonstrated a significant reduction in ACL graft rupture rates and improved rates of return to sports compared with isolated ACL reconstruction. This finding is supported by laboratory studies that have demonstrated that combined ACL reconstruction and lateral extra-articular tenodesis procedures protect the ACL graft by load-sharing with it and by more reliably restoring normal knee kinematics compared with isolated ACL reconstruction.

Description: The ACL graft is formed from a tripled semitendinosus tendon and a single strand of gracilis tendon. Read More

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March 2018
2 Reads

SuperPath: The Direct Superior Portal-Assisted Total Hip Approach.

Authors:
James Chow

JBJS Essent Surg Tech 2017 Sep 9;7(3):e23. Epub 2017 Aug 9.

Hedley Orthopaedic Institute, Phoenix, Arizona.

The supercapsular percutaneously assisted total hip (SuperPath; MicroPort) approach is a direct superior portal-assisted approach for total hip arthroplasty (THA) that utilizes the interval between the gluteus minimus and the piriformis to access the hip capsule. The technique was developed to promote early mobilization, greater range of motion, and improved pain control. The major steps of this procedure are as follows: Step 1: Patient positioning. Read More

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September 2017
3 Reads

A cadaveric model to evaluate the effect of unloading the medial quadriceps on patellar tracking and patellofemoral joint pressure and stability.

J Exp Orthop 2018 Sep 10;5(1):34. Epub 2018 Sep 10.

Biomechanics Group, Mechanical Engineering Department, Imperial College London, London, SW7 2AZ, UK.

Background: Vastus Medialis Muscles (VMM) damage has been widely identified following patellar dislocation. Rehabilitation programmes have been suggested to strengthen the VMM and reduce clinical symptoms of pain and instability. This controlled laboratory study investigated the hypothesis that reduced Vastus Medialis Obliquus (VMO) and Vastus Medialis Longus (VML) muscle tension would alter patellar tracking, stability and PFJ contact pressures. Read More

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September 2018
1 Read

Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries?

Am J Sports Med 2018 Oct 7;46(12):3023-3031. Epub 2018 Sep 7.

School of Health Sciences, University of Salford, Salford, UK.

Background: Previous research has demonstrated clear associations between specific running injuries and patterns of lower limb kinematics. However, there has been minimal research investigating whether the same kinematic patterns could underlie multiple different soft tissue running injuries. If they do, such kinematic patterns could be considered global contributors to running injuries. Read More

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October 2018
7 Reads

Successful Pregnancy and Delivery after Autologous Abdominal Wall Reconstruction using Anterolateral-Thigh and Iliotibial-Tract Flap.

Plast Reconstr Surg Glob Open 2018 Jul 13;6(7):e1819. Epub 2018 Jul 13.

Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan.

The surgical management of abdominal wall tumor in women with childbearing potential is a thorny issue. A synthetic mesh is widely used for abdominal wall reconstruction but not necessarily applicable in case of women of childbearing potential because it has been reported to cause severe pain during pregnancy. Autologous reconstruction is usually considered a feasible option for such cases; however, there is no consensus on this approach and almost no evidence to support it. Read More

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July 2018
1 Read

Editorial Commentary: Imaging of the Anterolateral Ligament of the Knee: The MR(eye) Sees What the Brain Knows….

Authors:
Alan Getgood

Arthroscopy 2018 Sep;34(9):2739-2742

Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada. Electronic address:

Significant focus has recently been placed on the contribution of the anterolateral ligament (ALL) to controlling anterolateral rotatory laxity of the anterior cruciate ligament (ACL) injured knee. Many recent studies have investigated the use of magnetic resonance imaging and ultrasound on determining the degree of ALL injury and whether this is correlated to high-grade rotatory laxity. Unfortunately, most studies lack a reference standard, and as such it is challenging to determine whether it truly is the ALL that is injured or if the capsule-osseous layer and deep iliotibial band are involved. Read More

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September 2018
7 Reads

Two Different Knee Rotational Instabilities Occur With Anterior Cruciate Ligament and Anterolateral Ligament Injuries: A Robotic Study on Anterior Cruciate Ligament and Extra-articular Reconstructions in Restoring Rotational Stability.

Arthroscopy 2018 Sep;34(9):2683-2695

College of Business, Operations and Business Analytics, University of Cincinnati, Cincinnati, Ohio, U.S.A.

Purpose: To determine the effect of 2 extra-articular reconstructions on pivot-shift rotational stability and tibial internal rotation as a basis for clinical recommendations.

Methods: A robotic simulator tested 15 cadaver knees. Group 1 (anterior cruciate ligament [ACL] cut) underwent ACL bone-patellar tendon-bone reconstruction followed by sectioning the anterolateral structures and an extra-articular, manual-tension iliotibial band (ITB) tenodesis. Read More

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September 2018
1 Read

Labral Preservation: Outcomes Following Labrum Augmentation Versus Labrum Reconstruction.

Arthroscopy 2018 Sep;34(9):2604-2611

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Purpose: The purpose of this study was to compare the clinical outcomes and patient satisfaction between patients with previous surgeries who underwent hip labral augmentation versus labral reconstruction surgery.

Methods: From 2006 to 2014, all patients with previous labral procedures who underwent subsequent labral augmentation by the senior surgeon were included. Patients with joint space ≤2 mm and lateral center edge angle <20° and who refused to participate in follow-up were excluded. Read More

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September 2018
2 Reads

Morphometric and dynamic measurements of muscular fascia in healthy individuals using ultrasound imaging: a summary of the discrepancies and gaps in the current literature.

Surg Radiol Anat 2018 Dec 27;40(12):1329-1341. Epub 2018 Aug 27.

Department of Neuroscience, Anatomy Institute, University of Padova, via Gabelli 65, 35121, Padua, Italy.

Purpose: The objectives of this work was to conduct a comprehensive state-of-the art review of the current literature to identify any gaps or discrepancies and summarize the main challenges for obtaining a homogeneous evaluation of muscular fascia in healthy individuals.

Methods: An electronic document search using key words and MeSH terms was performed with various databases. Two independent investigators were tasked with the screening of articles and data extraction. Read More

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December 2018
1 Read

One-Stage Reconstruction for Re-rupture of Achilles Tendon with Soft Tissue Infection: Using an Anterolateral Thigh Flap Incorporating a Vascularized Muscle Flap and a Strip of Iliotibial Tract.

J Hand Microsurg 2018 Aug 20;10(2):105-108. Epub 2018 Mar 20.

Department of Orthopaedic Surgery, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.

Reconstruction is challenging in a patient with loss of a segment of Achilles tendon and infection in the overlying soft tissue. Here the authors describe one-stage tendon reconstruction, using an anterolateral thigh free flap incorporating a vascularized muscle flap and a strip of iliotibial tract in a patient with re-rupture of an Achilles tendon and soft tissue infection. Postoperative immobilization of the affected ankle using an external fixator enabled us to observe the flap directly and reduce pressure on the flap. Read More

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August 2018
2 Reads

THE EFFECTS OF AN ACUTE BOUT OF FOAM ROLLING ON HIP RANGE OF MOTION ON DIFFERENT TISSUES.

Int J Sports Phys Ther 2018 Aug;13(4):652-660

Department of Kinesiology, Coastal Carolina University, Conway, South Carolina, USA.

Background: Foam Rolling (FR) has steadily gained in popularity as an intervention to increase range of motion (ROM) and reduce pain. It is believed that FR can remove restrictions due to fascial adhesions, thus improving ROM. FR has been proposed as a means to increase ITB length as a means to achieve these outcomes. Read More

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August 2018
10 Reads

Effect of Anterolateral Complex Sectioning and Tenodesis on Patellar Kinematics and Patellofemoral Joint Contact Pressures.

Am J Sports Med 2018 Oct 20;46(12):2922-2928. Epub 2018 Aug 20.

Biomechanics Group, Department of Mechanical Engineering, Faculty of Engineering, Imperial College London, London, UK.

Background: Anterolateral complex injuries are becoming more recognized. While these are known to affect tibiofemoral mechanics, it is not known how they affect patellofemoral joint behavior.

Purpose: To determine the effect of (1) sectioning the anterolateral complex and (2) performing a MacIntosh tenodesis under various conditions on patellofemoral contact mechanics and kinematics. Read More

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October 2018
3 Reads

Endoscopic Release of the Piriformis Tendon and Sciatic Nerve Exploration by the Lateral Decubitus Approach Through an Incision on the Iliotibial Band.

Arthrosc Tech 2018 Jul 25;7(7):e785-e790. Epub 2018 Jun 25.

Department of Adult Joint Reconstruction, National Rehabilitation Institute of Mexico, Mexico City, Mexico.

Entrapment of the sciatic nerve is considered a challenging problem for orthopaedic surgeons. Many surgical interventions (open or endoscopic) have been described as treatments. We describe an endoscopic technique for release of the piriformis tendon and sciatic nerve exploration by the lateral approach through an incision on the iliotibial band. Read More

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July 2018
7 Reads

Snapping Phenomenon after Revisional Total Knee Arthroplasty.

Indian J Orthop 2018 Jul-Aug;52(4):434-437

Department of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, South Korea.

The cases of revision total knee arthroplasty (TKA) are increasing. In this report, snapping phenomenon after final implantation of revision TKA has been presented. Snapping was caused by adhered iliotibial band (ITB) impinging against the lateral part of femoral component. Read More

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August 2018
2 Reads

The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 25. Epub 2018 Jul 25.

University of Pittsburgh Medical Centre, Pittsburgh, PA, USA.

The structure and function of the anterolateral complex (ALC) of the knee has created much controversy since the 're-discovery' of the anterolateral ligament (ALL) and its proposed role in aiding control of anterolateral rotatory laxity in the anterior cruciate ligament (ACL) injured knee. A group of surgeons and researchers prominent in the field gathered to produce consensus as to the anatomy and biomechanical properties of the ALC. The evidence for and against utilisation of ALC reconstruction was also discussed, generating a number of consensus statements by following a modified Delphi process. Read More

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July 2018
1 Read

Imaging Diagnosis of Injury to the Anterolateral Ligament in Patients With Anterior Cruciate Ligaments: Association of Anterolateral Ligament Injury With Other Types of Knee Pathology and Grade of Pivot-Shift Examination: A Systematic Review.

Arthroscopy 2018 Sep 20;34(9):2728-2738. Epub 2018 Jul 20.

Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address:

Purpose: The purpose of this study is to systematically review the literature to evaluate the reliability, or the ability of a repeated measurement to yield consistent results, and validity of ultrasound (US) and magnetic resonance imaging (MRI) at evaluating anatomy and pathology of the anterolateral ligament of the knee (ALL) in the setting of anterior cruciate ligament (ACL) injuries. Furthermore, the incidence and association of ALL injury with the pivot-shift examination, and other structural injuries, will be reviewed for additional clinical relevance.

Methods: Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 2 reviewers independently searched the Medline, Embase, Cochrane, EBSCOhost, OVID, and Web of Science databases for all studies related to imaging of the ALL. Read More

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September 2018
19 Reads

Is an Intramedullary Nail a Valid Treatment for Limb-Length Discrepancy After Bone Tumor Resection? Case Descriptions.

Surg Technol Int 2018 Nov;33:281-288

Department of Orthopaedic Oncology and Reconstructive Surgery, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.

One of the most frequent outcomes after resection of bone tumors in children is a limb-length discrepancy. An intramedullary nail is a valid method for lengthening the limb. We report our experience with four cases of limb-length discrepancy in the lower limbs several years after the primary treatment of bone tumor resection and subsequent reconstruction. Read More

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November 2018
1 Read

Proximal Iliotibial Band Syndrome in a Runner: A Case Report.

PM R 2018 Jul 31. Epub 2018 Jul 31.

Physical Medicine and Rehabilitation Division, Departments of Orthopaedic Surgery and Neurology, Washington University School of Medicine, St Louis, MO.

Overuse injuries of the hip are frequent among runners and often present a diagnostic dilemma requiring imaging modalities beyond radiographs, delayed diagnosis, and prolonged time away from sport and activity. We report a case of a 38-year-old female recreational runner with progressive lateral hip pain and magnetic resonance imaging findings of edema along the gluteal aponeurotic fascia and origin of the tensor fascia lata muscle consistent with the diagnosis of enthesopathy of the proximal iliotibial band. Read More

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July 2018
7 Reads

Influence of Soft Tissue Preservation in Total Hip Arthroplasty: A 16-Year Experience.

Surg Technol Int 2018 Nov;33:301-307

Department of Orthopedic Surgery, New England Baptist Hospital, Boston, Massachusetts.

Background: Surgical technique in total hip arthroplasty (THA) has been a topic of debate over the last 50 years. Evidence-based studies are needed to compare one technique to another. This study investigated the outcome of the direct superior approach in primary THA as measured by patient perception of pain and recovery over a 16-year period. Read More

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November 2018
4 Reads

Outcomes of Physeal-Sparing ACL Reconstruction with Iliotibial Band Autograft in Skeletally Immature Prepubescent Children.

J Bone Joint Surg Am 2018 Jul;100(13):1087-1094

Boston Children's Hospital, Boston, Massachusetts.

Background: Anterior cruciate ligament (ACL) tears are occurring in youth athletes with increasing frequency. Many ACL reconstruction procedures designed to allow for continued growth in patients with open physes have been described, but large series with mid- to long-term outcomes data are lacking. The purpose of the current study was to assess the clinical outcomes of a large cohort of prepubescent children who underwent a physeal-sparing, combined intra- and extra-articular ACL reconstruction with iliotibial (IT) band autograft over a 23-year period. Read More

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July 2018
13 Reads

Impact of medial versus lateral knee pain on deep tissue hyperalgesia and muscle strength.

Eur J Pain 2018 Nov 19;22(10):1757-1766. Epub 2018 Jul 19.

Department of Rehabilitation Center, Kochi Medical School Hospital, Nankoku, Kochi, Japan.

Background: Accumulating evidence indicates that knee pain gives rise to sensory and motor alterations, however, whether different profile of knee pain causes different alterations has not been investigated. The purpose of this experimental study is to clarify characteristics of medial and lateral knee pain and its potential for modulating sensory and motor function in humans.

Methods: Fourteen healthy men were included. Read More

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November 2018
2 Reads

How weakness of the tensor fascia lata and gluteus maximus may contribute to ACL injury: A new theory.

Physiother Theory Pract 2018 Jun 21:1-6. Epub 2018 Jun 21.

a Physical Therapy Program , Maryville University , St. Louis , MO , USA.

Anterior cruciate ligament (ACL) injuries are common in sports including a significant failure rate following reconstruction. The iliotibial band (ITB) is an important stabilizer of the lateral portion of the knee and also an important lateral rotator of the tibia. Both the tensor fascia lata (TFL) and gluteus maximus (Gmax) muscles insert into the ITB proximally. Read More

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June 2018
2 Reads

External snapping hip: a systematic review of outcomes following surgical intervention: External snapping hip systematic review.

Hip Int 2018 Sep 15;28(5):468-472. Epub 2018 Jun 15.

Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey, USA.

Purpose: To evaluate the outcomes of surgical management for external snapping hip in terms of: (1) recurrence; (2) complications; and (3) return to pre-injury activities.

Methods: A thorough review of 4 electronic databases- EMBASE, CINAHL Plus, PubMed, and Scopus was performed to find all relevant studies for this review that were published between January 2000 and January 2017 that addressed surgical treatment for external snapping hip. The following reports were excluded: (1) non-English manuscripts; (2) n ⩽ 5; (3) clinical reviews; (4) surgical technique notes; (5) studies only analysing diagnosis; and (6) nonoperative management studies. Read More

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September 2018
1 Read

Short-term safety and effectiveness of a second-generation motion-guided total knee system.

Arthroplast Today 2018 Jun 16;4(2):240-243. Epub 2018 Feb 16.

Department of Health Services, University of Washington, Seattle, WA, USA.

Background: Modern knee prostheses are designed to more closely replicate normal knee kinematics. The JOURNEY II Bi-Cruciate Stabilized Total Knee System (Smith & Nephew Inc., Memphis, TN) is a second-generation motion-guided knee system that demonstrates axial rotation patterns during flexion, which resemble those of the normal knee. Read More

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June 2018
1 Read

Progression in Running Intensity or Running Volume and the Development of Specific Injuries in Recreational Runners: Run Clever, a Randomized Trial Using Competing Risks.

J Orthop Sports Phys Ther 2018 Oct 12;48(10):740-748. Epub 2018 Jun 12.

Background: It has been proposed that training intensity and training volume are associated with specific running-related injuries. If such an association exists, secondary preventive measures could be initiated by clinicians, based on symptoms of a specific injury diagnosis.

Objectives: To test the following hypotheses: (1) a running schedule focusing on running intensity (S-I) would increase the risk of sustaining Achilles tendinopathy, gastrocnemius injuries, and plantar fasciitis compared with hypothesized volume-related injuries; and (2) a running schedule focusing on running volume (S-V) would increase the risk of sustaining patellofemoral pain syndrome, iliotibial band syndrome, and patellar tendinopathy compared with hypothesized intensity-related injuries. Read More

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October 2018
27 Reads

[Research progress on clinical diagnosis and treatment for external snapping hip].

Zhongguo Gu Shang 2018 May;31(5):484-487

Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China;

External snapping hip(ESH) is a vague term used to describe palpable or auditory snapping with hip movements with or without pain. The pathogenesis of ESH is related to the specific anatomical structure and friction factor. The clinical symptom is auditory snapping during activities, physical examination, X-ray, magnetic resonance imaging(MRI), dynamic ultrasound and other imaging techniques can be used to diagnose. Read More

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May 2018
3 Reads

Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report.

J Hip Preserv Surg 2018 Jul 6;5(2):166-173. Epub 2018 Feb 6.

Professional Research Institute for Sports Medicine, LLC, Chapel Hill, NC 97515, USA.

This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented following two left hip dislocations. A labral reconstruction was performed utilizing an iliotibial band allograft tissue with a concomitant ligamentum teres reconstruction using a tibialis anterior allograft. Read More

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July 2018
1 Read

Primary Circumferential Acetabular Labral Reconstruction: Achieving Outcomes Similar to Primary Labral Repair Despite More Challenging Patient Characteristics.

Am J Sports Med 2018 Jul 30;46(9):2079-2088. Epub 2018 May 30.

Washington Orthopaedics and Sports Medicine, Washington, DC, USA.

Background: Treatment of acetabular labral tears with moderate or severe intrasubstance damage or segmental defects remains a substantial challenge. Circumferential labral reconstruction with iliotibial band allograft is a relatively new technique that has been proposed to restore stability and eliminate high-stress junction points.

Purpose: To compare outcomes between hips treated with primary allograft circumferential labral reconstruction and primary labral repair. Read More

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July 2018
1 Read

[Strategy for wound repair of skin and soft tissue defect and systematic rehabilitation treatment for functional reconstruction of patients with severe burn or trauma on knees].

Zhonghua Shao Shang Za Zhi 2018 May;34(5):266-270

Burn Center of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University, Xi'an 710032, China.

Strategy for wound repair of skin and soft tissue defect and systematic rehabilitation treatment for functional reconstruction of patients with severe burn or trauma on knees. From January 2015 to October 2016, 26 patients with skin and soft tissue defect on knees after severe burn or trauma were hospitalized in our unit. Among these patients, 14 patients had patellar ligament defect, and 16 patients had knee joint capsule defect. Read More

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May 2018
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The prevalence and morphological characteristics of the knee anterolateral ligament in a Chinese population.

J Anat 2018 Aug 23;233(2):213-221. Epub 2018 May 23.

Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

The anterolateral ligament, a distinct structure connecting the lateral femoral epicondyle to the anterolateral proximal tibia, is gaining attention because of its possible function in ensuring internal rotational stability of the tibia. To study the prevalence and precise anatomical characteristics of the anterolateral ligament and its relationship to adjacent structures in a Chinese population, a total of 20 amputated knee specimens were collected. The anterolateral regions of the knees underwent detailed surgical dissection, followed by precise measurement of the anterolateral ligament and its adjacent structures. Read More

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August 2018
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Association of Hip and Foot Factors With Patellar Tendinopathy (Jumper's Knee) in Athletes.

J Orthop Sports Phys Ther 2018 Sep 23;48(9):676-684. Epub 2018 May 23.

Background Investigations on the causes of patellar tendinopathy should consider impairments at the hip and foot/ankle because they are known to influence movement patterns and affect patellar tendon loading. Objectives To investigate hip and foot/ankle impairments associated with patellar tendinopathy in volleyball and basketball athletes using classification and regression tree analysis. Methods In this clinical measurement, cross-sectional study, 192 athletes were assessed for impairments of the hip and foot/ankle, including shank-forefoot alignment, dorsiflexion range of motion (ROM), iliotibial band flexibility, passive hip internal rotation ROM, and hip external rotator and hip abductor isometric strength. Read More

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September 2018
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Factors Contributing to Medial Tibial Stress Syndrome in Runners: A Prospective Study.

Med Sci Sports Exerc 2018 Oct;50(10):2092-2100

Center for Sport Training and Research, Department of Kinesiology, California State University, Long Beach, Long Beach, CA.

Purpose: Medial tibial stress syndrome (MTSS) is one of the most common overuse injuries sustained by runners. Despite the prevalence of this injury, risk factors for developing MTSS remain unclear. The purpose of this study was to prospectively evaluate differences in passive range of motion, muscle strength, plantar pressure distributions, and running kinematics between runners who developed MTSS and those who did not. Read More

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October 2018
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Comparison of Lower Extremity Recovery After Anterior Cruciate Ligament Reconstruction With Transphyseal Hamstring Versus Extraphyseal Iliotibial Band Techniques in Skeletally Immature Athletes.

Orthop J Sports Med 2018 Apr 19;6(4):2325967118768044. Epub 2018 Apr 19.

The Micheli Center for Sports Injury Prevention, Boston Children's Hospital, Waltham, Massachusetts, USA.

Background: The influence of graft type on recovery after anterior cruciate ligament reconstruction (ACLR) has not been adequately studied in pediatric patients.

Purpose: To describe lower extremity functional recovery parameters at the 6-month mark after ACLR across 3 distinct groups of skeletally immature patients: pediatric male patients with transphyseal hamstring grafts (PM-HS), pediatric female patients with transphyseal hamstring grafts (PF-HS), and pediatric male patients with extraphyseal iliotibial band grafts (PM-ITB).

Study Design: Cohort study; Level of evidence, 3. Read More

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April 2018
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