Search Our Scientific Publications & Authors

PLoS One 2019 20;14(2):e0211863. Epub 2019 Feb 20.

Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, Canada.

Objectives: The objective of the current cross-sectional study was to examine Achilles tendon transverse stiffness in a group of recreational runners with Achilles tendinopathy, in comparison to an asymptomatic group of runners with similar training history. We also aimed to determine the between-week intra-individual reliability of this measurement technique.

Design: Cross-sectional cohort study. Read More

J Hand Surg Am 2019 Feb 16. Epub 2019 Feb 16.

Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX.

Purpose: To help strategize efforts to optimize value (relative improvement in health for resources invested), we analyzed the factors associated with the cost of care and use of resources for painful, nontraumatic conditions of the upper extremity.

Methods: The following were the most common upper extremity diagnoses in the Truven Health MarketScan database: shoulder pain and rotator cuff tendinopathy, shoulder stiffness, shoulder arthritis, lateral epicondylitis, hand arthritis, trigger finger, wrist pain, and hand pain. Multivariable generalized linear regression models were constructed accounting for sex, age, employment status, enrollment year, payer type, emergency room visit, joint injection, magnetic resonance imaging (MRI), physical or occupational therapy, outpatient and inpatient surgery, and insurance type. Read More

Orthop Res Rev 2018 23;10:83-91. Epub 2018 Oct 23.

The Reading Shoulder Unit, Berkshire Independent Hospital Coley Park, Swallows Croft, Reading, Berkshire, UK,

The painful shoulder is the most common condition seen in specialist shoulder clinics. It is often associated with lack of range of motion and reduced shoulder function. Lack of sleep and difficulties in performing basic daily life activities are common findings. Read More

Orthop Res Rev 2018 3;10:63-72. Epub 2018 Oct 3.

Department of Orthopaedics, University of Milan,

Calcific tendinopathy (CT) of the shoulder is a common, painful condition characterized by the presence of calcium deposits in the rotator cuff tendons. Current theories indicate that CT may be the result of a cell-mediated process in which, after a stage of calcium deposition, calcifications are spontaneously resorbed. However, in a minority of cases, this self-healing process is somehow disrupted, resulting in symptoms. Read More

BMJ Case Rep 2019 Feb 13;12(2). Epub 2019 Feb 13.

Department of Emergency Medicine, Sligo University Hospital, Sligo, Ireland.

Bilateral patellar tendon rupture is an extremely rare occurrence, especially in otherwise healthy individuals without systemic disease. The authors report the case of a man who presented with simultaneous, spontaneous bilateral rupture of his patellar tendons. He had a history of unilateral patellar tendinopathy but no other predisposing risk factors such as steroid or fluoroquinolone use. Read More

Clin Biomech (Bristol, Avon) 2019 Feb 4;62:127-135. Epub 2019 Feb 4.

National Centre for Sport and Exercise Medicine, School of Sport Exercise and Health Sciences, Loughborough University, UK.

Background: Knee valgus alignment has been associated with lower-limb musculoskeletal injury. This case-control study aims to: assess biomechanical differences between patients with patellar tendinopathy and healthy controls.

Methods: 43 military participants (21 cases, 22 controls) were recorded using 3D-motion capture performing progressively demanding, small knee bend, single leg and single leg decline squats. Read More

J Orthop Sports Phys Ther 2019 Feb 13:1-26. Epub 2019 Feb 13.

The George Washington University, Program in Physical Therapy, Washington, DC.

Study Design: Case report.

Background: Tendinopathy is a condition often associated with pain, functional and sport performance limitations. While targeted exercise prescriptions are often effective, many patients with tendinopathy develop persistent symptoms. Read More

Connect Tissue Res 2019 Feb 12. Epub 2019 Feb 12.

d Department of Orthopaedic Surgery , School of Medicine and Gyeongsang National University Changwon Hospital , Changwon , Republic of Korea.

Purpose: Neuronal theory regarding rotator cuff degeneration has developed from the findings that glutamate, an amino acid and an excitatory neurotransmitter, is present in increased concentrations in tendon tissues with tendinopathy and that glutamate induces cell death in fibroblasts of origin in rat supraspinatus tendon. The purpose of the current study was to determine whether N-acetylcysteine (NAC) has cytoprotective effects against glutamate-induced fibroblast death.

Materials And Methods: Primary cultured fibroblasts were obtained from rat supraspinatus tendons. Read More

J Sport Rehabil 2019 Feb 12:1-28. Epub 2019 Feb 12.

1 Department of Physical Therapy, Franklin Pierce University Goodyear, AZ.

Context:: Limited ankle dorsiflexion (DF) range of motion (ROM) has been correlated with decreased flexibility of the gastrocnemius/soleus (GS) complex. Decreased ankle DF ROM can lead to an increase in lower extremity injuries, e.g. Read More

Orthopade 2019 Feb 11. Epub 2019 Feb 11.

Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparats, Sektion Fuß- und Sprunggelenkchirurgie, Kantonspital St. Gallen, Rorschacher Str. 95, 9007, St. Gallen, Schweiz.

"Heel pain" describes a very common reason for foot orthopedic consultation and the further differential diagnostic investigation is crucial for the choice of correct treatment. In the treatment of frequent underlying diseases, such as plantar fasciitis or insertional tendinopathy of the Achilles tendon, a variety of modern strategies are available. Rarer diseases, such as tumors or nerve entrapment syndromes must be delineated and correctly classified. Read More

Int J Sports Phys Ther 2019 Feb;14(1):148-158

Via di Santa Zita, Genoa, Italy.

Background And Purpose: Rotator cuff (RC) tendinopathy is a common disorder affecting many individuals, both in athletic and sedentary settings. Etiology of RC pathology or the most effective conservative treatment are not totally understood. The Mechanical Diagnosis and Treatment (MDT®) method is a widely known rehabilitative technique that allows therapists to diagnose and treat spinal, and peripheral mechanical disorders. Read More

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

This paper presents two patients who sustained spontaneous closed Achilles tendon ruptures following minimally invasive ultrasonic energy therapy for non-insertional Achilles tendinopathy. In both cases, the patients underwent minimally invasive ultrasonic energy therapy using a commercially available device. In addition, the current evidence, through available literature, has been reviewed and presented. Read More

Ultrasound Med Biol 2019 Feb 7. Epub 2019 Feb 7.

Department of Physical Medicine and Rehabilitation, "OO.RR Hospital", University of Foggia, Foggia, Italy.

Extracorporeal shock wave therapy (ESWT) has been found to have a positive effect in the treatment of pain in Achilles tendinopathy, although the exact mechanism is not yet completely understood. Among the mechanisms suggested to underlie ESWT effects are direct stimulation of healing, neovascularization and direct suppressive effects on nociceptors and hyperstimulation, which would block the gate-control system. The neovascularization observed in flogistic tissue is associated with stimulated nerve fibers around tendons and induces a painful condition. Read More

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018820349

1 Department of Orthopaedic Surgery, Julius Maximilians University of Wuerzburg, Wuerzburg, Germany.

Introduction:: The long head of the biceps (LHB) is often resected in shoulder surgery. However, its contribution to inflammatory processes in the shoulder remains unclear. In the present study, inflamed and noninflamed human LHBs were comparatively characterized for features of inflammation. Read More

J Biomech 2019 Jan 19. Epub 2019 Jan 19.

Sibley School of Mechanical and Aerospace Engineering, Cornell University, Ithaca, NY, USA; Nancy E. and Peter C. Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA; Hospital for Special Surgery, New York, NY, USA. Electronic address:

Tendinopathies are common chronic injuries that occur when damage accumulation caused by sub-rupture fatigue loading outpaces repair. Studies have linked fatigue loading with various mechanical, structural, and biological changes associated with pathology. However, the multiscale progression of damage accumulation with respect to area, severity and the distinct contributions of strain level and number of cycles has not been fully elucidated. Read More

Orthop J Sports Med 2019 Jan 14;7(1):2325967118821604. Epub 2019 Jan 14.

Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark.

Background: Chronic overload injuries to tendons can be visualized using ultrasonography, with characteristics such as tendon thickening and darkening.

Purpose: To investigate whether these characteristics are evident in the patellar and Achilles tendons immediately after 1 session of high-intensity resistance training.

Study Design: Controlled laboratory study. Read More

SAGE Open Med 2019 30;7:2050312118822642. Epub 2019 Jan 30.

Department of Community Medicine and Rehabilitation, Sports Medicine Unit, Umeå University, Umeå, Sweden.

Background: Treatment with ultrasound and colour Doppler-guided minimally invasive Achilles tendon scraping and plantaris tendon removal has shown promising short-term results in patients with chronic painful midportion Achilles tendinopathy.

Methods: In a follow-up study, 182 consecutive patients (241 tendons) who had undergone Achilles tendon scraping and plantaris tendon removal were contacted on telephone by an independent investigator. The patients who answered the telephone call were included, and they answered a questionnaire on telephone and then also sent their written answers. Read More

Sci Rep 2019 Feb 6;9(1):1463. Epub 2019 Feb 6.

Institute of Infection, Immunity and Inflammation, College of Medicine, Veterinary and Life Sciences University of Glasgow, Glasgow, Scotland, UK.

Alarmins S100A8 and S100A9 are endogenous molecules released in response to environmental triggers and cellular damage. They are constitutively expressed in immune cells such as monocytes and neutrophils and their expression is upregulated under inflammatory conditions. The molecular mechanisms that regulate inflammatory pathways in tendinopathy are largely unknown therefore identifying early immune effectors is essential to understanding the pathology. Read More

Br J Sports Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopedic Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Background: Achilles tendinopathy is a common problem, but its exact aetiology remains unclear.

Objective: To evaluate the association between potential clinical risk factors and Achilles tendinopathy.

Design: Systematic review. Read More

Phys Ther Sport 2019 Mar 28;36:110-115. Epub 2019 Jan 28.

Department of Physical Therapy, High Point University, High Point, NC, USA.

Objectives: To determine normal temperatures over the Achilles tendon over nine weeks.

Design: A prospective cohort study with nine weeks of observation.

Setting: University's Human Biomechanics and Physiology Laboratory. Read More

Acta Biomed 2019 Jan 10;90(1-S):104-109. Epub 2019 Jan 10.

clinic of orthopaedics, University Hospital of Udine.

Background And Aim Of The Work: Groin pain after hip arthroplasty (HA) ranges from 0.4% to 18.3%. Read More

Foot Ankle Spec 2019 Feb 2:1938640019826673. Epub 2019 Feb 2.

UNIFESP-Escola Paulista de Medicina, São Paulo, SP, Brazil.

Background: The usual initial treatment for insertional Achilles tendinopathy is nonsurgical. Yet there is no standard conservative treatment for Achilles insertional tendinopathy. Shockwave therapy (SWT) has become a reliable option for the management of this illness over the past years. Read More

World J Orthop 2019 Jan 18;10(1):45-53. Epub 2019 Jan 18.

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore 169856, Singapore.

Background: Peroneal tendinopathies are an under-diagnosed and potentially under-treated pathology. If left untreated it can be a cause of chronic lateral hindfoot pain. Its diagnosis is challenging owing to its low incidence and vague clinical presentation. Read More

Am J Phys Med Rehabil 2018 Dec 4. Epub 2018 Dec 4.

IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi, 4, 20161 Milan, Italy.

Objective: The primary aim was to ascertain if unilateral shoulder pain is implicated in strength reduction both on the ipsilateral and contralateral side. Secondarily, we aimed to determine whether strength was affected by sonographic tendon abnormalities.

Design: A total of 122 subjects were evaluated. Read More

Magn Reson Med Sci 2019 Jan 31. Epub 2019 Jan 31.

Department of Radiology, Kyrenia University, Dr. Suat Günsel Hospital.

Purpose: The aim of this study is to determine the prevalence of pathologic findings in asymptomatic knees of Kangoo Jumpers by using a 3T MRI and to compare them with age and sex-matched controls who do not regularly participate in any impact sports.

Methods: Both knees of 18 Kangoo Jumpers were examined by 3T MRIs in a total of 36 MRI scans. The control group was comprised of 20 volunteers from the same age group and with similar weights who did not participate in any competitive sports, in a total of 40 MRI scans. Read More

Med Hypotheses 2019 Feb 11;123:101-109. Epub 2019 Jan 11.

Instituto Universitario del Gran Rosario (IUGR), Centro Universitario de Asistencia, Docencia e Investigación (CUADI), Unidad de Investigación Musculoesquelética (UIM), Argentina. Electronic address:

Lateral epicondylalgia (LE) is the most common chronic painful condition affecting the elbow in the general population. Although major advances have been accomplished in recent years in the understanding of LE, the underlying physiopathology is still a reason for debate. Differences in clinical presentation and evolution of the symptoms among patients, suggest the need for revisiting the current knowledge about subjacent mechanisms that attempt to explain pain and functional loss. Read More

Br J Radiol 2019 Jan 28:20180951. Epub 2019 Jan 28.

1 Department of Radiodiagnosis and Imaging, Bharati Hospital and Research Center, Dhankawadi , Pune , India.

Objective:: This study assessed the association between tendon stiffness on sonoelastography and grades of tendinopathy on MRI in patients with supraspinatus tendinopathy.

Methods:: 25 consecutive adult patients with clinically suspected supraspinatus tendinopathy and no prior history of trauma referred for MRI of the shoulder were selected for this study. The supraspinatus tendinopathy was graded in consonance with MRI findings (Grade I, normal; Grade II, mild tendinopathy; Grade III, moderate tendinopathy; and Grade IV, marked tendinopathy). Read More

J Musculoskelet Disord Treat 2018 21;4(2). Epub 2018 May 21.

Department of Orthopaedic Surgery, Rush University Medical Center, USA.

Background: The attempted healing of tendon after acute injury (overloading, partial tear or complete rupture) proceeds via the normal wound healing cascade involving hemostasis, inflammation, matrix synthesis and matrix remodeling. Depending on the degree of trauma and the nature of the post-injury milieu, a variable degree of healing and recovery of function occurs. Post-injury analgesia is often achieved with NSAIDs such as Ibuprofen, however there is increasing evidence that NSAID usage may interfere with the healing process. Read More

J Clin Ultrasound 2019 Jan 26. Epub 2019 Jan 26.

Department of Ultrasound, Misericordia di Pistoia, Pistoia, Italy.

Ortop Traumatol Rehabil 2018 Dec;20(6):499-505

Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy.

Background: Rotator cuff tendinopathy (RoCT) is a common pathology among adults. Kinesio-taping (KT) represents a possible rehabilitative treatment. The aim of the present study is to investigate the efficacy of a combination of three different applications of KT combined with a standardized protocol of rehabilitative exercises in reducing pain and in functional recovery in patients affected by RoCT. Read More

JSES Open Access 2018 Mar 13;2(1):69-73. Epub 2018 Mar 13.

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

The long head of the biceps is a frequent pain generator in the shoulder. Tendinopathy of the long head of the biceps may be treated with biceps tenodesis. There has been great debate about the optimal technique for biceps tenodesis, without a clear distinction between different techniques. Read More

Am J Transl Res 2018 15;10(11):3291-3309. Epub 2018 Nov 15.

Department of Clinical and Translational Science and Orthopedic Surgery, School of Medicine, Creighton University Omaha, NE 68178, USA.

Derangements in tendon matrisome are pathognomonic for musculoskeletal disorders including rotator cuff tendinopathies (RCT). Collagen type-1 accounts for more than 85% of the dry weight of tendon extracellular matrix (ECM). The understanding of basic tendon physiology, organization of ECM, structure and function of component biomolecules of matrisome and the underlying regulatory mechanisms reveal the pathological events associated with RCT. Read More

J Med Device 2019 Mar 4;13(1):0145041-145045. Epub 2018 Dec 4.

Department of Mechanical and Biomedical Engineering, Boise State University, 1910 University Drive, Boise, ID 83725-2085

Instrument-assisted soft tissue mobilization (IASTM) is a manual therapy technique that is commonly used to treat dysfunctions in ligaments and other musculoskeletal tissues. The objective of this study was to develop a simple hand-held device that helps users accurately apply targeted compressive forces and stroke frequencies during IASTM treatments. This portable device uses a force sensor, tablet computer, and custom software to guide the application of user-specified loading parameters. Read More

Musculoskelet Sci Pract 2019 Jan 12;40:10-20. Epub 2019 Jan 12.

Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences and Keele Clinical Trials Unit, Keele University, Staffordshire, UK.

Purpose: Greater Trochanteric Pain syndrome (GTPS) is a debilitating condition causing lateral hip pain. It affects up to 23.5% of women and 8% of men between 50 and 75 years old. Read More

Phys Ther Sport 2019 Mar 12;36:62-67. Epub 2019 Jan 12.

Physical Therapy Department, School of Biologic and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e do Mucuri (UFVJM), Diamantina, Brazil; Sociedade Nacional de Fisioterapia Esportiva (SONAFE), São Paulo, Brazil. Electronic address:

Objective: To characterize the Physical Therapy Services delivered at the Polyclinic during the Rio 2016 Paralympic Games.

Design: Retrospective Cohort Study.

Setting: Physical Therapy Services (PTS) of the Polyclinic. Read More

Gait Posture 2019 Jan 11;69:13-24. Epub 2019 Jan 11.

University of Groningen, University Medical Center Groningen, Department of Sports and Exercise Medicine, The Netherlands.

Introduction: Abnormal kinematics have been implicated as one of the major risk factors for lower limb tendinopathy (LLT).

Objective: To systematically review evidence for kinematic risk factors for LLT in runners.

Methods: Individual electronic searches in PubMed, EMBASE and Web of Science were conducted. Read More

J Ultrasound Med 2019 Jan 17. Epub 2019 Jan 17.

Misericordia di Pistoia, Pistoia, Italy.

Calcific tendinopathy (CTe) is a frequent disorder related to the deposition of calcium hydroxyapatite crystals within tendons. Ultrasound has been shown to be an excellent imaging modality for the evaluation of CTe. During the resorptive phase of CTe, calcium deposits may migrate inside the tendons or in neighboring tissues and lead to local inflammation and severe pain. Read More

Disabil Rehabil 2019 Jan 17:1-6. Epub 2019 Jan 17.

a Physiotherapy Program, Department of Health Sciences School of Sciences , European University of Cyprus , Nicosia , Cyprus.

Background: The Shoulder Pain and Disability Index is one of the most common questionnaire to evaluate the impact of shoulder disorders on function. There is no valid and reliable Greek version of the Shoulder Pain and Disability Index available at present for all shoulder disorders. Therefore, the aim of the current study was to test the reliability and validity of the Shoulder Pain and Disability Index in patients with shoulder pain for at least four weeks. Read More

J Hip Preserv Surg 2018 Dec 24;5(4):362-369. Epub 2018 Dec 24.

Department of Orthopaedics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

The incidence of iliopsoas tendonitis (IPT) has not previously reported following hip arthroscopy for femoroacetabular impingement with or without labral tears. (i) What is the incidence of IPT following hip arthroscopy; (ii) are there any demographic risk factors and (iii) are there any operative techniques that are risk for IPT? Retrospective study. Hip arthroscopy patients from 2005 to 2012 were included. Read More

Stem Cell Res Ther 2019 Jan 15;10(1):27. Epub 2019 Jan 15.

Department of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, No. 87 Ding Jia Qiao, Nanjing, 210009, Jiangsu, People's Republic of China.

Background: Patients with diabetes mellitus (DM) often suffered with many musculoskeletal disorders, such as tendon rupture and tendinopathy. However, the understanding of the pathogenesis of these alternations is limited. This study was designed to investigate the role of tendon-derived stem cells (TDSCs) in histopathological alterations of DM tendons. Read More

Ann Phys Rehabil Med 2019 Jan 11. Epub 2019 Jan 11.

Physical and Rehabilitation Medicine Unit (PRM), University Hospital, 33076 Bordeaux, France; EA4136 Handicap, Activité, Cognition, Santé, Bordeaux University, 33076 Bordeaux, France.

Background: Epicondylar tendinopathy ("tennis elbow") is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Read More

Br J Sports Med 2019 Jan 13. Epub 2019 Jan 13.

School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.

Objective: To assess the effectiveness of heavy eccentric calf training (HECT) in comparison with natural history, traditional physiotherapy, sham interventions or other exercise interventions for improvements in pain and function in mid-portion Achilles tendinopathy.

Design: A systematic review and meta-analysis were conducted as per the PRISMA guidelines.

Data Sources: PUBMED, CINAHL (Ovid) and CINAHL (EBSCO) were searched from inception until 24 September 2018. Read More

Orthop J Sports Med 2018 Dec 20;6(12):2325967118816038. Epub 2018 Dec 20.

Surgical and Orthopaedic Research Laboratories, Prince of Wales Clinical School, University of New South Wales, Prince of Wales Hospital, Sydney, Australia.

Background: Patellar tendinopathy is an overuse condition often affecting athletes. It has been postulated that patellar tendinopathy is associated with patella alta; however, this and any other anatomic risk factors have not been identified.

Purpose: To explore whether lever arm differences from radiographic measurements exist between patients with and without tendinopathy. Read More

BMJ Open Sport Exerc Med 2018 26;4(1):e000477. Epub 2018 Dec 26.

Faculty of Medicine, Laval University, Quebec City, Canada.

Objectives: Rotator cuff tendinopathies are the most common shoulder disorders. As persistent symptoms lasting more than 3 months have been shown to be a strong indicator of poor outcomes, it is important to have successful interventions in the acute stage. However, there is no evidence yet to guide clinical interventions in an acute pain context. Read More

Hand (N Y) 2019 Jan 8:1558944718820956. Epub 2019 Jan 8.

1 University of Pittsburgh Medical Center, PA, USA.

Background: Distal radius fractures are among the most common orthopedic injuries presenting to emergency departments. The complications of distal radius open reduction and internal fixation (ORIF) range from paresthesia to tendon ruptures. The Soong grading system was designed to evaluate volar plate position to predict postoperative flexor pollicis longus (FPL) ruptures. Read More

J Foot Ankle Surg 2019 Jan 3. Epub 2019 Jan 3.

Director of Residency Training, Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Calcific insertional Achilles tendinopathy (CIAT) is a relatively common musculoskeletal entity that results in significant pain and disability, as well as posterior muscle group weakness. There is a lack of evidence criteria to support the timing of operative intervention, choice of procedures, or whether equinus requires treatment. The purpose of this study was to retrospectively review 45 patients (48 feet) who have undergone surgical management of CIAT with concomitant posterior muscle group weakness with the single heel rise testing. Read More

Nutrients 2019 Jan 2;11(1). Epub 2019 Jan 2.

Department of Sport Medicine, Australian Institute of Sport, Leverrier St, Bruce ACT 2617, Australia.

The current pilot study investigates whether oral supplementation of specific collagen peptides improves symptoms and tendon vascularisation in patients with chronic mid-portion Achilles tendinopathy in combination with structured exercise. Participants were given a placebo or specific collagen peptides (TENDOFORTE) in combination with a bi-daily calf-strengthening program for 6 months. Group AB received specific collagen peptides for the first 3 months before crossing over to placebo. Read More

PM R 2019 Jan 4. Epub 2019 Jan 4.

Regenerative Medicine, BioCruces Health Research Institute, Cruces University Hospital, Spain.

Background: Elbow tendinopathies are associated with tenderness, pain and functional disability with ensuing socioeconomic costs. There is lack of consensus regarding the best treatment for patient's recalcitrant to first-line conservative treatments. Percutaneous needle tenotomy is considered a regenerative approach that injures the tendon to elicit a healing response. Read More

Medicine (Baltimore) 2019 Jan;98(1):e13980

Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Chonbuk, Republic of Korea.

Secondary trigger finger caused by trauma to the hand, especially associated with partial flexor tendon rupture, is not a common condition. Thus, the clinical manifestations of these patients are not well-known. The aim of this study is to present secondary trigger finger caused by a neglected partial flexor tendon rupture including discussion of the mechanism and treatment. Read More

Medicine (Baltimore) 2019 Jan;98(1):e13795

Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.

De Quervain's disease, carpal tunnel syndrome (CTS), and trigger finger (digit) are three common pathological conditions of the hand. They are considered overuse syndromes and occur predominantly in females. The prevalence rate and cause-specific risks of these three tendinopathies have not yet been clarified. Read More