18,533 results match your criteria Turf Toe

Running Footwear and Impact Peak Differences in Recreational Runners.

Biology (Basel) 2022 May 26;11(6). Epub 2022 May 26.

Human, Histology and Movement Science Section, Department of Biomedical and Biotechnological Sciences, University of Catania, Via S. Sofia n°87, 95123 Catania, Italy.

Running is a physical activity and the investigation of its biomechanical aspects is crucial both to avoid injuries and enhance performance. Recreational runners may be liable to increased stress over the body, particularly to lower limb joints. This study investigates the different running patterns of recreational runners by analyzing characteristics of the footwear impact peak, spatiotemporal, and kinematic parameters among those that present with a peak impact and those that do not, with a 3D markerless system. Read More

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Medical and Biomechanical Risk Factors for Incident Bone Stress Injury in Collegiate Runners: Can Plantar Pressure Predict Injury?

Orthop J Sports Med 2022 Jun 15;10(6):23259671221104793. Epub 2022 Jun 15.

Stanford Medical Center, Redwood City, California, USA.

Background: Bone stress injury (BSI) is a common reason for missed practices and competitions in elite track and field runners.

Hypothesis: It was hypothesized that, after accounting for medical risk factors, higher plantar loading during running, walking, and athletic movements would predict the risk of future BSI in elite collegiate runners.

Study Design: Cohort study; Level of evidence, 2. Read More

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Biomechanical Analysis of Tibiofibular Syndesmosis Injury Fixation Methods: A Finite Element Analysis.

J Foot Ankle Surg 2022 May 18. Epub 2022 May 18.

Assistant Professor, Department of Civil Engineering, Necmettin Erbakan University, Konya, Turkey.

The optimal treatment strategy after syndesmotic injuries is still controversial. In our study, we aimed to evaluate ideal fixation method in syndesmotic injury by using finite element analysis method. A 3D SolidWorks model file was created by taking computed tomography (CT) images of the area from the right foot base to the knee joint level of a healthy adult male. Read More

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[Clinical anatomical study on the treatment of tarsal tunnel syndrome with four-point vertical acupotomy].

Zhongguo Gu Shang 2022 Jun;35(6):543-7

Department of Acupuncture, China-Japan Friendship Hospital, Beijing 100029, China.

Objective: To explore safety and accuracy of four-point acupotomy for the treatment of tarsal tunnel syndrome regarding release of ankle tunnel flexor retinaculum to provide an anatomical basis of clinical treatment.

Methods: Twenty-nine adult specimens (15 males and 14 females) fixed with 10% formalin, aged from 47 to 98 years old with an average age of (81.10±11. Read More

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Diosgenin protects against podocyte injury in early phase of diabetic nephropathy through regulating SIRT6.

Phytomedicine 2022 Jun 13;104:154276. Epub 2022 Jun 13.

Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:

Background: Diabetic nephropathy (DN) is a serious complication of diabetes mellitus. DN is the main cause of end-stage renal disease (ESRD). SIRT6 becomes the important target of DN. Read More

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Lisfranc injuries with dislocation the first tarsometatarsal joint: primary arthrodesis or internal fixation (a randomized controlled trial).

Int Orthop 2022 Jun 20. Epub 2022 Jun 20.

Department of Orthopedics, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.

Background: Open reduction and internal fixation (ORIF) is a popular method for treatment of displaced Lisfranc injuries. However, even with anatomic reduction and solid internal fixation, treatment does not provide good outcomes in certain severe dislocations. The purpose of this study was to compare ORIF and primary arthrodesis (PA) of the first tarsometatarsal (TMT) joint for Lisfranc injuries with the first TMT joint dislocation. Read More

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Effects of badminton insole design on stress distribution, displacement and bone rotation of ankle joint during single-leg landing: a finite element analysis.

Sports Biomech 2022 Jun 20:1-22. Epub 2022 Jun 20.

Bioinspired Devices and Tissue Engineering (BIOINSPIRA) Research Group, School of Biomedical Engineering and Health Sciences, Faculty of Engineering, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.

Previous research has reported that up to 92% of injuries amongst badminton players consist of lower limb, whereby 35% of foot fractures occurred at the metatarsal bone. In sports, insoles are widely used to increase athletes' performance and prevent many injuries. However, there is still a lack of badminton insole analysis and improvements. Read More

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Epidemiology of Pediatric Gymnastics Injuries Reported in US Emergency Departments: Sex- and Age-Based Injury Patterns.

Orthop J Sports Med 2022 Jun 13;10(6):23259671221102478. Epub 2022 Jun 13.

University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Background: Despite increasing participation rates in youth gymnastics, the majority of epidemiologic literature focuses on older elite athletes or stratifies athletes by level of competition.

Hypothesis: The authors hypothesized that sex- and age-based patterns in youth gymnastics-related injuries exist, which are otherwise overlooked in an unstratified population.

Study Design: Descriptive epidemiology study. Read More

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The Anatomy and Function of the Individual Bands of the Deltoid Ligament-and Implications for Stability Assessment of SER Ankle Fractures.

Foot Ankle Orthop 2022 Apr 14;7(2):24730114221104078. Epub 2022 Jun 14.

Department of Orthopaedic Surgery, Østfold Hospital Trust, Grålum, Norway.

Background: Deltoid ligament injury occurs often with supination-external rotation (SER) ankle trauma. SER fibula fractures with concomitant deltoid ligament injury are considered unstable-requiring operative fixation. Recent studies have questioned this general practice with emphasis on better defining the medial side ankle ligamentous injury. Read More

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Does Sectioning and Then Repairing of the Calcaneofibular Ligament at Subtalar Approach Lead to Residual Lateral Ankle Instability?

Arch Bone Jt Surg 2022 Apr;10(4):347-352

Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey.

Background: The calcaneofibular ligament is cut to increase vision in surgical field in minimally invasive surgery of displaced intraarticular calcaneus fractures with subtalar incision. We aimed to investigate whether this causes talar tilt instability in ankle stress radiographs due to the calcaneofibular ligament deficiency in postoperative period.

Methods: The files of 38 patients who were operated with the diagnosis of displaced calcaneus fracture between 2013 and 2018 were examined retrospectively. Read More

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Injuries to the Spring Ligament: Nonoperative Treatment.

Douglas H Richie

Clin Podiatr Med Surg 2022 Jul;39(3):461-476

California School of Podiatric Medicine at Samuel Merritt University, 450 30th Street Suite 2860, Oakland, CA 94609, USA. Electronic address:

The fibrocartilage within the superomedial calcaneonavicular (spring) ligament is part of an interwoven complex of ligaments that span the ankle, subtalar, and talonavicular joints. Acute isolated rupture of the spring ligament has been reported in association with an eversion ankle sprain. Attenuation and failure of the spring ligament causes complex 3D changes called the progressive collapsing foot deformity (PCFD). Read More

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Fibrocartilaginous Tissue: Why Does It Fail to Heal?

Clin Podiatr Med Surg 2022 Jul;39(3):437-450

Division of Podiatry, Department of Surgery, Beth Israel Deaconess Medical Center, 185 Pilgrim Road, Span 3, Boston, MA 02215, USA.

Tendons and ligaments are critical components in the function of the musculoskeletal system, as they provide stability and guide motion for the biomechanical transmission of forces into bone. Several common injuries in the foot and ankle require the repair of ruptured or attenuated tendon or ligament to its osseous insertion. Understanding the structure and function of injured ligaments and tendons is complicated by the variability and unpredictable nature of their healing. Read More

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Normal and Diseased Imaging: Ultrasound/MRI.

Clin Podiatr Med Surg 2022 Jul;39(3):421-435

Stamford Health Medical Group, 800 Boston Post Road, Suite 302, Darien, CT 06820, USA.

The lesser metatarsophalangeal joint plantar plate and calcaneonavicular (spring) ligament are highly specialized soft tissue structures within the foot, consisting partly of fibrocartilage and capable of withstanding high compressive and tensile loads. Preoperative advanced imaging, in the form of point-of-care ultrasound and MRI, has become indispensable for surgeons hoping to confirm, quantify, and better localize injuries to these structures before surgery. This article describes the technical considerations of ultrasound and MRI and provides examples of the normal and abnormal appearances of these structures. Read More

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Gross Anatomy: Achilles Tendon.

Jason Kayce

Clin Podiatr Med Surg 2022 Jul;39(3):405-410

Midwestern University Arizona College of Podiatric Medicine, Paradise Valley Foot & Ankle, 4611 East Shea Boulevard, Phoenix, AZ 85028, USA. Electronic address:

The Achilles tendon is well known as the strongest tendon within the body. Its anatomic composition is unique to allow absorption of extreme loads. Historically, there has been a longstanding belief that rupture of the Achilles tendon occurs within a "watershed" region of ischemia. Read More

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Factors affecting patency of in situ saphenous vein bypass: 2-year results from LIMBSAVE (Treatment of critical Limb IscheMia with infragenicular Bypass adopting in situ SAphenous VEin technique) registry.

Eur J Vasc Endovasc Surg 2022 Jun 14. Epub 2022 Jun 14.

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Italy.

Objectives: Aim is to demonstrate contemporary outcomes of in situ saphenous vein bypass with the use of a valvulotome.

Design: Analysis of two-year outcomes of a multicenter registry based on the treatment of critical Limb IscheMia with infragenicular Bypass adopting in situ SAphenous VEin technique (LIMBSAVE).

Materials: Between January 2018 and December 2019 541 patients in 43 centers have been enrolled. Read More

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[Application of free transverse gracilis myocutaneous flap for soft tissue defects of foot and ankle].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jun;36(6):766-769

Department of Trauma and Microreconstructive Surgery, Orthopaedic Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi Xinjiang, 830054, P. R. China.

Objective: To investigate the effectiveness of free transverse gracilis myocutaneous flap for soft tissue defects of foot and ankle.

Methods: Between January 2017 and December 2020, 16 cases (17 feet) of soft tissue defects of foot and ankle were repaired with free transverse gracilis myocutaneous flaps. There were 10 males and 6 females, with an average age of 38 years (range, 23-60 years). Read More

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Respective Contributions of Instrumented 3D Gait Analysis Data and Tibial Motor Nerve Block on Presurgical Spastic Equinus Foot Assessment: A Retrospective Study of 40 Adults.

Front Neurol 2022 27;13:862644. Epub 2022 May 27.

Department of Physiological Explorations, University Hospital of Toulouse, Toulouse, France.

Spastic equinus foot is a common deformity in neurologic patients who compromise walking ability. It is related to the imbalance between weak dorsiflexion and overactive plantar flexor muscles. To achieve the best functional results after surgical management, the challenge is to identify the relevant components involved in the deformity using several methods, namely, examination in the supine position, motor nerve blocks allowing transient anesthesia of suspected overactive muscles, and kinematic and electromyographic data collected during an instrumented 3D gait analysis. Read More

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Superior peroneal retinaculum reattachment for an atraumatic peroneus brevis tendon subluxation: a case report.

J Med Case Rep 2022 Jun 16;16(1):239. Epub 2022 Jun 16.

Department of Surgery, Faculty of Medical and Health Sciences, Pontifical Catholic University of São Paulo, Rua Joubert Wey, 290, Sorocaba, SP, Brazil.

Background: Peroneal tendon subluxation is a rare pathology, generally associated with sport-induced trauma, that occurs due to the rupture of the superior peroneal retinaculum. The diagnosis is mainly clinical, but the use of imaging techniques, such as dynamic ultrasound and magnetic resonance imaging, may contribute to its clarification. Treatment may be conservative or surgical, although there is no consensus on the most appropriate technique to be employed. Read More

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Should Diastatic Syndesmosis be Stabilized in Advanced Pronation-External Rotation Ankle Injuries? A Retrospective Cohort Comparison.

Orthop Surg 2022 Jun 13. Epub 2022 Jun 13.

Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City, Taiwan, China.

Objective: With or without screw stabilization for diastatic syndesmosis in advanced pronation-external rotation (PE) ankle injuries has not yet been well-determined. Both techniques were retrospectively compared to investigate the superiority of either of the two.

Methods: A retrospective cohort study was carried out. Read More

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Detecting bone lesions in the emergency room with medical infrared thermography.

Biomed Eng Online 2022 Jun 13;21(1):35. Epub 2022 Jun 13.

CPGEI - Universidade Tecnológica Federal Do Paraná, Avenida Silva Jardim, 3165, Rebouças, Zip code 80230-901, Curitiba, Brasil.

Introduction: Low- to high-energy impact trauma may cause from small fissures up to extended bone losses, which can be classified as closed or opened injuries (when they are visible at a naked eye).

Objective: The aim of this study was to investigate the feasibility of clinical diagnosis of bone trauma through medical infrared thermography, in a hospital emergency room.

Methods: Forty-five patients with suspected diagnosis of bone fracture were evaluated by means of medical infrared images, and the data correlated with the gold standard radiographic images, in the anteroposterior, lateral, and oblique views, at the orthopedic emergency department. Read More

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Outcome of Turf Toe Injuries in NFL Players.

J Foot Ankle Surg 2022 May 21. Epub 2022 May 21.

Department of Orthopedic Surgery, Duke University Medical Center, Durham, NC.

The increase in artificial turf in the 1970s was thought to have contributed to increased incidence of turf toe injury in National Football League (NFL) players. To our knowledge, there are no publications that have analyzed the impact of this injury on performance. This is a retrospective case series. Read More

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An evaluation of the efficacy of percutaneous reduction and screw fixation without bone grafting in Sanders Type-II and Type-III displaced intra-articular calcaneal fractures.

BMC Musculoskelet Disord 2022 Jun 10;23(1):562. Epub 2022 Jun 10.

Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Rd, Chongqing, 400016, China.

Background: The aim of this retrospective monocentric study was to investigate the clinical efficacy of percutaneous reduction and screw fixation without bone grafting in Sanders Type-II and Type-III displaced intra-articular calcaneal fractures (DIACFs).

Methods: The medical records of calcaneal fractures patients who were admitted to our department from January 2018 to January 2020 were retrospectively reviewed, and those meeting the inclusion criteria were fnally included for analysis. All patients were treated with percutaneous reduction and screw fixation, and no patients received bone grafting. Read More

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Treatment of Severe Destructive Foot and Ankle Injury in a Young Child with a Skin Regeneration Technique.

J Coll Physicians Surg Pak 2022 Jun;32(6):833-834

Department of Child Health, Sanmenxia Central Hospital, Sanmenxia, China.

Null. Read More

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Navicular Fracture.

Foot Ankle Clin 2022 Jun 5;27(2):457-474. Epub 2022 May 5.

Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirónsalud Madrid, Faculty Medicine UEM Madrid, Calle Diego de Velazquez 1, 28223 Pozuelo de Alarcón, Madrid, Spain.

The tarsal navicular is an essential component of the Chopart joint and crucial for most of hindfoot motion. Most fractures are low-energy dorsal avulsions that may be treated nonoperatively. Displaced comminuted fractures require open reduction and internal fixation, sometimes with external fixation, bridge plating, and bone grafting. Read More

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Achilles: Failed Acute Repair.

Foot Ankle Clin 2022 Jun 11;27(2):415-430. Epub 2022 May 11.

Georgetown University School of Medicine, Washington, DC, USA.

Acute Achilles tendon ruptures are commonly managed with surgical repair. This particular surgery is prone to rerupture, wound complications, deep vein thrombosis, and sural nerve injuries. In this chapter the authors discuss complications, how to avoid them, and ultimately how to manage complications with your patients. Read More

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Management of Peroneal Tendon Complications.

Foot Ankle Clin 2022 06;27(2):401-413

Durango, CO, USA. Electronic address:

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Management of Treatment Failures in Osteochondral Lesions of the Talus.

Foot Ankle Clin 2022 Jun 11;27(2):385-399. Epub 2022 May 11.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA.

Osteochondral lesions of the talus are a common result of traumatic ankle injury. Due to the low success rates of nonoperative management, surgical management of osteochondral lesions of the talus (OLTs) has evolved considerably over the past decade as more outcomes research has emerged, new techniques have been described, and we have developed a better understanding of the role of biologics in the treatment algorithm. We describe, in sequence, the surgical management options, including salvage procedures, for failed treatment of OLTs. Read More

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Ankle Instability.

Foot Ankle Clin 2022 Jun 11;27(2):371-384. Epub 2022 May 11.

Hospital for Special Surgery, 523 East 72nd st, New York, NY 10021, USA.

Ankle sprains are a common injury among physically active populations and occur with an incidence of around 2.15 per 1000 person-years. This article discusses various surgical procedures used to treat chronic lateral ankle instability, including direct ligament repair, anatomic reconstruction, and nonanatomic reconstruction. Read More

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Salvage of Failed Lisfranc/Midfoot Injuries.

Foot Ankle Clin 2022 Jun 11;27(2):287-301. Epub 2022 May 11.

Department of Orthopaedic Surgery, Duke University Medical Center, Box 3000, Durham, NC 27701, USA.

Salvage of Lisfranc, or tarsometatarsal injuries, may be necessary because of a variety of clinical scenarios. Although rare, these injuries represent a broad spectrum of injury to the midfoot ranging from low-energy ligamentous injuries to high-energy injuries with significant displacement and associated fractures. Poor outcomes and complications may occur including posttraumatic arthritis, instability, pain, infection, and loss of function. Read More

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Anatomic reconstruction using the autologous gracilis tendon achieved less sprain recurrence than the Broström-Gould procedure but delayed recovery in chronic lateral ankle instability.

Knee Surg Sports Traumatol Arthrosc 2022 Jun 8. Epub 2022 Jun 8.

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, No.49 North Garden Road, Beijing, 100191, China.

Purpose: To compare the return-to-activity and long-term clinical outcomes between anatomic lateral ligament reconstruction using the autologous gracilis tendon and modified Broström-Gould (MBG) procedure in chronic lateral ankle instability (CLAI). It was hypothesised that there was no difference between the two techniques.

Methods: From 2013 to 2018, 30 CLAI patients with grade III joint instability confirmed by anterior drawer test underwent anatomic reconstruction of lateral ankle ligament with the autologous gracilis tendon (reconstruction group) in our institute. Read More

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