16,647 results match your criteria Turf Toe


Plantar load characteristics among runners with different strike patterns during preferred speed.

J Exerc Sci Fit 2020 May 25;18(2):89-93. Epub 2020 Jan 25.

School of Kinesiology, Shanghai University of Sport, Shanghai, China.

Objectives: This study aimed to compare the plantar loads between habitual rearfoot strike (RFS) and non-RFS (NRFS) during running under the participant's preferred speed.

Methods: A total of 66 (36 RFS, 30 NRFS) healthy amateur male runners were included in our study. In-shoe pressure sensors were utilised to the test plantar loads when participants were running using their preferred foot strike pattern and running speed (RFS: 3. Read More

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http://dx.doi.org/10.1016/j.jesf.2020.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327771PMC

COVID-19 and Stroke: Casual or Causal Role?

Cerebrovasc Dis 2020 Jul 7:1-4. Epub 2020 Jul 7.

UTN (Neurovascular Therapy Unit), F. Spaziani Hospital, Frosinone, Italy.

Background: The COVID-19 outbreak is currently the major public health concern worldwide. This infection, caused by the novel coronavirus Sars Cov2, primarily affects respiratory system, but there is increasing evidence of neurologic involvement and cerebrovascular accidents.

Case Report: We present a case of stroke in a 62-year-old COVID-19-positive patient, with multiple vascular risk factors. Read More

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http://dx.doi.org/10.1159/000509453DOI Listing

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

Effects of Artificial Texture Insoles and Foot Arches on Improving Arch Collapse in Flat Feet.

Sensors (Basel) 2020 Jun 30;20(13). Epub 2020 Jun 30.

Plastic surgery, National Taiwan University Hospital Yunlin Branch, Yunlin 640203, Taiwan.

The arches of the foot play a vital role in cushioning the impact and pressure generated from ground reaction forces due to body weight. Owing to a lack of normal human arch structure, people diagnosed as having flat feet often have discomfort in the soles of their feet. The results may not only cause inappropriate foot pressure distribution on the sole but also further cause foot injuries. Read More

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http://dx.doi.org/10.3390/s20133667DOI Listing

Analysing patterns of coordination and patterns of control using novel data visualisation techniques in vector coding.

Foot (Edinb) 2020 Mar 7;44:101678. Epub 2020 Mar 7.

Centre for Biomechanics and Rehabilitation Technologies, Staffordshire University, Leek Road, Stoke on Trent, ST4 2DF, UK.

Objective: Vector coding is a non-linear data analysis technique that quantifies inter-segmental coordination and coordination variability. The traditional approach of reporting time-series data from vector coding can be problematic when overlaying multiple trials on the same illustration. The objective of this study was to describe and present novel data visualisations for displaying the coordination pattern, segmental dominancy, range of motion on an angle-angle diagram, and coordination variability. Read More

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http://dx.doi.org/10.1016/j.foot.2020.101678DOI Listing

A real-time feedback method to reduce loading rate during running: Effect of combining direct and indirect feedback.

J Sports Sci 2020 Jul 4:1-8. Epub 2020 Jul 4.

Institute for Health and Sport (IHES), Victoria University , Melbourne, Australia.

Impact loading plays a key role in the pathophysiology of running-related injuries. Providing real-time feedback may be an effective strategy to reduce impact loading; however, it is currently unclear what an effective training method to help runners achieve a habitual low loading rate is. We subjected 20 healthy non-runners to a structured sequence of direct and indirect biofeedback designed to facilitate broader exploration of neuro-mechanical workspace for potential movement solutions (indirect feedback on cadence and foot-strike angle) and to refine and converge upon an optimal sub-set of that space to match the task goal (direct feedback on loading rate). Read More

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http://dx.doi.org/10.1080/02640414.2020.1788288DOI Listing

Open tendoachilles injuries due to squatting type of toilet seats: Five-year prospective observational study from a tertiary care center in India.

Injury 2020 Jun 29. Epub 2020 Jun 29.

Department of Plastic & Reconstructive Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, J&K, India.

Background: Open traumatic tendoachilles injuries due to toilet seats are least reported. The exact mechanism of such injuries is debatable. None of the studies have reported associated neurovascular injuries and the need for microvascular tissue transfer. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.051DOI Listing

Intertester and Intratester Reliability of Functional Movement Tests by Trained Testers in Community-Dwelling Older Adults With Knee Osteoarthritis: A Cross-sectional Study.

J Geriatr Phys Ther 2020 Jun 18. Epub 2020 Jun 18.

Department of Physical Therapy, Sangji University, Wonju-si, South Korea.

Background And Purpose: Movement quality of the lower extremities is considered an indicator of functional status in older adults with knee osteoarthritis (OA), and visual assessment of movement quality during functional movement tests can identify movement dysfunction and predict factors associated with lower extremity injuries. This study investigated the intertester and intratester reliability of trained testers for functional movement tests in community-dwelling older adults with knee OA.

Methods: This study was a cross-sectional study. Read More

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http://dx.doi.org/10.1519/JPT.0000000000000273DOI Listing

Trends in operative ankle ligament surgery in Finland between 1986 and 2018.

Foot Ankle Surg 2020 Jun 18. Epub 2020 Jun 18.

Kuopio Musculoskeletal Research Unit, University of Eastern Finland, Kuopio University Hospital, Yliopistoranta 1, 70210 Kuopio, Finland.

Background: Ankle sprains are common musculoskeletal injuries. Until the 1990s, ankle ligament injuries were often treated operatively. The aim of this registry study was to determine how the change in treatment practice has affected the number of acute and elective ankle ligament surgeries in Finland. Read More

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http://dx.doi.org/10.1016/j.fas.2020.06.008DOI Listing

[Injuries among Sapienza University students].

G Ital Med Lav Ergon 2020 Mar;42(1):11-15

Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma.

Summary: Background. The phenomenon of accidents during the university course is a public health problem. Students spend a lot of time at university and in structure for training. Read More

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Associated ACL risk factors differences during an unanticipated volleyball blocking movement.

J Sports Sci 2020 Jul 1:1-7. Epub 2020 Jul 1.

Biomechanics Laboratory, University of Massachusetts , Amherst, MA, USA.

The lateral tilt of the arms accompanied by trunk lateral tilt is a typical blocking manoeuvre in volleyball. However, during this unanticipated blocking movement, an associated risk of ACL injury may result. The aim of the present study was to compare associative ACL risk factors at the initial contact and the first and second peak of VGRF during an unanticipated blocking movement with different arm positions. Read More

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http://dx.doi.org/10.1080/02640414.2020.1785727DOI Listing

Recognition of Foot-Ankle Movement Patterns in Long-Distance Runners With Different Experience Levels Using Support Vector Machines.

Front Bioeng Biotechnol 2020 11;8:576. Epub 2020 Jun 11.

Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of São Paulo, São Paulo, Brazil.

Running practice could generate musculoskeletal adaptations that modify the body mechanics and generate different biomechanical patterns for individuals with distinct levels of experience. Therefore, the aim of this study was to investigate whether foot-ankle kinetic and kinematic patterns can be used to discriminate different levels of experience in running practice of recreational runners using a machine learning approach. Seventy-eight long-distance runners (40. Read More

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http://dx.doi.org/10.3389/fbioe.2020.00576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300177PMC

Posteroinferior tibiofibular ligament - A cadaveric study.

Foot Ankle Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopedics, Clinica Del Remei, Barcelona, Spain; Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.

Background: Ankle injuries are one of the most common musculoskeletal disorder. The purpose of this study was to analyze and describe the detailed anatomical arrangement and relationship of posterior ligaments of the ankle, especially de posteroinferior tibiofibular ligament (PITFL) and intermalleolar ligament (IML). Controversy exists in the previous literature regarding their morphology and denomination, as well as the relation with ankle injuries including posterior soft tissue impingement syndrome. Read More

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http://dx.doi.org/10.1016/j.fas.2020.06.005DOI Listing

Telemedicine in Chronic Wound Management: Systematic Review And Meta-Analysis.

JMIR Mhealth Uhealth 2020 Jun 25;8(6):e15574. Epub 2020 Jun 25.

Diabetic Foot Care Center, Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.

Background: Chronic wounds have been a great burden to patients and the health care system. The popularity of the internet and smart devices, such as mobile phones and tablets, has made it possible to adopt telemedicine (TM) to improve the management of chronic wounds. However, studies conducted by different researchers have reported contradictory results on the effect of TM on chronic wound management. Read More

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http://dx.doi.org/10.2196/15574DOI Listing

Hallux sesamoid complex imaging: a practical diagnostic approach.

Skeletal Radiol 2020 Jun 24. Epub 2020 Jun 24.

Service d'imagerie Guilloz, hôpital central, CHRU de Nancy, 29 avenue du Maréchal-de-Lattre-de-Tassigny, 54035, Nancy Cedex, France.

A wide variety of pathologies can affect the hallux sesamoid complex of the foot, including traumatic, micro traumatic, degenerative, inflammatory, vascular, infectious, and neoplastic conditions. Symptoms are quite nonspecific, mainly related to pain in the plantar surface of the first metatarsal head. In this context, imaging is important for the etiologic diagnosis of hallux sesamoid complex pathology with implications in patient management. Read More

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http://dx.doi.org/10.1007/s00256-020-03507-8DOI Listing

Dorsal bridge plating versus. Transarticular screw fixation for lisfranc injuries: A systematic review and meta-analysis.

J Clin Orthop Trauma 2020 May-Jun;11(3):508-513. Epub 2020 Apr 3.

Department of Trauma and Orthopaedics, Leicester Royal Infirmary, United Kingdom.

Lisfranc injuries are relatively uncommon but carry devastating consequences if left untreated. Although many surgical techniques have been proposed for best operative management, there is an ongoing debate over which procedure is superior. We performed a systematic review and meta-analysis comparing the outcomes of transarticular screw fixation and dorsal bridge plating in management of Lisfranc injuries. Read More

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http://dx.doi.org/10.1016/j.jcot.2020.03.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303533PMC

The Effect of Turf Toe Injuries on Player Performance in the National Football League.

Iowa Orthop J 2019 ;39(2):35-39

George Washington University Department of Orthopaedics.

Background: "Turf toe" results from hyperdorsiflexion of the first metatarsophalangeal joint, injuring the plantar capsuloligamentous complex. We hypothesized that National Football League (NFL) player performance following turf toe injury would decrease in comparison to controls at the same position.

Methods: Demographics, return to play, and season performance data on players sustaining turf toe injuries in the NFL from 2010-2015 were collected. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047292PMC
January 2019

Fibularis Intersection Syndrome - A Rare Cause of Lateral Foot Pain in Runners: A Case Report.

Am J Phys Med Rehabil 2020 Jun 22. Epub 2020 Jun 22.

Clinical Fellow, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto; University Health Network-Toronto Rehabilitation Institute, Toronto, Ontario, Canada; Email: Assistant Professor, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto; University Health Network-Toronto Rehabilitation Institute, Toronto, Ontario, Canada; Email: PGY5 - Resident, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, British Columbia, Canada Assistant Professor, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto; University Health Network-Toronto Rehabilitation Institute and Toronto General Hospital, Toronto, Ontario, Canada; Email:

Running is a common cause of foot and ankle injuries. Accurate diagnosis is important for appropriate management to resolve the issue. For clarity of diagnoses the physician should be able to perform a thorough physical examination in conjunction with point of care ultrasound (POCUS). Read More

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http://dx.doi.org/10.1097/PHM.0000000000001509DOI Listing

Upstroke Time as a Novel Predictor of Mortality in Patients with Chronic Kidney Disease.

Diagnostics (Basel) 2020 Jun 20;10(6). Epub 2020 Jun 20.

Department of Internal Medicine, Kaohsiung Municipal Siaogang Hospital, Kaohsiung 812, Taiwan.

Upstroke time (UT), measured from the foot-to-peak peripheral pulse wave, is a merged parameter used to assess arterial stiffness and target vascular injuries. In this study, we aimed to investigate UT for the prediction of cardiovascular and all-cause mortality in patients with chronic kidney disease (CKD). This longitudinal study enrolled 472 patients with CKD. Read More

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http://dx.doi.org/10.3390/diagnostics10060422DOI Listing

[Application of membrane induced by antibiotic loaded bone cement in skin grafting for tendon exposed wound healing].

Zhongguo Gu Shang 2020 Jun;33(6):564-6

Department of Orthopaedics, 906 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Ningbo 314050, Zhejiang, China.

Objective: To evaluate the effects of membrane induced by antibiotic-loaded bone cement in skin grafting for tendon exposed wound healing.

Methods: A total of 10 traumatic patients with tendon exposed wound were admitted to our department between February 2016 and December 2018, including 6 males and 4 females, with a mean age of 34.6 years old (ranged, 19 to 43 years old), and treatment duration ranged from 2 to 6 months. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.06.015DOI 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

Directions of single-leg landing affect multi-segment foot kinematics and dynamic postural stability in male collegiate soccer athletes.

Gait Posture 2020 Jun 13;80:285-291. Epub 2020 Jun 13.

Faculty of Health and Sport Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan. Electronic address:

Background: Understanding lower limb kinematics and postural control in different directions of single-leg landings is critical to evaluate postural control and prevent lower limb injuries. However, foot and ankle kinematics and postural control during single-leg landings in different directions are less known.

Research Question: Does the difference in the direction of single-leg landing affect the foot kinematics on the frontal plane and dynamic postural stability?

Methods: A cross-sectional study was conducted. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2020.06.007DOI Listing

Ankle osteoarthritis and its association with severe ankle injuries, ankle surgeries and health-related quality of life in recently retired professional male football and rugby players: a cross-sectional observational study.

BMJ Open 2020 Jun 21;10(6):e036775. Epub 2020 Jun 21.

Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands.

Objectives: To determine (1) the prevalence of ankle osteoarthritis (OA) among former professional football and rugby players, (2) assess the association between ankle injuries or ankle surgeries with ankle OA, and (3) compare the mental and physical quality of life (QoL) between former professional football and rugby players with and without OA.

Methods: We conducted a questionnaire-based observational study with a cross-sectional design. Former professional football and rugby players were recruited by the Football Players Worldwide and the International Rugby Players. Read More

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http://dx.doi.org/10.1136/bmjopen-2020-036775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310999PMC

Plantar loading in the youth soccer player during common soccer movements and risk for foot injury.

Injury 2020 Jun 12. Epub 2020 Jun 12.

Applied Neuromechanics Research Group, Federal University of Pampa - Laboratory of Neuromechanics, 97500-970, Uruguaiana, RS, Brazil. Electronic address:

Introduction: Soccer players are at high risk of stress injuries in the foot. While most research addresses this issue in professional athletes, there is little information concerning young athletes. As soccer is practiced around the world since early infancy, we set out to determine whether young soccer athletes are susceptible to increased foot loading that increase risk factors for foot injuries in a similar manner as reported by the literature to the adult athlete. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.009DOI Listing

Lisfranc fleck sign: characteristics and clinical outcomes following fixation using a percutaneous position Lisfranc screw.

Eur J Trauma Emerg Surg 2020 Jun 19. Epub 2020 Jun 19.

Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Avulsion of the Lisfranc ligament, fleck sign, results in unstable Lisfranc injuries. This cross-sectional study was conducted to investigate the characteristics of Lisfranc injuries with fleck sign and the clinical and radiological outcomes following closed reduction and percutaneous screw fixation.

Methods: All consecutive operatively managed Lisfranc injuries with fleck sign were reviewed from 2016 to 2018. Read More

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http://dx.doi.org/10.1007/s00068-020-01415-zDOI Listing

Painful foot or ankle? Don't overlook these 5 injuries.

J Fam Pract 2020 Jun;69(5):228-236

Orthopedics, St. Elizabeth's Medical Center and Harvard Medical School, Boston, USA.

A missed diagnosis of one of these conditions risks delay in referral for orthopedic evaluation and surgical management-possibly leading to complications. Read More

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Anterocentral Portal in Ankle Arthroscopy.

Foot Ankle Int 2020 Jun 17:1071100720931095. Epub 2020 Jun 17.

Department of Orthopedics and Traumatology, LK Baden-Mödling, Baden, Austria.

Background: The anterocentral portal is not a standard portal in anterior ankle arthroscopy due to its proximity to the anterior neurovascular bundle. However, it provides certain advantages, including a wide field of vision, and portal changes become redundant. The purpose of this study was to evaluate the neurovascular complications after anterior ankle arthroscopy using the anterocentral portal. Read More

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http://dx.doi.org/10.1177/1071100720931095DOI Listing

[Occurrence pattern of musculoskeletal disorders and its influencing factors among manufacturing workers].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Jun;52(3):535-540

Department of Occupational and Environmental Health, Peking University School of Public Health, Beijing 100191, China.

Objective: To explore the occurrence pattern and its influencing factors of multi-site work-related musculoskeletal disorders (WMSDs) of the main affected body sites among manufacturing workers.

Methods: Musculoskeletal disorders questionnaire was adopted to investigate the prevalence of WMSDs and the influencing factors among workers from four manufacturing factories in China. The case of WMSDs was defined as the one who had symptoms such as pain, numbness, discomfort, or limitation of activities in one or more of the nine body sites, including neck, shoulder, elbow, wrist/hand, upper back, lower back, hip/thigh, knee and ankle/foot during the last year, which lasted for more than 24 hours and did not completely relieve after rest. Read More

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http://dx.doi.org/10.19723/j.issn.1671-167X.2020.03.021DOI Listing

Use of the Adductor Magnus Muscle Free Flap for Lower-Extremity Soft Tissue Coverage: An Alternative to the Gracilis Muscle Flap With Unfavorable Vascular Anatomy.

Ann Plast Surg 2020 Jun 11. Epub 2020 Jun 11.

From the Division of Plastic Surgery, Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston; and Memorial Hermann Hospital-Texas Medical Center, Houston, TX.

Background: The gracilis muscle free flap has proven to be a dependable tool for the reconstructive microsurgeon for coverage of small- to medium-sized lower-extremity soft tissue defects because of its reliable anatomy, ease of elevation, and minimal donor site morbidity. We describe our experience with the adductor magnus muscle free flap which we have utilized in cases when confronted with the rare situation in which the dominant vascular pedicle to the gracilis muscle is insufficient or absent.

Methods: We conducted a retrospective chart review of a single surgeon's experience (EG Melissinos) over an 18-year period of all patients that underwent adductor magnus muscle free flap coverage for lower-extremity soft tissue injuries. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002433DOI Listing

Ski boot canting adjustments affect kinematic, kinetic, and postural control measures associated with fall and injury risk.

J Sci Med Sport 2020 May 17. Epub 2020 May 17.

Steadman Philippon Research Institute, Department of Biomedical Engineering, USA.

Objectives: The aim of this study was to investigate if and to what extent small lateral wedges inserted under the ski boot, known as canting, could impact knee kinematics/kinetics, balance, and neuromuscular activity in recreational alpine skiers in the laboratory setting.

Design: Experimental, crossover study with repeated-measures analysis METHODS: Thirty-eight recreational skiers completed a single-leg postural balance test while wearing standardized ski boots in their unmodified state (control), and with medial and lateral canting wedges applied. Kinematics, kinetics, postural control measures, and neuromuscular activity of the lower extremity were assessed using optical motion capture, instrumented force plates, and electromyography. Read More

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http://dx.doi.org/10.1016/j.jsams.2020.05.009DOI 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

Occupational Outcomes and Return to Running After Operative Management of Lisfranc Injuries in a High-Demand Population.

Foot Ankle Spec 2020 Jun 9:1938640020933078. Epub 2020 Jun 9.

Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.

Literature evaluating outcomes following operative fixation of Lisfranc injuries has demonstrated high rates of chronic disability, particularly in those returning to prior levels of physical function. The purpose of this study is to evaluate the occupational outcomes and return to running after open reduction and internal fixation (ORIF) or arthrodesis for Lisfranc fracture-dislocations in a moderate- to high-demand military cohort. All active-duty servicemembers undergoing ORIF or primary arthrodesis (Current Procedural Terminology 28615 and 28730, respectively) for confirmed Lisfranc fracture-dislocations (International Classification of Diseases, Ninth Revision codes 838. Read More

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http://dx.doi.org/10.1177/1938640020933078DOI Listing

Surgery for lower extremity symptomatic neuroma: Long-term outcomes.

J Plast Reconstr Aesthet Surg 2020 Jan 23. Epub 2020 Jan 23.

Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA. Electronic address:

Introduction: Traumatic neuroma caused by injuries or surgery can result in neuropathic pain, functional impairment, and psychological distress, which has an impact on quality of life. The aim of this study was to identify the factors related to successful treatment of symptomatic lower extremity symptomatic neuromas using patient-reported outcome measures (PROMs).

Methods: Thirty-two patients with 48 symptomatic neuromas completed the PROMIS mobility, PROMIS pain interference (PI), Numeric Rating Scale (NRS) for pain (0-10) for both pre- and post-operative pain, and the PROMIS depression at a mean of 8. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.01.034DOI Listing
January 2020

Combination of astragaloside IV and ACEi ameliorates renal injuries in db/db mice.

Int J Clin Exp Pathol 2020 1;13(5):827-836. Epub 2020 May 1.

Department of Nephrology, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine Shenzhen, Guangdong, China.

Evidences demonstrated that the effect on anti-proteinuria and renal protection of Chinese herbs combination with ACEi or ARB seemed to be better than ACEi or ARB alone. Astragaloside IV could decrease the urinary albumin excretion rate and could protect against renal injuries linking to its anti-oxidation ability. We aimed to investigate the effect of astragaloside IV combined with ACEi on diabetic nephropathy and to explore whether its underlying mechanism is dependent on anti-oxidation. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270657PMC

Biomechanical Analysis of Conventional Partially Threaded Screws Versus Headless Compression Screws in Proximal Fifth Metatarsal (Jones) Fracture Fixation.

Foot Ankle Spec 2020 Jun 8:1938640020931668. Epub 2020 Jun 8.

Department of Orthopaedic Surgery and Rehabilitation (KL, RM, VP).

Background: Intramedullary screw fixation of Jones fractures using partially threaded screws is a common method of fixation for these injuries, but refracture continues to be a problem. Various other fixation strategies, such as headless compression screws, plantar plating, and tension-band wiring. have been developed to mitigate these issues. Read More

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http://dx.doi.org/10.1177/1938640020931668DOI Listing

Temporary Bridge Plating vs Primary Arthrodesis of the First Tarsometatarsal Joint in Lisfranc Injuries: Randomized Controlled Trial.

Foot Ankle Int 2020 Jun 5:1071100720925815. Epub 2020 Jun 5.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Background: Unstable Lisfranc injuries are best treated with anatomic reduction and stable fixation. There are controversies regarding which type of stabilization is best. In the present study, we compared primary arthrodesis of the first tarsometatarsal (TMT) joint to temporary bridge plating in unstable Lisfranc injuries. Read More

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http://dx.doi.org/10.1177/1071100720925815DOI Listing

Minimally Invasive Achilles Repair Techniques.

Orthop Clin North Am 2020 Jul;51(3):391-402

Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA.

Achilles tendon rupture is an increasingly common problem with an aging population participating in high-level physical activities. Appropriate treatment has been debated for decades, but good outcomes have been reported after conservative and surgical management. The development of minimally invasive surgical techniques for Achilles repair has reduced the incidence of complications and maintained the high level of function reported after open surgery. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.005DOI Listing

Minimally Invasive Treatment of Displaced Intra-Articular Calcaneal Fractures.

Orthop Clin North Am 2020 Jul 16;51(3):325-338. Epub 2020 Apr 16.

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA. Electronic address:

Minimally invasive surgical techniques are increasingly used for definitive treatment of displaced intra-articular calcaneal fractures. These approaches have been shown to minimize soft tissue injury, preserve blood supply, and decrease operative time. These methods can be applied to all calcaneal fractures and have particular advantages in patients with higher than usual risks to the soft tissues. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.007DOI Listing

[Hand and foot injuries in rheumatoid patients : Tips and tricks in operative and conservative treatment].

Authors:
Ralph Gaulke

Unfallchirurg 2020 Jun 3. Epub 2020 Jun 3.

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Since the introduction of biologicals and small molecules for the treatment of inflammatory rheumatic diseases, these patients are more active and therefore sustain more accidents. The hands and feet are most affected by inflammatory rheumatic diseases, especially rheumatoid arthritis, and are also very exposed to injuries. Therefore, rheumatoid patients have a high coincidence of injuries and rheumatic destruction of the hands and feet. Read More

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http://dx.doi.org/10.1007/s00113-020-00823-5DOI Listing

Nail Wound and Cellulitis Following Typhoon Hagibis in Fukushima, Japan.

Disaster Med Public Health Prep 2020 Jun 3:1-3. Epub 2020 Jun 3.

Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan.

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http://dx.doi.org/10.1017/dmp.2020.78DOI 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

Role and effect of vein-transplanted human umbilical cord mesenchymal stem cells in the repair of diabetic foot ulcers in rats.

Acta Biochim Biophys Sin (Shanghai) 2020 Jun;52(6):620-630

Department of Interventional Radiology, Affiliated Hospital of Nantong University, Nantong 226001, China.

Diabetic foot ulcer (DFU) is one of diabetic complications, which is frequently present and tormented in diabetes mellitus. Most multipotent mesenchymal stromal cells (MSCs) are capable of immune evasion, providing an allogeneic, ready-to-use, cell product option for therapeutic applications. The beneficial effect of MSCs for the treatment of a variety of traumatic injuries, such as open wounds, has been extensively explored. Read More

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http://dx.doi.org/10.1093/abbs/gmaa039DOI Listing

Revision Surgery for the Achilles Tendon.

Clin Podiatr Med Surg 2020 Jul 12;37(3):553-568. Epub 2020 May 12.

Department of Podiatric Surgery, Advent Health East Orlando Podiatric Surgery Residency, 250 North Alafaya Trail Suite 1115, Orlando, FL 32828, USA.

Treatment of Achilles tendon ruptures may be surgical or nonsurgical depending on health, history, age, acuity, and severity of the injury. With chronic or revisional injuries, the best method often requires an open repair with reconstructive soft tissue procedures. Revision surgery can be challenging because of the complexity involving tendinous deficits with nonviable and friable tissue. Read More

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http://dx.doi.org/10.1016/j.cpm.2020.03.005DOI Listing

Influence of forefoot bending stiffness on American football performance and metatarsophalangeal joint bending angle.

Sports Biomech 2020 May 29:1-11. Epub 2020 May 29.

Human Performance Lab, Faculty of Kinesiology, University of Calgary , Calgary, Alberta, Canada.

Changes in forefoot bending stiffness have been shown to affect metatarsophalangeal peak bending angles as well as athletic performance. Increasing bending stiffness tends to reduce peak bending angles, which could potentially reduce hyperextension injuries such as turf toe. Limited information is available, however, on the efficacy of increasing forefoot bending stiffness on large-sized athletes such as those that participate in American Football, with prior studies being conducted on smaller athlete populations. Read More

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http://dx.doi.org/10.1080/14763141.2020.1750682DOI Listing

Biomechanical comparison of suture-button, bioabsorbable screw, and metal screw for ankle syndesmotic repair: A meta-analysis.

Foot Ankle Surg 2020 Apr 27. Epub 2020 Apr 27.

Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, OH 43614, USA.

Background: To compare biomechanically metal screw fixation to suture-button or bioabsorbable screw fixation for ankle syndesmotic injuries.

Methods: A literature search of the comparison studies in Pubmed and Google Scholar was conducted. The biomechanical outcomes of interest were syndesmotic stability in the coronal, sagittal, and axial planes as well as torque and rotation at failure. Read More

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http://dx.doi.org/10.1016/j.fas.2020.03.008DOI Listing

Risk Factors Influencing the Incidence of Ankle Sprain Among Elite Football and Basketball Players: A Prospective Study.

Foot Ankle Spec 2020 May 28:1938640020921251. Epub 2020 May 28.

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran (MHPS, MSG).

The objective of the present study was to investigate whether certain intrinsic factors (foot hyperpronation, generalized joint laxity) and clinical tests (anterior drawer and talar tilt tests, single-leg balance test and star excursion balance test, ankle and first metatarsophalangeal range of motion) could predict the incidence of lateral ankle sprains among elite football and basketball players during a full year. In a prospective cohort study, 106 elite basketball and football players were recruited. During the preseason period, players underwent baseline measurements. Read More

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http://dx.doi.org/10.1177/1938640020921251DOI 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

A case report of heterotopic ossification caused by high voltage electric injury.

J Burn Care Res 2020 May 26. Epub 2020 May 26.

Department of Burn and Plastic Surgery, Southeast Hospital Affiliated to Xiamen University, Zhangzhou, China.

This case report described the diagnosis and treatment of a patient with ectopic bone injury due to high pressure electric shock. A 24-years-old male patient suffered from burns that covered 50% of total body surface area, including on limbs and torso, after coming into contact with 10 Kv high-voltage electricity. A repeated Meek micrografting technique (MEEK) was applied for wound healing; skin grafts were cut into micrografts and expanded at a ratio of 1:4 to cover large areas after burn trauma. Read More

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http://dx.doi.org/10.1093/jbcr/iraa076DOI Listing