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Yasunori Iida, Koji Osumi, Hiroshi Koganei
An 87-year-old man with severe intermittent claudication and lower limb pain at rest was referred to our hospital for examination. Computed tomography (CT) angiography imaging showed a severe stenosis in the infrarenal abdominal aorta. The ankle brachial indices (ABIs) were 0.62 (right) and 0.60 (left). Endovascular aortic repair was performed with distal protection. The postoperative course was uneventful, and postoperative CT showed no stenosis or distal embolization. The ABI improved to the normal values of 1...
February 11, 2019: Annals of Vascular Surgery
Sayid Omar Mohamed, Weina Ju, Ying Qin, Baochang Qi
BACKGROUND: The term "floating" is used in orthopedic literature to describe certain patterns of skeletal injuries that share one common character which is disruption and discontinuity of bones above and below a joint. The first time used in orthopedic literature being in late 1970 to describe a type of elbow injury. Later the word was used increasingly and applied to a variety of injuries affecting the knee, shoulder, hip, forearm, hand, and ankle. Currently, there are about 12 different skeletal injuries described as floating...
February 2019: Medicine (Baltimore)
Kelly A Schmidtbauer, E Russell Esposito, Jason M Wilken
BACKGROUND: Individuals with severe lower extremity injuries often require ankle-foot orthoses to return to normal activities. Ankle-foot orthoses alignment is a key consideration during the clinical fitting process and may be particularly important during dynamic activities such as running. OBJECTIVE: To investigate how 3° changes in sagittal plane ankle-foot orthoses alignment affect running mechanics. STUDY DESIGN: Controlled laboratory study...
February 14, 2019: Prosthetics and Orthotics International
Nicola Krähenbühl, Travis L Bailey, Maxwell W Weinberg, Nathan P Davidson, Beat Hintermann, Angela P Presson, Chelsea McCarty Allen, Heath B Henninger, Charles L Saltzman, Alexej Barg
BACKGROUND: The diagnosis of subtle injuries to the distal tibiofibular syndesmosis remains elusive. Conventional radiographs miss a large subset of injuries that present without frank diastasis. This study evaluated the impact of torque application on the assessment of syndesmotic injuries when using weightbearing computed tomography (CT) scans. METHODS: Seven pairs of male cadavers (tibia plateau to toe-tip) were included. CT scans with axial load application (85 kg) and with (10 Nm) or without torque to the tibia (corresponding to external rotation of the foot and ankle) were taken during 4 test conditions...
February 14, 2019: Foot & Ankle International
Monique A M Gignac, Emma Irvin, Kim Cullen, Dwayne Van Eerd, Dorcas E Beaton, Quenby Mahood, Chris McLeod, Catherine L Backman
OBJECTIVE: To systematically review the evidence for an increased risk of osteoarthritis in the hip, knee, hand, wrist, finger, ankle, foot, shoulder, neck and spine related to men and women's diverse occupational activities and to examine dose response information related to the frequency, intensity, and duration of work exposures and the risk of OA. METHODS: Established guidelines for systematic reviews in occupational health and safety studies were followed. MEDLINE, EMBASE, CINAHL and Cochrane Library were searched from inception to December 2017...
February 14, 2019: Arthritis Care & Research
Alejandro J Gamboa, Derik R Craft, Jose A Matos, Tania S Flink, Rebecca L Mokris
This study examined the effects of instrument-assisted soft tissue mobilization (IASTM) on ankle range of motion in college athletes. Twenty-five Division II college athletes (18-24 yrs) were randomly selected into two groups: experimental group ( n = 11) and control group ( n = 14). Baseline measurements for both groups included an initial squat assessment, which measured ankle dorsiflexion during the movement, followed by IASTM with ankle rehabilitation exercises, and a secondary squat assessment. During the following week, the experimental group participated in an additional IASTM with rehabilitation session and squat test, while the control group performed a squat test with no treatment...
2019: International Journal of Exercise Science
Aaron Theisen, James Day
Ankle and knee injuries are two of the most common injuries. It has been shown that ankle sprains can lead to chronic ankle instability thereby affecting the function of the ankle. Since the lower extremity is a kinetic chain anything that affects the ankle is thought to affect the knee and hip as well. Changes in lower extremity function associated with chronic ankle instability may predispose patients for non-contact ACL injuries. The purpose of this study was to provide a systematic review of the research done on chronic ankle instability (CAI) and lower extremity kinematics during landing tasks...
2019: International Journal of Exercise Science
Zachariah J Henderson, Paolo Sanzo, Carlos Zerpa, Derek Kivi
Ankle braces have been hypothesized to prevent ankle injuries by restricting range of motion (ROM) and improving proprioception at the ankle. As such, ankle braces are commonly worn by physically active individuals to prevent ankle injuries. Despite their widespread use, the effects that ankle braces have on athletic performance measures, such as vertical jumping, remains unclear. Furthermore, although ankle braces are known to restrict normal ROM at the ankle, little is known about the effects that ankle braces have on the lower extremity proximal to the ankle, specifically muscular activation...
2019: International Journal of Exercise Science
Jennifer W Liu, Junho Ahn, Katherine M Raspovic, George T Liu, Paul A Nakonezny, Lawrence A Lavery, Dane K Wukich
The purpose of this study was to compare the rates of readmission, reoperation, and mortality in patients with and without diabetes mellitus during the 30-day postoperative period after ankle fracture surgery. Patients who underwent operative management for ankle fractures between 2006 and 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program® database by using Current Procedural Terminology codes for ankle fracture surgery. A total of 17,464 patients undergoing ankle fracture surgery were identified...
February 11, 2019: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Ishanka Weerasekara, Peter Grant Osmotherly, Suzanne Jordan Snodgrass, John Tessier, Darren Anthony Rivett
BACKGROUND: Up to 40% of individuals who sprain their ankle develop chronic ankle instability (CAI). One treatment option for this debilitating condition is joint mobilisation. There is preliminary evidence that Mulligan's Mobilisation With Movement (MWM) is effective for treating patients with CAI, but the mechanisms by which it works are unclear, with Mulligan suggesting a repositioning of the fibula. This randomised controlled trial aims to determine the effects of MWM on anatomical and clinical characteristics of CAI...
February 13, 2019: BMC Musculoskeletal Disorders
Jing Liu, Albert Yeung, Tao Xiao, Xiaopei Tian, Zhaowei Kong, Liye Zou, Xueqiang Wang
Tai Chi (TC) can be considered safe and effective intervention to improve pain and pain-related functional disability. However, it is unclear that whether aging individuals with Chronic Non-Specific Low Back Pain (CNS-LBP) can achieve positive results. This study, therefore, attempted to explore the effects of TC on pain and functional disability in CNS-LBP patients aged 50 years old or above. Forty-three individuals (aged 50 years old or above) with CNS-LBP were randomly assigned into three groups: Chen-Style TC group ( n = 15), Core Stabilization training (CST) group ( n = 15), and control group ( n = 13)...
February 12, 2019: International Journal of Environmental Research and Public Health
Jonas Engel, Moritz Kälin, Slavko Rogan
BACKGROUND:  Rapid changes in direction, acceleration, deceleration and deception manoeuvres with rotational movements increase the risk of injuries in floorball players. Up to date, there are no data or facts available from Swiss Floorball League players demonstrating the types of injuries that occur. This study aimed to find out which injuries occur in Swiss National League A floorball players. SUBJECTS/METHODS:  This study was carried out in a retrospective, non- experimental design as a questionnaire survey...
February 13, 2019: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
Stephanie R Albin, Shane L Koppenhaver, Robin Marcus, Lee Dibble, Mark Cornwall, Julie M Fritz
STUDY DESIGN: Multi-site double blind randomized clinical trial. BACKGROUND: Patients with surgical fixation of ankle and/or hindfoot fractures often experience decreased range of motion and loss of function following surgery and post-surgical immobilization, yet there is minimal evidence to guide care for these patients. OBJECTIVES: To assess if manual therapy produces short-term improvements in range of motion, muscle stiffness, gait, and balance for patients undergoing operative fixation of an ankle and/or hindfoot fracture...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
Brittney Mazzone, Shawn Farrokhi, Andrew DePratti, Julianne Stewart, Kimberly Rowe, Marilynn Wyatt
BACKGROUND: Severe ankle and foot injuries in the U.S. military can result in high-level functional limitation, lost duty days and medical discharge. OBJECTIVE: To assess the effectiveness of the Return to Run Clinical Pathway (RTR) in returning patients with lower extremity fractures who utilize the Intrepid Dynamic Exoskeletal Orthosis (IDEO) to high-level mobility. METHODS: Thirty service members with lower extremity fractures who utilized the IDEO unilaterally and completed the RTR at Naval Medical Center San Diego were included...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
Amy X Yin, Ellen Geminiani, Bridget Quinn, Michael Owen, Susan Kinney, Tara McCrystal, Andrea Stracciolini
BACKGROUND: Adolescent ballet dancers have a higher incidence of injury than adult professional dancers. It is unclear which factors, including biomechanical changes related to intense dance training and/or the growth process itself, contribute to increased injury risk in this population. OBJECTIVE: To assess changes in strength, flexibility, and functional performance in adolescent ballet dancers during a summer intensive dance program. DESIGN: Prospective cohort study...
November 29, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Menglei Wang, Rongrong Huang, Li Wang, Nasha Yu, Li Li
Syphilis is a chronic systemic infectious disease involving multiple organs. Involvement of skeletal system by syphilis including osteochondritis, osteoarthritis, periostitis and osteitis. Charcot arthropathy is an unusual concomitant disease of syphilis, and the incidence had decreased significantly these decades. We report a case of syphilis presenting with Charcot arthropathy of bilateral ankle joints. This article is protected by copyright. All rights reserved.
February 13, 2019: Dermatologic Therapy
Nicole D Rynecki, Brianna L Siracuse, Joseph A Ippolito, Kathleen S Beebe
BACKGROUND: Over the past decade, interest in high intensity interval training (HIIT) has increased considerably. The objective of this study was to determine injury incidence coinciding with increased popularity of HIIT and identify ways physicians can advise patients prior to participation. METHODS: The National Electronic Injury Surveillance System (NEISS) was queried from 2007 through 2016 to estimate injury incidence related to exercises such as burpees, push-ups, and lunges and exercise equipment such as barbells, kettle bells, and boxes, which are representative of HIIT exercise programs...
February 12, 2019: Journal of Sports Medicine and Physical Fitness
Ho-Jin Shin, Sung-Hyeon Kim, Eun-Tae Jeon, Min-Goo Lee, Sung Jae Lee, Hwi-Young Cho
BACKGROUND: Chronic ankle instability (CAI) is a common disease following ankle sprain and appears balance and gait problems, pain, and fatigue. This study aimed to examine the effect of therapeutic exercise performed on sea sand on pain, fatigue, and balance ability in patients with CAI. METHODS: This study was designed as a randomized controlled trial. Subjects with a Cumberland Ankle Instability Tool (CAIT) score of less than 27 were selected. 22 subjects were randomly assigned to the sea sand (SS) group (n=11) or the self-management (SM) group (n=11)...
February 12, 2019: Journal of Sports Medicine and Physical Fitness
Mario I Escudero, Michael Symes, Thomas Bradford Bemenderfer, Maximiliano Barahona, Robert Anderson, Hodges Davis, Kevin J Wing, Murray J Penner
INTRODUCTION: Patient-specific instrumentation (PSI) has been developed for total ankle arthroplasty (TAA), with proven benefits. One concern regarding PSI is the need for more soft tissue dissection in order to accurately position the PSI guides, which has the theoretical disadvantage of increased osteolysis. The purpose of our study is to compare the incidence and magnitude of osteolysis for the INFINITY Total Ankle System between PSI and standard referencing (SR) techniques. METHODS: Sixty-seven patients who underwent primary TAA using Prophecy (PSI) or SR technique between 2013 and 2015 were reviewed in a retrospective observational study...
February 13, 2019: Foot & Ankle Specialist
Andréa Senay, Sylvie Perreault, Josée Delisle, Suzanne N Morin, Jean-Pierre Raynauld, Andreea Banica, Yves Troyanov, Pierre Beaumont, Alain Jodoin, G Yves Laflamme, Stéphane Leduc, Jean-Marc Mac-Thiong, Hai Nguyen, Pierre Ranger, Dominique M Rouleau, Julio C Fernandes
The study design of a multidisciplinary Fracture Liaison Service (2-year follow-up) aiming to optimize fragility fracture management in an outpatient setting is presented. Patient characteristics, investigation, and treatment initiation data at baseline were recorded. Results corroborate the care gap in osteoporosis management, reinforcing the need for secondary fracture prevention programs. PURPOSE: This paper describes the study design, implementation, and baseline characteristics of a multidisciplinary Fracture Liaison Service (FLS) in Quebec (Canada)...
February 12, 2019: Archives of Osteoporosis
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