- Association of Hip and Foot Factors With Patellar Tendinopathy (Jumper's Knee) in Athletes. [Journal Article]
- JOJ Orthop Sports Phys Ther 2018 May 23; :1-29
- Study Design Clinical measurement, cross-sectional. Background Investigations on the causes of patellar tendinopathy (PT) should consider impairments at the hip and foot/ankle since they are known to...
Study Design Clinical measurement, cross-sectional. Background Investigations on the causes of patellar tendinopathy (PT) should consider impairments at the hip and foot/ankle since they are known to influence movement patterns and affect patellar tendon loading. Objectives To investigate, by means of CART analysis, impairments of the hip and foot/ankle that are associated with PT in volleyball and basketball athletes. Methods One-hundred and ninety athletes were assessed for impairments of the hip and foot/ankle including: shank-forefoot alignment (SFA), ankle dorsiflexion range of motion (DF ROM), iliotibial band flexibility, passive hip internal rotation (IR) ROM, and hip external rotator (ER) and hip abductor isometric strength. Athletes with tenderness and/or pain at the inferior pole of the patella were considered as having PT. Athletes with VISA-P scores above 95 points, no pain at single-leg decline squat and no history of patellar tendon pain history were considered as not having PT. CART analysis was performed to identify interacting factors associated with PT. Results Interactions among passive hip IR ROM, SFA, hip ER and abductor strength identified athletes with and without PT. The model achieved 71.2% sensitivity and 74.4% specificity. The area under the ROC curve was 0.77 (95% confidence interval: 0.70 - 0.84; p<0.0001). Conclusion Impairments of the hip and foot/ankle are associated with the presence of PT in volleyball and basketball athletes. Future studies should evaluate the role of these impairments in the etiology of PT. J Orthop Sports Phys Ther, Epub 23 May 2018. doi:10.2519/jospt.2018.7426.
- Immediate effects of a distal gait modification during stair descent in individuals with patellofemoral pain. [Journal Article]
- PTPhysiother Theory Pract 2018 May 23; :1-7
- CONCLUSIONS: The distal gait modification session changed the lower extremity kinetic chain strategy of movement, increasing foot and ankle movement contribution and decreasing knee contribution to the task. An immediate decrease in patellofemoral pain intensity during stair descent was also observed. To emphasize forefoot landing may be a useful intervention to immediately relieve pain in patients with patellofemoral pain during stair descent. Clinical studies are needed to verify the gait modification session effects in medium and long terms.
- Determining Success or Failure After Foot and Ankle Surgery Using Patient Acceptable Symptom State (PASS) and Patient Reported Outcome Information System (PROMIS). [Journal Article]
- FAFoot Ankle Int 2018 May 01; :1071100718769666
- CONCLUSIONS: Patients who found their symptoms and activity at a satisfactory level (ie, PASS yes) also considered their surgery a success. However, patients who did not consider their symptoms and activity at a satisfactory level did not consistently consider their surgery a failure. PROMIS t scores for physical function and pain demonstrated the ability to discriminate and accurately predict patient outcome after foot and ankle surgery for 43.0% to 58.8% of participants. These data improve the clinical utility of PROMIS scales by suggesting thresholds for positive and negative patient outcomes independent of other factors.
- [CLASSIFICATION OF ADULT CUBOID FRACTURE AND EFFECTIVENESS ANALYSIS]. [Journal Article]
- ZXZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 May 08; 30(5):551-554
- CONCLUSIONS: The classification criteria of cuboid fracture proposed based on CT examination is feasible and has guiding significance to the choice of treatment method.
- [ENDOSCOPIC CALCANEOPLASTY FOR Haglund's DEFORMITY WITH HINDFOOT PAIN]. [Journal Article]
- ZXZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Jun 08; 30(6):700-704
- CONCLUSIONS: Under the premise of strict control of surgical indications, the ECP can bring satisfactory effectiveness for treatment of hindfoot pain in patients with Haglund's deformity.
- [Effectiveness of arthroscopic debridement and release for post-traumatic arthritis of subtalar joint]. [Journal Article]
- ZXZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Feb 01; 31(2):150-154
- CONCLUSIONS: Arthroscopic debridement and release for post-traumatic arthritis of the subtalar joint can relieve clinical symptoms and delay subtalar arthrodesis.
- [SHORT-TERM EFFECTIVENESS OF Hyprocure SUBTALAR STABILIZATION IN TREATMENT OF ADOLESCENT FLEXIBLE FLATFOOT]. [Journal Article]
- ZXZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Aug 08; 30(8):975-979
- CONCLUSIONS: Hyprocure subtalar stabilization is simple, effective for adolescent flexible flatfoot, the short-term effectiveness is good. But the indications should be strictly controlled, treatment should be individualized, corresponding auxiliary soft tissue and bone surgery is needed. The long-term effectiveness needs further follow-up.
- Reliability and validity analysis of the open-source Chinese Foot and Ankle Outcome Score (FAOS). [Journal Article]
- FFoot (Edinb) 2017 Dec 21; 35:48-51
- CONCLUSIONS: The Chinese FAOS is a free, open-source scoring system that can be used to provide a relatively standardised outcome measure for foot and ankle studies.
- Percutaneous deep venous arterialization in patients with critical limb ischemia: a technical note. [Journal Article]
- JCJ Cardiovasc Surg (Torino) 2018 May 22
- Critical limb ischemia (CLI) is the presentation of end stage peripheral arterial disease and typically presents with rest pain, ulceration and gangrene. The outcome of conservative treatment is poor...
Critical limb ischemia (CLI) is the presentation of end stage peripheral arterial disease and typically presents with rest pain, ulceration and gangrene. The outcome of conservative treatment is poor and often leads to amputations. Arterial revascularization plays an important role in amputation prevention. Unfortunately, a significant percentage of CLI patients cannot be revascularized and subsequently end up with a palliative amputation. This has led to the need and exploration of new treatment options in this no option subgroup of CLI. Deep venous arterialization (DVA) is one of them and has been reported as a save and feasible novel and promising alternative to amputation. The goal of DVA is to provide arterialized blood in significant volumes and pressure to the plantar venous arch and ischemic tissue to enable wound healing. Selecting the right patients is critical for successful DVA and requires that extra attention is paid to the wounds as well as arterial and venous vascular status. The LimFlow system is currently the only registered device to perform a total percutaneous DVA with. In addition to the percutaneous creation of an arteriovenous fistula (AVF) it also allows disruption of the veins with a dedicated valvulotome. Covered stents complete the procedure by sealing venous side branches and directing blood flow towards foot. In this article the different aspects of percutaneous DVA are discussed.
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- A silent massive ossification of Achilles tendon as a suspected rare late effect of surgery for club foot. [Journal Article]
- SOSAGE Open Med Case Rep 2018; 6:2050313X18775587
- We report the case of a 66-year-old male patient with massive ossification of the distal portion of the Achilles tendon, as a late consequence of a surgical release for club foot conducted in his chi...
We report the case of a 66-year-old male patient with massive ossification of the distal portion of the Achilles tendon, as a late consequence of a surgical release for club foot conducted in his childhood. The singularity of the case report derives from its clinical features: the bone mass was of abnormal dimensions, almost substituting the entire tendon; the condition had always been asymptomatic, without deficits in range of motion, in absence of either pain or biomechanical defects with age. In fact, the condition was diagnosed just recently as a consequence of a tear. Despite an ultrasound diagnosis after the injury, only during the surgical treatment, a proper evaluation of the entity of the pathology was possible. Although the ossification of Achilles tendon is a rare clinical condition with a complex multifactorial etiology, in our case report, some of the elements in the patient's medical history could be useful for the pathogenesis and early diagnosis of the disease. The aim of this case report is to emphasize the importance both of a correct evaluation of clinical history and of an accurate diagnosis, in order to conduct a proper management of this pathology.