- Symptomatic epiphyseal sprains and stress fractures of the finger phalanges in adolescent sport climbers. [Journal Article]
- HSHand Surg Rehabil 2019 May 16
- The purpose of this study was to document and evaluate patient characteristics, injury mechanisms and clinical outcomes of epiphyseal stress fractures of the finger phalanges in adolescent rock climb…
The purpose of this study was to document and evaluate patient characteristics, injury mechanisms and clinical outcomes of epiphyseal stress fractures of the finger phalanges in adolescent rock climbers to identify contributing factors to this injury. Twenty-eight climbers with epiphyseal pain treated at our clinic between 2006 and 2018 were included in the study. Sixteen patients completed a questionnaire addressing injury details as well as training regimen before and after the injury. The mean age at the time of injury was 13.7 years (± 1.9 years) with the injury occurring predominantly in male athletes. Middle (58%) and ring (30%) fingers were the most commonly affected sites out of a total of 67 fingers affected; 54% had a radiologically documented epiphyseal fracture (Salter Harris type II/III) while 46% suffered from a symptomatic sprain, which could potentially lead to a stress fracture. Mean time for radiological union of a fracture was 35 weeks. Recovery time for a symptomatic sprain was on average slightly shorter at 24 weeks. All patients were treated conservatively with load reduction for 3-12 months until the symptoms disappeared. Although most patients had a positive outcome when treated correctly, this injury can damage the growth plate when left untreated, resulting in articular surface incongruency (1 severe, 1 moderate, 6 mild) with permanent impairment of the affected finger. Therefore, pain on the dorsal aspect of the proximal interphalangeal joint in adolescent climbers must be assessed carefully.
- Sport injury prevention in individuals with chronic ankle instability: Fascial Manipulation® versus control group: A randomized controlled trial. [Journal Article]
- JBJ Bodyw Mov Ther 2019; 23(2):316-323
- Chronic ankle instability (CAI) is one of the most common syndromes that occurs following an initial ankle sprain. Sprains are often correlated with recurrent sprains, loss of range of motion (ROM) a…
Chronic ankle instability (CAI) is one of the most common syndromes that occurs following an initial ankle sprain. Sprains are often correlated with recurrent sprains, loss of range of motion (ROM) and deficits in proprioception and postural control. The objectives were to evaluate the effectiveness of Fascial Manipulation® (FM) as a preventative measure in semi-professional athletes with CAI, and to monitor the symptomatology, equilibrium and ROM of the injured ankle. A single-blinded randomized controlled trial was conducted in the rehabilitation department of a medical centre. Twenty-nine semi-professional male footballers were recruited. Nine subjects with no previous symptomatology, were assigned to a baseline group, twenty symptomatic subjects were randomized into either the study or the control group. All three groups followed a specific training program. The control group followed normal training protocols and received standard medical care. The study group received an additional three FM treatment sessions. Symptomatology and ROM outcomes were recorded for all players at baseline, before each treatment for the treatment group, and at 1-, 3-, and 6-month follow-ups. At one year, an additional follow-up on was performed via phone. Four severe ankle traumas and one mild ankle trauma were reported in the control group during the trial period. The 6-month outcomes in the study group showed statistically significant improvements. The 1-year follow-up reported the absence of any reported trauma in the study group. FM was effective in improving ROM and symptomatology in footballers with CAI. FM intervention was effective in preventing injury in the study sample.
- The Effects of Blood Flow Restriction on Muscle Activation and Hypoxia in Individuals with Chronic Ankle Instability. [Journal Article]
- JSJ Sport Rehabil 2019 May 16; :1-25
- CONCLUSIONS: Greater muscle activation and hypoxia were present during submaximal resistance exercise with BFR in participants with CAI. Greater muscle activation and hypoxia during BFR exercises may be important acute responses mediating the training-related muscle adaptations that have been observed with BFR. The presence of these acute responses in CAI patients supports further research examining BFR as a potential ankle rehabilitation tool.
- Ankle Sprains Risk Factors in a Sample of French Firefighters: A Preliminary Prospective Study. [Journal Article]
- JSJ Sport Rehabil 2019 May 16; :1-23
- CONCLUSIONS: These findings originally provide evidence that intrinsic factors mainly contrib-ute to ankle sprains, although psychosocial work environment assessment could also charac-terize firefighters at risk.
- Risk Factors for Initial and Subsequent Core or Lower Extremity Sprain or Strain Among Collegiate Football Players. [Journal Article]
- JAJ Athl Train 2019 May 14
- CONCLUSIONS: Core muscle endurance and neurocognitive processes may both play important roles in generating anticipatory muscle stiffness during participation in college football. These factors may be particularly important for players who sustained an injury during the previous year and those who have a high level of game exposure.
- StatPearls: Cervical (Whiplash) Sprain [BOOK]
- BOOKStatPearls Publishing: Treasure Island (FL)
- The term "whiplash" injury was first coined by Harold Crowe in 1928 to define acceleration-deceleration injuries occurring to the cervical spine or neck region. Later modified to an all-encompass…
The term "whiplash" injury was first coined by Harold Crowe in 1928 to define acceleration-deceleration injuries occurring to the cervical spine or neck region. Later modified to an all-encompassing term known as whiplash-associated disorders (WAD), these clinical entities have been refined to describe any collection of neck-related symptoms following a motor vehicle accident (MVA). The elusive difficulty that remains in describing these injuries is secondary to the fact that there is, by definition, no structural pathology identified following a comprehensive diagnostic workup. Therefore, WADs remain a diagnosis of exclusion. Treatments include rest, analgesia, soft braces, and early physical therapy. The injury may be acute with full recovery or may be chronic with residual long term pain, disability, and health care resource utilization.
- StatPearls: Stener Lesion [BOOK]
- BOOKStatPearls Publishing: Treasure Island (FL)
- Ulnar collateral injuries of the thumb are common. These injuries can range from a mild sprain, partial to complete ligamentous tear. Avulsed fragments from the proximal phalanx can also be present…
Ulnar collateral injuries of the thumb are common. These injuries can range from a mild sprain, partial to complete ligamentous tear. Avulsed fragments from the proximal phalanx can also be present. Full-thickness ruptures further characterize as being non-displaced or displaced. This distinction is important because the relationship of the displaced torn UCL ligament to the aponeurosis of the adductor pollicis muscle have clinical implications. This concept first gained recognition by Bertil Stener, a Swedish surgeon who in 1962, described the anatomy and treatment of displacement of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MCP) joint; thus, the eponymously named Stener lesion. The primary function of the UCL of the thumb is to create ulnar stability of MCP joint and acts as a counterbalance to any force directed radially during a forceful grasp. The UCL is made up of the proper collateral ligament (PCL) and the accessory collateral ligament.
- Effect of a Semirigid Ankle Brace on the In Vivo Kinematics of Patients with Functional Ankle Instability during the Stance Phase of Walking. [Journal Article]
- BRBiomed Res Int 2019; 2019:4398469
- An ankle brace is commonly used by patients after they suffer from initial ankle sprains, reducing the incidents of recurrent sprain or limiting laxity in joints with functional ankle instability (FA…
An ankle brace is commonly used by patients after they suffer from initial ankle sprains, reducing the incidents of recurrent sprain or limiting laxity in joints with functional ankle instability (FAI). However, whether the application of a semirigid ankle brace can improve the abnormal ankle gait kinematics of patients with FAI remains unknown. This study aimed to determine the effect of a semirigid ankle brace on the gait kinematics of ankle joints through 3D-2D fluoroscopy image registration. A total of 8 subjects with FAI (3 males and 5 females, 10 feet) as FAI group and 10 subjects without FAI (6 males and 4 females, 10 feet) as control group were enrolled in this study. Three-dimensional bone models created from computed tomography images were matched to fluoroscopic images to compute the 6 degrees of freedom (DOF) talocrural, subtalar, and ankle joints complex kinematics for control and FAI group with or without brace during the stance phase of walking. FAI patients had significantly less ROMs in inversion/eversion rotation of the talocrural and subtalar joint after wearing semirigid ankle brace. Laxity was observed in most of the displacements of the talocrural and subtalar joints in FAI group. The brace partly altered the ankle joints movement in opposite directions, especially joint rotation, and restricted the talocrural and subtalar joints in the dorsiflexion position during the touch down phase of walking.
- Conservative management of isolated medial subtalar joint dislocations in volleyball players: a report of three cases and literature review. [Journal Article]
- JSJ Sports Med Phys Fitness 2019 Apr 30
- Isolated Subtalar Dislocations (SDs) are rare injuries, representing only 1% of all foot traumas. In the current literature, only a few reports have described this acute injury as a consequence of lo…
Isolated Subtalar Dislocations (SDs) are rare injuries, representing only 1% of all foot traumas. In the current literature, only a few reports have described this acute injury as a consequence of low-middle-energy trauma during sports activities and none in professional or recreational volleyball players. Further, to the best of our knowledge, no validated standard rehabilitation programs have been described for SDs as most of them are usually treated like an ankle sprain. This report describes 3 cases of isolated, closed medial SD, which occurred during non- professional volleyball activities. All cases were successfully treated by the same conservative method: standard radiographs for diagnosis, closed reduction, subsequent CT scan to exclude associated lesions, 4-week immobilization in a below-knee cast and an early physiokinesis therapy program. Further, a review of the recent literature concerning SD was performed. The standard method applied allowed our patients to return to full sports activity at 3 months from trauma, reaching a medium AOFAS score of 96.6 at minimum follow-up of 48 months. The treated cases and the review of the literature suggest that a conservative method and early mobilization should be the first-choice treatment for closed SD, even in volleyball players. Despite the absence of a sport-specific rehabilitation program for these injuries, early physiokinesis therapy, after no more than 4-week immobilization period, allowed the improvement of our patients' hindfoot stability and their fast return to full sports activities, without any recurrence at minimum follow-up of 2 years.
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- An injury profile of basketball players in Accra, Ghana. [Journal Article]
- SAS Afr J Physiother 2019; 75(1):467
- CONCLUSIONS: Knee injuries were the most common and most injuries did not receive treatment. It is therefore important to educate basketball players and coaches on injury prevention measures as well as developing regular exercise programmes to help minimise their occurrence.