Article
Orthopedics
Yasutaka Murahashi, Atsushi Teramoto, Katsunori Takahashi, Yohei Okada, Shinichiro Okimura, Rui Imamura, Makoto Kawai, Kota Watanabe, Toshihiko Yamashita
Summary: This study compared the reliability and accuracy of anterior translation distance between junior and senior examiners in the traditional anterior drawer test (ADT), and evaluated the diagnostic abilities of traditional ADT and a novel modified ADT (supported ADT). The results showed that supported ADT had higher inter-examiner reliability and better diagnostic accuracy for junior examiners compared to traditional ADT.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Hong-Yun Li, Ao Guo, Fan Yang, Jie-Jiao Zheng, Ying-Hui Hua, Shi-Yi Chen
Summary: This study revealed that the ATFL-PTFL angle decreases significantly after ankle lateral stabilization surgery. The angle was smaller in the repair group compared to the reconstruction group both before and after surgery. The ROC curve analysis showed that an ATFL-PTFL angle > 89.4 degrees is indicative of the need for ligament reconstruction.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Kensei Yoshimoto, Masahiko Noguchi, Hideyuki Maruki, Ayako Tominaga, Mina Ishibashi, Ken Okazaki
Summary: This study found that the signal intensity of the anterior talofibular ligament on preoperative magnetic resonance imaging and the quality of ligament remnant identified on arthroscopy are associated with recurrent ankle instability after arthroscopic lateral ankle ligament repair. Patients with high signal intensity and absence of the anterior talofibular ligament have a higher risk of recurrent ankle instability.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Biotechnology & Applied Microbiology
Chengjie Yuan, Zhifeng Wang, Genrui Zhu, Chen Wang, Xin Ma, Xu Wang
Summary: This study aimed to explore the prognostic value of preoperative lymphocyte-to-monocyte ratio (LMR) in ankle lateral ligament repair (ALLR). The results showed that preoperative LMR was associated with postoperative function, range of motion, and pain. Patients with lower preoperative LMR had worse clinical outcomes.
BIOMED RESEARCH INTERNATIONAL
(2022)
Article
Orthopedics
Nuno Corte-Real, Joao Caetano
Summary: Ankle sprains can lead to permanent disability if not well addressed. Acute instabilities are usually conservatively treated, while chronic instabilities are better addressed with surgery. Syndesmosis injuries are often overlooked and may require surgical management to prevent persistent pain.
EFORT OPEN REVIEWS
(2021)
Review
Sport Sciences
Zacharias Flore, Karen Hambly, Kyra De Coninck, Gotz Welsch
Summary: A systematic review and meta-analysis was conducted to examine the time-loss and recurrence rate of lateral ankle sprains (LAS) in male professional football players. The results showed a recurrence rate of 17.11% and an average time-loss of 15 days. LAS has higher recurrence rates than ACL injuries in professional football players. However, the heterogeneity of the data suggests the need for more comparable studies.
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
(2022)
Article
Biotechnology & Applied Microbiology
Linjing Peng, Lu Yu, Jingyi Jia, Yaokai Gan, Angang Ding, Ping Xiong, Yichen Zhao, Yifei Yao
Summary: This study quantitatively investigated the effect of the thickness and elastic modulus of the anterior talofibular ligament (ATFL) on anterior ankle joint stiffness (AAJS) using finite element models. The results showed that both thickness and elastic modulus of ATFL significantly influenced AAJS, providing a potential approach for diagnosing lateral ligament injury.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Multidisciplinary Sciences
Jin Hyuck Lee, Hae Woon Jung, Taek Sung Jung, Woo Young Jang
Summary: This study aimed to analyze the differences in static and dynamic postural stability and muscle endurance between patients with CAI and healthy controls. The results showed that patients with CAI had significantly poorer modified static and dynamic postural stability as well as lower plantarflexion endurance. Furthermore, there was a significant correlation between modified static postural stability and plantarflexion endurance in both groups.
SCIENTIFIC REPORTS
(2021)
Article
Chemistry, Multidisciplinary
Federico Giuseppe Usuelli, Alice Montagna, Rudy Sangaletti, Cristian Indino, Camilla Maccario, Federico Alberto Grassi
Summary: This retrospective study evaluated the clinical outcomes, return to sport, and recurrence rate after reconstruction of the lateral ligament complex of the ankle with a minimally invasive approach in 47 patients with chronic ankle instability. The results showed favorable clinical outcomes, return to activity, and low recurrence rate at a minimum follow-up of five years, with a procedure survival rate of 95.7%.
APPLIED SCIENCES-BASEL
(2023)
Article
Orthopedics
Ding Li, Qi Tang, Qian Liu, Junjiao Hu, Minzhi Mao, Ting Deng, Lele Liao, Weihong Zhu
Summary: This study presents the surgical technique and clinical outcomes of arthroscopic anterior talofibular ligament repair using the Internal Brace and lasso-loop technique. The results show that this procedure provides satisfactory clinical outcomes with no serious complications, achieving high safety and reliability for chronic ankle lateral instability.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Multidisciplinary Sciences
Masashi Kawabata, Yusuke Kumazawa, Kazuya Takagi, Hirokazu Okada, Kazuma Miyatake, Takumi Kobayashi, Yuta Nanri, Tomonori Kenmoku, Hiroyuki Watanabe, Naonobu Takahira
Summary: Ankle joint instability after acute lateral ankle sprain is an important factor for treatment decisions, but the use of ankle joint mechanical instability as a criterion for clinical decisions is unclear. This study examined the reliability and validity of an Automated Length Measurement System (ALMS) in ultrasonography for real-time measurement of anterior talofibular distance. The results show that ALMS has excellent reliability, comparable measurement values to manual methods, and the ability to detect differences in joint distances. ALMS can standardize and simplify ultrasonographic measurements without human error in clinical applications.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Jiyoun Kim, Gab Lae Kim, Taeho Kim, Junghyun Cho
Summary: This study analyzed the change in the angle between the anterior talofibular (ATFL) and calcaneofibular (CFL) ligaments in patients diagnosed with chronic ankle instability. Results showed that the ATFL-CFL angle is smaller in these patients, indicating its potential as a reliable tool for assessing chronic ankle instability.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Yiwen Hu, Yuyang Zhang, Qianru Li, Yuxue Xie, Rong Lu, Hongyue Tao, Shuang Chen
Summary: The study aimed to evaluate the changes in talar and subtalar cartilage in patients with chronic lateral ankle instability who underwent ATFL repair or reconstruction, comparing them with asymptomatic controls. The results showed that neither ATFL repair nor reconstruction could prevent further degeneration of talar and subtalar cartilage, but they did not impact ankle function and activity levels in the short term.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Medicine, Research & Experimental
Guang-Long Zeng, Li-Min Cai, QingXiang Xie, Hao-Bo Huang, Yong-Cong Li, Bo-Yuan Su
Summary: All-inside arthroscopic ATFL reconstruction with InternalBraceTM is beneficial for treating chronic lateral ankle instability, improving ankle stability and functional recovery.
MEDICAL SCIENCE MONITOR
(2022)
Article
Orthopedics
Youn-Ho Choi, Sung-Hyun Cho, JeongYong Seo, Jae Hoon Ahn, Yoon-Chung Kim
Summary: Apoptotic activity in the anterior talofibular ligament is higher in patients with chronic lateral ankle instability compared to those with acute anterior talofibular ligament injury.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2022)
Review
Orthopedics
Francisco Guerra-Pinto, Renato Andrade, Pedro Diniz, Ana Luisa Neto, Joao Espregueira-Mendes, Jose Guimaraes Consciencia
Summary: Despite the extensive research on chronic ankle instability, there is still no consensus on a clear objective definition for pathological mechanical lateral ankle instability. The studies revealed a wide range of differences in arthrometric devices and measuring methods, highlighting the need for standardization in testing and measuring methods to achieve an objective definition of mechanical ankle instability.
JOURNAL OF FOOT & ANKLE SURGERY
(2021)
Review
Orthopedics
Jacome Pacheco, Francisco Guerra-Pinto, Luis Araujo, Miguel Flora, Rita Alcada, Teresa Rocha, Pedro Diniz, Jose Guimaraes Consciencia
Summary: The study did not find a significant statistical correlation between combined ATFL-CFL rupture and chronic ankle instability. However, there is fair evidence showing worse clinical outcome scores and decreased return to full sports activities in combined ruptures. The use of reliable and accessible diagnostic methods to determine the number of ruptured ligaments may play a role in managing severe ankle sprains.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Review
Orthopedics
Joao F. Almeida, Claudia Vale, Tania Gonzalez, Tiago M. Gomes, Xavier Martin Oliva
Summary: This study compared the outcomes of primary subtalar arthrodesis (PSTA) and osteosynthesis in the treatment of DIACF Sanders type IV fractures. The results showed that the clinical outcomes of the two treatment methods were similar, but careful data interpretation is necessary. More authoritative randomized controlled trials are needed to assess which surgical strategy is better.
FOOT AND ANKLE SURGERY
(2022)
Article
Oncology
Jordi Canals, Alfons Navarro, Cristina Vila, Josep M. Canals, Tania Diaz, Melissa Acosta-Plasencia, Corali Cros-Font, Bing Han, Yangyi He, Mariano Monzo
Summary: This study is the first to report that stimuli from the embryonic lung can modulate the malignant phenotype of lung cancer cells, control their growth capacity, and activate their differentiation into myofibroblasts. These findings could lead to new strategies for lung cancer management.
JOURNAL OF EXPERIMENTAL & CLINICAL CANCER RESEARCH
(2022)
Review
Multidisciplinary Sciences
Jose Miguel Sousa, Hugo Ribeiro, Joao Luis Silva, Paulo Nogueira, Jose Guimaraes Consciencia
Summary: This meta-analysis compares the clinical outcomes, complications, and fusion rates of endoscopic assisted intra-foraminal lumbar interbody fusion (iLIF) and minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) for lumbar degenerative diseases. The results indicate that both procedures significantly and clinically improve clinical outcomes for lumbar degenerative diseases, with high fusion rates and no significant difference in complication rates.
SCIENTIFIC REPORTS
(2022)
Article
Medicine, General & Internal
Francisco Guerra-Pinto, Joao Caetano, Rita Alcada, Antonio Brito Camacho, Jacome Pacheco, Diogo Lacerda, Teresa Alves da Silva, Nuno Corte-Real, Jose Guimaraes Consciencia
Summary: The biggest challenge in the treatment of acute ankle sprain is the uncertainty of the prognosis. In this study, a new classification based on clinical criteria was proposed to determine the prognosis of ankle sprain. The classification, which includes evaluation of gait capacity, inspection and palpation, as well as ankle pivot test, proved to be a simple and reliable tool.
ACTA MEDICA PORTUGUESA
(2022)
Review
Orthopedics
Martinus Richter, Per-Henrik Agren, Jdan-Luc Besse, Maria Coester, Hakon Kofoed, Nicola Maffulli, Martijn Steultjens, Nuno Corte-Real, Rafael Dias
Summary: The EFAS Score Committee developed, validated, and published the EFAS Score in ten languages, with the Portuguese version showing good internal consistency and responsiveness in patients with various foot and ankle pathologies. The score versions are freely available on www.efas.net.
FOOT AND ANKLE SURGERY
(2022)
Review
Orthopedics
Claudia Vale, Joao F. Almeida, Bruno Pereira, Renato Andrade, Joao Espregueira-Mendes, Tiago M. Gomes, Xavier Martin Oliva
Summary: This study reviewed the complications of new designs of total ankle arthroplasty and the relationship between their severity and failure rates. The study found a statistically significant positive correlation between high- and medium-grade complications and revision rates. Therefore, patient selection is crucial for successful treatment of end-stage ankle osteoarthritis.
FOOT AND ANKLE SURGERY
(2023)
Article
Orthopedics
Sergio Soares, Tiago Mota Gomes, Riccardo Garibaldi, Alexis Gonzalez Monteverde, Xavier Martin Oliva
Summary: This study aimed to compare three commonly used radiographic methods for measuring frontal plane deformity in hallux valgus, including the round sign on the lateral edge of the first metatarsal head, non-weightbearing CT scan, and Bernard's axial projection. The results showed that measurements obtained through Bernard's axial projection were closer to those obtained during dissection. The main finding of the study is that osteoarthritic changes at the metatarso-sesamoid joint play an important role in severe hallux valgus cases. The proposed radiographic methods can help surgeons determine whether rotation can be corrected during Hallux Valgus procedures and choose the best procedure for each patient.
JOURNAL OF FOOT & ANKLE SURGERY
(2023)
Article
Orthopedics
Daniel Saraiva, Markus Knupp, Andre Sa Rodrigues, Jose Tulha, Tiago Mota Gomes, Xavier Martin Oliva, Tania Diaz
Summary: The aim of this study was to determine clinical and radiographic outcomes of combined PTT tendoscopy and MCO for patients presenting with symptomatic stage IA PCFD. The results showed that combined PTT tendoscopy and MCO can significantly improve the clinical and radiographic conditions of patients with symptomatic stage IA PCFD.
FOOT & ANKLE INTERNATIONAL
(2023)
Article
Orthopedics
Tiago Mota Gomes, Xavier Martin Oliva, Elsa Viridiana Sanchez, Sergio Soares, Tania Diaz
FOOT AND ANKLE CLINICS
(2023)
Article
Clinical Neurology
Jose Miguel Sousa, Antonio Serrano, Afonso Nave, Vasco Mascarenhas, Paulo Nogueira, Joao Gamelas, Jose Guimaraes Consciencia
Summary: This study measured and compared pelvic and lumbosacral reference parameters with computed tomography in patients with low back pain and a control group. The results provide quantification data and morphological correlations for L5S1 transforaminal endoscopic approach. The study found no significant differences in measured parameters between the two groups, except for a higher ICPi in the LBP group.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Jose Miguel Sousa, Joao Luis Silva, Joao Gamelas, Jose Guimaraes Consciencia
Summary: This study aimed to evaluate the clinical outcomes and complications of transiliac endoscopic-assisted L5S1 iLIF. The results showed that this technique is feasible and can improve clinical symptoms with high fusion rates. However, patients may experience ipsilateral lower limb dysesthesia after surgery, and special care is needed to prevent this complication.
WORLD NEUROSURGERY
(2023)
Article
Orthopedics
Elvira Iglesias-Duran, Francisco Guerra-Pinto, Cristina Ojeda-Thies, Jesus Vila-Rico
Summary: The purpose of this study was to investigate the biomechanical effects of subtalar ligament injury and reconstruction on joint stability in different planes. The results showed that reconstructing the ligament significantly improved stability and reduced angular displacement of the joint.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)