Role of ultrasonography in assessment of painful ankle

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Amin Nassef ◽  
Shaimaa El Metwaly El Diasty ◽  
Marina Sameh Lamei
Keyword(s):  
Ankle Joint ◽  
Joint Pain ◽  
Pathological Condition ◽  
Ankle Injuries ◽  
Ankle Pain ◽  
Cross Sectional ◽  
Screening Study ◽  
Underlying Causes ◽  
Post Traumatic

Abstract Background Ankle disorders are a relatively common pathological condition, and ankle injuries account for approximately 14% of sports-related orthopedic emergency visits. Various imaging modalities can be used to make a diagnosis in cases of ankle pain; however, ultrasound (US) has several benefits for the evaluation of ankle pain, especially in the tendons, ligaments, and nerves of the ankle. Aim of the work to assess the role of high resolution US as a valuable tool in the depiction of causes of ankle joint pain. Patient & methods our study is a cross sectional descriptive screening study including 25 patients with ankle joint pain (acute or chronic), post traumatic or not with no age or sex predilection. Results The study included 15 (60%) males and 10 (40%) females. Their age ranged from 10 to 60 years with a mean age of 33.84±13.31years. Chronic ankle pain was the most common presenting symptom in 15 patients (60%) whereas 10 (40%) patients presented with acute ankle pain after trauma. The posterior ankle compartment was the most common affected compartment (24%) of cases. About 7 cases (28%) were presented by ankle swelling with or without pain. Conclusion In conclusion, MSK US is useful in detecting the underlying causes of ankle pain and still it has the potential to offer more valuable data if it is well mastered by the sonographers.

scholarly journals Epidemiology of injuries among Italian footballers: the role of the playing field

2018 ◽  
Vol 25 (6) ◽  
pp. 501-506 ◽  
Author(s):  
Francesco Paolo Bianchi ◽  
Valter Veneziani ◽  
Michele Alberto Cantalice ◽  
Angela Notarnicola ◽  
Silvio Tafuri
Keyword(s):  
Risk Factor ◽  
Protective Factor ◽  
Knee Injuries ◽  
Injury Rate ◽  
Ankle Injuries ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Playing Field ◽  
Natural Grass

BackgroundFootball has a higher injury rate compared with other team sports such as rugby, in terms of two main categories: intrinsic (individual) and extrinsic (environmental) factors. The playing field is an extrinsic risk factor which has been poorly investigated in the literature.PurposeThe aim of our study was to define the incidence and risk factors of injuries in a cohort of footballers comparing the role of three different types of playing field (hard court, natural grass or synthetic grass).Study designThis was a cross sectional prevalence study.MethodsThe population comprised footballers recruited by a convenience sample; the instrument used for the survey was an anonymous self-administered questionnaire.Results267 football players were enrolled (average age 23.4±4.8 years), of whom 33.7% (n=90/267) played on hard court, 33.0% (n=88/267) on natural grass and 33.3% (n=89/267) on synthetic grass. The overall incidence of injury was 40.1 (95% CI 34.1 to 46.8) ×1000 person-years of training, with higher values for ankle and knee injuries. Ankle injuries (aOR 0.4; P=0.021) were associated with playing on natural grass as a protective factor, while playing on natural grass seemed to be a risk factor for muscular injuries (aOR 2.3; P=0.026).ConclusionOur study showed a high lifetime prevalence of injury among footballers (57%), in particular among athletes who play and train on a hard court. We have studied a topic poorly investigated previously and provide the opportunity to understand interventions to increase the capacity of stakeholders in preventing injuries.

scholarly journals The prevalence and impact of self-reported foot and ankle pain in the over 55 age group: a secondary data analysis from a large community sample

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Anne-Maree Keenan ◽  
Chris Drake ◽  
Philip G. Conaghan ◽  
Alan Tennant
Keyword(s):  
Ankle Joint ◽  
Joint Pain ◽  
Community Sample ◽  
Age Group ◽  
Foot Pain ◽  
Foot And Ankle ◽  
Ankle Pain ◽  
Large Community ◽  
Increased Risk ◽  
The Impact

Abstract Background While the prevalence and impact of musculoskeletal problems are high, most attention has been directed towards the back, knee and hip disorders. Foot pain is known to be common in older adults and accounts for a significant burden on health services. The aim of this study was to assess the impact of foot and ankle joint pain, considering age, presence of co-morbidities and other site joint pain, in a large community sample. Methods In the North Yorkshire Health study, 16,222 people over 55 years participated in a detailed survey of the prevalence and impact of lower limb joint problems. Self-assessment of overall body pain and functional activities of daily living were assessed. Participants indicated the presence of joint pain, stiffness or swelling during the last 3 months which had lasted for more than 6 weeks on a manikin: data were captured on the foot and the ankle. Results The prevalence of self-reported foot and ankle joint pain was substantial: 184.33 per 1000, second only to knee problems. While foot pain was common, it was mostly associated with joint pain at other sites; only 1 in 11 of those with foot and ankle pain reported it only in the foot. Logistic regression modeling revealed while established factors such as co-morbidities, knee and hip problems contributed to functional impairment, foot and ankle problems contributed to an additional increased risk of having difficulty standing and walking by two fold (OR = 2.314, 95%CI 2.061–2.598), going up and down stairs by 71% (OR = 1.711, 95%CI 1.478–1.980) and getting up from a seated position by 44% (OR = 1.438, 95%CI 1.197–1.729). Conclusion These results suggest that not only are foot problems in the over 55 age group extremely prevalent, they have a considerable impact on functional abilities.

Is Scoliosis Associated with Dance Injury in Young Recreational Dancers? A Large-Scale Cross‑Sectional Epidemiological Study

2021 ◽  
Author(s):  
Arnold Y. L. Wong ◽  
Cliffton Chan ◽  
Claire Hiller ◽  
Patrick S. H. Yung ◽  
Kenney K. L. Lau ◽  
...  
Keyword(s):  
Large Scale ◽  
Ankle Injuries ◽  
Spine Injury ◽  
Prevalence Rates ◽  
Cross Sectional ◽  
Web Based ◽  
Children And Adolescent ◽  
Lower Back ◽  
Underlying Causes ◽  
Dance Injury

Some studies suggested that adolescent scoliotic dancers were more likely to sustain dance injuries than non-scoliotic dancers. This study aimed to investigate the association between scoliosis and dance injury among children and adolescent recreational dancers. Identical web-based and paper-based questionnaires were distributed to children and adolescent recreational dancers to collect demographic information, dance experiences, history and location of dance injuries, as well as the frequency of dance injury in the last 12 months. The prevalence rates of the top three dance injury sites (lower back, knee, and ankles) were estimated. Associations between the presence of scoliosis and various dance injuries in the last 12 months were evaluated by multivariate logistic regression. Data from 704 respondents (644 females, 13.3 ± 2.4 years) was analyzed. Ninety-one respondents (12.9%) reported scoliosis and 11 respondents (1.6%) were wearing scoliosis braces. The 12-month prevalence rates of lumbar, knee, and ankle injuries in scoliotic dancers (24.2%, 22.2%, and 28.5%, respectively) were significantly higher than those of non-scoliotic dancers (10.4%, 14.9%, and 14.8%, respectively). Scoliosis was an independent risk factor for lumbar spine injury (Odds ratio, OR = 2.7), knee injury (OR = 2.6), and multi-site dance-related injury (OR = 1.9). Given the observed strong associations between scoliosis and lumbar or knee dance injuries in the current study, future studies are warranted to investigate the underlying causes.

scholarly journals In flight again with wings that were once broken; effects of post-traumatic growth and personal resources on burnout recovery

2019 ◽  
Vol 12 (5) ◽  
pp. 387-403 ◽  
Author(s):  
Judith Semeijn ◽  
Joris Van Ruysseveldt ◽  
Greet Vonk ◽  
Tinka van Vuuren
Keyword(s):  
Personal Resources ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Post Traumatic Growth ◽  
Norm Group ◽  
Post Traumatic ◽  
Group Workers ◽  
The Impact

Purpose Adequate recovery from burnout is important to understand. The purpose of this paper is to investigate whether post-traumatic growth (PTG) contributes to higher engagement and reduced symptoms of burnout and whether this process is mediated by personal resources. Design/methodology/approach In a cross-sectional survey, 166 Dutch workers who had fully recovered from burnout were questioned on their level of PTG, their personal resources (optimism, resilience and self-efficacy), and their levels of engagement and burnout. Findings Fully recovered workers scored somewhat higher on current burnout level, but did not differ from norm group workers in their engagement level. Moreover, PTG appeared to positively affect both higher engagement and lower burnout levels, which is fully mediated by personal resources. Research limitations/implications Post-traumatic growth (PTG) impacts on engagement and burnout levels amongst workers who have recovered from burnout by enhancing personal resources. The role of personal resources and the impact of PTG on engagement and burnout complaints following (recovery from) burnout deserve further investigation. Practical implications Management can support workers who have (recovered from a) burnout, by being aware of their (higher) engagement, and facilitate the enhancement of PTG and personal resources. Originality/value This study is one of the first to study the role of PTG after (recovery from) burnout and reveals valuable findings for both research and practice.

Th17 associated cytokines in sputum samples from patients with cystic fibrosis

2020 ◽  
Vol 78 (6) ◽  
Author(s):  
Merna Oshalim ◽  
Ewa Johansson ◽  
Hardis Rabe ◽  
Marita Gilljam ◽  
Anders Lindblad ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Th17 Cells ◽  
Chronic Infections ◽  
T Helper 17 ◽  
Cross Sectional ◽  
Airway Infection ◽  
Cytokine Levels ◽  
Screening Study ◽  
Infection And Inflammation

ABSTRACT Cystic fibrosis (CF) is a genetic disease leading to chronic bacterial airway infection and inflammation. T helper 17 (Th17) cells are identified by their production of interleukin (IL)-17A, which recruit neutrophils to the site of airway infection. IL-23 is an important inducer of IL-17 and IL-22 production. The aim of this study was to study the role of Th17 cells in CF airway infection by measuring the levels of Th17 associated cytokines in sputum from CF patients with or without airway infection and by comparison with non-CF-controls. In a cross-sectional screening study, cytokine levels were measured with a Th17 multiplex cytokine ELISA. Significantly lower levels of IL-17A and IL-23 were found in sputa from infected CF patients. The lowest levels of IL-17A were found in patients chronically infected with P. aeruginosa, which also had the lowest IL-17/IL-22 ratio, while children had a higher ratio. Children also had higher IL-23 levels than adults. IL-1ß and IL-10 were significantly lower in CF sputum compared to controls. Thus, in our study CF patients with chronic infections had a lower production of Th17 associated cytokines in sputum compared with non-infected CF patients and infected patient without CF.

scholarly journals Role of Magnetic Resonance Imaging in Evaluation of Post Traumatic Ankle Joint

2021 ◽  
Vol 85 (1) ◽  
pp. 3185-3193
Author(s):  
Alshaimaa Turky ◽  
Hayam A. Abdellatif ◽  
Elsayed E. Elsayed
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Ankle Joint ◽  
Resonance Imaging ◽  
Post Traumatic

scholarly journals The power of marginal gains in obstetric anaesthesia

2020 ◽  
pp. 176-182
Author(s):  
DN Lucas ◽  
A Ezihe-Ejiofor ◽  
MC Mushambi
Keyword(s):  
Maternal Mortality ◽  
Pathological Condition ◽  
Valuable Insight ◽  
Maternal Deaths ◽  
Middle Income ◽  
Obstetric Anaesthesia ◽  
Middle Income Countries ◽  
The Usa ◽  
Underlying Causes

The crucial role of anaesthesia in improving outcomes in obstetrics has received renewed attention over the last few years. In 2016, Sobhy and colleagues presented the first systematic review of anaesthesia-related maternal mortality in lowincome and middle-income countries (LMICs).1 They found that anaesthesia contributed to 2.8% of all maternal deaths in LMICs. This is a relatively small percentage and may be superficially reassuring to anaesthesia providers; however, the overall frequency of anaesthesia-related maternal death was 300-fold higher for neuraxial anaesthesia and 900-fold higher for general anaesthesia than that reported for the USA.2 In contrast to other causes of maternal mortality, anaesthesia does not represent a disease or pathological condition; deaths related to anaesthesia are iatrogenic. The underlying causes of death in the study by Sobhy and colleagues included airway-related complications (45%), pulmonary aspiration (31%) and staff competencies and equipment issues (27%). It therefore behoves all anaesthesia providers who care for obstetric patients to scrutinise practice and seek ways to reduce anaesthesia-related morbidity and mortality. This edition of SAJAA features four articles of direct relevance to obstetric anaesthesia that provide valuable insight into aspects of care and strategies for quality improvement.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

Testing the Strain Theory of Suicide – The Moderating Role of Social Support

Crisis ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Bob Lew ◽  
Ksenia Chistopolskaya ◽  
Yanzheng Liu ◽  
Mansor Abu Talib ◽  
Olga Mitina ◽  
...  
Keyword(s):  
Social Support ◽  
Suicidal Behavior ◽  
Online Survey ◽  
Perceived Social Support ◽  
Strain Theory ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Strains ◽  
Moderating Role

Abstract. Background: According to the strain theory of suicide, strains, resulting from conflicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.

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