scholarly journals Grade III injuries of the lateral ligaments of the ankle: the incidence and a simple stress test.

1986 ◽  
Vol 3 (4) ◽  
pp. 247-251 ◽  
Author(s):  
C L Muwanga ◽  
M Hellier ◽  
D N Quinton ◽  
J P Sloan ◽  
A F Dove
Aquaculture ◽  
1998 ◽  
Vol 165 (3-4) ◽  
pp. 233-242 ◽  
Author(s):  
Tzachi M Samocha ◽  
Horacio Guajardo ◽  
Addison L Lawrence ◽  
Frank L Castille ◽  
Michael Speed ◽  
...  

2020 ◽  
Author(s):  
Erik Feyen ◽  
Fernando Dancausa ◽  
Bryan Gurhy ◽  
Owen Nie

1996 ◽  
Vol 21 (2) ◽  
pp. 197-201 ◽  
Author(s):  
H. ONO ◽  
L. A. GILULA ◽  
B. A. EVANOFF ◽  
D. GRAND

Five cases are presented with clinical findings of capito-lunate instability pattern of the wrist. All painful areas and tender points were dorsal, but variable in location and intensity. All plain radiographs and fluoroscopic instability series were normal. None of the cases had an explanation for the dorsal wrist pain other than a positive dorsal capitate-displacement test. Four out of five cases were treated in a cast for 4 weeks and two had subsequent splint immobilization. Although at short-term follow-up two of these five patients became pain-free, none was completely pain-free at long-term follow-up. Three patients treated with a cast had long-term follow-up. Only one could perform his original work. These findings support a clinical condition of midcarpal instability producing dorsal wrist pain reproduced with a simple stress test. Conservative, non-operative treatment will not usually produce long-term pain relief.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
T Zaletova ◽  
A Bogdanov ◽  
Y Panova ◽  
S Derbeneva ◽  
Z Gioeva

Abstract Purpose Determination of exercise tolerance in patients with obesity and chronic heart failure. Methods An exercise cardiorespiratory testing (CPET) was performed using a spiroergometer in combination with treadmill using the modified BRUCE protocol in 222 patients divided into the following groups: Group 1: obesity I-II grade – 60 patients; Group 2: obesity I-II grade + chronic heart failure (CHF) – 49 patients; Group 3: grade III obesity – 60 patients; Group 4: grade III obesity + CHF – 53 patients. Results The results of CPET showed that the reason for the decrease in tolerance to physical activity in patients with obesity without CHF is detraining. Patients with obesity and CHF were characterized by a more pronounced decrease in exercise tolerance, which was reflected in a decrease in peak oxygen consumption (VO2peak), which in patients with obesity I-II + CHF was equal to 72.7±3.4% (moderate decrease), and in patients with obesity III + CHF – 50±2.1% (marked decrease); differences when compared with the groups without CHF were 44.3% and 24.4% (p<0.001).The maximum aerobic performance of patients with obesity I-II + CHF was equal to 5.5±0.9 MET (moderate decrease), and in patients with obesity III + CHF – 3.8±0.4 MET (marked reduction); differences when compared with patients without CHF were significant at p<0.001. A small reduction in the global pumping function of the heart was found only in patients with obesity III + CHF – the oxygen pulse was 9.4±2.2 ml/beats and was significantly different from the group of patients without CHF. In addition, a decrease in alveolar gas exchange (VE/VCO2) was observed in the groups of patients with obesity and CHF, which was equal to 32.1±1.5 units in the group of patients with obesity I-II degree and 33.6±2.5 units in the group of patients with obesity Grade III (the norm is less than 32), which is probably due to the presence of pulmonary hypertension and a decrease in the ventilation-perfusion ratio. Conclusion The development of CHF in patients with obesity leads to impaired alveolar ventilation, a decrease in aerobic muscle power and tolerance to physical exertion. In addition, it was found that when performing a stress test in patients with obesity and CHF (unlike patients without CHF), the anaerobic threshold is reached before the stage corresponding to their average daily exercise. This means that the usual physical activity of patients does not allow them to carry out effective fat oxidation, which may be the metabolic cause of the progression of obesity in patients with CHF. Acknowledgement/Funding Research No. 0529-2019-0061 Diagnostics, prevention and dietaterapy of patients with alimentary-dependent diseases


2014 ◽  
Vol 78 (2) ◽  
pp. 219-231 ◽  
Author(s):  
Piers Fleming ◽  
Daniel John Zizzo

2018 ◽  
Vol 43 (7) ◽  
pp. 767-775 ◽  
Author(s):  
Christoph Lutter ◽  
Andreas Schweizer ◽  
Volker Schöffl ◽  
Frank Römer ◽  
Thomas Bayer

The incidence of lumbrical muscle tear is increasing due to the popularity of climbing sport. We reviewed data from 60 consecutive patients with a positive lumbrical stress test, including clinical examination, ultrasound and clinical outcomes in all patients, and magnetic resonance imaging in 12 patients. Fifty-seven patients were climbers. Lumbrical muscle tears were graded according to the severity of clinical and imaging findings as Grade I–III injuries. Eighteen patients had Grade I injuries (microtrauma), 32 had Grade II injuries (muscle fibre disruption) and 10 had Grade III injuries (musculotendinous disruption). The treatment consisted of adapted functional therapy. All patients completely recovered and were able to return to climbing. The healing period in Grade III injuries was significantly longer than in the patients with Grade I or II injuries ( p < 0.001). We recommend evaluation of specific clinical and imaging findings to grade the injuries and to determine suitable therapy. Level of evidence: IV


2020 ◽  
Vol 110 (4) ◽  
Author(s):  
Anil Taskesen ◽  
Mustafa Caner Okkaoglu ◽  
Ismail Demirkale ◽  
Bahtiyar Haberal ◽  
Ugur Yaradilmis ◽  
...  

Background Distal tibiofibular syndesmosis contributes to dynamic stability of the ankle joint and thereby affects gait cycle. The purpose of this study was to evaluate the grade of syndesmosis injury on plantar pressure distribution and dynamic parameters of the foot. Methods Grade of syndesmosis injury was determined by preoperative plain radiographic evaluation, intraoperative hook test, or external rotation stress test under fluoroscopic examination, and two groups were created: group 1, patients with grade III syndesmosis injury (n = 17); and group 2, patients with grade II syndesmosis injury (n = 10). At the last visit, radiologic and clinical assessment using the Foot and Ankle Outcome Score was performed. Dynamic and stabilometric analysis was carried out at least 1 year after surgery. Results The mean age of the patients was 48.9 years (range, 17–80 years), and the mean follow-up was 16 months (range, 12–24 months). No statistically significant difference was noted between two groups regarding Foot and Ankle Outcome Score. The comparison of stabilometric and dynamic analysis revealed no significant difference between grade II and grade III injuries (P &gt; .05). However, comparison of the data of patients with grade III syndesmosis injury between injured and healthy feet showed a significant difference for dynamic maximum and mean pressures (P = .035 and P = .49, respectively). Conclusions Syndesmosis injury does not affect stance phase but affects the gait cycle by generating increased pressures on the uninjured foot and decreased pressures on the injured foot. With the help of pedobarography, processing suitable orthopedic insoles for the injured foot and interceptive measures for overloading of the normal foot may prevent later consequences of ankle trauma.


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