scholarly journals Outcomes of the calcaneo-stop procedure for the treatment of juvenile flatfoot in young athletes

2018 ◽  
Vol 12 (6) ◽  
pp. 582-589 ◽  
Author(s):  
V. Pavone ◽  
A. Vescio ◽  
C. A. Di Silvestri ◽  
A. Andreacchio ◽  
G. Sessa ◽  
...  
Keyword(s):  
Sport Activity ◽  
Radiographic Evaluation ◽  
Activity Levels ◽  
Young Athletes ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Sport Practice ◽  
Radiographic Outcomes ◽  
Flexible Flatfoot ◽  
Declination Angle

Purpose Flexible flatfoot (FFF) is a widespread condition in juvenile patients. If symptomatic, FFF can require surgical treatment. The calcaneo-stop procedure has shown excellent clinical and radiographic outcomes and low rates of complications. The aim of the present study was to assess the sport practice of young athletes affected by FFF having undergone the calcaneo-stop procedure. Methods Between 2008 and 2016, 68 sport practitioners were bilaterally treated by the calcaneo-stop procedure, for a total of 136 FFF cases. Clinical evaluation, including the American Orthopedic Foot and Ankle Score (AOFAS), the Yoo et al score and The Foot & Ankle Disability Index (FADI) and FADI Sport scores were assessed. Radiographic evaluation was based on measurement of talar declination, Costa-Bertani’s angle and calcaneal pitch. Results Mean follow-up was 57.6 months (sd 16.8). The AOFAS score mean increased from 79.3 (sd 5.7) to 97.3 (sd 4.5) three years after surgery. The Yoo score improved from 3.1 (sd 1.0) preoperatively to 11.7 (sd 0.6) three years after surgery. The FADI Sport subscale mean improved from 74.1 (sd 10.4) preoperatively to 95.9 (sd 4.9) three years after surgery. Costa-Bertani’s angle decreased from 156.1° (sd 4.2°) to 135.8° (sd 7.3°) at three years postoperatively; mean talar declination angle decreased from 44.2° (sd 6.3°) to 30.6° (sd 3.2°) at three years postoperatively and mean calcaneal pitch increased from 12.6° (sd 2.3°) to 16.3° (sd 1.3°) at three years postoperatively. Conclusion Adolescent patients who underwent the calcaneo-stop procedure reported satisfactory outcomes in terms of clinical and radiological evaluations. Moreover, our results showed an improvement of sport activity levels, with patients recovering sports activity within three months of surgery and without limitation in the execution of preferred activities. Level of Evidence: IV

scholarly journals Return to Sport and Activity after Total Ankle Arthroplasty and Arthrodesis: A Systematic Review

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0027
Author(s):  
William L. Johns ◽  
Christopher Sowers ◽  
Kempland C. Walley ◽  
J. Ben Jackson ◽  
David B. Thordarson ◽  
...  
Keyword(s):  
Surgical Management ◽  
Sport Participation ◽  
Sport Activity ◽  
Return To Sport ◽  
Participation Rate ◽  
Ankle Arthrodesis ◽  
Cochrane Library ◽  
Activity Participation ◽  
Activity Levels ◽  
Sports Activity

Category: Ankle Arthritis; Ankle; Other Introduction/Purpose: There is no consensus regarding participation in sports and recreational activities following total ankle replacement (TAR) and ankle arthrodesis (AA). Better understanding on this topic will allow orthopaedic foot and ankle surgeons to set evidence-based goals and expectations with their patients in regards to postoperative activity recommendations and quality of life. We aimed to summarize the evidence on return to sport and activity after surgical management with either TAR or AA for ankle osteoarthritis (OA). Methods: A literature search of PubMed, MEDLINE, EMBASE, CINAHL, and Cochrane Library databases was performed in January 2020. The bibliographies of all relevant publications were searched for further applicable studies. Included studies were required to report sport and activity outcomes in patients undergoing TAR and AA, with primary outcomes being percentage of sport participation and level of sport participation. Excluded studies were non-English and did not assess level of sport activity after TAR or AA. Results: Twelve studies met inclusion criteria for analysis. There were 1,270 ankle procedures, of which 923 TAR and 347 AA were performed. Mean reported patient age was 59.2 years old and mean BMI was 28 kg/m2. Mean follow-up was 43 months. Fifty-four percent of patients were active in sports preoperatively compared to 63.7% postoperatively (Figure 1). Mean preoperative activity participation rate was 41% in the TAR cohort, but improved to 59% after TAR, whereas preoperative activity participation rate of 73% was similar to postoperative rate of 70% in the AA cohort. The most common sports in TAR and AA groups were swimming, hiking, cycling, and skiing. Conclusion: Participation in sports activity is nearly 10% improved after surgical management of ankle OA. The existing literature demonstrated a large improvement in pre-to postoperative activity levels after TAR, with minimal change in activity after AA, however, AA patients were more active at baseline. The most frequent postoperative sports activities after surgical management of ankle OA are: swimming, hiking, cycling, and skiing. Despite preoperative participation in high-impact sports such as tennis, soccer, and running, these were consistently limited after surgery. This review of the literature will equip patients and physicians with the knowledge to appropriately establish realistic expectations for postoperative physical activity and return to sport goals. [Table: see text]

Neer Modified Inferior Capsular Shift Procedure for Recurrent Anterior Instability of the Shoulder in Judokas

2009 ◽  
Vol 37 (5) ◽  
pp. 995-1002 ◽  
Author(s):  
Yoshiyasu Uchiyama ◽  
Kazutoshi Hamada ◽  
Seiji Miyazaki ◽  
Akiyoshi Handa ◽  
Hiroaki Fukuda
Keyword(s):  
External Rotation ◽  
Case Series ◽  
Activity Levels ◽  
Anterior Instability ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Capsular Shift ◽  
Minimal Restriction ◽  
Average Loss

Background Little has been written about the operative repair of recurrent anterior instability of the shoulder in a single sport: in this case, Judo. Purpose The clinical efficacy of the Neer modified inferior capsular shift as an open procedure for injured judokas was investigated. Study Design Case series; Level of evidence, 4. Methods Fifty athletes (42 male and 8 female, 52 shoulders) took part in this study. The average age at surgery was 20 years (range, 14-38 years), and the mean follow-up period was 61 months (range, 24-172 months). The operation was performed on 29 tsurité (a lapel grip) shoulders and on 23 hikité (a sleeve grip) shoulders. The 2 grips are functionally and technically different from each other. Results Three cases of shoulder instability (5.8%) recurred after surgery. The average loss of external rotation was 9.6° with the arm at the side and 11.6° with the arm in 90° of abduction. The average Rowe and UCLA scores were 37.3 and 20.8 points preoperatively and 86.7 and 32.4 points at the final follow-up, respectively (P < .05). The return rate to the near-preinjury sports activity levels (>90% recovery: grades 1 and 2) was significantly lower in the tsurité shoulders (48.1%) than in the hikité shoulders (85.7%). Conclusion The overall recovery of more than 90% of preinjury activity levels in judo was 65% after modified inferior capsular shift for traumatic anterior instability of the shoulder. The tsurité shoulder should be treated with minimal restriction limitation in external rotation so that it is not limited postoperatively.

scholarly journals ¿Es compatible el deporte en edad escolar con otros roles sociales? Un estudio a través de la Teoría de la Autodeterminación (It is compatible the sport in scholar age with other social roles? A study through Self-Determination Theory)

Retos ◽  
2015 ◽  
pp. 50-52
Author(s):  
Diana Amado Alonso ◽  
Francisco Miguel Leo Marcos ◽  
David Sánchez Oliva ◽  
Inmaculada González Ponce ◽  
José María López Chamorro
Keyword(s):  
Sample Size ◽  
Social Roles ◽  
Sport Activity ◽  
Self Determination Theory ◽  
Self Determination ◽  
Young Athletes ◽  
Male Athletes ◽  
Sport Practice ◽  
The Relationship

El objetivo principal de este estudio fue examinar la relación entre la percepción de conflicto o utilidad del deporte respecto a otros papeles sociales y el nivel de autodeterminación en jóvenes deportistas, indagando sobre las diferencias que existen entre estas variables en función del género. Para ello, se utilizó una muestra de 1897 jugadores de diferentes disciplinas deportivas, 1378 de género masculino y 519 de género femenino. Los participantes rellenaron un cuestionario para medir el nivel de autodeterminación y otro para valorar el conflicto entre roles sociales. Los resultados mostraron que la utilidad del deporte se relacionaba positiva y significativamente con la motivación autoderminada mientras que el conflicto entre roles se relacionaba de esta misma forma con la desmotivación. Asimismo, los chicos mostraron puntuaciones elevadas en todos los tipos de motivación que abarca la teoría de la autodeterminación, siendo los que mayor incompatibilidad percibían entre el deporte y otros papeles sociales propios de su etapa de crecimiento. Como conclusión se destaca la necesidad de crear motivos de práctica intrínsecos en ambos géneros para favorecer el compromiso con la actividad deportiva y evitar el abandono que se puede producir por las exigencias de otros contextos que rodean al joven deportista. Palabra clave: conflicto entre roles, autodeterminación, práctica deportiva, edad escolar, género.Abstract: TThe main aim of this study was to examine the relationship between perception of conflict or utility of the sport regarding other social roles and self-determination level in young athletes, focusing on differences among these variables with respect to sex. Hence, we used a sample size of 1897 players from different sport modalities, 1378 male and 519 female. Participants filled a questionnaire to assess self-determination level and other to measure conflict between social roles. Results showed that utility of sport was positive and significantly associated with self-determined motivation, whereas conflict between roles was related with amotivation. Moreover, male athletes showed higher scores in all types of motivation that refer Self-Determination Theory, being the group that perceived the greater incompatibility between sport and other social roles according to their growth age. As a conclusion, we emphasize the necessity to promote intrinsic motives of practice in both sex to increase commitment with the sport activity, and avoid sport dropout that might be happened because of the demands of other contexts that surround young athletes.Key words: Conflict between roles, self-determination, sport practice, scholar age, genre.

scholarly journals Preliminary outcomes of anterior ankle arthrodesis

2018 ◽  
Vol 12 (3) ◽  
Author(s):  
Juliana Doering Xavier da Silveira ◽  
Vinicius Felipe Pereira ◽  
Vitor Yoshiura Masuda ◽  
Rafael Mohriak Azevedo ◽  
Nacime Salomão Barbachan Mansur
Keyword(s):  
Weight Bearing ◽  
Case Series ◽  
Wound Complication ◽  
Ankle Arthrodesis ◽  
Radiographic Evaluation ◽  
Anterior Plate ◽  
Level Of Evidence ◽  
Radiographic Outcomes ◽  
Consolidation Rate ◽  
One Year

Objective: The objective of this study was to evaluate preliminary clinical and radiographic outcomes of a case series of patients with ankle osteoarthritis undergoing anterior tibiotalar arthrodesis using anterior plate and cannulated screws as a form of fixation. Methods: We retrospectively assessed the clinical and radiographic outcomes of eight cases treated with this technique in our service between 2014 and 2017, using the American Orthopedic Foot and Ankle Score (AOFAS) questionnaire and radiographic evaluation in two orthogonal views with ankle weight bearing, evaluated at one year after surgery. Results: We obtained AOFAS scores between 38 and 92 in the late postoperative period and a consolidation rate of 87.5% (seven cases). There was consolidation failure in one case, which resulted in plate loosening and the need for reoperation. Only one of the patients presented superficial surgical wound complication, treated only with serial dressings. There were no neurovascular complications. Conclusion: The present study obtained adequate preliminary outcomes with the use of the demonstrated technique, indicating a possible advantage of the same in relation to conventional techniques and the possibility of using lower-cost surgical materials. Level of Evidence IV; Therapeutic Studies; Cases Series.

scholarly journals Anatomic medial patellofemoral ligament (MPFL) reconstruction with and without tibial tuberosity osteotomy for objective patellar instability

2021 ◽  
Author(s):  
A. Pautasso ◽  
L. Sabatini ◽  
M. Capella ◽  
F. Saccia ◽  
L. Rissolio ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Medial Patellofemoral Ligament ◽  
Sport Activity ◽  
Activity Level ◽  
Tibial Tuberosity ◽  
Mpfl Reconstruction ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Redislocation Rate ◽  
Patellar Stability

Abstract Purpose The aim of this study was to evaluate the clinical outcomes of patients treated with anatomic medial patellofemoral ligament (MPFL) reconstruction with and without tibial tuberosity osteotomy (TTO). Correlations between patient's age, gender, pre-injury physical activity and the achieved results were investigated as secondary endpoints. Methods An observational retrospective study with prospective collected data was performed. Inclusion criteria were: treatment with anatomic MPFL reconstruction with gracilis tendon according to Schӧttle’s technique performed between 2011 and 2017; associated TTO as unique accessory procedure; skeletal joint maturity; a minimum follow-up of 12 months after surgery. Clinical outcomes were assessed with the Kujala, Lysholm and Tegner scores. Results Forty patients (42 knees) were included, 64% of them underwent TTO. The Kujala score significantly improved from 47.4 ± 17.6 preoperatively to 89.4 ± 13.6 postoperatively (p < 0.01). The average Lysholm score was 45.6 ± 20.5 preoperatively: it showed a significant increase to 89.8 ± 12.8 postoperatively (p < 0.01). Pre-injury mean Tegner was 5.9 ± 1.8, while it dropped to 3.0 ± 1.6 after injury. After surgery, Tegner resulted 4.9 ± 1.6. Forty-three percent of patients regained the pre-injury sport activity level. Redislocation rate was 2.4%. Conclusion Anatomic MPFL reconstruction allows excellent patellar stability recovery, knee functionality improvement, return to Activities of Daily Living and a low redislocation rate. Better results were achieved in younger (under 30 years old) and higher sports activity-level subjects. The TTO association provided clinical results comparable to isolated MPFL reconstructions, suggesting that the two procedures can be safely accomplished together without affecting the positive outcomes. Level of evidence Level IV.

scholarly journals Novel Radiographic Indexes for Elbow Stability Assessment: Part B—Preliminary Clinical Study

2021 ◽  
Author(s):  
Francesco Luceri ◽  
Davide Cucchi ◽  
Enrico Rosagrata ◽  
Carlo Eugenio Zaolino ◽  
Alessandra Menon ◽  
...  
Keyword(s):  
Case Series ◽  
Radiographic Evaluation ◽  
Healthy Population ◽  
X Rays ◽  
The Novel ◽  
Level Of Evidence ◽  
Orthopaedic Surgeons ◽  
Joint Congruency ◽  
Radiological Parameters ◽  
The Mean

Abstract Introduction The coronoid process plays a key-role in preserving elbow stability. Currently, there are no radiographic indexes conceived to assess the intrinsic elbow stability and the joint congruency. The aim of this study is to present new radiological parameters, which will help assess the intrinsic stability of the ulnohumeral joint and to define normal values of these indexes in a normal, healthy population. Methods Four independent observers (two orthopaedic surgeons and two radiologists) selected lateral view X-rays of subjects with no history of upper limb disease or surgery. The following radiographic indexes were defined: trochlear depth index (TDI); anterior coverage index (ACI); posterior coverage index (PCI); olecranon–coronoid angle (OCA); radiographic coverage angle (RCA). Inter-observer and intra-observer reproducibility were assessed for each index. Results 126 subjects were included. Standardized lateral elbow radiographs (62 left and 64 right elbows) were obtained and analysed. The mean TDI was 0.46 ± 0.06 (0.3–1.6), the mean ACI was 2.0 ± 0.2 (1.6–3.1) and the mean PCI was 1.3 ± 0.1 (1.0–1.9). The mean RCA was 179.6 ± 8.3° (normalized RCA: 49.9 ± 2.3%) and the mean OCA was 24.6 ± 3.7°. The indexes had a high-grade of inter-observer and intra-observer reliability for each of the four observers. Significantly higher values were found for males for TDI, ACI, PCI and RCA. Conclusion The novel radiological parameters described are simple, reliable and easily reproducible. These features make them a promising tool for radiographic evaluation both for orthopaedic surgeons and for radiologists in the emergency department setting or during outpatient services. Level of evidence Basic Science Study (Case Series). Clinical relevance The novel radiological parameters described are reliable, easily reproducible and become handy for orthopaedic surgeons as well as radiologists in daily clinical practice.

Sport activity levels following ankle fusion

2021 ◽  
Author(s):  
Maged Hanna ◽  
Emily A. Whicker ◽  
Brian Traub ◽  
Emad Allam ◽  
Sameh A. Labib
Keyword(s):  
Sport Activity ◽  
Activity Levels ◽  
Ankle Fusion

scholarly journals Failed Latarjet procedure: a systematic review of surgery revision options

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Matteo Buda ◽  
Riccardo D’Ambrosi ◽  
Enrico Bellato ◽  
Davide Blonna ◽  
Alessandro Cappellari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Series ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Latarjet Procedure ◽  
Shoulder Stabilization ◽  
Recurrent Instability ◽  
Level Of Evidence ◽  
Radiographic Outcomes

Abstract Background Revision surgery after the Latarjet procedure is a rare and challenging surgical problem, and various bony or capsular procedures have been proposed. This systematic review examines clinical and radiographic outcomes of different procedures for treating persistent pain or recurrent instability after a Latarjet procedure. Methods A systematic review of the literature was performed using the Medline, Cochrane, EMBASE, Google Scholar and Ovid databases with the combined keywords “failed”, “failure”, “revision”, “Latarjet”, “shoulder stabilization” and “shoulder instability” to identify articles published in English that deal with failed Latarjet procedures. Results A total of 11 studies (five retrospective and six case series investigations), all published between 2008 and 2020, fulfilled our inclusion criteria. For the study, 253 patients (254 shoulders, 79.8% male) with a mean age of 29.6 years (range: 16–54 years) were reviewed at an average follow-up of 51.5 months (range: 24–208 months). Conclusions Eden–Hybinette and arthroscopic capsuloplasty are the most popular and safe procedures to treat recurrent instability after a failed Latarjet procedure, and yield reasonable clinical outcomes. A bone graft procedure and capsuloplasty were proposed but there was no clear consensus on their efficacy and indication. Level of evidence Level IV Trial registration PROSPERO 2020 CRD42020185090—www.crd.york.ac.uk/prospero/

scholarly journals Survey to describe variability in early onset scoliosis cast practices

2018 ◽  
Vol 12 (4) ◽  
pp. 406-412 ◽  
Author(s):  
A. Grzywna ◽  
A. McClung ◽  
J. Sanders ◽  
P. Sturm ◽  
L. Karlin ◽  
...  
Keyword(s):  
Early Onset ◽  
Congenital Scoliosis ◽  
Patient Characteristics ◽  
Study Groups ◽  
Early Onset Scoliosis ◽  
Radiographic Evaluation ◽  
Level Of Evidence ◽  
Major Curve ◽  
Radiographic Measurements ◽  
Multicentre Research

Purpose To investigate paediatric orthopaedists’ cast practices for early onset scoliosis regarding patient selection, cast application, radiographic evaluation, treatment cessation and adjunctive bracing. Methods A casting survey was distributed to all paediatric orthopaedists in Children’s Spine and Growing Spine Study Groups (n = 92). Questions included physician and patient characteristics, technique, treatment, outcomes, radiographic measurements and comparison to other treatments. A total of 55 orthopaedists (60%) responded, and descriptive statistics were calculated on the subset who cast (n = 45). Results A majority of respondents use cast treatment for idiopathic and syndromic scoliosis patients, but not for neuromuscular or congenital scoliosis patients. Major curve angle ranked most important in orthopaedists’ decision to commence cast treatment, in comparison with rib-vertebra angle difference or clinical observations. The major curve angle threshold to initiate casting was a median of 30° (20° to 70°), and the minimum patient age was median ten months (3 to 24). First in-cast and out-of-cast radiographs are taken standing, supine, awake, under anesthesia and/or in traction. In all, 58% consistently cast over or under the arm, while 44% vary position by patient. Respondents were divided about the use of a brace after cast treatment: 22% do not prescribe a brace, 31% always do and 36% do in some patients. Conclusions Future multicentre research studies must standardize radiographic practices and consider age and major curve angle at cast initiation and termination, scoliosis aetiology, shoulder position and treatment duration. Practices need to be aligned or compared in these areas in order to distinguish what makes for the best cast treatment possible. Level of Evidence V, Expert opinion

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