scholarly journals Symptomatic os intermetatarseum in a young athlete

2018 ◽  
Vol 12 (3) ◽  
pp. 247-249
Author(s):  
Letícia Zaccaria Prates de Oliveira ◽  
Rui Dos Santos Barroso ◽  
Bruno Rodrigues de Miranda ◽  
Bianca Cristina Romão da Cunha
Keyword(s):  
Young Athlete ◽  
Young Female ◽  
Young Athletes ◽  
Level Of Evidence ◽  
Medial Cuneiform ◽  
Literature Reviews ◽  
Os Intermetatarseum ◽  
The 19Th Century ◽  
Young Female Athlete ◽  
Fibular Nerve

The os intermetatarseum is located between the medial cuneiform and the base of the first and second metatarsals. Literature reviews have found few symptomatic cases of this condition since the 19th century. We report the case of a young female athlete, 20 years old, with sudden pain in the back of the midfoot after a jump. The os intermetatarseum is the rarest accessory bone in the foot and is typically asymptomatic. The presence of this bone should be considered when patients, especially young athletes, present with pain in the dorsum of the foot and compressive symptoms of the deep fibular nerve. Level of Evidence V; Therapeutic Studies; Expert Opinion.

The Young Female Athlete

1995 ◽  
Vol 14 (3) ◽  
pp. 687-707 ◽  
Author(s):  
David A. Van De Loo ◽  
Mimi D. Johnson
Keyword(s):  
Female Athlete ◽  
Young Female ◽  
Young Female Athlete

scholarly journals Intra-abdominal pressure: an integrative review

2016 ◽  
Vol 14 (3) ◽  
pp. 423-430 ◽  
Author(s):  
Rafaela Milanesi ◽  
Rita Catalina Aquino Caregnato
Keyword(s):  
Cohort Study ◽  
Gold Standard ◽  
Iliac Crest ◽  
Acute Abdominal Pain ◽  
Abdominal Pressure ◽  
Level Of Evidence ◽  
Research Results ◽  
Sterile Saline ◽  
Expert Opinions ◽  
Literature Reviews

ABSTRACT There is a growing request for measuring intra-abdominal pressure in critically ill patients with acute abdominal pain to be clarified. Summarizing the research results on measurement of vesical intra-abdominal pressure and analyzing the level of evidence were the purposes of this integrative literature review, carried out based on the databases LILACS, MEDLINE and PubMed, from 2005 to July 2012. Twenty articles were identified, in that, 12 literature reviews, 4 descriptive and exploratory studies, 2 expert opinions, one prospective cohort study and one was an experience report. The vesical intra-abdominal pressure measurement was considered gold standard. There are variations in the technique however, but some common points were identified: complete supine position, in absence of abdominal contracture, in the end of expiration and expressed in mmHg. Most research results indicate keeping the transducer zeroed at the level of the mid-axillary line at the iliac crest level, and instill 25mL of sterile saline. Strong evidence must be developed.

scholarly journals First-Tarsometatarsal Joint Alignment After First-Metatarsophalangeal Joint Arthrodesis for Hallux Valgus

2021 ◽  
Vol 6 (2) ◽  
pp. 247301142110085
Author(s):  
Christopher Traynor ◽  
James Jastifer
Keyword(s):  
Hallux Valgus ◽  
Case Series ◽  
Metatarsophalangeal Joint ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
First Metatarsophalangeal Joint ◽  
First Metatarsal ◽  
Metatarsal Angle ◽  
Medial Cuneiform ◽  
Radiographic Alignment

Background: Instability of the first-tarsometatarsal (TMT) joint has been proposed as a cause of hallux valgus. Although there is literature demonstrating how first-TMT arthrodesis affects hallux valgus, there is little published on how correction of hallux valgus affects the first-TMT joint alignment. The purpose of this study was to determine if correction of hallux valgus impacts the first-TMT alignment and congruency. Improvement in alignment would provide evidence that hallux valgus contributes to first-TMT instability. Our hypothesis was that correcting hallux valgus angle (HVA) would have no effect on the first-TMT alignment and congruency. Methods: Radiographs of patients who underwent first-MTP joint arthrodesis for hallux valgus were retrospectively reviewed. The HVA, 1-2 intermetatarsal angle (IMA), first metatarsal–medial cuneiform angle (1MCA), medial cuneiform–first metatarsal angle (MC1A), relative cuneiform slope (RCS), and distal medial cuneiform angle (DMCA) were measured and recorded for all patients preoperatively and postoperatively. Results: Of the 76 feet that met inclusion criteria, radiographic improvements were noted in HVA (23.6 degrees, P < .0001), 1-2 IMA (6.2 degrees, P < .0001), 1MCA (6.4 degrees, P < .0001), MC1A (6.5 degrees, P < .0001), and RCS (3.3 degrees, P = .001) comparing preoperative and postoperative radiographs. There was no difference noted with DMCA measurements (0.5 degrees, P = .53). Conclusion: Our findings indicate that the radiographic alignment and subluxation of the first-TMT joint will reduce with isolated treatment of the first-MTP joint. Evidence suggests that change in the HVA can affect radiographic alignment and subluxation of the first-TMT joint. Level of Evidence: Level IV, retrospective case series.

Maturation and Exercise Training in Children

1989 ◽  
Vol 1 (4) ◽  
pp. 303-312 ◽  
Author(s):  
Sharon Ann Plowman
Keyword(s):  
Physical Activity ◽  
Environmental Factors ◽  
Exercise Training ◽  
Female Athletes ◽  
Pubertal Development ◽  
Young Female ◽  
Training Data ◽  
Young Athletes ◽  
Genetic And Environmental Factors ◽  
Delayed Menarche

This paper describes the effects of exercise training on the somatic, skeletal, and sexual maturation of children. Young athletes of both sexes grow at the same rate and to the same extent as young nonathletes. However, there is evidence that the pubertal development of young female athletes may be delayed. Menarche is more consistently late than either thelarche or pubarche. Genetic and environmental factors are explored in an attempt to determine causative mechanisms. Longitudinal training data are needed for both boys and girls on a variety of physical and hormonal variables. Until such data are available, it is recommended that all children engage in regular physical activity but that maturational progress be monitored in those involved in strenuous competitive training.

scholarly journals Tarsometatarsal bone remodelling after subtalar arthroereisis

2020 ◽  
Vol 14 (3) ◽  
pp. 221-229
Author(s):  
Matthias Braito ◽  
Maria Radlwimmer ◽  
Dietmar Dammerer ◽  
Philipp Hofer-Picout ◽  
Jürgen Wansch ◽  
...  
Keyword(s):  
Bone Remodelling ◽  
Deformity Correction ◽  
Lateral View ◽  
Bone Morphology ◽  
Level Of Evidence ◽  
First Metatarsal ◽  
Metatarsal Angle ◽  
Medial Cuneiform ◽  
Angular Measurements ◽  
Subtalar Arthroereisis

Purpose Subtalar arthroereisis has been described for the treatment of flexible juvenile flatfoot. However, the mechanism responsible for deformity correction has not yet been investigated adequately. The aim of this study was to document the effect of subtalar arthroereisis on the tarsometatarsal bone morphology. Methods We retrospectively reviewed the clinical and radiological data of 26 patients (45 feet) with juvenile flexible flatfoot deformity treated by subtalar arthroereisis at our department between 2000 and 2018. Radiological evaluation included angular measurements of tarsometatarsal bone morphology as well as hindfoot and midfoot alignment. Mean radiographic follow-up was 19.4 months (sd 8.8; 12 to 41). Results A significant change of angular measurements of tarsometatarsal bone morphology was found after subtalar arthroereisis (p < 0.001). While there was an increase of the distal medial cuneiform angle (DMCA) and the medial cuneo-first metatarsal angle on the anteroposterior view, a decrease of the naviculo-medial cuneiform angle and the medial cuneo-first metatarsal angle was seen on the lateral view. Furthermore, we found significant improvements of all hindfoot and midfoot alignment parameters except the lateral tibio-calcaneal angle and the calcaneal pitch angle (p < 0.001). Conclusion Our data support the theory of tarsometatarsal bone remodelling, which may contribute to the effect of subtalar arthroereisis for the treatment of flexible juvenile flatfoot. Level of evidence IV

scholarly journals ACE/ACTN3 GENETIC POLYMORPHISMS AND ATHLETIC PERFORMANCE OF FEMALE SOCCER PLAYERS`

2019 ◽  
Vol 25 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Dejan Jeremic ◽  
Ivana Zivanovic Macuzic ◽  
Maja Vulovic ◽  
Jelena Stevanovic ◽  
Dragan Radovanovic ◽  
...  
Keyword(s):  
Anaerobic Power ◽  
Young Female ◽  
Soccer Players ◽  
Aerobic Performance ◽  
Level Of Evidence ◽  
Physical Test ◽  
Young Females ◽  
Endurance Tests ◽  
Genotype Interaction ◽  
High Level

ABSTRACT Objective: Previous studies have shown controversial relationships between ACE and ACTN3 gene polymorphisms and sports performance. Thus, the aim of our study was to assess anaerobic and aerobic performance indicators of young female soccer players with different ACE/ACTN3 gene profiles. Methods: Twenty-seven female soccer players aged 16-18 underwent acceleration, speed, strength, anaerobic power and aerobic endurance tests and had their ACE and ACTN3 polymorphisms determined. Results: Based on genetic analysis, they were divided into the following groups: ACE II (n=2), ACE ID (n=11), ACE DD (n=14), ACTN3 XX (n=5), ACTN3 RR (n=7) and ACTN3 RX (n=15). ACE DD and ACE ID groups differed significantly in terms of results achieved on the 5 m sprint test (1.15±0.05 s vs 1.10±0.05 s, P=0.42). ACTN3 RR and RX achieved better results than the ACTN3 XX group in seven continuous vertical jumps (26.57±1.59 cm vs 25.77±2.51 cm vs 22.86±1.16 cm, respectively; P=0.007 for RR vs XX and P=0.021 for RX vs XX). Conclusion: High prevalence of ACE DD and ACTN3 RX genotypes in our subjects may suggest that faster and more powerful young females tend to perform better in soccer. Nevertheless, the absence of differences in most of the physical test results indicates that different genotypes are compatible with high-level soccer performance, meaning that it is the phenotype-genotype interaction that makes a successful female soccer player. Level of Evidence I, Prognostic studies — Investigating the effect of a patient characteristic on disease outcome.

Radiographic Value of the Lisfranc Diastasis in a Standardized Population

2019 ◽  
Vol 13 (6) ◽  
pp. 494-501 ◽  
Author(s):  
James L. Thomas ◽  
Adam Kopiec ◽  
Kunkel Mark ◽  
L. Mae Chandler
Keyword(s):  
Systemic Disease ◽  
Lisfranc Joint ◽  
Level Of Evidence ◽  
Female Population ◽  
Entire Study ◽  
Medial Cuneiform ◽  
Joint Width ◽  
History Of ◽  
The Mean ◽  
Lisfranc Injuries

Introduction. Injury to the Lisfranc’s joint, in particular to the second metatarsal–medial cuneiform (second MMC) joint, can be difficult to evaluate, especially in subtle Lisfranc injuries. The purpose of this study was to determine the value of the Lisfranc joint width (diastasis) of the adult foot in a standardized population thereby establishing a potential reference range when investigating this area for potential injury. Methods. The 2nd MMC joint in 50 men and 50 women was evaluated. Individuals with a history of foot/ankle pain, previous foot/ankle operation or fracture, or a history of systemic disease were excluded from the study. Bilateral weightbearing digital anterior-posterior and lateral radiographs were taken using a standardized method. Results. The mean 2nd MMC diastasis in 200 feet was 5.6 mm (95% CI 5.39-5.81). In the female population, the mean 2nd MMC diastasis was 5.8 mm (95% CI 5.51-6.09) as compared with 5.6 mm (95% CI 5.31-5.89) in males. The mean distance between the fifth metatarsal base and first cuneiform in the entire study population was 16.3 mm (95% CI 15.57-17.03). Conclusion. This study helps define baseline measurements of the Lisfranc joint for the general population, which can provide a standard measurement against which suspected foot injuries can be compared. Level of Evidence: Level IV.

scholarly journals COMPARISON OF GLENOHUMERAL JOINT ROTATION RANGE OF MOTION IN YOUNG ATHLETES

2019 ◽  
Vol 25 (1) ◽  
pp. 53-57
Author(s):  
Felipe Ribeiro Pereira ◽  
Gabriela G. Pavan Gonçalves ◽  
Deborah Rocha Reis ◽  
Izabel C. P Rohlfs ◽  
Luciana De Michelis Mendonça ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Functional Performance ◽  
Glenohumeral Joint ◽  
Young Athletes ◽  
Level Of Evidence ◽  
Joint Rotation ◽  
Shoulder Range Of Motion ◽  
Medial Rotation ◽  
Lateral Rotation ◽  
Overhead Throwing

ABSTRACT Introduction: Overhead-throwing athletes undergo changes in shoulder range of motion (ROM) due to sports activities, such as excessive amplitude, lateral rotation (LR) increase and medial rotation (MR) restriction. Asymmetry greater than 20° may render athletes more prone to injuries. There are similarities among sports featuring overhead throwing due to the considerable amount of movements involving maximum lateral rotation. In these sports, medial rotation (MR) restriction, excess of lateral rotation (LR) and shoulder pain are common, particularly in overhead-throwing athletes. Objective: To assess shoulder MR and LR ROM in athletes participating in different sports, considering the influence of these variables on injuries and functional performance. Methods: The rotation ROM of the glenohumeral joint was assessed in 477 young athletes, who were categorized in three sports groups: swimming, overhead-throwing and non-overhead throwing, distributed by age group. Analyses of Variance (ANOVA) were performed to verify if there were differences in MR and LR between groups and paired Student t test was used to verify differences between sides (asymmetry). Results: Youngest athletes showed significant shorter LR than the oldest, in both sides. This study demonstrated that the right side has less MR and greater LR in all groups. Conclusion: The findings showed that overhead-throwing and swimming groups have similarities in shoulder rotation ROM. Level of evidence III; Diagnostic Studies - Investigating a Diagnostic Test.

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