Joints

Suture-button fixation for tibiofibular syndesmosis injuries is a relatively new surgical technique thought to provide semirigid dynamic stabilization. However, adequate information is still not available and there are controversies as to whether it provides enough fixation for syndesmosis injuries. Optimally directed suture-button fixation brings physiologic dynamic stabilization of the ankle syndesmosis. Controlled laboratory study. Stabilization of the ankle syndesmosis fixed by a…

Shin Splints Shin splints is a painful condition that is felt on the bone located in the front of the lower leg (tibia or shin bone) or in the muscles on either side of the bone. This condition happens when physical activities, such as sports or other demanding exercise, lead to inflammation of the muscles, tendons, and the thin layer that covers the shin bone. CAUSES This condition may be caused by: • Overuse of muscles. • Repetitive activities. • Flat feet or rigid arches.…

There are a number of sources of ankle pain: sprains (which themselves come in two varieties inversion and eversion, whether the foot is twisted inward or outward, respectively, resulting in the excessive stretching of the ligament opposite to the direction of the twist), tendonitis of the Achilles tendon, rupture of the Achilles tendon, osteoarthritis, gout, psoriatic arthritis, rheumatoid arthritis, bursitis, broken ankle and stress fractures immediately come to mind. In the case of ankle…

Including the ACL there are four ligaments in your knee. The first is the medial collateral ligament(MCL). The MCL runs along the inside of the knee and it prevents the knee from bending in. The second is the lateral collateral ligament(LCL). This ligament runs along the outside of the knee and prevents the knee from bending out. The third is the posterior cruciate ligament(PCL). The PCL is in the middle of the knee and works with the ACL to prevent the tibia(shin bone) from sliding underneath…

When a patient dorsiflexes the foot, put simply this can be defined as flexion of the foot in an upward movement or direction which occurs at the ankle. If you imagine the foot being in a horizontal position, the toes are higher than the heel when the foot is in this position. As a result of injury or scar tissue that can build up along the fascia of overused muscles, a loss of range of motion within the foot is often seen amongst many patients. This often leads to inefficient and compromised…

What is Achilles Tendinitis? The Achilles tendon in the back of your foot is the tendon that assists with a variety of activities. When you run, stand, jump or walk, this tendon is making all of that possible. When this tendon becomes sore or swollen from an injury or overuse, it's called Achilles Tendinitis. There are two kinds of Achilles Tendinitis. One kind of tendinitis impacts the bottom portion of the tendon, and this kind of pain and swelling can occur in people who have had an injury…

DOI: 06/22/2014. The patient is a 37-year-old male laborer who sustained injury while pushing a pallet jack off a truck and took a step over the truck to the ground doing the splits. The patient is subsequently diagnosed with status post left tibia puncture fracture repair with instrumentation, left knee, left ankle, lumbar sprain/strain. Based on the progress report by Dr. McSweeney dated 01/07/16, the patient had a left ankle scope on 12/17/15 and has just started PT. He reports left ankle…

Capitate bone The largest of the carpal bones (sometimes referred to as the os magnum), the capitate sits at the centre of the distal carpal row. A distinctive head shaped bone, it has a protected position in the carpus. The capitate is the site of a number of ligamentous attachments and articulations. Gross anatomy Osteology The capitate sits in a proximo-distal direction, with a waist that is proximal to the transverse midline. The head of the capitate sits proximally into the…

Flat Feet, Adult A normal foot has a curve, called an arch, on its inner side. The arch creates a gap between the foot and the ground. Flat feet is a common condition in which one or both feet do not have an arch. CAUSES This condition may be caused by: Failure of normal arch to develop during childhood. An injury to tendons and ligaments in the foot, such as to the tendon that supports the arch (posterior tibial tendon). Loose tendons or ligaments in the foot. A wearing…

Common symptoms of the full can and empty can test are weakness and pain, therefore both tests need to be used to test for rotator cuff injuries. If pain, weakness, or both are present, these tests are thought to be positive. Since pain modifies muscle strength, there is a concern about the reliability of the empty can test.1 This concern arises because of the internal rotation of the humerus results in impingement, therefore potentially decreases the usefulness of the test. With the empty can…