Posterior ankle impingement syndrome(PAIS) is a common injury in athletes engaging in repetitive plantarflexion, particularly ballet dancers and soccer players. Despite the increase in popularity of the posterior twop...Posterior ankle impingement syndrome(PAIS) is a common injury in athletes engaging in repetitive plantarflexion, particularly ballet dancers and soccer players. Despite the increase in popularity of the posterior twoportal hindfoot approach, concerns with the technique remain, including; the technical difficulty, relatively steep learning curve, and difficulty performing simultaneous anterior ankle arthroscopy. The purpose of the current literature review is to provide comprehensive knowledge about PAIS, and to describe a systematic four-stage approach of the posterior two-portal arthroscopy. The etiology, clinical presentation, diagnostic strategies are first introduced followed by options in conservative and surgical management. A detailed systematic approach to posterior hindfoot arthroscopy is then described. This technique allows for systematic review of the anatomic structures and treatment of the bony and/or soft tissue lesions in four regions of interest in the hindfoot(superolateral, superomedial, inferomedial, and inferolateral). The review then discusses biological adjuncts and postoperative rehabilitation and ends with a discussion on the most recent clinical outcomes after posterior hindfoot arthroscopy for PAIS. Although clinical evidence suggests high success rates following posterior hindfoot arthroscopy in the short- and mid-term it may be limited in the pathology that can be addressed due to the technical skills required, but the systematic four-stage approach of the posterior two-portal arthroscopy may improve upon this problem.展开更多
AIM: To evaluate the association between various risk factors, including sleeping position, and impingement syndrome. Impingement syndrome is the most common cause of shoulder problems. The pathogenesis of this proble...AIM: To evaluate the association between various risk factors, including sleeping position, and impingement syndrome. Impingement syndrome is the most common cause of shoulder problems. The pathogenesis of this problem is still debated these days.METHODS: This was a case control study conducted at the outpatient clinic of Songklanakarind hospital. Data regarding history, physical examination and radiographic evaluations using supraspinatous outlet views were obtained from all patients with clinically suspected impingement syndrome. The diagnoses of impingement syndrome were confirmed by a xylocaine subacromial injection test. All patients were interviewed concerning their usual sleeping position, which was categorized into supine, decubitus, prone and undetermined. Radiographs were evaluated to determine the shape of the acromion, which was divided into 3 types: flat, curved and hook. We used logistic regression analysis to determine the association between risk factors and outcome.RESULTS: The study group included 111 patients with impingement syndrome and 191 healthy volunteers as a control group. The mean age was about 50 years with a body mass index(BMI) of 24 kg/m2 in both groups. The most common shape of the acromion was flat(84.5%), followed by curved(10.7%) and hook(4.8%). We found the 4 independent risk factors affecting impingement syndrome were smoking status, occupation, acromion shape and sleeping position. Patients who currently smoked had a 6.8 times greater risk of impingement syndrome compared to non-smokers(OR 6.8, 95% CI: 1.2-39) and government officers had a 6.3 times increased risk compared to rubber tappers(OR 6.3, 95% CI: 1.3-30.3). Patients with a hook type acromion had 6.2 times the risk of flat type(OR 6.2, 95% CI: 1.1-35) and patients who slept in the decubitus position had 3.7 times the risk of those who slept in the supine position(OR 3.7, 95% CI: 1.2-11.6). No significant associations were found between age, sex, BMI, sports activity and impingement syndrome.CONCLUSION: Independent risk factors affecting impingement syndrome are current smoker, government officer, a hook-type acromion and the decubitus sleeping position.展开更多
Subacromial impingement syndrome (SIS) has been described as the most common form of shoulder pathology argued that 100% of impingement lesions and 95% of rotator cuff pathology are caused by friction between the acro...Subacromial impingement syndrome (SIS) has been described as the most common form of shoulder pathology argued that 100% of impingement lesions and 95% of rotator cuff pathology are caused by friction between the acromion and surrounding tissues within the subacromial space. Commonly, rest, Non-steroidal anti-inflammatory drugs (NSAIDS), corticosteroid injections, and mobilization, strengthening exercises will resolve most cases of SIS. The results of the long-term outcome of these treatments, however, are not promising. Purpose: This study focuses on the effect of scapular taping and conventional Physical therapy in increasing isometric muscle strength, decreasing pain, improving function in patients with subacromial impingement syndrome. Study design: Double blinded randomised controlled clinical trial. Subjects were assessed by a blinded researcher using standard physiotherapy measures, Shoulder Pain and Disability Index questionnaire (SPADI), and isometric muscle strength measured using digital dynamo meter. Methodology: The patients in the treatment group (scapular taping group) received scapular taping with conventional exercises and the control group (no scapula taping) group received conventional exercise. Result: When comparing the scores using unpaired t-test with P value set at <0.05, high level of significance was noted for flexor, abductor, external rotator muscle force and SPADI. Conclusion: Scapular taping may be a useful adjunct for promoting proper scapular kinetics & upper thoracic extension and should be used in conjunction with other interventions.展开更多
The use of the ultrasound imaging (USI) in physiotherapy is becoming increasingly common but is highly operator dependent and there are safe and professional issues regarding its practical use. Currently there are no ...The use of the ultrasound imaging (USI) in physiotherapy is becoming increasingly common but is highly operator dependent and there are safe and professional issues regarding its practical use. Currently there are no specific training guidelines relating to physiotherapists using USI. The use of ultrasound technology for medical applications began in the 1950s and has proven to be an effective, safe, non-invasive, and relatively inexpensive tool for assessing morphologic characteristics and structural integrity of visceral organs and soft tissues. The use of ultrasound to assess muscle morphology and guide rehabilitation decision-making in physical therapy practice can be traced back to the late 1960s and has been found to be reliable and valid for specific muscles during particular movements. Over the last decade there has been rapid development of this technique with increased use both by clinicians and researchers. This method is defined in literature with the denomination of Rehabilitative Ultrasound Imaging (RUSI). In this work we will see how RUSI could be of help in the evaluation of shoulder impingement syndrome (SIS).展开更多
Arthroscopic treatment of ankle impingement syndrome(AIS)is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint.This syndrome occurs when there is abnormal contact...Arthroscopic treatment of ankle impingement syndrome(AIS)is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint.This syndrome occurs when there is abnormal contact between certain bones or soft tissues in the ankle,leading to pain,swelling,or limited range of motion.Traditionally,open surgery was the standard approach for treating AIS.However,with advancements in technology and surgical techniques,arthroscopic treatment has become a preferred method for many patients and surgeons.With improved visualization and precise treatment of the arthroscopy,patients can experience reduced pain and improved functionality,allowing them to return to their daily activities sooner.In this paper,we reviewed the application and clinical efficacy the of arthroscopic approach for treating AIS,hoping to provide a reference for its future promotion.展开更多
文摘Posterior ankle impingement syndrome(PAIS) is a common injury in athletes engaging in repetitive plantarflexion, particularly ballet dancers and soccer players. Despite the increase in popularity of the posterior twoportal hindfoot approach, concerns with the technique remain, including; the technical difficulty, relatively steep learning curve, and difficulty performing simultaneous anterior ankle arthroscopy. The purpose of the current literature review is to provide comprehensive knowledge about PAIS, and to describe a systematic four-stage approach of the posterior two-portal arthroscopy. The etiology, clinical presentation, diagnostic strategies are first introduced followed by options in conservative and surgical management. A detailed systematic approach to posterior hindfoot arthroscopy is then described. This technique allows for systematic review of the anatomic structures and treatment of the bony and/or soft tissue lesions in four regions of interest in the hindfoot(superolateral, superomedial, inferomedial, and inferolateral). The review then discusses biological adjuncts and postoperative rehabilitation and ends with a discussion on the most recent clinical outcomes after posterior hindfoot arthroscopy for PAIS. Although clinical evidence suggests high success rates following posterior hindfoot arthroscopy in the short- and mid-term it may be limited in the pathology that can be addressed due to the technical skills required, but the systematic four-stage approach of the posterior two-portal arthroscopy may improve upon this problem.
基金support by Faculty of Medicine, Prince of Songkla University
文摘AIM: To evaluate the association between various risk factors, including sleeping position, and impingement syndrome. Impingement syndrome is the most common cause of shoulder problems. The pathogenesis of this problem is still debated these days.METHODS: This was a case control study conducted at the outpatient clinic of Songklanakarind hospital. Data regarding history, physical examination and radiographic evaluations using supraspinatous outlet views were obtained from all patients with clinically suspected impingement syndrome. The diagnoses of impingement syndrome were confirmed by a xylocaine subacromial injection test. All patients were interviewed concerning their usual sleeping position, which was categorized into supine, decubitus, prone and undetermined. Radiographs were evaluated to determine the shape of the acromion, which was divided into 3 types: flat, curved and hook. We used logistic regression analysis to determine the association between risk factors and outcome.RESULTS: The study group included 111 patients with impingement syndrome and 191 healthy volunteers as a control group. The mean age was about 50 years with a body mass index(BMI) of 24 kg/m2 in both groups. The most common shape of the acromion was flat(84.5%), followed by curved(10.7%) and hook(4.8%). We found the 4 independent risk factors affecting impingement syndrome were smoking status, occupation, acromion shape and sleeping position. Patients who currently smoked had a 6.8 times greater risk of impingement syndrome compared to non-smokers(OR 6.8, 95% CI: 1.2-39) and government officers had a 6.3 times increased risk compared to rubber tappers(OR 6.3, 95% CI: 1.3-30.3). Patients with a hook type acromion had 6.2 times the risk of flat type(OR 6.2, 95% CI: 1.1-35) and patients who slept in the decubitus position had 3.7 times the risk of those who slept in the supine position(OR 3.7, 95% CI: 1.2-11.6). No significant associations were found between age, sex, BMI, sports activity and impingement syndrome.CONCLUSION: Independent risk factors affecting impingement syndrome are current smoker, government officer, a hook-type acromion and the decubitus sleeping position.
文摘Subacromial impingement syndrome (SIS) has been described as the most common form of shoulder pathology argued that 100% of impingement lesions and 95% of rotator cuff pathology are caused by friction between the acromion and surrounding tissues within the subacromial space. Commonly, rest, Non-steroidal anti-inflammatory drugs (NSAIDS), corticosteroid injections, and mobilization, strengthening exercises will resolve most cases of SIS. The results of the long-term outcome of these treatments, however, are not promising. Purpose: This study focuses on the effect of scapular taping and conventional Physical therapy in increasing isometric muscle strength, decreasing pain, improving function in patients with subacromial impingement syndrome. Study design: Double blinded randomised controlled clinical trial. Subjects were assessed by a blinded researcher using standard physiotherapy measures, Shoulder Pain and Disability Index questionnaire (SPADI), and isometric muscle strength measured using digital dynamo meter. Methodology: The patients in the treatment group (scapular taping group) received scapular taping with conventional exercises and the control group (no scapula taping) group received conventional exercise. Result: When comparing the scores using unpaired t-test with P value set at <0.05, high level of significance was noted for flexor, abductor, external rotator muscle force and SPADI. Conclusion: Scapular taping may be a useful adjunct for promoting proper scapular kinetics & upper thoracic extension and should be used in conjunction with other interventions.
文摘The use of the ultrasound imaging (USI) in physiotherapy is becoming increasingly common but is highly operator dependent and there are safe and professional issues regarding its practical use. Currently there are no specific training guidelines relating to physiotherapists using USI. The use of ultrasound technology for medical applications began in the 1950s and has proven to be an effective, safe, non-invasive, and relatively inexpensive tool for assessing morphologic characteristics and structural integrity of visceral organs and soft tissues. The use of ultrasound to assess muscle morphology and guide rehabilitation decision-making in physical therapy practice can be traced back to the late 1960s and has been found to be reliable and valid for specific muscles during particular movements. Over the last decade there has been rapid development of this technique with increased use both by clinicians and researchers. This method is defined in literature with the denomination of Rehabilitative Ultrasound Imaging (RUSI). In this work we will see how RUSI could be of help in the evaluation of shoulder impingement syndrome (SIS).
基金Chongqing Postgraduate Education and Teaching Reform Research Project(No.yjg203136)Army Medical University Graduate Teaching Program(Y2022W04).
文摘Arthroscopic treatment of ankle impingement syndrome(AIS)is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint.This syndrome occurs when there is abnormal contact between certain bones or soft tissues in the ankle,leading to pain,swelling,or limited range of motion.Traditionally,open surgery was the standard approach for treating AIS.However,with advancements in technology and surgical techniques,arthroscopic treatment has become a preferred method for many patients and surgeons.With improved visualization and precise treatment of the arthroscopy,patients can experience reduced pain and improved functionality,allowing them to return to their daily activities sooner.In this paper,we reviewed the application and clinical efficacy the of arthroscopic approach for treating AIS,hoping to provide a reference for its future promotion.
