Ankle Joint: The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS.Ankle: The region of the lower limb between the FOOT and the LEG.Ankle Injuries: Harm or hurt to the ankle or ankle joint usually inflicted by an external source.Lateral Ligament, Ankle: LATERAL LIGAMENTS of the ANKLE JOINT. It includes inferior tibiofibular ligaments.Sprains and Strains: A collective term for muscle and ligament injuries without dislocation or fracture. A sprain is a joint injury in which some of the fibers of a supporting ligament are ruptured but the continuity of the ligament remains intact. A strain is an overstretching or overexertion of some part of the musculature.Talus: The second largest of the TARSAL BONES. It articulates with the TIBIA and FIBULA to form the ANKLE JOINT.Foot: The distal extremity of the leg in vertebrates, consisting of the tarsus (ANKLE); METATARSUS; phalanges; and the soft tissues surrounding these bones.Joint Instability: Lack of stability of a joint or joint prosthesis. Factors involved are intra-articular disease and integrity of extra-articular structures such as joint capsule, ligaments, and muscles.Arthrodesis: The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)Ankle Brachial Index: Comparison of the BLOOD PRESSURE between the BRACHIAL ARTERY and the POSTERIOR TIBIAL ARTERY. It is a predictor of PERIPHERAL ARTERIAL DISEASE.Range of Motion, Articular: The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.Orthotic Devices: Apparatus used to support, align, prevent, or correct deformities or to improve the function of movable parts of the body.Ligaments, Articular: Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint.Braces: Orthopedic appliances used to support, align, or hold parts of the body in correct position. (Dorland, 28th ed)Biomechanical Phenomena: The properties, processes, and behavior of biological systems under the action of mechanical forces.Fibula: The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.Subtalar Joint: Formed by the articulation of the talus with the calcaneus.Foot Injuries: General or unspecified injuries involving the foot.Gait: Manner or style of walking.Tarsus, Animal: The region in the hindlimb of a quadruped, corresponding to the human ANKLE.Athletic Injuries: Injuries incurred during participation in competitive or non-competitive sports.Ankle FracturesProprioception: Sensory functions that transduce stimuli received by proprioceptive receptors in joints, tendons, muscles, and the INNER EAR into neural impulses to be transmitted to the CENTRAL NERVOUS SYSTEM. Proprioception provides sense of stationary positions and movements of one's body parts, and is important in maintaining KINESTHESIA and POSTURAL BALANCE.Tarsal Bones: The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms.Torque: The rotational force about an axis that is equal to the product of a force times the distance from the axis where the force is applied.Fractures, Bone: Breaks in bones.Electromyography: Recording of the changes in electric potential of muscle by means of surface or needle electrodes.Walking: An activity in which the body advances at a slow to moderate pace by moving the feet in a coordinated fashion. This includes recreational walking, walking for fitness, and competitive race-walking.Leg: The inferior part of the lower extremity between the KNEE and the ANKLE.Equinus Deformity: Plantar declination of the foot.Muscle, Skeletal: A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles.Casts, Surgical: Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.Joint Prosthesis: Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999)Postural Balance: A POSTURE in which an ideal body mass distribution is achieved. Postural balance provides the body carriage stability and conditions for normal functions in stationary position or in movement, such as sitting, standing, or walking.Foot Diseases: Anatomical and functional disorders affecting the foot.Gait Disorders, Neurologic: Gait abnormalities that are a manifestation of nervous system dysfunction. These conditions may be caused by a wide variety of disorders which affect motor control, sensory feedback, and muscle strength including: CENTRAL NERVOUS SYSTEM DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; or MUSCULAR DISEASES.Basketball: A competitive team sport played on a rectangular court having a raised basket at each end.ShoesAchilles Tendon: A fibrous cord that connects the muscles in the back of the calf to the HEEL BONE.Posture: The position or attitude of the body.Bandages: Material used for wrapping or binding any part of the body.Reflex, Stretch: Reflex contraction of a muscle in response to stretching, which stimulates muscle proprioceptors.Peroneal Nerve: The lateral of the two terminal branches of the sciatic nerve. The peroneal (or fibular) nerve provides motor and sensory innervation to parts of the leg and foot.Movement: The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior.Foot Deformities: Alterations or deviations from normal shape or size which result in a disfigurement of the foot.Weight-Bearing: The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.Osteoarthritis: A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans.Calcaneus: The largest of the TARSAL BONES which is situated at the lower and back part of the FOOT, forming the HEEL.Toes: Any one of five terminal digits of the vertebrate FOOT.Joints: Also known as articulations, these are points of connection between the ends of certain separate bones, or where the borders of other bones are juxtaposed.Arthroplasty, Replacement: Partial or total replacement of a joint.Knee Joint: A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.Locomotion: Movement or the ability to move from one place or another. It can refer to humans, vertebrate or invertebrate animals, and microorganisms.Recovery of Function: A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.Flatfoot: A condition in which one or more of the arches of the foot have flattened out.Foot Deformities, Acquired: Distortion or disfigurement of the foot, or a part of the foot, acquired through disease or injury after birth.Sports Equipment: Equipment required for engaging in a sport (such as balls, bats, rackets, skis, skates, ropes, weights) and devices for the protection of athletes during their performance (such as masks, gloves, mouth pieces).Joint DiseasesLower Extremity: The region of the lower limb in animals, extending from the gluteal region to the FOOT, and including the BUTTOCKS; HIP; and LEG.Heel: The back (or posterior) of the FOOT in PRIMATES, found behind the ANKLE and distal to the TOES.Knee: A region of the lower extremity immediately surrounding and including the KNEE JOINT.Tendons: Fibrous bands or cords of CONNECTIVE TISSUE at the ends of SKELETAL MUSCLE FIBERS that serve to attach the MUSCLES to bones and other structures.Tibial Nerve: The medial terminal branch of the sciatic nerve. The tibial nerve fibers originate in lumbar and sacral spinal segments (L4 to S2). They supply motor and sensory innervation to parts of the calf and foot.Hip: The projecting part on each side of the body, formed by the side of the pelvis and the top portion of the femur.Arthroscopy: Endoscopic examination, therapy and surgery of the joint.Tibia: The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.Foot Joints: The articulations extending from the ANKLE distally to the TOES. These include the ANKLE JOINT; TARSAL JOINTS; METATARSOPHALANGEAL JOINT; and TOE JOINT.Tibial FracturesHip Joint: The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Toe Joint: The articulation between the head of one phalanx and the base of the one distal to it, in each toe.Clubfoot: A deformed foot in which the foot is plantarflexed, inverted and adducted.Foot Bones: The TARSAL BONES; METATARSAL BONES; and PHALANGES OF TOES. The tarsal bones consists of seven bones: CALCANEUS; TALUS; cuboid; navicular; internal; middle; and external cuneiform bones. The five metatarsal bones are numbered one through five, running medial to lateral. There are 14 phalanges in each foot, the great toe has two while the other toes have three each.Soccer: A game in which a round inflated ball is advanced by kicking or propelling with any part of the body except the hands or arms. The object of the game is to place the ball in opposite goals.Hindlimb: Either of two extremities of four-footed non-primate land animals. It usually consists of a FEMUR; TIBIA; and FIBULA; tarsals; METATARSALS; and TOES. (From Storer et al., General Zoology, 6th ed, p73)Fractures, Closed: Fractures in which the break in bone is not accompanied by an external wound.Fracture Fixation: The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.Arthropathy, Neurogenic: Chronic progressive degeneration of the stress-bearing portion of a joint, with bizarre hypertrophic changes at the periphery. It is probably a complication of a variety of neurologic disorders, particularly TABES DORSALIS, involving loss of sensation, which leads to relaxation of supporting structures and chronic instability of the joint. (Dorland, 27th ed)Joint Deformities, Acquired: Deformities acquired after birth as the result of injury or disease. The joint deformity is often associated with rheumatoid arthritis and leprosy.Muscle Spasticity: A form of muscle hypertonia associated with upper MOTOR NEURON DISEASE. Resistance to passive stretch of a spastic muscle results in minimal initial resistance (a "free interval") followed by an incremental increase in muscle tone. Tone increases in proportion to the velocity of stretch. Spasticity is usually accompanied by HYPERREFLEXIA and variable degrees of MUSCLE WEAKNESS. (From Adams et al., Principles of Neurology, 6th ed, p54)Peripheral Vascular Diseases: Pathological processes involving any one of the BLOOD VESSELS in the vasculature outside the HEART.Isometric Contraction: Muscular contractions characterized by increase in tension without change in length.Muscle Contraction: A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments.ArthritisH-Reflex: A monosynaptic reflex elicited by stimulating a nerve, particularly the tibial nerve, with an electric shock.Fracture Fixation, Internal: The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.Musculoskeletal Physiological Phenomena: Processes and properties of the MUSCULOSKELETAL SYSTEM.Robotics: The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.Foot Orthoses: Devices used to support or align the foot structure, or to prevent or correct foot deformities.Immobilization: The restriction of the MOVEMENT of whole or part of the body by physical means (RESTRAINT, PHYSICAL) or chemically by ANALGESIA, or the use of TRANQUILIZING AGENTS or NEUROMUSCULAR NONDEPOLARIZING AGENTS. It includes experimental protocols used to evaluate the physiologic effects of immobility.Forefoot, Human: The forepart of the foot including the metatarsals and the TOES.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Peripheral Arterial Disease: Lack of perfusion in the EXTREMITIES resulting from atherosclerosis. It is characterized by INTERMITTENT CLAUDICATION, and an ANKLE BRACHIAL INDEX of 0.9 or less.Hemiplegia: Severe or complete loss of motor function on one side of the body. This condition is usually caused by BRAIN DISEASES that are localized to the cerebral hemisphere opposite to the side of weakness. Less frequently, BRAIN STEM lesions; cervical SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; and other conditions may manifest as hemiplegia. The term hemiparesis (see PARESIS) refers to mild to moderate weakness involving one side of the body.Artificial Limbs: Prosthetic replacements for arms, legs, and parts thereof.Cryotherapy: A form of therapy consisting in the local or general use of cold. The selective destruction of tissue by extreme cold or freezing is CRYOSURGERY. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Paresis: A general term referring to a mild to moderate degree of muscular weakness, occasionally used as a synonym for PARALYSIS (severe or complete loss of motor function). In the older literature, paresis often referred specifically to paretic neurosyphilis (see NEUROSYPHILIS). "General paresis" and "general paralysis" may still carry that connotation. Bilateral lower extremity paresis is referred to as PARAPARESIS.Muscle Strength: The amount of force generated by MUSCLE CONTRACTION. Muscle strength can be measured during isometric, isotonic, or isokinetic contraction, either manually or using a device such as a MUSCLE STRENGTH DYNAMOMETER.Ilizarov Technique: A bone fixation technique using an external fixator (FIXATORS, EXTERNAL) for lengthening limbs, correcting pseudarthroses and other deformities, and assisting the healing of otherwise hopeless traumatic or pathological fractures and infections, such as chronic osteomyelitis. The method was devised by the Russian orthopedic surgeon Gavriil Abramovich Ilizarov (1921-1992). (From Bull Hosp Jt Dis 1992 Summer;52(1):1)Leg Injuries: General or unspecified injuries involving the leg.Reflex, Abnormal: An abnormal response to a stimulus applied to the sensory components of the nervous system. This may take the form of increased, decreased, or absent reflexes.Metatarsophalangeal Joint: The articulation between a metatarsal bone (METATARSAL BONES) and a phalanx.Physical Therapy Modalities: Therapeutic modalities frequently used in PHYSICAL THERAPY SPECIALTY by PHYSICAL THERAPISTS or physiotherapists to promote, maintain, or restore the physical and physiological well-being of an individual.Arthralgia: Pain in the joint.Supination: Applies to movements of the forearm in turning the palm forward or upward. When referring to the foot, a combination of adduction and inversion movements of the foot.Osteotomy: The surgical cutting of a bone. (Dorland, 28th ed)Metatarsal Bones: The five long bones of the METATARSUS, articulating with the TARSAL BONES proximally and the PHALANGES OF TOES distally.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Kinesthesis: Sense of movement of a part of the body, such as movement of fingers, elbows, knees, limbs, or weights.Hallux Valgus: Lateral displacement of the great toe (HALLUX), producing deformity of the first METATARSOPHALANGEAL JOINT with callous, bursa, or bunion formation over the bony prominence.Fasciitis, Plantar: Inflammation of the thick tissue on the bottom of the foot (plantar fascia) causing HEEL pain. The plantar fascia (also called plantar aponeurosis) are bands of fibrous tissue extending from the calcaneal tuberosity to the TOES. The etiology of plantar fasciitis remains controversial but is likely to involve a biomechanical imbalance. Though often presenting along with HEEL SPUR, they do not appear to be causally related.Athletic Tape: Adhesive tape with the mechanical strength to resist stretching. It is applied to the skin to support, stabilize, and restrict movement to aid healing and/or prevent injuries of MUSCULOSKELETAL SYSTEM.Brachial Artery: The continuation of the axillary artery; it branches into the radial and ulnar arteries.Collateral Ligaments: A number of ligaments on either side of, and serving as a radius of movement of, a joint having a hingelike movement. They occur at the elbow, knee, wrist, metacarpo- and metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints of the hands and feet. (Stedman, 25th ed)External Fixators: External devices which hold wires or pins that are placed through one or both cortices of bone in order to hold the position of a fracture in proper alignment. These devices allow easy access to wounds, adjustment during the course of healing, and more functional use of the limbs involved.Metatarsus: The part of the foot between the tarsa and the TOES.Decerebrate State: A condition characterized by abnormal posturing of the limbs that is associated with injury to the brainstem. This may occur as a clinical manifestation or induced experimentally in animals. The extensor reflexes are exaggerated leading to rigid extension of the limbs accompanied by hyperreflexia and opisthotonus. This condition is usually caused by lesions which occur in the region of the brainstem that lies between the red nuclei and the vestibular nuclei. In contrast, decorticate rigidity is characterized by flexion of the elbows and wrists with extension of the legs and feet. The causative lesion for this condition is located above the red nuclei and usually consists of diffuse cerebral damage. (From Adams et al., Principles of Neurology, 6th ed, p358)Intermittent Claudication: A symptom complex characterized by pain and weakness in SKELETAL MUSCLE group associated with exercise, such as leg pain and weakness brought on by walking. Such muscle limpness disappears after a brief rest and is often relates to arterial STENOSIS; muscle ISCHEMIA; and accumulation of LACTATE.Exercise Therapy: A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.Osteochondritis: Inflammation of a bone and its overlaying CARTILAGE.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Intra-Articular Fractures: Fractures of the articular surface of a bone.Cerebral Palsy: A heterogeneous group of nonprogressive motor disorders caused by chronic brain injuries that originate in the prenatal period, perinatal period, or first few years of life. The four major subtypes are spastic, athetoid, ataxic, and mixed cerebral palsy, with spastic forms being the most common. The motor disorder may range from difficulties with fine motor control to severe spasticity (see MUSCLE SPASTICITY) in all limbs. Spastic diplegia (Little disease) is the most common subtype, and is characterized by spasticity that is more prominent in the legs than in the arms. Pathologically, this condition may be associated with LEUKOMALACIA, PERIVENTRICULAR. (From Dev Med Child Neurol 1998 Aug;40(8):520-7)Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Rotation: Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Edema: Abnormal fluid accumulation in TISSUES or body cavities. Most cases of edema are present under the SKIN in SUBCUTANEOUS TISSUE.Amputation: The removal of a limb or other appendage or outgrowth of the body. (Dorland, 28th ed)Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Sports Medicine: The field of medicine concerned with physical fitness and the diagnosis and treatment of injuries sustained in exercise and sports activities.Cadaver: A dead body, usually a human body.Radiography: Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film).Muscle Weakness: A vague complaint of debility, fatigue, or exhaustion attributable to weakness of various muscles. The weakness can be characterized as subacute or chronic, often progressive, and is a manifestation of many muscle and neuromuscular diseases. (From Wyngaarden et al., Cecil Textbook of Medicine, 19th ed, p2251)Contracture: Prolonged shortening of the muscle or other soft tissue around a joint, preventing movement of the joint.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Diabetic Neuropathies: Peripheral, autonomic, and cranial nerve disorders that are associated with DIABETES MELLITUS. These conditions usually result from diabetic microvascular injury involving small blood vessels that supply nerves (VASA NERVORUM). Relatively common conditions which may be associated with diabetic neuropathy include third nerve palsy (see OCULOMOTOR NERVE DISEASES); MONONEUROPATHY; mononeuropathy multiplex; diabetic amyotrophy; a painful POLYNEUROPATHY; autonomic neuropathy; and thoracoabdominal neuropathy. (From Adams et al., Principles of Neurology, 6th ed, p1325)AmputeesRupture: Forcible or traumatic tear or break of an organ or other soft part of the body.
Isolated femoropopliteal bypass graft for limb salvage after failed tibial reconstruction: a viable alternative to amputation. (1/775)
PURPOSE: Femoropopliteal bypass grafting procedures performed to isolated popliteal arteries after failure of a previous tibial reconstruction were studied. The results were compared with those of a study of primary isolated femoropopliteal bypass grafts (IFPBs). METHODS: IFPBs were only constructed if the uninvolved or patent popliteal segment measured at least 7 cm in length and had at least one major collateral supplying the calf. When IFPB was performed for ischemic lesions, these lesions were usually limited to the digits or small portions of the foot. Forty-seven polytetrafluoroethylene grafts and three autogenous reversed saphenous vein grafts were used. RESULTS: Ankle brachial pressure index (ABI) increased after bypass grafting by a mean of 0.46. Three-year primary life table patency and limb-salvage rates for primary IFPBs were 73% and 86%, respectively. All eight IFPBs performed after failed tibial bypass grafts remained patent for 2 to 44 months, with patients having viable, healed feet. CONCLUSION: In the presence of a suitable popliteal artery and limited tissue necrosis, IFPB can have acceptable patency and limb-salvage rates, even when a polytetrafluoroethylene graft is used. Secondary IFPB can be used to achieve limb salvage after failed tibial bypass grafting. (+info)Surgical transluminal iliac angioplasty with selective stenting: long-term results assessed by means of duplex scanning. (2/775)
PURPOSE: The safety of iliac angioplasty and selective stenting performed in the operating room by vascular surgeons was evaluated, and the short- and long-term results were assessed by means of serial duplex scanning. METHODS: Between 1989 and 1996, 281 iliac stenotic or occlusive lesions in 235 consecutive patients with chronic limb ischemia were treated by means of percutaneous transluminal angioplasty (PTA) alone (n = 214) or PTA with stent (n = 67, 23.8%). There were 260 primary lesions and 21 restenosis after a first PTA, which were analyzed separately. Stents were implanted in selected cases, either primarily in totally occluded arteries or after suboptimum results of PTA (ie, residual stenosis or a dissection). Data were collected prospectively and analyzed retrospectively. Results were reported in an intention-to-treat basis. Clinical results and patency were evaluated by means of symptom assessment, ankle brachial pressure index, and duplex scanning at discharge and 1, 3, 6, and every 12 months after angioplasty. To identify factors that may affect outcome, 12 clinical and radiological variables, including the four categories of lesions defined by the Standards of Practice Committee of the Society of Cardiovascular and Interventional Radiology, were analyzed separately. The statistical significances of life-table analysis of patency were determined by means of the log-rank test. RESULTS: There were no postoperative deaths or amputations. Local, general, and vascular complications occurred in 2.1%, 1.3% and 4.7% of cases, respectively (total, 8.1%). The mean follow-up period was 29.6 months. The cumulative patency rates +/- SE of the 260 PTAs (including 55 PTAs plus stents) were 92.9% +/- 1.5% at 1 month, 86. 5% +/- 1.7% at 1 year, 81.2% +/- 2.3% at 2 years, 78.8% +/- 2.9% at 3 years, and 75.4% +/- 3.5% at 5 and 6 years. The two-year patency rate of 21 redo PTAs (including 11 PTAs plus stents) was 79.1% +/- 18.2%. Of 12 predictable variables studied in the first PTA group, only the category of the lesion was predictive of long-term patency. The two-year patency rate was 84% +/- 3% for 199 category 1 lesions and 69.7% +/- 6.5% for 61 category 2, 3, and 4 lesions together (P =. 02). There was no difference of patency in the stented and nonstented group. CONCLUSION: Iliac PTA alone or with the use of a stent (in cases of occlusion and/or suboptimal results of PTA) offers an excellent long-term patency rate. Categorization of lesions remains useful in predicting long-term outcome. PTA can be performed safely by vascular surgeons in the operating room and should be considered to be the primary treatment for localized iliac occlusive disease. (+info)Ankle-arm index as a predictor of cardiovascular disease and mortality in the Cardiovascular Health Study. The Cardiovascular Health Study Group. (3/775)
Peripheral arterial disease (PAD) in the legs, measured noninvasively by the ankle-arm index (AAI) is associated with clinically manifest cardiovascular disease (CVD) and its risk factors. To determine risk of total mortality, coronary heart disease, or stroke mortality and incident versus recurrent CVD associated with a low AAI, we examined the relationship of the AAI to subsequent CVD events in 5888 older adults with and without CVD. The AAI was measured in 5888 participants >/=65 years old at the baseline examination of the Cardiovascular Health Study. All participants had a detailed assessment of prevalent CVD and were contacted every 6 months for total mortality and CVD events (including CVD mortality, fatal and nonfatal myocardial infarction, congestive heart failure, angina, stroke, and hospitalized PAD). The crude mortality rate at 6 years was highest (32.3%) in those participants with prevalent CVD and a low AAI (P<0.9), and it was lowest in those with neither of these findings (8.7%, P<0.01). Similar patterns emerged from analysis of recurrent CVD and incident CVD. The risk for incident congestive heart failure (relative risk [RR]=1.61) and for total mortality (RR=1.62) in those without CVD at baseline but with a low AAI remained significantly elevated after adjustment for cardiovascular risk factors. Hospitalized PAD events occurred months to years after the AAI was measured, with an adjusted RR of 5.55 (95% CI, 3.08 to 9.98) in those at risk for incident events. A statistically significant decline in survival was seen at each 0.1 decrement in the AAI. An AAI of <0.9 is an independent risk factor for incident CVD, recurrent CVD, and mortality in this group of older adults in the Cardiovascular Health Study. (+info)Ropivacaine or 2% mepivacaine for lower limb peripheral nerve blocks. Study Group on Orthopedic Anesthesia of the Italian Society of Anesthesia, Analgesia, and Intensive Care. (4/775)
BACKGROUND: Intra- and postoperative clinical properties of sciatic-femoral nerve block performed with either ropivacaine at different concentrations or mepivacaine have been evaluated in a multicenter, randomized, blinded study. METHODS: Adult patients scheduled for foot and ankle surgery were randomized to receive combined sciatic-femoral nerve block with 225 mg of either 0.5% (n = 83), 0.75% (n = 87), or 1% (n = 86) ropivacaine, or with 500 mg of 2% mepivacaine (n = 84). A thigh tourniquet was used in all patients. Onset time, adequacy of surgical anesthesia, time to offset of nerve block, and time until first postoperative requirement for pain medication were evaluated by a blinded observer. RESULTS: The adequacy of nerve block was similar in the four treatment groups (the ratios between adequate:inadequate: failed blocks were 74:9:0 with 0.5% ropivacaine, 74:13:0 with 0.75% ropivacaine, 78:8:0 with 1% ropivacaine, and 72:12:0 with 2% mepivacaine). The onset of the block was slower with 0.5% ropivacaine than with other anesthetic solutions (P < 0.001). Regardless of the concentration, ropivacaine produced a longer motor blockade (10.5+/-3.8 h, 10.3+/-4.3 h, and 10.2+/-5.1 h with 0.5%, 0.75%, and 1% ropivacaine, respectively) than with mepivacaine (4.3+/-2.6 h; P < 0.001). The duration of postoperative analgesia was shorter after mepivacaine (5.1+/-2.7 h) than after ropivacaine (12.2+/-4.1 h, 14.3+/-5 h, and 14.5+/-3.4 h, with 0.5%, 0.75%, or 1% ropivacaine, respectively; P < 0.001). Pain relief after 0.5% ropivacaine was 14% shorter than 0.75% or 1% ropivacaine (P < 0.05). During the first 24 h after surgery, 30-37% of patients receiving ropivacaine required no analgesics compared with 10% of those receiving mepivacaine (P < 0.001). CONCLUSIONS: This study suggests that 0.75% ropivacaine is the most suitable choice of local anesthetic for combined sciatic-femoral nerve block, providing an onset similar to mepivacaine and prolonged postoperative analgesia. (+info)Volume of ankle dorsiflexors and plantar flexors determined with stereological techniques. (5/775)
The validity of the methods used for determination of muscle mass has not been evaluated previously. We determined muscle mass by estimating muscle volume with assumption-free stereological techniques applied to magnetic resonance imaging (MRI) in 18 healthy untrained subjects (6 women, 12 men) aged 41 yr (29-64 yr; median, range). Muscle mass was also estimated by measuring leg circumference and cross-sectional muscle areas (CSA) from MRIs at three predetermined levels. Power [peak torque (PT)] of the ankle dorsiflexors and plantar flexors was estimated by using isokinetic dynamometry. Dorsiflexor volume (r2 = 0.76, P < 5 x 10(-6)) and CSA (r2 = 0.73, P < 5 x 10(-5)) were related to PT, whereas circumference was not (r2 = 0.17, not significant). Correspondingly, a relationship to plantar PT was established for plantar flexor volume (r2 = 0.69, P < 5 x 10(-5)) and CSA (r2 = 0.46, P < 5 x 10(-3)) but not leg circumference (r2 = 0.15, not significant). SDs of the residuals were smaller for the relationship between dorsiflexor PT and volume than between PT and CSA (0.42 vs. 0.45) for plantar flexors (1.5 vs. 2.0). By using the Cavalieri method, six MRI sections and 15 min of point counting are sufficient to obtain a valid estimate of the volume of the muscles of the lower leg. (+info)Lower limb deep venous flow in patients with peripheral vascular disease. (6/775)
PURPOSE: A prospective controlled study was undertaken to determine how peripheral vascular disease (PVD) influences flow in the deep veins of the leg. METHODS: Eighty-nine patients with peripheral vascular disease and 35 age-matched control subjects were studied. The popliteal vein diameter and flow velocity were measured at rest by means of color duplex ultrasound scanning, and these measurements were compared with the ankle-brachial pressure index. For 23 subjects, measurements were also performed during reactive hyperemia and then repeated after venous return from the foot was prevented by an ankle cuff. RESULTS: There was a significant correlation between the ankle-brachial pressure index and the popliteal vein diameter (r = 0.35, P <.001) but a negative correlation between the ankle-brachial pressure index and venous flow velocity among patients with PVD (r = -0.24, P =.002). In PVD patients the diameter decreased further in reactive hyperemia, whereas it increased in control subjects ( P <.001). Preventing venous return from the foot in PVD patients led to diameter increase at rest and abolished the reduction in diameter caused by reactive hyperemia. Despite the reduction in diameter during reactive hyperemia, flow velocity increased less in patients with PVD than it did in control subjects (P =.01). CONCLUSION: Chronic tissue ischemia results in constriction of the popliteal vein. This appears to be an active process related to the washout of humoral factors from ischemic tissues distally, which leads to an increase in flow velocity. The latter may confer some protection against the deep vein thrombosis that would otherwise tend to occur with low venous flow rates. (+info)Modulation of stretch reflexes during imposed walking movements of the human ankle. (7/775)
Our overall objectives were to examine the role of peripheral afferents from the ankle in modulating stretch reflexes during imposed walking movements and to assess the mechanical consequences of this reflex activity. Specifically we sought to define the changes in the electromyographic (EMG) and mechanical responses to a stretch as a function of the phase of the step cycle. We recorded the ankle position of a normal subject walking on a treadmill at 3 km/h and used a hydraulic actuator to impose the same movements on supine subjects generating a constant level of ankle torque. Small pulse displacements, superimposed on the simulated walking movement, evoked stretch reflexes at different phases of the cycle. Three major findings resulted: 1) soleus reflex EMG responses were influenced strongly by imposed walking movements. The response amplitude was substantially smaller than that observed during steady-state conditions and was modulated throughout the step cycle. This modulation was qualitatively similar to that observed during active walking. Because central factors were held constant during the imposed walking experiments, we conclude that peripheral mechanisms were capable of both reducing the amplitude of the reflex EMG and producing its modulation throughout the movement. 2) Pulse disturbances applied from early to midstance of the imposed walking cycle generated large reflex torques, suggesting that the stretch reflex could help to resist unexpected perturbations during this phase of walking. In contrast, pulses applied during late stance and swing phase generated little reflex torque. 3) Reflex EMG and reflex torque were modulated differently throughout the imposed walking cycle. In fact, at the time when the reflex EMG response was largest, the corresponding reflex torque was negligible. Thus movement not only changes the reflex EMG but greatly modifies the mechanical output that results. (+info)The influence of experience on the reproducibility of the ankle-brachial systolic pressure ratio in peripheral arterial occlusive disease. (8/775)
OBJECTIVES: to estimate the intra-observer variability of the measurement of the ankle-brachial systolic pressure index (ABPI) and to compare the reproducibility of the measurements by experienced vascular laboratory assistants and by less-experienced general practice personnel. DESIGN: repeated measurement of ABPI by general practitioners (GPs), GP-assistants and vascular laboratory assistants using a pocket Doppler device and a random-zero sphygmomanometer. METHODS AND MATERIALS: ABPI was measured in six patients with various degrees of PAOD by two experienced observers (vascular laboratory assistants) and by 24 less-experienced observers (18 practice assistants, six GPs). RESULTS: the total number of measurements was 354. The overall intra-observer variability estimate was 11.8% ABPI. The intra-observer variability was 7.3% in the experienced observers and 12.0% in the less-experienced observers. The difference of variability between experienced and less-experienced observers was significant. CONCLUSIONS: the ABPI is suitable in follow-up studies where repeated measurements are needed. Differences between measurements can be minimised by performing repeated measurements or by using more experienced observers. (+info)Systolic blood prBrachial pressureMeasurementFootPatientsABPIPulseIndexLigamentPrevent ankle sprainsFracturesLigaments of the ankleHigh ankleJointsAmerican Orthopaedic FootWeight on the ankleBonesTendonsArthritisArthroscopySuffering an ankle injuryLateralJointSevere ankleBrace2017Arthrodesis2018SurgeryTotal ankle replacementMusclesRadiographicBroken anklePrevious ankleReplacements last 10DiscomfortBoneSymptomsExercisesChicMildBonyBootiesAchillesInjury to the ankleFront of your ankleOccurs when the ankleMovement of the ankleDifferent types of ankleBootStudded ankle boots
- The ABPI is calculated by dividing the systolic blood pressure at the ankle by the systolic blood pressure in the arm. (wikipedia.org)
- Deriving the ABPI, by dividing the systolic blood pressure at the ankle by the systolic blood pressures in the arm is relatively simple to perform and is widely used. (moor.co.uk)
- The ankle-brachial pressure index ( ABPI ) or ankle-brachial index ( ABI ) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). (wikipedia.org)
- The measurement of Ankle Brachial Pressure Index (ABPI) is a useful, non-invasive test performed during investigations of vascular function and has long been used to aid detection and diagnosis of peripheral arterial disease (PAD). (moor.co.uk)
- Measurement of ankle blood pressures in a seated position will grossly overestimate the ABI (by approximately 0.3). (wikipedia.org)
- The engineers tested a motorized exoskeleton rig that attaches around the ankle and foot and found that it made running 15 percent easier. (engadget.com)
- That pulls the foot upward during the toe-off, extending the ankle at the end of every step. (engadget.com)
- Ankle foot supports are the modern and comfortable alternative to classic plaster casts. (mediuk.co.uk)
- The ankle foot supports from medi are particularly suitable for this. (mediuk.co.uk)
- But with the innovative ankle foot supports from medi, both are now possible: they are simple to put on and take off again. (mediuk.co.uk)
- ABPI is known to be unreliable on patients with arterial calcification ( hardening of the arteries ) which results in less or incompressible arteries, as the stiff arteries produce falsely elevated ankle pressure, giving false negatives ). (wikipedia.org)
- Objectives: We aimed to investigate the association between arterial stiffness assessed as cardio-ankle vascular index (CAVI) and cardiovascular (CV) risk factors and CV events in the middle-aged metabolic syndrome (MS) patients. (mendeley.com)
- ABPI is known to be unreliable on patients with arterial calcification which results in less or incompressible arteries, as the stiff arteries produce falsely elevated ankle pressure. (moor.co.uk)
- Potier L., Abi Khalil C., Mohammedi K., Roussel R. 2011 Use and Utility of Ankle Brachial Index in Patients with Diabetes. (moor.co.uk)
- Background: The optimal cutoff values of the brachial-ankle pulse wave velocity (baPWV) for predicting cardiovascular disease (CVD) were examined in patients with hypertension. (researchwithrutgers.com)
- The ABPI is the ratio of the highest ankle to brachial artery pressure. (wikipedia.org)
- In a normal subject the pressure at the ankle is slightly higher than at the elbow (there is reflection of the pulse pressure from the vascular bed of the feet, whereas at the elbow the artery continues on some distance to the wrist). (wikipedia.org)
- Hyun S., Forbang N., Allison M. A., Denenberg J. O., Criqui M. H., Ix J. H. 2014 Ankle brachial index, toe brachial index and cardiovascular mortality in persons with and without diabetes mellitus. (moor.co.uk)
- This is the most severe kind of sprain, where an ankle ligament tears completely. (kidshealth.org)
- The most common type of sprained ankle is called an inversion sprain, or lateral ligament sprain. (kidshealth.org)
- When you turn your ankle the other way, so that the sole of the foot is facing outward, this is called a medial ligament sprain. (kidshealth.org)
- The main difference is that instead of the outside ankle ligament tearing, the ligament pulls a piece of the fibula off. (massgeneral.org)
- Sprains are graded as mild (the ligament is strained or overly stretched), moderate (partially torn ligament), or severe (a complete tear, meaning that the ligament can no longer control the ankle joint). (healthcentral.com)
- The fibula is united to the bones of the foot on the lateral side of the ankle by the anterior and posterior talofibular ligaments and the calcaneofibular ligament. (innerbody.com)
- The 23-year-old suffered an ankle ligament damage in Wales' pool win over Samoa and returned for their quarter-final win over Ireland after treatment . (bbc.co.uk)
- I had surgery on my ankle in 2012 to repair a ligament and to remove a ganglion cyst, these were the results of my MRI in 2015- Please he. (medhelp.org)
- The ankle joint is bound by the strong deltoid ligament and three lateral ligaments: the anterior talofibular ligament, the posterior talofibular ligament, and the calcaneofibular ligament. (wikipedia.org)
- Though it does not span across the ankle joint itself, the syndesmotic ligament makes an important contribution to the stability of the ankle. (wikipedia.org)
- An isolated injury to this ligament is often called a high ankle sprain. (wikipedia.org)
- The classic ankle sprain involves the anterior talofibular ligament (ATFL), which is also the most commonly injured ligament during inversion sprains. (wikipedia.org)
- Another ligament that can be injured in a severe ankle sprain is the calcaneofibular ligament. (wikipedia.org)
- The best way to prevent ankle sprains is keeping your ankles flexible and your leg muscles strong. (kidshealth.org)
- Unlike ankle fractures, there is usually no major tenderness over the bone on the outside of the ankle. (massgeneral.org)
- In these fractures, the foot (and therefore the lower bone of the ankle) is fixed on the ground while the body (and therefore the two upper bones of the ankle) rotates inwards, causing the outer ankle bone (the fibula) to break (Figure 2). (massgeneral.org)
- Stable ankle fractures may be treated without surgery because the ankle joint itself remains truly stable. (massgeneral.org)
- Interventions for treating ankle fractures in children. (medscape.com)
- Van Schie-Van der Weert EM, Van Lieshout EM, De Vries MR, Van der Elst M, Schepers T. Determinants of outcome in operatively and non-operatively treated Weber-B ankle fractures. (medscape.com)
- Suspected ankle fractures. (medscape.com)
- Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis. (medscape.com)
- Radiographic Assessment of Posterior Malleolar Ankle Fractures. (medscape.com)
- Implementation of the Ottawa ankle rules led to a decrease in use of ankle radiography, waiting times, and costs without patient dissatisfaction or missed fractures. (nih.gov)
- Ankle sprains and ankle fractures might appear the same at first glance, but with further investigation and imagining these two painful conditions are very different. (healthcentral.com)
- This position puts the ligaments of the ankle under tension. (runnersworld.com)
- A sprain is generally caused when the ankle rolls or twists so that the outside ankle moves toward the ground, tearing the ligaments of the ankle that hold the bones together. (healthline.com)
- USC quarterback Matt Leinart did not practice Monday, but he said he planned to play Saturday against Stanford despite a high ankle sprain and bruised right knee. (latimes.com)
- Freshman Chauncey Washington, who missed Saturday's game because of a high ankle sprain, practiced and said he planned to play against Stanford. (latimes.com)
- Many forms of arthritis and related conditions that affect the joints, muscles and/or bones can cause problems like pain, stiffness and swelling in the ankles. (arthritis.org)
- In about 90 percent of people with rheumatoid arthritis, the joints of the feet are ankles are affected. (arthritis.org)
- Subsequent attacks may occur off and on in other joints, including the ankles. (arthritis.org)
- Pseudogout most commonly affects the knees, but it can also affect other joints, including the ankles. (arthritis.org)
- The ankles, knees and joints of the feet often are the first joints affected by reactive arthritis. (arthritis.org)
- In some cases skin thickening over the joints, such as the ankle, can cause joint stiffness. (arthritis.org)
- Risk factors for suffering an ankle sprain include: a history of previous ankle sprains, playing high-risk sports (basketball, volleyball, soccer, etc), and overly loose joints. (massgeneral.org)
- Of all the joints in the body, none is as complex as the ankle. (healthcentral.com)
- Swollen ankles can be caused by either injury or due to the accumulation of excess fluid in the ankle joints due to certain diseases and conditions. (buzzle.com)
- Soreness is mainly caused due to injury and inflammation in the muscles, tissues, tendons, joints and ligaments of the ankles. (buzzle.com)
- These provide stability to the ankle joints, which function as weight-bearing joints for the body during standing and walking . (medicinenet.com)
- WASHINGTON, May 28 -- The FDA has approved a system for replacing ankle joints deformed by arthritis that may preserve a greater range of motion than fusion surgery. (medpagetoday.com)
- Massage in small circles over these areas for around 5 minutes before engaging in physical activity, or whenever your ankle joints feel tight. (wikihow.com)
- Contiguous axial sections of the ankle joints and the tarsal bones were studied. (medhelp.org)
- The ankle joints are normal. (medhelp.org)
- The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joint. (wikipedia.org)
- The ankle is composed of three joints: the talocrural joint (also called talotibial joint, tibiotalar joint, talar mortise, talar joint), the subtalar joint (also called talocalcaneal), and the Inferior tibiofibular joint. (wikipedia.org)
- Clinical ankle scores, such as the American Orthopaedic Foot and Ankle Society (AOFAS) or the Manchester Oxford Foot & Ankle Questionnaire are outcome rating system for ankle replacements. (wikipedia.org)
- books.google.com - Written by rising stars in the American Orthopaedic Foot and Ankle Society, this volume of our Orthopaedic Surgery Essentials Series presents all the information residents need during foot and ankle surgery rotations. (google.com)
- AOFAS scores American Orthopaedic Foot and Ankle Society ankle-hindfoot scores. (medscape.com)
- The person's ankle will feel loose and unsteady and early on the person probably won't be able to put any weight on the ankle. (kidshealth.org)
- You most likely will not be able to put any weight on the ankle for a few months. (medlineplus.gov)
- Often they will not be able to bear weight on the ankle, although in some cases they may be able to walk with significant pain. (massgeneral.org)
- If the swelling and pain are slight and you can put weight on the ankle, the sprain is mild and you may not need medical attention. (healthcentral.com)
- You might be able to start doing gentle exercises to improve your range of motion, as long as you don't put any weight on the ankle. (webmd.com)
- Most ankle sprains happen when people turn or twist too fast and too far, or when the foot rolls onto its side, injuring the ligaments that connect the ankle and leg bones. (kidshealth.org)
- The ankle joint is made up of the ends of the leg bones (tibia and fibula) and the bones in the back part of the foot (tarsal bones). (kidshealth.org)
- An X-ray machine sends a beam of radiation through the ankle, and black and white images of the bones and soft tissues are recorded on a computer or special X-ray film. (kidshealth.org)
- Also, an X-ray can help to detect cysts, tumors, later stage infections, fluid in the joint, and other diseases in the bones of the ankle. (kidshealth.org)
- To do this, the doctor or technician stretches the ankle joint while the X-ray is taken to see if the pressure moves the bones apart. (kidshealth.org)
- The usual ankle injury is a sprain - the tearing or excessive stretching of the ligaments that hold the ankle bones in position. (healthcentral.com)
- The bones of the ankle and foot form the most distal region of the lower limb in the appendicular skeleton. (innerbody.com)
- The ankle joint is formed by the union of the lower leg bones - the tibia and fibula - and the talus bone (one of a group of bones collectively known as the tarsus, located in the foot). (innerbody.com)
- These bones also act as a lever to increase the strength of the muscles acting on the ankle joint, allowing the body to easily lift its entire weight up on the balls of the foot and the toes. (innerbody.com)
- Your ankle is an intricate network of bones, ligaments, tendons and muscles. (mayoclinic.org)
- Ankle arthrodesis fuses the bones of the ankle joint completely, making one continuous bone. (emoryhealthcare.org)
- The main bones of the ankle region are the talus (in the foot), and the tibia and fibula (in the leg). (wikipedia.org)
- The bony architecture of the ankle consists of three bones: the tibia, the fibula, and the talus. (wikipedia.org)
- The joint surface of all bones in the ankle are covered with articular cartilage. (wikipedia.org)
- The distances between the bones in the ankle are as follows: Talus - medial malleolus : 1.70 ± 0.13 mm Talus - tibial plafond: 2.04 ± 0.29 mm Talus - lateral malleolus: 2.13 ± 0.20 mm Decreased distances indicate osteoarthritis. (wikipedia.org)
- Tendons that attach the large muscles of the leg to the foot wrap around the ankle both from the front and behind. (medicinenet.com)
- T-Flex is an ankle orthosis based on bioinspired tendons of variable stiffness, which is used to help and rehabilitate patients with gait disturbances. (easychair.org)
- Rolling the ankle can also cause damage to the cartilage or tendons of your ankle. (healthline.com)
- There are several different types of juvenile arthritis that can cause pain and swelling in the ankles. (arthritis.org)
- In some people with lupus, arthritis affects the ankles. (arthritis.org)
- Psoriatic arthritis commonly involves the ankle. (arthritis.org)
- American Academy of Orthopaedic Surgeons: "Arthritis of the Foot and Ankle," "Orthopaedics. (webmd.com)
- American College of Foot and Ankle Surgeons: "Ankle Arthritis," "Osteoarthritis of the Foot and Ankle. (webmd.com)
- University of Washington Medicine Orthopaedics and Sports Medicine: "Ankle Arthritis. (webmd.com)
- Causes of the pain may vary from a small ankle injury to a type of arthritis. (buzzle.com)
- Ankle edema or swollen ankles and feet are caused by a range of factors including diseases such as gout, arthritis, certain medication, and pregnancy. (buzzle.com)
- For those patients with severe arthritis or joint damage, ankle fusion can be a reliable solution for pain relief and improving function. (emoryhealthcare.org)
- Arthritis can also cause ankle pain. (healthline.com)
- Multiple types of arthritis can cause pain in the ankles, but osteoarthritis is the most common. (healthline.com)
- If your ankle pain is a result of arthritis, you won't be able to heal or eliminate the pain. (healthline.com)
- Ankle arthroscopy is surgery that uses a tiny camera and surgical tools to examine or repair the tissues inside or around your ankle. (medlineplus.gov)
- Arthroscopy allows the surgeon to explore what is causing your ankle pain. (medlineplus.gov)
- Over the past 25 years, Niek van Dijk, founder of the Amsterdam Foot and Ankle School and author of this book, has developed a new philosophy of ankle arthroscopy. (springer.com)
- Most ankle fusions done at Emory are performed with arthroscopy and small incisions that are cosmetically pleasing. (emoryhealthcare.org)
- Wide receiver Ronald Johnson was carted off the practice field after suffering an ankle injury. (philly.com)
- Three different pictures are taken: one from the front (anteroposterior view, or AP) of the ankle, one from the side (lateral view, or lat), and one at an angle (internal oblique or mortise view). (kidshealth.org)
- With the ankle swollen over the outside (lateral) aspect, there is often associated redness due to the increased blood flow to this area. (massgeneral.org)
- The medial malleolus of the tibia and the lateral malleolus of the fibula form a cup surrounding the rounded tarsus to prevent lateral movement at the ankle joint. (innerbody.com)
- All of these ligaments work together to limit extreme movements and dislocations of the ankle joint while providing slight lateral flexibility that helps the body walk on uneven surfaces and maintain its balance. (innerbody.com)
- This gliding motion provides lateral mobility to the foot below the level of the ankle joint and allows the foot to bend to adjust the body's balance. (innerbody.com)
- Ligaments on each side of the ankle also provide stability by tightly strapping the outside of the ankle (lateral malleolus) with the lateral collateral ligaments and the inner portion of the ankle (medial malleolus) with the medial collateral ligaments. (medicinenet.com)
- Most ankle sprains are lateral sprains, which occur when your foot rolls, causing your outside ankle to twist toward the ground. (healthline.com)
- Poor understanding of the functions of the structures guiding ankle motion in the natural joint (ligaments and articular surfaces), and poor restoration of these functions in the replaced joint may be responsible for the complications and revisions. (wikipedia.org)
- This is a moderate sprain where ligaments tear partly, making the ankle joint feel loose. (kidshealth.org)
- The ankle joint will be very painful, with quite a bit of swelling. (kidshealth.org)
- In rare cases, an ankle sprain involves a severe injury to the ligaments or joint and your doctor may order an MRI to evaluate the injury in more detail. (kidshealth.org)
- An ankle X-ray can help find the cause of symptoms such as pain, tenderness, and swelling, or deformity of the ankle joint. (kidshealth.org)
- From joint inflammation to sprains, problems that may be to blame for ankle pain. (arthritis.org)
- In the foot, the most commonly affected joint is the big toe, but OA can also affect the ankle. (arthritis.org)
- In a patient with an ankle sprain, x-rays will not identify any bony abnormalities and the ankle joint will be well located. (massgeneral.org)
- These are pieces of bone or cartilage inside the ankle that can cause the joint to lock up. (medlineplus.gov)
- Ankle replacement is surgery to replace the damaged bone and cartilage in the ankle joint. (medlineplus.gov)
- Your surgeon will make a surgical cut in the front of your ankle to expose the ankle joint. (medlineplus.gov)
- This surgery may be done if the ankle joint is badly damaged. (medlineplus.gov)
- You may not be able to have a total ankle replacement if you have had ankle joint infections in the past. (medlineplus.gov)
- A small tube that helps drain blood from the ankle joint may be left in your ankle for 1 or 2 days. (medlineplus.gov)
- How long yours lasts will depend on your activity level, overall health, and the amount of damage to your ankle joint before surgery. (medlineplus.gov)
- However, although the outside bone is fractured, the ankle joint itself remains well positioned and stable. (massgeneral.org)
- However, the ankle joint itself will be intact and will be exactly where it should be. (massgeneral.org)
- Therefore the ankle joint itself remains anatomically positioned and stable. (massgeneral.org)
- If the joint is displaced or if there is some question about the integrity of the ankle joint, then surgery is often indicated. (massgeneral.org)
- It affords relative independence of the flaps to conform to the contour of the ankle of the wearer while providing constrictive support to the ankle joint generally, being in this regard substantially identical in structure to corresponding component of the ankle supporter of my said prior patent. (google.com)
- As in said patent, furthermore, a glove leather tongue 16 is attached to the inner lining by the stitched seams adjacent the front of the supporter and positioned to underlie lace 18 when the supporter is being worn while a supplementary strap comprising relatively adjustable complementary parts 20, 21 of "Velcro" or the like, also as in said patent provides additional support for the ankle joint generally. (google.com)
- Hi, Please consult an Orthopaedician,it can be due to laxity of ligaments at the ankle joint,Treat it at once befor it becomes too lax.Wear a creep bandage to support your ankle joint.Do a thorough blood work.Are you wearing right size footwear? (medhelp.org)
- Create healthcare diagrams like this example called Ankle Joint in minutes with SmartDraw. (smartdraw.com)
- The novel surgical arthroscopic method allows introduction of ankle prostheses into the ankle joint through an exposure in the tibial tubercle. (google.com)
- The ankle is a 'hinged' joint. (medicinenet.com)
- Ankle pain can be caused by injury or disease of the ankle joint. (medicinenet.com)
- The ankle is a 'hinged' joint capable of moving the foot in two primary directions: away from the body (plantar flexion) and toward the body (dorsiflexion). (medicinenet.com)
- The ankle joint is surrounded by a fibrous joint capsule. (medicinenet.com)
- A sprain can occur on either or both of the inner and outer portions of the ankle joint. (medicinenet.com)
- Unfortunately, I had the abdominal problem in Paris last week and, in addition, I have a free body in the ankle joint that has to be removed in the operating room today. (rte.ie)
- now that is one complicated piece of equipment Just above your foot is the ankle joint where the shinbone (tibia) rests on top of the talus (the uppermost foot bone). (healthcentral.com)
- Further follow-up with MRI or CT scans might be needed to discover this insidious monster lurking within the ankle joint. (healthcentral.com)
- In medical terminology, "ankle" (without qualifiers) can refer broadly to the region or specifically to the talocrural joint. (wikipedia.org)
- The bony architecture of the ankle joint is most stable in dorsiflexion. (wikipedia.org)
- It was hypothesized that muscle spindle feedback from the ankle dorsiflexors played the most substantial role in proprioception relative to other muscular receptors that cross at the ankle joint. (wikipedia.org)
- However, due to the multi-planar range of motion at the ankle joint there is not one group of muscles that is responsible for this. (wikipedia.org)
- A moderate ankle sprain may require 3 to 6 weeks of rehabilitation before the area is fully healed, and a severe ankle sprain can take 8 to 12 months. (healthcentral.com)
- You should see your doctor for severe ankle pain, especially if it follows an injury. (mayoclinic.org)
- You may need to wear a splint, cast, or brace for a while to keep the ankle from moving. (medlineplus.gov)
- At this point, your doctor will give you a special shoe with a brace to hold your ankle steady. (webmd.com)
- If the ankle brace is worn regularly, it can help in the healing process. (google.com)
- Ankle Brace Support Stabilizer is great to wear throughout an entire basketball game. (google.com)
- If the ankle proves to be a regular problem, it is recommended that the ankle brace be worn continuously throughout the day. (google.com)
- Rest and ice cannot offer the same healing affects as a good ankle brace. (google.com)
- This leads us into our next topic concerning what type of ankle brace to purchase. (google.com)
- Click this site https://noova.in/products/breathable-neoprene-adjustable-ankle-support-wrap-and-stabilizer-made-of-quality-material for more information on Ankle Brace Support Stabilizer . (google.com)
- One of the effective, cost-efficient and non-invasive treatment plans available that can help treat your ankle pain is the utilization of a low profile ankle brace. (google.com)
- When you go for a run, Best Ankle Brace To Prevent Rolling can provide the support you require to manage the pain. (google.com)
- In addition, an ankle brace will remind you to avoid any unnecessary movement that could cause more pain or injury. (google.com)
- So it is important to wear the proper brace to allow your ankle to heal properly. (google.com)
- In fact, Redmayne just wrapped "The Aeronauts" with his "Theory of Everything" co-star Felicity Jones - "well, almost finished the film," he says ruefully, glancing down at his ankle, which is encased in a brace. (usatoday.com)
- This ankle brace features a wraparound style for ease of use, and the sleek construction fits comfortably with your footwear. (3m.com)
- Rated 5 out of 5 by Gyrlstout from Ankle relief Son had a sprained ankle and this ankle brace / sleeve worked beautiful. (3m.com)
- Rated 4 out of 5 by Dan56 from Comfort in a box I tried the Futuro Ankle brace and it provided excellent support and was comfortable. (3m.com)
- Rated 5 out of 5 by Ceciliaj from Great Ankle Brace! (3m.com)
- It's a very good ankle brace! (3m.com)
- I am able to play Pickleball again with the brace on my ankle, with no pain in my ankle. (3m.com)
- Knicks rookie Frank Ntilikina hurt his ankle at practice Friday, Oct. 20, 2017. (newsday.com)
- The restoration of range of motion is the key feature in favor of ankle replacement with respect to arthrodesis. (wikipedia.org)
- A 2018 study of privately insured patients receiving care for an ankle sprain in the emergency department (ED) found that 25.1% received an opioid prescription, with a median total MME of 100 and an average days' supply of 3. (cdc.gov)
- Sconfienza L.M., Orlandi D. (2018) Ankle and Foot Extra-Articular Procedures. (springer.com)
- Foot and Ankle Surgery - When Do You Need Surgery? (youtube.com)
- Ankle replacement surgery is most often done while you are under general anesthesia. (medlineplus.gov)
- Your ankle will be in a cast or a splint after surgery. (medlineplus.gov)
- It is not uncommon to see people experiencing swollen ankles after surgery. (buzzle.com)
- It represents an alternative to fusion surgery, which involves cementing the tibia to the talus bone in the ankle, reducing the ability to move the foot up and down. (medpagetoday.com)
- Thought you might appreciate this item(s) I saw at Techniques in Foot & Ankle Surgery. (lww.com)
- Newcastle captain Kevin Nolan will have ankle surgery on Thursday that will rule him out of the last two games of the Premier League season. (bbc.co.uk)
- Foot and ankle surgery can be painful. (emoryhealthcare.org)
- Rafael Nadal is to undergo ankle surgery after revealing he is out of November's season-ending ATP Finals in London due to injury, and is hoping to make a return in 2019. (rte.ie)
- Summit Foot and Ankle is a medical group practice located in Provo, UT that specializes in Podiatric Surgery, and is open 1 days per week. (healthgrades.com)
- Specific efforts include studies of the outcomes of ankle-fusion surgery performed on both ankles, racial disparities in the use of ankle-replacement treatment and outcomes, and issues surrounding the increasing age and number of other health issues experienced by people who have ankle replacement. (mayoclinic.org)
- A total ankle replacement system, novel surgical method for total ankle replacement, and novel surgical tools for performing the surgical method are described. (google.com)
- The total ankle replacement system includes the calcaneus in fixation of a lower prosthesis body, thereby significantly increasing the amount. (google.com)
- The total ankle replacement system includes the calcaneus in fixation of a lower prosthesis body, thereby significantly increasing the amount of bone available for fixation of the lower prosthesis body and allowing the lower prosthesis body to be anchored with screws. (google.com)
- The total ankle replacement system further includes a long tibial stem which can also be anchored into the tibia with, for example, screws, nails, anchors, or some other means of attachment. (google.com)
- The Scandinavian Total Ankle Replacement (STAR) system, manufactured by Small Bone Innovations, is a mobile-bearing device consisting of two metal plates with bars that fit into the bone and a polyethylene spacer that moves between the plates like a ball bearing. (medpagetoday.com)
- Even sedentary people are vulnerable, since inactivity causes the muscles that support the ankle and protect the ligaments to lose strength and elasticity. (healthcentral.com)
- You might feel the pain on the inside or outside of your ankle or along the Achilles tendon, which connects the muscles in your lower leg to your heel bone. (mayoclinic.org)
- A sudden force, like changing direction quickly, can turn the ankle farther than the muscles can support. (runnersworld.com)
- The powerful muscles that move the ankle are located in the front and back portions of the leg. (medicinenet.com)
- Fortunately, you can reduce your risk of an ankle sprain by doing balance training, stretching your ankle and surrounding muscles, doing ankle strengthening exercises , and making lifestyle changes. (wikihow.com)
- The clinical and radiographic outcomes in the osteoarthritic ankles with anteriorly translated talus group were comparable with those in non-translated talus group. (medscape.com)
- Proportions of patients referred for standard ankle and foot radiographic series. (nih.gov)
- Radiographic and functional outcomes following bilateral ankle fusions. (mayoclinic.org)
- The best way to heal a broken ankle is by taking proper treatment and following a healthy diet. (buzzle.com)
- Let's have a look at the how a broken ankle heals through proper treatment. (buzzle.com)
- Rated 5 out of 5 by Eross from This is perfect as I recover from my broken ankle I received this ankle support free to test, but my opinion was not affected by that at all! (3m.com)
- According to a paper published by the American Academy of Family Physicians ( AAFP ), the greatest risk factor for ankle sprain is having a previous ankle sprain. (healthline.com)
- In most cases, total ankle replacements last 10 or more years. (medlineplus.gov)
- Motion of the ankle will also be restricted due to swelling and discomfort. (massgeneral.org)
- Instead, the student overdoes this instruction and overextends the work of the outer ankles, causing discomfort. (yogajournal.com)
- Rated 5 out of 5 by Susie Q from Great Ankle Support I bought this awhile ago and use it now and then on account I have RA and when I get discomfort Futuro ankle is a great support and relief. (3m.com)
- If there is no tenderness over the bone along the inside or outside of the ankle and the patient is able to take 4 steps, then according to the Ottawa ankle rules, the patient does not require x-rays. (massgeneral.org)
- Sometimes what appears to be an ankle sprain is really a fractured bone. (healthcentral.com)
- Your surgeon will make a cut in the front and sides of your ankle and remove the damaged bone and cartilage. (webmd.com)
- Johnson attempted to put his ankle back into place but the team medical staff believed he could not because the outside bone of his ankle had broken. (philly.com)
- An MRI is not indicated in initial treatments of ankle sprains, and is generally not recommended unless symptoms persist for 6-8 weeks after the initial injury. (massgeneral.org)
- Two simple pre-or post-run exercises should suffice for most runners in building and maintaining ankle flexibility. (runnersworld.com)
- These exercises will return your range of motion and help exercise your ankle, lowering your risk of reinjury. (healthline.com)
- If you love a delicate look that still gets the message across, then check out 50-plus adorable ankle tattoos that are small and chic. (popsugar.com)
- Spice up your style with chic, sexy ankle boots that add a bit of attitude to any outfit. (jcpenney.com)
- Try a pair of ankle boots with a wedge heel for an ultra-chic look. (jcpenney.com)
- Ankle boots with a strap at the ankle look chic and feminine, no matter if the strap is wide or thin or is only an accessory. (ahram.org.eg)
- Ankle sprains are typically classified as mild, moderate, and severe. (massgeneral.org)
- Ankle braces can provide different levels of support from mild to intense. (google.com)
- The severity of ankle sprains ranges from mild (which can resolve within 24 hours) to severe (and can require surgical repair). (medicinenet.com)
- The hard, bony knobs on each side of the ankle are called the malleoli. (medicinenet.com)
- The bony arch formed by the tibial plafond and the two malleoli is referred to as the ankle "mortise" (or talar mortise). (wikipedia.org)
- The Perry Black Suede Studded Ankle Booties look super cute paired with cropped jeans! (people.com)
- Step up your style in these versatile ankle booties, which feature a faux-suede upper, contrasting faux-wood heel and buckle detail to complete the look. (jcpenney.com)
- Non-Achilles ankle tendinopathy. (mayoclinic.org)
- The large tendon (Achilles tendon) of the calf muscle passes behind the ankle and attaches at the back of the heel. (medicinenet.com)
- Massage your calves, Achilles, and ankles with your knuckles. (wikihow.com)
- This can form after an injury to the ankle. (medlineplus.gov)
- Patients will usually report a twisting injury to the ankle. (massgeneral.org)
- You should feel this stretch on the front of your ankle and your foot. (healthline.com)
- It occurs when the ankle rolls inward leading to tearing of some or all of the ligaments on the outside of the ankle. (massgeneral.org)
- The typical injury occurs when the ankle is suddenly 'twisted' in a sports activity or by stepping off an uneven surface. (medicinenet.com)
- At least the top surface of the platform includes indicia so that the foot can be placed in a proper position on the platform, whereby angular movement of the ankle on the device corresponds with the average maximum biomechanical function of the ankle structure. (freepatentsonline.com)
- There are different types of ankle replacement surgeries. (medlineplus.gov)
- Researchers in Mayo Clinic's Motion Analysis laboratory study how different types of ankle problems and surgeries affect a person's gait. (mayoclinic.org)
- You'll switch from a splint to a boot that should allow you to start walking on the ankle. (webmd.com)
- You can never go wrong with a classic black ankle boot. (topshop.com)
- And because it's officially ankle-boot season, many designers are offering a variety of trends and colours like beige, brown, sandy, white and blue to choose from. (ahram.org.eg)
- Studded ankle boots have long been a wardrobe staple and the trend goes on. (topshop.com)