Category Archives: Clinical News

Current Issue News

May 2012

Patellofemoral cartilage damage tends to be medial, even in most valgus knees

Medial cartilage damage, not lateral damage, is the more prevalent pattern of cartilage morphology in patellofemoral knee osteoarthritis in all but the most severely involved knees, according to research from Boston University School of Medicine.

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May 2012

Flying can be trying: Most hip implants trigger security delays

Researchers in Baltimore reported that patients who have undergone total hip arthroplasty may experience greater inconvenience than other passengers when going through airport security.

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May 2012

ACL reconstruction delays increase risk of meniscal, chondral injuries

Research from the University of Hong Kong provides further evidence that delaying anterior cruciate ligament surgery increases the risk of meniscal injury and articular cartilage lesions, both of which are associated with increased long-term risk of knee osteoarthritis. Investigators analyzed…

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May 2012

Study finds no decrease in BMI after ankle surgery despite functional gains

Overweight and obese patients with end-stage ankle arthritis may think that having surgery will inspire them to lose weight, but research from the University of British Columbia suggests that in reality this doesn’t happen. Investigators retrospectively assessed 145 patients who…

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May 2012

Direction change: Backward running may reduce PF pain

Backward running involves lower patellofemoral joint compression forces than forward running and is a viable strategy for rehabilitation of patellofemoral pain syndrome in runners, allowing them to continue exercise without increasing these forces, according to UK research e-published in April in the Journal of Biomechanics.

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May 2012

Physical examination outperforms MRI for diagnosing Achilles tendon rupture

A retrospective analysis e-published in April in Clinical Orthopaedics and Related Research found physical examination is superior to magnetic resonance imaging (MRI) for diagnosis of acute Achilles tendon ruptures. Investigators at Thomas Jefferson University Hospital in Philadelphia compared 66 patients…

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May 2012

Rigid footwear affects jump landing mechanics in female soccer players

Interactions between gender and footwear type affect landing mechanics in soccer players, according to research e-published in April in the Scandinavian Journal of Medicine & Science in Sports. Investigators at Duke University in Durham, NC, conducted motion analysis on 28…

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April 2012

Prevention pitfalls: Why amputation rates are still too high

Essential to achieving the goal of prevent­ing amputation in patients with diabetes is recognizing barriers that stand in the way, according to a Swedish diabetic foot expert who spoke in March at the Diabetic Foot Global Conference (DFCon) in Los Angeles.

By Jordana Bieze Foster

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April 2012

Nationwide action plan to stratify risk of foot ulceration pays off in Scotland

A national strategy of risk stratification in Scotland significantly decreased the incidence of amputation within the first years of its implementation, according to unpublished data presented in March at the Diabetic Foot Global Conference (DFCon) in Los Angeles.

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April 2012

Texas experience suggests amputees gain from support group participation

Participation in a support group for diabetic amputees is associated with significant clinical and educational benefits, according to unpublished data from the University of Texas Health Sciences Center San Antonio presented in March at the Diabetic Foot Global Conference (DFCon).

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April 2012

Off their toes: Lower-profile device aids toe-walkers

Idiopathic toe-walking is a bilateral toe-to-toe gait diagnosed when children con­tinue this behavior, which is considered part of the normal spectrum of toddlers’ gait development, past age 2.

By Emily Delzell

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April 2012

Small study suggests no negative effect of rigid knee orthosis on performance

Findings presented at in March at the American Academy of Orthotists & Prosthetists annual meeting in Atlanta suggest rigid knee orthoses (KOs) likely have no negative impact on energy efficiency or performance.

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April 2012

AFOs may improve foot placement in patients with poststroke foot drop

Ankle foot orthoses (AFOs) designed to correct foot drop during swing and provide toe clearance may facilitate more accurate foot placement, according to preliminary data presented in March at the American Academy of Orthotists & Prosthetists annual meeting in Atlanta.

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March 2012

Loading lessons: Select exercises carefully for ACL rehab

Exercises prescribed for rehabilitation after anterior cruciate ligament (ACL) reconstruction should be designed to protect the healing graft from excessive strain in addition to rebuilding muscle strength and activation, according to evidence-based recommendations from a multicenter team of experts.

By Jordana Bieze Foster

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March 2012

Barefoot running offers no metabolic advantage over lightweight footwear

The metabolic cost of running increases with heavier footwear, but barefoot running is no more metabolically efficient than running in a lightweight shoe, according to research from the University of Colorado at Boulder. In 12 men experienced in barefoot running, … Continue reading

March 2012

Custom brace outperforms others for inversion control during cutting

A custom-molded hinged ankle brace more effectively controls inversion during cutting maneuvers than two other brace designs tested by researchers from the Hong Kong Polytechnic University, a finding with potential implications regarding ankle sprain prevention. Eight individuals with a history … Continue reading

March 2012

MIS adventures: Minimal approach rivals standard TKA

Several studies presented in February found few differences in outcomes for minimally invasive total knee arthroplasty (TKA) and traditional TKA.

By Emily Delzell

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March 2012

Surgical, nonsurgical Achilles care lead to similar one-year outcomes

In a study of acute Achilles tendon rupture published this month in the Clinical Journal of Sport Medicine, some strength and endurance measures improved earlier in those who underwent surgical versus nonsurgical care, but rerupture rates and patient-reported function were … Continue reading

March 2012

Study finds no restoration of proximal kinematics after hallux valgus surgery

Surgical hallux valgus correction significantly improves foot geometry and hallux kinematics but does not significantly change proximal kinematics, according to research from Marquette University in Milwaukee, WI. In a study published in the February issue of Foot & Ankle International, … Continue reading

March 2012

Ply trap: Prosthetic sock thickness varies

Recent research from the University of Washington in Seattle confirms what many practitioners have already learned from treating patients with lower limb amputat­ions: Sock thickness varies among dif­ferent sock products of the same ply and is also affected by biomechanical con­ditions.

By Emily Delzell

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March 2012

Dose response for OA brace wear includes hamstring strengthening

Research from Canadian investigators suggests brace wear may positively affect activity level without decreasing muscle strength in patients with medial compartment knee osteoarthritis (OA). Investigators from Dalhousie University in Nova Scotia followed 24 patients (four women) who wore a valgus … Continue reading

March 2012

Study suggests rocker sole shoes help reduce circulatory calf pain

Researchers at the University of Salford in Manchester, UK, reported in March that a pilot study comparing two therapeutic shoe soles in eight individuals with claudication showed a reduction in calf pain with rocker sole wear. The investigators asked study … Continue reading

February 2012

Enhancing balance

Foot orthoses may help prevent falls – Recent research suggests older patients at risk for falls from poor balance may benefit from custom foot orthoses. Report­ed improvements indicate clini­cians could potentially help prevent falls by testing patients’ balance and considering inter­ventions to improve it.

By Emily Delzell and Jordana Bieze Foster

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February 2012

CDC reports dramatic 12-year drop in diabetic lower limb amputation

Lower limb amputations due to complications of diabetes declined 67% from 1996 to 2008 in US adults aged 40 years and older, according to a February report in Diabetes Care by epidemiologists from the Centers for Disease Control and Prevention … Continue reading

February 2012

PRP outperforms corticosteroids for relief of plantar fasciitis pain

A single platelet rich plasma (PRP) injection is more effective than a single corticosteroid injection for improving pain and function in patients with chronic plantar fasciitis who haven’t responded to other conservative treatments, according to research from Nantucket, MA. In … Continue reading