6-Year Follow-up of Aging Marathon Runner

6-Year Follow-up of Aging Marathon Runner

This marathoner’s performance has declined since his record-breaking marathon in 2018 primarily due to a reduction in VO,max. His max HR changed minimally, but his peak O2 pulse decreased, suggesting that his maximal stroke volume and/or arteriovenous 02 difference decreased. These changes likely reflect primarily age-related effects.

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Flat foot Update #2: Focus on Intrinsic Foot Muscles First in Boys

Flat foot Update #2: Focus on Intrinsic Foot Muscles First in Boys

A small study of 25 boys (age 10-12y) with flexible flat foot (FF) sought to understand the impact of intrinsic- versus extrinsic-first corrective exercises on on muscle morphometry and navicular drop (ND). The boys underwent a 12-week exercise program that shifted focus midway. The results were significant. Leading with intrinsic exercises led to sustained improvement throughout the…

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Metal Hypersensitivity and Joint Implants

Metal Hypersensitivity and Joint Implants

Metal hypersensitivity (MH) is a controversial topic with limited evidence. It is more commonly observed in failed arthroplasties. The most common metal involved in MH is nickel. Orthopaedic implants contain nickel because of its ability to provide increased strength and durability. MH is a type IV hypersensitive reaction.

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Salto Talaris Fixed-Bearing Total Ankle Arthroplasty: 10-Yr Results

Salto Talaris Fixed-Bearing Total Ankle Arthroplasty: 10-Yr Results

In this longer-term follow-up of a limited cohort (48 patients/50 ankles, average age at index surgery: 64 years), Salto Talaris fixed-bearing total ankle arthroplasty demonstrated good long-term survival (Kaplan-Meier estimated survivorship was 84.2%) with relatively low rates of revision or other complications. Patient-reported outcome and range of motion measures revealed good stability.

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Increasing Stride Angle as Injury Prevention?

Increasing Stride Angle as Injury Prevention?

The stride angle is a more useful metric than stride length.  For example, the stride angle is what creates stride length.  The stride angle is the maximum opening between the upper legs while running or pitching.  Our 6-month research project found that for every degree a runner increases his stride angle, he can increase the stride length 2%. This runner (Figure 1) increased his stride length 60%.

By Bob Prichard

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2025 Is ALREADY Off to a Great Start!

2025 Is ALREADY Off to a Great Start!

First off, I am pleased to announce the appointment of Bradley P. Abicht, DPM, FACFAS, as the new Medical Director of lerEXPO. With extensive experience in podiatric foot and ankle surgery, Brad brings a wealth of expertise and a patient-centered approach to this arm of the Lower Extremity Review organization.

By Rich Dubin, Publisher

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Greater effects by performing a small number of eccentric contractions daily than a larger number of them once a week

Greater effects by performing a small number of eccentric contractions daily than a larger number of them once a week

Our previous study found that one maximal voluntary eccentric contraction (MVC-ECC) performed daily for 5 days a week for 4 weeks increased MVC-ECC, isometric (MVC-ISO), and concentric contraction (MVC-CON) torque of the elbow flexors more than 10%. The present study investigated the effects of six maximal voluntary eccentric contractions on the…

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Concussions, More Than Meets the Eye: NATA Study Finds Increasing Risk of Suicide Ideation With Second Concussion

Concussions, More Than Meets the Eye: NATA Study Finds Increasing Risk of Suicide Ideation With Second Concussion

In 2007, one study estimated there were 300,000 sports-related traumatic brain injuries in high school and collegiate athletes. Sports brain injuries and concussions were second only to motor vehicle accidents amongst people aged 15-24.1 Fast forward to a 2018 study using data from the Youth Risk Behaviors Survey where…

By Mark Mendeszoon, DPM

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