Lower Extremity Review
Percutaneous electrolysis (PE) is a minimally invasive procedure that utilizes galvanic current delivered through a needle. PE is increasingly employed for musculoskeletal disorders, despite the scarcity of scientific evidence supporting its use. The aim of this systematic review is to synthesize the existing evidence and explore the applications of PE in rehabilitation. In line with Preferred Reporting Items for…
Mitochondrial trifunctional protein deficiency (MTPD) is an inherited disorder of fatty acid β-oxidation caused by mutations in HADHA or HADHB genes. It typically presents with cardiomyopathy or hepatic failure in early childhood; however, it may rarely present in adulthood with the neuromyopathic form. Researchers describe a patient with MTPD with isolated neuropathy mimicking Charcot-Marie-Tooth disease (CMT) as the first and only presenting symptom.
Treatment-induced diabetic neuropathy (TIND), also known as insulin neuritis, is a rare but important complication that can occur after rapid correction of chronic hyperglycemia in patients with long-standing diabetes. It manifests as acute, severe neuropathic pain with autonomic dysfunction despite improved glycemic control. Chronic neuropathic pain, which arises from…
Radiographs demonstrating single-screw (left) and dual-screw (right) fixation following minimally invasive distal metatarsal osteotomy for hallux valgus correction. Minimally invasive surgery (MIS) for hallux valgus has evolved significantly, with ongoing debate about optimal fixation methods. Fourth-generation techniques typically use 2 metatarsal screws; however…
The mean age of volleyball athletes has increased over the past decade, raising concern for musculoskeletal injuries. To evaluate epidemiologic trends, diagnoses, and mechanisms of volleyball-related lower extremity injuries within different adult age groups. Data on volleyball-associated lower extremity injuries in patients ≥19 years of age was…
Knee crepitus, the audible crackling or grinding noise during knee joint movement, has been proposed as an early clinical indicator of structural osteoarthritis (OA). One year following anterior cruciate ligament reconstruction (ACLR), 112 participants self-reported the presence and/or absence of knee crepitus using an item from the…
Foot and ankle muscle strengthening exercises are common interventions for many musculoskeletal conditions that are associated with pain and limited function in the lower limb. Science offers many strengthening exercises but has been criticized for not adhering to best practice. A systematic search of peer-review journal articles was conducted.
This study aims to synthesize existing evidence on the effectiveness of nonpharmacological interventions designed to increase the intrinsic capacity (IC) of community-dwelling older adults. An umbrella review of systematic reviews from 2015 to October 31, 2024 was conducted. The review included 5 databases.
Diabetic foot Ulceration (DFU) is a severe complication of diabetic foot syndrome, often leading to amputation. In patients with neuropathy, ulcer formation is facilitated by elevated plantar tissue stress under insensate feet. This study presents a plantar pressure distribution analysis method to predict diabetic peripheral neuropathy.
Achilles tendon ruptures are common injuries among adults that can cause substantial pain and disability. While prior studies have reported on return-to-play rates in athletes, limited data exist regarding functional outcomes within a military population.
Chronic ankle instability (CAI) is prevalent among soccer players, often resulting from recurrent ankle injuries (RAIs). Despite its impact on performance and long-term joint health, the associated risk factors remain insufficiently explored. This study aimed to identify the key risk factors for CAI among soccer players. A cross-sectional study was conducted among 310 soccer players from…
Regular physical activity is essential for improving cardiovascular health and overall well-being, yet many sedentary women struggle to meet exercise recommendations due to time constraints and low enjoyment. This study compared the effects of reduced-exertion high-intensity training (REHIT) and short moderate-intensity continuous training (SMICT) on…
Diabetic foot ulcers (DFU) are a major complication of diabetes, often leading to impaired mobility and increased risk of recurrence due to persistent biomechanical alterations. Understanding the mechanical properties of foot muscles, tendons, and fascia may provide insight into ulcer development, prevention and rehabilitation strategies.
Nerve injury is the most common complication following foot and ankle surgery, with painful neuroma reported in up to 10% of procedures. Current treatment often yields varying degrees of pain relief. Electrical stimulation (ES) through peripheral neuromodulation is an emerging technology associated with improvement in nerve related pain and acceleration of neural regeneration.
Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data collected included age, sex, mechanism of injury, setting (practice vs game), diagnosis, lower extremity injury, and disposition.
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