Introduction. Achilles tendinopathy is one of the most common overuse injuries of the foot and ankle in the active population. Many studies have shown radial sound wave therapy (RSW) or extra-corporeal shockwave therapy (ESWT) to be a safe and effective conservative treatment options when used independently. Methods. In this prospective study, we examined the outcomes of treatment on Achilles tendinopathy combining these two modalities. We hypothesize improved results with the combination therapy and compare this with previous studies. The current study observes a cohort of 24 patients, who received the both treatments with mean age of 47.2±12.8 years at the time of study. Each patient received three treatments initially and then subsequent treatments at 6 and/or 12 week follow up. Results. Pre-treatment VAS score was 6.3±1.3 and RM score was 3.5±0.5. Ultimately, these were reduced to 1.2±1.6 (P=0.00001) and 1.6±0.9 (P=0.00001) respectively at 17±4.5 month follow-up. Patients with paratendinosis had better outcomes than insertional Achilles pathology. Conclusions. Our results show a significant improvement in outcome measures in patients treated with ESWT and RSW, as compared to other studies. We conclude that the dual treatment method is a safe and improved method of treatment for Achilles tendinopathy compared to isolated use of ESWT or RSW.
Background. Early detection and treatment of Lisfranc injuries in the athletic population is paramount for successful return to sport as well as outcome. The present study evaluates surgical interventions for these types of injuries as well as return to activity (RTA), function and post-operative degenerative joint disease. Methods. The data from nineteen patients prospectively followed from 2008 through 2016 presented. Of these patients, six (31.6%) were treated with suture-button fixation, seven (36.8%) with metallic screws and plates and six (31.6%) with bioabsorbable screws. The average RTA was 24.0 ± 10.3 weeks. The post-operative Roles and Maudsley (RM) score was 1.2 ± 0.4. 21% of the patients were noted to have joint space narrowing at the final post-operative x-ray. Hardware removal was performed in six (31.6%) patients. Results. All of the patients were able to return to their sporting activities. Conclusions. Based on the current study, anatomic reduction showed to be the highest predictor of surgical outcome, regardless of fixation technique, consistent with previous studies. ORIF of Lisfranc injuries in the athletic population provides safe and predictable results with good medium-term outcomes.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.