No abstract

No abstract

BACKGROUND: In the present randomized prospective study, 2 different surgical techniques of plantar fasciitis surgery were compared. METHODS: Forty-eight patients who were diagnosed as plantar fasciitis and treated conservatively for at least 6 months and had no response to conservative treatment modalities were involved in this study. The patients were randomly assigned to endoscopic plantar fascia release (EPFR group) or cryosurgery (CS group). Patients were evaluated using American Orthopaedic Foot and Ankle Society ankle/hindfoot scale (AOFAS-AHS) as a primary outcome measurement at baseline and 3 weeks and 3, 6, and 12 months after the initial surgery. At the final follow-up appointment, the Roles- Maudsley score was used to determine patient satisfaction. RESULTS: Five patients did not complete the 1-year follow-up examination (1 in EPFR group and 4 in CS group). Thus, the study group included 43 patients. While both groups were showed significant improvement at the final evaluation, the patients undergoing EPFR had significantly greater AOFAS-AHS scores after 3 months postoperatively. The success rate (Roles and Maudsley score excellent and good) in the ESWT group at month 12 was 87 %, while in the CS group, the success rate was 65%. CONCLUSIONS: Both EPFR and CS were associated with statistically significant improvements at 1-year follow-up, but after 3 months postoperatively, EPFR was associated with better results and higher patient's satisfaction rate when compared with CS.

ObjectiveThis study was performed to evaluate the visibility of the knee’s anterolateral ligament (ALL) by magnetic resonance (MR) imaging when evaluating injuries of the ALL in relation to injuries of the anterior cruciate ligament (ACL).MethodsTwo reviewers retrospectively analyzed MR images for the visibility and dimensions of the ALL and the relationship between ALL and ACL injuries. The intraclass correlation coefficient (ICC) and kappa analysis were used to assess interobserver reliability. The chi-square test was used to assess the relationship between ALL and ACL injuries.ResultsThe entire ALL was viewed on 82% of all MR images. The ICC for ALL visualization ranged from moderate to perfect between the two readers. There was almost perfect agreement between the reviewers when evaluating ALL dimensions. The mean length ± standard error, median thickness, and mean width ± standard error of the ALL were 36.5 ± 0.6 mm, 2.5 mm, and 8.2 ± 0.2 mm, respectively. A statistically significant relationship was observed between ALL and ACL injuries.ConclusionThe ALL was visible on most MR images, allowing ALL injuries to be noted during routine MR image interpretation. Radiologists should note concomitant ACL and ALL injuries as part of their assessments.

The objective of this study was to determine the effects of body mass index (BMI), as a modifiable risk factor, on meniscal, chondral, and ligamentous injuries, as well as on bone marrow edema accompanying anterior cruciate ligament (ACL) rupture. This retrospective observational study analyzed 84 male patients who underwent primary ACL reconstruction from 2015 to 2018. Magnetic resonance imaging was performed within 6 weeks of injury. Bone bruise, tendon, ligament, meniscal, and muscle injuries were evaluated. The surgery was performed within 3 months after the injury. Detailed arthroscopic findings (chondral, meniscal, and ligamentous injuries) were documented intraoperatively. The weight and height were used to quantify BMI (weight in kg/height in m2). Of the 84 male patients, 58 had associated articular injuries. The median age of the study population was 24 years (minimum: 17 years, maximum: 43 years) years. The mean BMI, height, and weight were 27.12 ± 0.78 kg/m2, 1.73 ± 0.01 m, and 81.17 ± 21.52 kg, respectively. The relationship between higher BMI and associated articular injuries (95% confidence interval [CI]) was statistically significant (p < 0.001). There was a statistically significant relationship between weight and associated articular injuries (p = 0.003). Height and age were not predictive factors. Higher BMI and weight were significant risk factors for associated articular injuries in the presence of ACL tear. Height was not found to be a predictive factor. Higher BMI was associated with increased risk of medial and/or lateral meniscus tears and bone bruising.