The Neoproterozoic–Early Devonian(?) northeast Brooks Range basinal succession of northern Alaska and Yukon represents a peri-Laurentian deep-marine carbonate and siliciclastic succession within the composite Arctic Alaska–Chukotka microplate. The basal Firth River Group consists of a mixed siliciclastic and carbonate succession that is divided into the informal Redwacke Creek, Malcolm River, and Fish Creek formations. New U-Pb detrital zircon geochronology and δ13Ccarb and 87Sr/86Sr isotopic data from these strata, in combination with previously reported and new trace fossil discoveries, suggest the Firth River Group is Cryogenian(?)–middle(?) Cambrian in age. These strata interfinger with or are depositionally overlain by the siliciclastic-dominated lower Cambrian–Middle Ordovician(?) Neruokpuk and Leffingwell (new name) formations, which potentially record a distal expression of Cambrian extension and condensed passive margin sedimentation along the northern margin of Laurentia. All of these units are unconformably overlain by the synorogenic Clarence River Group, which is divided into the informal Aichilik and Buckland Hills formations. New U-Pb detrital zircon geochronology and previous macrofossil collections suggest the Clarence River Group is Late Ordovician-Early Devonian(?) in age. Here, we present new sedimentological observations, stratigraphic subdivisions, detrital zircon U-Pb geochronology and Lu-Hf isotope geochemistry, detrital muscovite 40Ar/39Ar geochronology, and carbonate δ13Ccarb and 87Sr/86Sr isotope geochemistry from the basinal succession that revise previous tectono-stratigraphic models for this part of Arctic Alaska and support correlations with age-equivalent strata in the Franklinian basin of the Canadian Arctic Islands and Greenland.
Anterior ankle impingement is a common clinical condition characterized by chronic anterior ankle pain that is exacerbated on dorsiflexion. Additional symptoms include instability; limited ankle motion; and pain with squatting, sprinting, stair climbing, and hill climbing. Diagnosis is typically confirmed with plain radiographs. Nonsurgical management includes physical therapy, strengthening exercises, activity modification, bracing, and anti-inflammatory medication. Although arthroscopic treatment is sufficient in some patients, most require an open approach to address related pathology. We advocate aggressive range of motion as well as weight bearing postoperatively. Further study is needed to confirm current understanding of anterior ankle impingement and to better define treatment options and prevention strategies.
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