Minimally Invasive Treatment of Chronic Ankle Instability: a Comprehensive Review

Urits, Ivan; Hasegawa, Morgan; Orhurhu, Vwaire; Peck, Jacquelin; Kelly, Angele C.; Kaye, Rachel; Orhurhu, Mariam Salisu; Brinkman, Joseph C.; Giacomazzi, Stephen; Foster, Lukas; Manchikanti, Laxmaiah; Kaye, Alan D.; Viswanath, Omar

doi:10.1007/s11916-020-0840-7

Cited by 8 publications

(5 citation statements)

References 105 publications

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“…The m-RUQ total score is computed by adding the scores for each domain and dividing the result by the number of items tive measures [2], but many people end up developing chronic ankle instability and pain [5]. Chronic ankle instability (CAI) refers to the development of repetitive ankle sprains, instabilities of the ankle-joint complex [6], and persistent residual symptoms post-injury [7]. CAI is thought to be the result of deficits in neural proprioception, reflexes, muscular reaction time, muscular strength, power, endurance, and mechanical mechanisms (ligamentous laxity) [8].…”

Section: Methodsmentioning

confidence: 99%

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Barriers and Facilitators to Clinical Utilization of Contemporary Research Findings in Ankle Instability Rehabilitation among Healthcare Professionals in Anambra State, Nigeria

Umezulike¹,

Mercy²,

Peter³

et al. 2020

J Musculoskelet Disord Treat

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Section: Methodsmentioning

confidence: 99%

“…The effectiveness of chronic ankle instability rehabilitation regimen(s) post-injury or surgery often determines the success of future ankle functions and athletic performances [2,6]. The goal of rehabilitation is usually to return the injured ankle to the same or higher level of performance and function as pre-injury.…”

Section: Methodsmentioning

confidence: 99%

Barriers and Facilitators to Clinical Utilization of Contemporary Research Findings in Ankle Instability Rehabilitation among Healthcare Professionals in Anambra State, Nigeria

Umezulike¹,

Mercy²,

Peter³

et al. 2020

J Musculoskelet Disord Treat

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“…The results of our literature search did not return any randomized controlled trials or cohort studies regarding the clinical efficacy of minimally invasive treatment of tarsal tunnel syndrome. [2][3][4]46,47 Publications exist but are limited to case series and detailing the use of minimally invasive treatments such as cryosurgery 48 and radio pulsed frequency. 49 These are summarized in Table 3.…”

Section: Minimally Invasive Treatmentsmentioning

confidence: 99%

Clinical Results Following Conservative Management of Tarsal Tunnel Syndrome Compared With Surgical Treatment: A Systematic Review

Vij

Kaley

Robinson³

et al. 2022

Orthopedic Reviews

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Introduction Posterior tarsal tunnel syndrome involves entrapment of the posterior tibial nerve as it travels in the groove posterior to the medial malleolus. Conventional wisdom dictates that patients with tarsal tunnel syndrome be treated with conservative treatment and medical management, with surgical options available for patients with refractory symptoms and good candidacy. Minimally invasive options for neuropathic entrapment syndromes have developed in recent years and may provide a therapeutic role in tarsal tunnel syndrome. Objective The present investigation provides a summary of the current state of knowledge on tarsal tunnel syndrome and a comparison between minimally invasive and surgical treatment options. Methods The literature search was performed in Mendeley. Search fields were varied until redundant. All articles were screened by title and abstract and a preliminary decision to include an article was made. A full-text screening was performed on the selected articles. Any question regarding the inclusion of an article was discussed by 3 authors until an agreement was reached. Results Most commonly tarsal tunnel syndrome is idiopathic. Other reported causes include post-traumatic, lipomas, cysts, ganglia, schwannomas, ganglia, varicose plantar veins, anatomic anomalies, and systematic inflammatory conditions. Several risk factors have been described including female gender, athletic participation, hypothyroidism, diabetes mellitus, systemic sclerosis, chronic renal failure, and hemodialysis use. A few recent studies demonstrate anatomic variants that have not previously been summarized. Three articles describe clinical outcomes after conservative treatment with acceptable results for first line treatment. Two primary articles report on the use of minimally invasive treatment for tarsal tunnel syndrome. Fourteen articles report on the clinical outcomes after surgical management. Conclusion Clinical understanding of tarsal tunnel syndrome has evolved significantly, particularly with regards to the pathoanatomy of the tarsal canal over the past twelve years. A few novel anatomic studies shed light on variants that can be helpful in diagnosis. Conservative management remains a good option that can resolve the symptoms of many patients. As more prospective cohorts and clinical trials are performed on minimally invasive options, pulsed radiofrequency and neuromodulation may evolve to play a larger role in the treatment of this condition. Currently, surgical treatment is only pursued in a very select group of patients with refractory symptoms that do not respond to medical or minimally invasive options. Surgical outcomes in the literature are good and current evidence is stronger than that for minimally invasive options.

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“…Cosmetic injection of hyaluronan as a dermal filler (an FDA-approved clinical use) was ranked as the second and third most common non-surgical procedure for women and males, respectively [ 130 , 131 ]. Intra-synovial injection of crosslinked and non-crosslinked hyaluronan as viscosupplements is also a favored and FDA-approved treatment for osteoarthritic pain [ 132 , 133 , 134 ].…”

Section: Therapeutic Considerations Of Hyaluronan In Myofascial Diseasementioning

confidence: 99%

Pathophysiological and Therapeutic Roles of Fascial Hyaluronan in Obesity-Related Myofascial Disease

Ugwoke

Cvetko

Umek

2022

IJMS

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Myofascial disease is an important complication associated with obesity and one of the leading causes of physical disability globally. In the face of limited treatment options, the burden of myofascial disorders is predicted to increase along with the escalating prevalence of obesity. Several pathological processes in obesity contribute to modifications in fascial extracellular matrix mechanical and biological properties and functions. Changes in adipose tissue metabolism, chronic inflammatory phenotype, oxidative stress, and other mechanisms in obesity may alter the physiochemical and biomechanical properties of fascial hyaluronan. Understanding the pathophysiological importance of hyaluronan and other components of the fascial connective tissue matrix in obesity may shed light on the etiology of associated myofascial disorders and inform treatment strategies. Given its unique and favorable pharmacological properties, hyaluronan has found a broad range of clinical applications, notably in orthopedic conditions such as osteoarthritis and tendinopathies, which share important pathophysiological mechanisms implicated in myofascial diseases. However, while existing clinical studies uniformly affirm the therapeutic value of hyaluronan in myofascial disorders, more extensive studies in broader pharmacological and clinical contexts are needed to firmly validate its therapeutic adaptation.

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Minimally Invasive Treatment of Chronic Ankle Instability: a Comprehensive Review

Cited by 8 publications

References 105 publications

Barriers and Facilitators to Clinical Utilization of Contemporary Research Findings in Ankle Instability Rehabilitation among Healthcare Professionals in Anambra State, Nigeria

Barriers and Facilitators to Clinical Utilization of Contemporary Research Findings in Ankle Instability Rehabilitation among Healthcare Professionals in Anambra State, Nigeria

Clinical Results Following Conservative Management of Tarsal Tunnel Syndrome Compared With Surgical Treatment: A Systematic Review

Pathophysiological and Therapeutic Roles of Fascial Hyaluronan in Obesity-Related Myofascial Disease

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