Browsing by Subject "ankle"
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Item CASE REPORT: ENHANCING ANKLE FUNCTIONALITY STATUS-POST ACUTE INVERSION INJURY UTILIZING OSTEOPATHIC MANIPULATIVE TREATMENT(2013-04-12) Strot, SarahPurpose: This case study evaluated the effectiveness of osteopathic manipulative treatment (OMT) in enhancing functionality in the ankle status post grade II lateral ankle sprain. Methods: AC is a 55 year old Caucasian male presenting to the UNT Health Bone & Joint Institute (BJI) after suffering an inversion injury to his right ankle two weeks prior. AC was diagnosed with grade II inversion ankle sprain, ankle effusion, and somatic dysfunction of the lower extremity. In addition to traditional conservative management, osteopathic manipulative treatment (OMT) was performed to the ankle and lower extremity. Results: There was a noted immediate decrease in the ankle effusion from 1.12cm to 0.54cm status-post treatment with OMT as seen on musculoskeletal ultrasound (MSK US). His pain decreased from 9/10 to 5/10 with increased range of motion (ROM) post-OMT. Conclusions: This case study demonstrated the benefit of utilizing OMT for acute inversion ankle injuries. This study can serve as a model for a clinical trial to demonstrate how OMT can be used to complement and improve upon the standard of care in an effort to decrease the morbidity of this frequently occurring injury.Item Diagnostic Value of Dynamic Ultrasound in Supination-External Rotation Injuries(2018-08) Fisher, Cara L.; Reeves, Rustin E.; Berg, Rance E.; Maddux, Scott D.; Rosales, Armando; Wood, Addison R.Ankle syndesmosis injuries are common and range in severity from subclinical to grossly unstable. Definitive diagnosis of these injuries can be made with plain film radiographs if the injury is severe enough, but often is missed when severity or image quality is low. Computed tomography (CT) and magnetic resonance imaging (MRI) can provide early definitive diagnosis regardless of severity, but are costly and introduce the patient to radiation when CT is used. Ultrasound diagnosis may circumvent many of these disadvantages by being inexpensive, efficient, and able to detect subtle injuries without radiation exposure. This study evaluates the ability of ultrasound to detect subtle supination-external rotation (SER) ankle syndesmosis injuries with a dynamic external rotational stress test. Nine all male fresh frozen specimens were secured to an ankle rig and stress tested to 10 Nm of external rotational torque with ultrasound monitoring at the tibiofibular clear space. The ankles were subjected to syndesmosis ligament sectioning and repeat stress measurements of the tibiofibular clear space at peak torque. Stress tests and measurements were repeated three times and averaged. Data was analyzed using a two-way repeated measures ANOVA.