The study consisted of ten professional soccer players, between the ages of 22-30, with no previous posterior ankle pain who underwent MRI and sonographically guided injection for clinical posterior impingement. According to the study, despite rehabilitation with resolution of anterior and lateral symptoms after an initial inversion injury, all players developed posterior pain that was resistant to conservative therapy 3-4 weeks after the precipitating injury. The pain limited the athletes' ability to sprint and strike the soccer ball and prevented them from returning to competition.
"In our practice, we see many professional athletes with this condition and we found that the majority of them were showing excellent response to this treatment," said Philip Robinson, MD, and lead author of the study. "We decided to analyze the imaging features and injection results more rigorously for publication."
All players underwent MRI of the ankle after clinical examination by a foot and ankle surgeon. Sonographically guided injection was then performed into the posterior capsule abnormality. Posterolateal capsule thickening and synovitis involving an intact posterior talofibular ligament (ligament located in the back of the foot) were present in all ten patients.
According to the study, all players tolerated the injection procedure with no immediate or delayed complications. All patients noted a marked decrease in symptoms and stiffness immediately after the injection of bupivacaine (anesthetic).
"For patients, the results of this study mean that they should have a faster recovery time and may not require arthroscopy. It also demonstrates that ankle impingement syndromes which appear predominately soft tissue based can respond to image guided injection treatment," said Dr. Robinson.
Necoya Lightsey | EurekAlert!
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Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.
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Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.
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A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.
Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...
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