How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

201 results for

Apophyseal Injury

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

81. Osgood-Schlatter disease

spurt before the tibial tuberosity has completed ossification. At this time, the development of quadriceps strength, particularly in adolescents participating in sports that involve running and jumping, may exceed the ability of the tibial tuberosity to resist these forces. Healing and growth of avulsed fragments produces minimal to marked firm enlargement of the tibial tubercle, depending on the severity and frequency of injury. Bony fragments, known as 'ossicles', may occur in people with more (...) with persistent hip pain, limp, and possible referred pain to the knee. Trauma Traumatic knee injury — this is likely when knee pain starts suddenly after knee trauma and is associated with abnormal physical signs. Possible injuries include meniscal injuries, collateral and cruciate ligament injuries, stress fractures of the patella, tibial tuberosity fracture, and prepatellar and infrapatellar bursitis. Other causes Osteochondritis dissecans — this is caused by avascular necrosis of subchondral bone

2015 NICE Clinical Knowledge Summaries

82. Knowledge, confidence, and fun: First time conference goers (and physiotherapy students) reflect on the ACPSEM “Physios in Sport Young Athlete Conference”

and respectful of them is vital. (iii) The process of returning our athletes back to training and competition following injury or an off season break can be helped by using technology like GPS to monitor the load placed on athletes during these times. It was also interesting to hear about hot topics such as concussion and head injury (Dr Jonathan Hanson ), screening young athletes for cardiac problems as early as possible (Dr Andrew D’Silva) and Apophysitis Syndromes (Jenny Strickland). A final message we (...) excellent communication skills, a level of understanding of each discipline and how the roles interlink. A number of speakers mentioned great insights: (i) the importance of gaining the coaches trust and confidence (ii) Good communication between players/children or adolescent, their families and coaches is essential (ii) Correct diagnosis and understanding how training volumes affect injury risk is important, and explaining this to young patients, parents and coaches in language that is meaningful

2015 British Journal of Sports Medicine Blog

83. Missed the ACPSEM Biennial Young Athlete conference? Not to worry- here are some highlights with links to key resources

training programme for the younger athlete. A balance between resistance and power sessions was suggested to be the best route. The need to make sessions fun for youngsters was keenly stressed, giving examples of Manchester City’s playground and Brighton and Hove Albion’s climbing wall. Andy Renshaw highlighted one of the key messages of the conference: You simply cannot rely on adult data to predict injuries in younger athletes. Using the Fuller et al. (2006) injury definition consensus statement (...) , Andy was able to expertly illustrate the differences between the populations. His data showed for example that anterior thigh strains were the most commonly occurring injury in the academy teams (18% n=23) compared with a majority of posterior thigh injuries in the adult game. Paul Read went on next to identify some of the main risk factors for injury in adolescent populations including: Previous injury Fatigue Movement skill/neuromuscular skill Growth and Maturation Seasonal Variation (Greatly

2015 British Journal of Sports Medicine Blog

84.

injuries; the environment needed to facilitate smooth RTP; objective criteria for safe return to play. A session on disability sport will cover sports science and coaching in sports medicine; performance physiotherapy for disability sport; the athlete/ paralympian perspective; complexity of sports psych in disability sport; Athlete classification and ethical issues in disability sport The Adolescent Athlete: will cover spinal pain in adolescent sports, strength and conditioning training; apophysitis (...) Fortius International Sports Injury Conference (FISIC) – A conference you can’t afford to miss… | BJSM blog - social media's leading SEM voice by Wimbledon is well underway, cricket season is in full flow, football season is commencing and 20 national rugby squads are preparing to compete in the 2015 Rugby World Cup – needless to say it is another exciting summer of sport. With the home Rugby World Cup tournament fewer than three months away, the 50-man England squad are in boot camp

2015 British Journal of Sports Medicine Blog

85. Supporting young athletes to stay (and excel) in sport: what’s the role of the medical team? And what does expanding our view of maturation have to do with it?

the medical team do about that?!” Adolescent growth Children grow at their fastest rate in the first two years of infancy. However, we’re unlikely to see them in sport at this age! It is not until the adolescent growth spurt that we start to see issues relating to co-ordination and performance ( , ). As well as increased incidence of apophyseal injuries like Osgood-Schlatters, we also see an increased risk of joint injuries, which I discuss in an upcoming BJSM podcast, related to control of long-levers (...) to be comfortable with this then perhaps we can start talking about players competing “across” age groups, rather than “up or down”. It is also important to understanding that player development is a continual process, requiring regular assessment & re-assessment. Conclusion The exciting part about working in sport is that our role extends beyond injury management & prevention. We are an important cog of large machine that helps develop & maintain sporting talent. In youth athletes in particular, we have a big

2015 British Journal of Sports Medicine Blog

86. AlterG ACL Return to Running Case Series

following surgery ] Pediatric International Knee Document Committee (Pedi-IKDC) is a self-reported questionnaire relating to a young patients function, symptoms, and sports activity. This is a valid study in patients ages 10-18 Change in KOOS [ Time Frame: Measure week 6 and week 12 following surgery ] Knee injury and Osteoarthritis Outcome Score (KOOS) is a patient reported outcome measure intended for use in knee injuries that may result in osteoarthritis such as anterior cruciate reconstruction (...) : No Sampling Method: Non-Probability Sample Study Population Study population will include post operative ACL patients who meet the eligibility criteria who are being treated at Nationwide Children's Westerville Physical Therapy location. Criteria Inclusion Criteria: Patients with a diagnosis of post operative anterior cruciate reconstruction surgery. Exclusion Criteria: Patient has concurrent diagnosis of meniscal repair with ACL surgery. Patient ACL surgery is apophyseal sparing. Patient is unable

2015 Clinical Trials

87. Anterior inferior iliac spine avulsion fracture: a series of 5 cases. (PubMed)

Anterior inferior iliac spine avulsion fracture: a series of 5 cases. Avulsion fractures of the pelvic apophyses rarely occur in adolescent athletes in the course of sudden strong contraction of muscle attached to growth cartilage. This injury may usually be misdiagnosed for tendon or muscle strain. Patient's history, physical examination, and radiologic studies are important for diagnosis. The literature includes only a few case reports but no case series as yet. The aim of this study

Full Text available with Trip Pro

2015 Medicine

88. Osteoarthritis (Overview)

in previously intact joints and having no apparent initiating factor. Some clinicians limit the term primary osteoarthritis to the joints of the hands (specifically, the DIP and PIP joints and the joints at the base of the thumb). Others include the knees, hips, and spine (apophyseal articulations) as well. As underlying causes of osteoarthritis are discovered, the term primary, or idiopathic, osteoarthritis may become obsolete. For instance, many investigators believe that most cases of primary (...) , obesity may be an inflammatory risk factor for osteoarthritis. Obesity is associated with increased levels (both systemic and intra-articular) of adipokines (cytokines derived from adipose tissue), which may promote chronic, low-grade inflammation in joints. [ ] Other causes Trauma or surgery (including surgical repair of traumatic injury) involving the articular cartilage, ligaments, or menisci can lead to abnormal biomechanics in the joints and accelerate osteoarthritis. In individuals who have

2014 eMedicine.com

89. Diaphyseal Femur Fractures (Follow-up)

polytrauma patients) with these fractures. Surgery for diaphyseal femur fracture should be reserved for those able to tolerate the appropriate procedure for their circumstance. Young children can often be treated successfully with noninvasive measures; thus, surgery can be avoided. Definite indications include polytrauma patients, especially those with head and chest injuries, and those with injuries to multiple limbs or those otherwise unable to care for themselves to maximize postoperative independence (...) . Most others are surgical candidates because of the lower incidence of complication and the higher union rates with surgery. Those who should not be treated surgically include patients too unstable to tolerate the procedure and children weighing less than 80 lb. No one can argue with the high success rate of reamed locked antegrade nailing. However, patients with femoral-shaft fractures often present with a multitude of injuries including head and chest trauma. Laboratory studies have shown

2014 eMedicine Surgery

90. Atlantoaxial Instability (Diagnosis)

rotatory subluxation are shown in the image below. Shown are 4 types of atlantoaxial rotatory subluxation. Because the cervical spine has multiple synovial-lined articulations, RA can manifest itself in the upper cervical spine. [ , ] In a person with AAI, the rheumatoid process affects the articular cartilage of the apophyseal joints, even the type II articular cartilage in the transverse ligament. [ ] In addition, the rheumatoid pannus and the associated inflammation can weaken the transverse (...) for the management of acute cervical spine and spinal cord injuries: 2013 update. Neurosurgery . 2013 Aug. 60 Suppl 1:82-91. . Haid RW Jr. C1-C2 transarticular screw fixation: technical aspects. Neurosurgery . 2001 Jul. 49(1):71-4. . Naseer R, Bailey SI. Atlantoaxial instability treated with transarticular screw fixation. Int Orthop . 2001. 25(4):268-71. . Henriques T, Cunningham BW, Olerud C, Shimamoto N, Lee GA, Larsson S, et al. Biomechanical comparison of five different atlantoaxial posterior fixation

2014 eMedicine Surgery

91. Ankylosing Spondylitis (Diagnosis)

) and transforming growth factor-β (TGF-β), are also important in the inflammatory process by leading to fibrosis and ossification at sites of enthesitis. [ , , ] The initial presentation of AS generally relates to the SI joints; involvement of the SI joints is required to establish the diagnosis. SI joint involvement is followed by involvement of the discovertebral, apophyseal, costovertebral, and costotransverse joints and the paravertebral ligaments. Early lesions include subchondral granulation tissue (...) spondylitis. J Rheumatol . 1999 Apr. 26(4):971-4. . Anwar F, Al-Khayer A, Joseph G, Fraser MH, Jigajinni MV, Allan DB. Delayed presentation and diagnosis of cervical spine injuries in long-standing ankylosing spondylitis. Eur Spine J . 2011 Mar. 20(3):403-7. . . Baraliakos X, Hermann KG, Landewé R, Listing J, Golder W, Brandt J, et al. Assessment of acute spinal inflammation in patients with ankylosing spondylitis by magnetic resonance imaging: a comparison between contrast enhanced T1 and short tau

2014 eMedicine Surgery

92. Ankylosing Spondylitis and Undifferentiated Spondyloarthropathy (Overview)

) and transforming growth factor-β (TGF-β), are also important in the inflammatory process by leading to fibrosis and ossification at sites of enthesitis. [ , , ] The initial presentation of AS generally relates to the SI joints; involvement of the SI joints is required to establish the diagnosis. SI joint involvement is followed by involvement of the discovertebral, apophyseal, costovertebral, and costotransverse joints and the paravertebral ligaments. Early lesions include subchondral granulation tissue (...) spondylitis. J Rheumatol . 1999 Apr. 26(4):971-4. . Anwar F, Al-Khayer A, Joseph G, Fraser MH, Jigajinni MV, Allan DB. Delayed presentation and diagnosis of cervical spine injuries in long-standing ankylosing spondylitis. Eur Spine J . 2011 Mar. 20(3):403-7. . . Baraliakos X, Hermann KG, Landewé R, Listing J, Golder W, Brandt J, et al. Assessment of acute spinal inflammation in patients with ankylosing spondylitis by magnetic resonance imaging: a comparison between contrast enhanced T1 and short tau

2014 eMedicine.com

93. Ankylosing Spondylitis (Overview)

) and transforming growth factor-β (TGF-β), are also important in the inflammatory process by leading to fibrosis and ossification at sites of enthesitis. [ , , ] The initial presentation of AS generally relates to the SI joints; involvement of the SI joints is required to establish the diagnosis. SI joint involvement is followed by involvement of the discovertebral, apophyseal, costovertebral, and costotransverse joints and the paravertebral ligaments. Early lesions include subchondral granulation tissue (...) spondylitis. J Rheumatol . 1999 Apr. 26(4):971-4. . Anwar F, Al-Khayer A, Joseph G, Fraser MH, Jigajinni MV, Allan DB. Delayed presentation and diagnosis of cervical spine injuries in long-standing ankylosing spondylitis. Eur Spine J . 2011 Mar. 20(3):403-7. . . Baraliakos X, Hermann KG, Landewé R, Listing J, Golder W, Brandt J, et al. Assessment of acute spinal inflammation in patients with ankylosing spondylitis by magnetic resonance imaging: a comparison between contrast enhanced T1 and short tau

2014 eMedicine.com

94. Sever Disease (Overview)

Sever Disease (Overview) Calcaneal Apophysitis (Sever Disease): Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzNzQ3Ny1vdmVydmlldw== processing > Calcaneal Apophysitis (...) (Sever Disease) Updated: Jan 28, 2019 Author: Mark A Noffsinger, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS Share Email Print Feedback Close Sections Sections Calcaneal Apophysitis (Sever Disease) Overview Background Sever disease, first described in 1912, [ , ] is a painful inflammation of the apophysis (calcaneal apophysitis). [ ] It is classified with the child and adolescent nonarticular osteochondroses. [ , , , ] (The other disease in this group is Iselin disease, which is inflammation

2014 eMedicine Surgery

95. Tibial Tubercle Fracture (Overview)

. [ , , ] This condition should be distinguished from , a chronic apophysitis of the tibial tuberosity due to recurrent traction injury. Nondisplaced type I injuries can be managed conservatively by cast immobilization in a long leg cast in full-knee extension. All other injuries are best treated by open reduction and internal fixation (ORIF) with cast immobilization for 6-8 weeks. (See .) Next: Anatomy The extensor complex of the thigh exerts its force through the ligamentum patellae on the tibial tuberosity. During (...) its histogenesis, the tibial tuberosity is an anterior extension of the proximal tibial epiphysis separated from the rest of the tibia by the growth plate. As the growth plate closes in late puberty, it is transiently replaced by fibrocartilaginous elements, which predispose it to traction injury as a result of its weaker tensile strength. Previous Next: Pathophysiology The proximal tibia has two ossification centers, the proximal tibial epiphysis and the tibial tuberosity, which are separated

2014 eMedicine Surgery

96. Pelvic Fractures (Diagnosis)

or with apophyseal avulsion fractures of the iliac wing or ischial tuberosity resulting from an athletic injury. Low-energy pelvic fractures in the elderly frequently result from falls while ambulating, which are highlighted by stable fractures of the pelvic ring. Elderly patients also may present with insufficiency fractures, typically of the and anterior pelvic ring. [ ] High-energy pelvic fractures most commonly occur after motor vehicle crashes. Other mechanisms of high-energy pelvic fractures include (...) : George V Russell Jr, MD; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Pelvic Fractures Overview Background Unstable pelvic fractures typically occur as a result of high-energy injuries. Associated organ system injuries are observed commonly with pelvic fractures because of the energy imparted to the patient. Head, chest, and abdominal injuries frequently occur in association with pelvic fractures. Fractures of the extremities and also can occur in patients

2014 eMedicine Surgery

97. Osteoarthritis (Diagnosis)

in previously intact joints and having no apparent initiating factor. Some clinicians limit the term primary osteoarthritis to the joints of the hands (specifically, the DIP and PIP joints and the joints at the base of the thumb). Others include the knees, hips, and spine (apophyseal articulations) as well. As underlying causes of osteoarthritis are discovered, the term primary, or idiopathic, osteoarthritis may become obsolete. For instance, many investigators believe that most cases of primary (...) , obesity may be an inflammatory risk factor for osteoarthritis. Obesity is associated with increased levels (both systemic and intra-articular) of adipokines (cytokines derived from adipose tissue), which may promote chronic, low-grade inflammation in joints. [ ] Other causes Trauma or surgery (including surgical repair of traumatic injury) involving the articular cartilage, ligaments, or menisci can lead to abnormal biomechanics in the joints and accelerate osteoarthritis. In individuals who have

2014 eMedicine Surgery

98. Osgood-Schlatter Disease (Diagnosis)

traction (traction apophysitis) on the anterior portion of the developing ossification center leads to multiple subacute microavulsion fractures and/or tendinous inflammation, resulting in a benign, self-limited disturbance manifested as pain, swelling, and tenderness. The most common long-term ramifications of OSD are pain on kneeling as an adult and the cosmesis of a bony prominence on the anterior knee. Less common complications are the persistence of a painful ossicle requiring surgical excision (...) persist for 2-3 years until the tibial growth plate closes. Previous Next: Patient Education Inform patients about activities that aggravate Osgood-Schlatter disease and about the self-limiting nature of the condition. For patient education information, see the , the , and the , as well as . Previous References Pommering TL, Kluchurosky L. Overuse injuries in adolescents. Adolesc Med State Art Rev . 2007 May. 18(1):95-120, ix. . Smith JM, Varacallo M. Osgood Schlatter Disease. StatPearls [Internet

2014 eMedicine Surgery

99. Idiopathic Scoliosis (Follow-up)

of the nerve injury risks of sublaminar wires. Pedicle screws have also become a popular anchor for the rods used in posterior scoliosis fusion procedures. [ ] They offer the potential advantage of increased strength (and possibly power of correction) while at the same time introducing added insertion-technique complexity and different neurologic complication risks. A very real and major increase in the overall cost of instrumentation constructs that include many pedicle screws is the case when (...) are not often directly visualized during posterior surgical approaches for scoliosis, but they must not be forgotten. These muscles include the trapezius, the rhomboid major, the rhomboid minor, and the latissimus dorsi. Using an animal model, Kawaguchi et al showed that significant posterior muscle injury can be induced by the pressure exerted by surgical retractors. [ ] This certainly makes a case for intermittent removal and replacement of such retractors during the course of posterior spinal surgery

2014 eMedicine Surgery

100. Sever Disease (Diagnosis)

Sever Disease (Diagnosis) Calcaneal Apophysitis (Sever Disease): Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzNzQ3Ny1vdmVydmlldw== processing > Calcaneal Apophysitis (...) (Sever Disease) Updated: Jan 28, 2019 Author: Mark A Noffsinger, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS Share Email Print Feedback Close Sections Sections Calcaneal Apophysitis (Sever Disease) Overview Background Sever disease, first described in 1912, [ , ] is a painful inflammation of the apophysis (calcaneal apophysitis). [ ] It is classified with the child and adolescent nonarticular osteochondroses. [ , , , ] (The other disease in this group is Iselin disease, which is inflammation

2014 eMedicine Surgery

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>