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Dancer Injuries

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61. Achilles Tendon Injuries and Tendonitis (Overview)

Achilles Tendon Injuries and Tendonitis (Overview) Achilles Tendon Injuries: Practice Essentials, Background, Anatomy 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzA5MzkzLW92ZXJ2aWV3 processing > Achilles (...) Tendon Injuries Updated: Sep 12, 2018 Author: Anthony J Saglimbeni, MD; Chief Editor: Dean H Hommer, MD Share Email Print Feedback Close Sections Sections Achilles Tendon Injuries Overview Practice Essentials Achilles tendon pathologies include rupture and tendonitis. Many experts now believe, however, that tendonitis is a misleading term that should no longer be used, because signs of true inflammation are almost never present on histologic examination. Instead, the following histopathologically

2014 eMedicine.com

62. Achilles Tendon Injuries and Tendonitis (Diagnosis)

Achilles Tendon Injuries and Tendonitis (Diagnosis) Achilles Tendon Injuries: Practice Essentials, Background, Anatomy 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzA5MzkzLW92ZXJ2aWV3 processing > Achilles (...) Tendon Injuries Updated: Sep 12, 2018 Author: Anthony J Saglimbeni, MD; Chief Editor: Dean H Hommer, MD Share Email Print Feedback Close Sections Sections Achilles Tendon Injuries Overview Practice Essentials Achilles tendon pathologies include rupture and tendonitis. Many experts now believe, however, that tendonitis is a misleading term that should no longer be used, because signs of true inflammation are almost never present on histologic examination. Instead, the following histopathologically

2014 eMedicine.com

63. Ankle, Flexor Hallucis Longus Tendon Injuries

processing > Flexor Hallucis Longus Tendon Injury Imaging Updated: Aug 07, 2018 Author: Stacy E Smith, MD; Chief Editor: Felix S Chew, MD, MBA, MEd Share Email Print Feedback Close Sections Sections Flexor Hallucis Longus Tendon Injury Imaging Practice Essentials Injuries to the (FHL) tendon have classically been described in ballet dancers secondary to their constant repetitive plantar flexion. Hence, the injury is often called dancer's tendinitis. Such injuries have also been described in association (...) SS, Wapner K. Fluid in normal and abnormal ankle joints: amount and distribution as seen on MR images. AJR Am J Roentgenol . 1994 Jan. 162(1):111-4. . De Maeseneer M, Marcelis S, Jager T, et al. Sonography of the normal ankle: a target approach using skeletal reference points. AJR Am J Roentgenol . 2009 Feb. 192(2):487-95. . . Rehmani R, Endo Y, Bauman P, Hamilton W, Potter H, Adler R. Lower Extremity Injury Patterns in Elite Ballet Dancers: Ultrasound/MRI Imaging Features and an Institutional

2014 eMedicine Radiology

64. Overuse Injury (Diagnosis)

Overuse Injury (Diagnosis) Overuse Injury: Practice Essentials, Pathophysiology, Epidemiology 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzEzMTIxLW92ZXJ2aWV3 processing > Overuse Injury Updated: Aug 08, 2018 (...) Author: Scott R Laker, MD; Chief Editor: Ryan O Stephenson, DO Share Email Print Feedback Close Sections Sections Overuse Injury Overview Practice Essentials Overuse injuries, otherwise known as cumulative disorders, are described as tissue damage that results from repetitive demand over the course of time. The term refers to a vast array of diagnoses that are often caused by occupational, recreational, and habitual activities. [ ] Workup The diagnosis of most overuse injuries does not require

2014 eMedicine.com

65. Joint Range of Motion and Patellofemoral Pain in Dancers. (PubMed)

prevalence of PFPS (10.2%) manifested restricted ROM at both the hip and ankle/foot joints. Dancers with decreased hip and ankle/foot joints ROM are less prone to develop PFPS. When making an association between joint ROM and injuries, not only the ROM at the targeted joint should be considered, but also the ROM at neighboring joints.© Georg Thieme Verlag KG Stuttgart · New York. (...) Joint Range of Motion and Patellofemoral Pain in Dancers. The aim of the present study was to determine the association between joint range of motion (ROM) and patellofemoral pain syndrome (PFPS) in young female dancers. The study population included 1 359 female dancers, aged 8-20 years. All dancers were clinically examined for current PFPS, and their joint ROM was measured at the lumbar spine and the lower extremities. 321 of the 1 359 dancers (23.6%) experienced PFPS. Prevalence

2012 International Journal of Sports Medicine

66. Motor Control and Low Back Pain in Dancers. (PubMed)

Motor Control and Low Back Pain in Dancers. Professional dancers suffer a high incidence of injuries, especially to the spine and lower extremities. There is a lack of experimental research addressing low back pain (LBP) in dancers. The aim of this study is to compare lumbopelvic motor control, muscle extensibility and sacroiliac joint pain between dancers with and without a history of LBP. 40 pre-professional dancers (mean age of 20.3 years) underwent a clinical test battery, consisting (...) of an evaluation of lumbopelvic motor control, muscle extensibility, generalized joint hypermobility, and sacroiliac joint pain provocation tests. Also self-reported measurements and standardized questionnaires were used. 41% of the dancers suffered from LBP during at least 2 consecutive days in the previous year. Only one dancer suffered from sacroiliac joint pain. Compared to dancers without a history of LBP, dancers with a history of LBP showed poorer lumbopelvic motor control (p<0.05). No differences

2012 International Journal of Sports Medicine

67. The prevalence and clinical significance of sonographic tendon abnormalities in asymptomatic ballet dancers: a 24-month longitudinal study. (PubMed)

The prevalence and clinical significance of sonographic tendon abnormalities in asymptomatic ballet dancers: a 24-month longitudinal study. Sonographic abnormalities of the achilles and patellar tendons are common findings in athletes, and tendinopathy is a common cause of pain and disability in athletes. However, it is unclear whether the sonographic changes are pathological or adaptive, or if they predict future injury. We undertook a cohort study to determine what sonographic features (...) followed for 24 months for the development of patellar tendon or achilles-related pain or injury severe enough to require time off from dancing.Sonographic abnormalities were common among dancers, both male and female, and in both achilles and patellar tendons. Disabling tendon-related symptoms developed in 10 dancers and 14 tendons: 7 achilles (3 right, 4 left) and 7 patellar (2 right, 5 left). The presence of moderate or severe hypoechoic defects was weakly predictive for the development of future

2012 British Journal of Sports Medicine

68. Pediatric Sports Injuries: A Comparison of Males Versus Females. (PubMed)

ligament injury was almost equal (10.0% and 8.9%, respectively; P = .369).Sports injuries in young males and females differed by injury type, diagnosis, and body area. These results may be related to the referral patterns unique to the division of the hospital, including a high number of female dancers. Further investigation is required to better understand the injury risk in pediatric male and female athletes. (...) Pediatric Sports Injuries: A Comparison of Males Versus Females. There is still much that we do not know about differences in sports injuries between young male and female athletes and the factors that may increase the risk for injuries in this regard.To describe and compare differences between males and females in pediatric sports-related injuries.Cross-sectional study; Level of evidence, 3.A retrospective chart review was performed using a 5% random sampling (N = 2133) of medical records

2014 American Journal of Sports Medicine

69. A Closer Look at Overuse Injuries in the Pediatric Athlete. (PubMed)

in overuse injuries.Age, body mass index, history of previous injury, and activity type (contact/collision, team vs individual, "high overuse").Females sustained approximately half of the total injuries. Fifty-two percent of the injuries were overuse, 61% to the lower extremity. A high proportion of tennis players, swimmers, dancers, track athletes, runners, gymnasts, and cheerleaders were seen for overuse injuries. Females sustained more overuse injuries versus males (63% and 40%, respectively). Males (...) A Closer Look at Overuse Injuries in the Pediatric Athlete. To examine male-female differences in pediatric overuse sports injuries.Cross-sectional epidemiological study.Tertiary level sports medicine division in a large academic pediatric medical center.Five percent probability sample of patients 5 to 17 years seen from January 1, 2000 to December 31, 2009. About 3813 charts reviewed. Final study cohort included 1614 patients.Nonlinear decomposition analysis of male-female differences

2014 Clinical Journal of Sport Medicine

70. The Effect of a Comprehensive Injury Audit Program on Injury Incidence in Ballet: A 3-Year Prospective Study. (PubMed)

period. Participant numbers ranged from 52 to 58 (year 1: 52; year 2: 58; year 3: 53).The intervention consisted of individual conditioning programs developed using injury history and functional movement screening. Analysis was undertaken of the all dancers who were present in the company during the study period. The significance of change in injuries over a 3-year period was determined using a Poisson distribution model.To determine whether individual conditioning programs resulted in a decrease (...) in injury incidence over the study period.The injury count reduced significantly in years 2 and 3 (P < 0.001). Injury incidence for male dancers declined from year 1 (in year/1000 h) (4.76/1000 h) to year 2 (2.40/1000 h) and year 3 (2.22/1000 h). For women, a reduction in the injury incidence was observed from year 1 (4.14/1000 h) to year 2 (1.71/1000 h) and year 3 (1.81/1000 h).Through prospective injury surveillance, we were able to demonstrate the benefit of individualized conditioning programs based

2013 Clinical Journal of Sport Medicine

71. Urinary Incontinence

. Bovell, K., et al. Prevalence of stress urinary incontinence among physically active and sedentary female students. Scand J Med Sci Sports, 1989. 11: 113. 128. Caylet, N., et al. Prevalence and occurrence of stress urinary incontinence in elite women athletes. Can J Urol, 2006. 13: 3174. 129. Kruger, J.A., et al. Pelvic floor function in elite nulliparous athletes. Ultrasound Obstet Gynecol, 2007. 30: 81. 130. Thyssen, H.H., et al. Urinary incontinence in elite female athletes and dancers. Int

2019 European Association of Urology

72. Management of symptomatic hypermobility in children and young people

? To ensure efficient, cost effective and evidence-based therapy management for CYP with this condition Introduction Recent criteria (2017 EDS International classification) and Scottish Paediatrics and Adolescent Rheumatology Network (SPARN) have acknowledged that hypermobility lies within a spectrum. Hypermobile joints are common in the general population and many individuals with hypermobility do not experience any significant difficulties. In fact, in many situations such as sportspeople and dancers (...) such fears, as fear can lead to avoidance. Challenging unhelpful beliefs and behaviours, such as excessive rest, catastrophising or avoidance are helpful to understand their role in the fear and pain cycle. It is helpful to establish realistic expectations. There will be times of increased pain, after a lot of sport or injury, and a management plan for dealing with these times should be discussed. It is really important to discuss a relapse plan to ensure that during these times, long periods of rest

2019 British Society for Rheumatology

73. What is the evidence on the role of the arts in improving health and well-being? A scoping review

, hospital inpatients, people undergoing surgery and invasive procedures, and individuals in intensive care). 3. How the arts help to support people with neurodevelopmental and neurological disorders (including autistic spectrum disorder (ASD), cerebral palsy, stroke, other acquired brain injuries, degenerative neurological disorders and dementias). 4. How the arts assist with management of noncommunicable diseases (including cancer, respiratory disease, diabetes and CVD). 5. How the arts support end (...) Understanding of health C linical skills W ell-being Prevention of ill health W ell-being M ental health T rauma Cognitive decline F railty Premature mortality Health- promoting behaviours Healthy living E ngagement with health care Health communication Health-related stigma E ngagement with hard-to-reach groups Neurodevel opmental & neurological disorders A utism Cerebral palsy S troke Other acquired brain injuries Degenerative neurological d isorders Dementia Acute conditions Premature infants I npatient

2019 WHO Health Evidence Network

74. HTA of C-reactive protein point-of-care testing to guide antibiotic prescribing

device (IVD) market. The test is indicated for the quantitative determination of CRP in human whole blood and in human serum and plasma. The measurement of CRP provides information for the detection and evaluation of infection, tissue injury, inflammatory disorders and associated diseases. These tests are CE marked in accordance with the IVD Directive (98/79/EC) and are classified as general category IVDs. (10) The CE marking process for this class of IVDs involves the manufacturer self-declaring (...) of sharps and clinical waste, and to ensure that consumables such as test kits and reagents are stored under the appropriate conditions as defined by the manufacturer. Relevant regulations include the European Union (Prevention of Sharps injuries in the Healthcare Sector) Regulations 2014. (39) Refrigeration of test kits at 2-8°C is required for a number of the assay tests identified, with a specification that the kits be brought to room temperature prior to use. The unique storage details specific

2019 Health Information and Quality Authority

75. Urinary Incontinence

. Bovell, K., et al. Prevalence of stress urinary incontinence among physically active and sedentary female students. Scand J Med Sci Sports, 1989. 11: 113. 128. Caylet, N., et al. Prevalence and occurrence of stress urinary incontinence in elite women athletes. Can J Urol, 2006. 13: 3174. 129. Kruger, J.A., et al. Pelvic floor function in elite nulliparous athletes. Ultrasound Obstet Gynecol, 2007. 30: 81. 130. Thyssen, H.H., et al. Urinary incontinence in elite female athletes and dancers. Int

2018 European Association of Urology

76. Guidelines for the prevention and control of carbapenem-resistant Enterobacteriaceae, Acinetobacter baumannii and Pseudomonas aeruginosa in health care facilities

8µBREVIATIONS AND ACRONYMSAcute health care facility: A setting used to treat sudden, often unexpected, urgent or emergent episodes of injury and illness that can lead to death or disability without rapid intervention. The term acute care encompasses a range of clinical health care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care, and short-term inpatient stabilization. Alcohol-based handrub: An alcohol-based preparation

2017 World Health Organisation Guidelines

77. CRACKCast E058 – Ankle and Foot

tendon rupture: Plantar flexes and inverts the ankle: pulley is located at the post-inferior surface of medial mall. and inserts on the midfoot Balanced by the peroneus brevis Hx: “forced” eversion Px: unable to toe raise, see more “toes” *May* need surgery and ortho f/u Other tendon injuries: Tenosynovitis of tibialis anterior Rupture of Tibialis anterior is rare Flexor hallucis longus tendinitis “dancer’s tendinitis” Ankle dislocations: May go in any direction and be open or closed **Neurovascular (...) pain syndrome Occurs months after trauma Diffuse burning, aching, searing Vasomotor instability Persistent foreign body Stress fractures Break it down into Hindfoot pain Stress fractures of talus or calcaneus Impingement by os trigonum: pain during plantar flexion of the foot in ballet dancers Subcalcaneal foot pain: Plantar fasciitis: Overuse injury Pain during gait Calcaneal spur on plain xray Treatment: Rest, padding, orthotics, NSAIDs Subcalcaneal bursitis Rupture of plantar fascia Nerve

2017 CandiEM

78. Chronic Ankle Pain

for chronic ankle pain, common etiologies include osteoarthritis, osteochondral injury, tendon abnormalities, ligament abnormalities and instability, and impingement. Overview of Imaging Modalities Radiography Radiographs can provide information about the osseous and soft-tissue structures about the ankle. Routine radiographs of the ankle typically include anteroposterior, lateral, and mortise views, the latter obtained by internally rotating the foot 15 to 20 degrees. Stress radiographs can be used (...) ]. Discussion of Procedures by Variant Variant 1: Chronic ankle pain. Initial imaging. Radiography Radiography should be considered as the initial imaging study. Radiographs may reveal osteoarthritis, calcified or ossified intra-articular bodies, osteochondral abnormalities, stress fractures, or evidence of prior trauma. Ankle effusions may also be identified in the anterior ankle joint recess by radiography with 53% to 74% accuracy [19]. They are often associated with ligamentous injury or fracture [19

2017 American College of Radiology

79. Female Athlete Triad

conditions may not be reversible, so prevention, early diagnosis, and intervention are critical. The athletes who engage in sports in which a low body weight and lean physique are desired (eg, dancers, gymnasts, and runners) are at the greatest risk of female athlete triad. The International Olympic Committee proposed changing the name from female athlete triad to Relative Energy Deficiency in Sports (RED-S) because of the complex interrelations of these components and in view of the fact that male (...) is defined as a lack of menses exceeding 90 days. Menstrual dysfunction warrants a complete assessment to evaluate for hormonal pathology, structural anomaly, medications, pregnancy, and other etiologies. The prevalence of secondary amenorrhea in elite female athletes is not clearly defined, but is reported to be as high as 65% in long-distance runners and 69% in dancers (4) compared with 2–5% in the general population (5). Anovulatory bleeding patterns, ranging from irregular, infrequent, to absent

2017 American College of Obstetricians and Gynecologists

80. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

activity that exceeds the rate of osteoblastic new bone formation. This results in bone weakening and microtrabecular disruption (stress injury) and eventually may lead to a cortical break (stress fracture). Stress fractures are encountered frequently and account for up to 20% of all injuries seen in sports medicine clinics [3]. Stress fractures are particularly common in athletes participating in activities that require running and jumping, as well as in ballet dancers and military recruits [4,5 (...) Varies Tc-99m bone scan whole body with SPECT area of interest 1 ??? US area of interest 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Suspected stress (fatigue) fracture, hip. Negative radiographs. Next imaging study. Radiologic Procedure Rating Comments RRL* MRI hip without IV contrast 9 O Tc-99m bone scan whole body with SPECT hip 6 Timing of the study after injury and age of the patient are important

2016 American College of Radiology

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