BACKGROUND Different regimens of early motion of the ankle after operative treatment of a ruptured Achilles tendon have been suggested since the late 1980s. However, as far as we know, no controlled studies comparing these regimens with conventional immobilization in a cast have been reported. METHODS In a prospective study, seventy-one patients who had an acute rupture of the Achilles tendon...

Background: The incidence of Venous Thromboembolism (VTE) and its prophylaxis in patients with an ankle injury cast immobilization are controversial. Objectives: This study aimed to investigate the effect aspirin enoxaparin on VTE prevention sprain immobilization. Methods: In a double-blind, randomized clinical trial, 90 eligible were divided into three groups: who did not receive drugs (the co...

OBJECTIVE The purpose of this retrospective study was to evaluate the medium-term to longer-term results of type 1 displaced capitellar fractures treated with closed reduction. DESIGN Retrospective case series. PATIENTS Eight consecutive cases (7 adults; 1 child) with type 1 capitellar fractures. INTERVENTION Closed reduction of type 1 capitellar fractures and 4 weeks of postreduction imm...

BACKGROUND Delayed unions or refractures are not rare following surgical treatment for proximal fifth metatarsal metaphyseal-diaphyseal fractures. Intramedullary screw fixation with bone autografting has the potential to resolve the issue. The purpose of this study was to evaluate the result of the procedure. METHODS The authors retrospectively reviewed 15 athletes who underwent surgical trea...

This study investigated the time course of changes of bone and muscle atrophy in mice with immobilization by denervation and fixation. The animals were fifty-two male C57 BL/6J mice, aged 10 weeks old. Eight mice were used as the base line, and the remaining ones were cut at the sciatic nerve of the left hind limb and fixed with a plaster cast. At week 1, 2, 3, and 4 after the operation, a cros...

OBJECTIVE To measure the biomechanical effects of immobilization on the Achilles' tendon. DESIGN Experimental, controlled study. SETTING Physiatry research laboratory. ANIMALS Twenty adult rabbits. INTERVENTION One hindlimb immobilized in a cast for 4 weeks (n=10) or 8 weeks (n=10). The contralateral legs (n=20) served as controls. MAIN OUTCOME MEASURES Cross-sectional Achilles' tendo...

Chukuka S. Enwemeka, P.T., Ph.D., FACSM, G. Kesava Reddy, Ph.D., Department of Physical Therapy and Rehabilitation Sciences, University of Kansas Medical Center, Kansas City, KS 66160-7601, USA Laser Therapy Vol. 12 Special Millennium Edition, 2000. Connective tissue injuries, such as tendon rupture and ligamentous strains, are common. Unlike most soft tissues that require 7-10 days to heal, pr...

Immobilization produces morphological, physiological, and biochemical alterations in skeletal muscle leading to muscle atrophy and long periods of recovery. Muscle atrophy during disuse results from an imbalance between protein synthesis and proteolysis but also between apoptosis and regeneration processes. This work aimed to characterize the mechanisms underlying muscle atrophy and recovery fo...

BACKGROUND Skeletal trauma and immobilization are well-known risk factors for deep vein thrombosis (DVT) and pulmonary embolism (PE). While prophylaxis against thromboembolic complications has become routine after major orthopedic surgery, whether or not prophylaxis after minor surgery and lower limb immobilization is necessary is still under debate. METHODS In a double-blind, placebo-control...