Ligaments, Articular

Publication Title: 
BMJ clinical evidence

INTRODUCTION: Injury of the lateral ligament complex of the ankle joint occurs in about one in 10,000 people a day, accounting for a quarter of all sports injuries. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatment strategies for acute ankle ligament ruptures? We searched: Medline, Embase, The Cochrane Library, and other important databases up to November 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review).

Author(s): 
Struijs, Peter Aa
Kerkhoffs, Gino Mmj
Publication Title: 
Zentralblatt Fur Chirurgie

When it comes to injuries of the collateral ligament in the metacarpal-phalangeal joint of the thumb, the best results have proved to be obtainable from primary surgery. Secondary ligament surgery according to Strandel, in its modification by B‰uerle and Reill, has its clear-cut indication and ensures restoration of thumb functionality. Arthrodesis is an alternative that should be chosen with generosity.

Author(s): 
Mitzscherling, C. P.
P‰zolt, H. J.
Stock, A.
Publication Title: 
Vestnik Khirurgii Imeni I. I. Grekova

178 patients with various ligamental injuries were treated according to the technique elaborated at the Institute. To restore ligaments preserved tendon homografts from the long fibular tendon with a remained terminal bone fragment were employed. The techniques of Gay-Growth-Smith and Sitenko underlie the methods of tendinoplasty applied. Following the operation therapeutic exercises, using water basin, massage, mechanotherapy and different kinds of physical therapy were employed differentially. Good results were obtained in a vast majority of patients (91.6%).

Author(s): 
Eretskaia, M. F.
Zhukov, P. P.
Bulatova, O. N.
Roskov, R. V.
Iur'ev, P. V.
Publication Title: 
British Journal of Clinical Pharmacology

WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT: The efficacy of homeopathy is still under debate and a recent meta-analysis recommended further randomized double-blind clinical trials to identify any clinical situation in which homeopathy might be effective. WHAT THIS STUDY ADDS: The complex of homeopathy tested in this study (Arnica montana 5 CH, Bryonia alba 5 CH, Hypericum perforatum 5 CH and Ruta graveolens 3 DH) is not superior to placebo in reducing 24 h morphine consumption after knee ligament reconstruction. AIMS: The efficacy of homeopathy is still under debate.

Author(s): 
Paris, A.
Gonnet, N.
Chaussard, C.
Belon, P.
Rocourt, F.
Saragaglia, D.
Cracowski, J. L.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

An extraforaminal ligament bisecting the L5/S1 intervertebral foramen and known as the corporotransverse ligament was studied in 15 adult embalmed cadavers. Its relationship to the L5 ventral ramus, sympathetic chain and gray ramus communicans was observed and recorded. The corporotransverse ligament has been implicated as a site for potential entrapment of the L5 nerve. The purpose of this study was to determine if the ligament could be detected radiographically. A single sample spine containing the ligament was hemisected and the neural, vascular and adipose tissue removed.

Author(s): 
Church, C. P.
Buehler, M. T.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To examine the biomedical literature pertaining to the anatomy and biomechanics of the sacroiliac (SI) joint to update current concepts and treatment of SI joint dysfunctions. DATA COLLECTION: The biomedical literature was reviewed for articles containing information on the anatomy, mechanics, dysfunction and treatment of the SI articulation. Emphasis was placed on information published in the past decade. Textbooks and prior reviews were used to compare past and present information.

Author(s): 
Harrison, D. E.
Harrison, D. D.
Troyanovich, S. J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVES: Three-part study to (1) identify and describe transforaminal ligaments (TFLs), (2) determine the best low-field-strength magnetic resonance imaging (MRI) technique for TFLs, and (3) determine the ability of low-field-strength MRI to obtain images of TFLs. DESIGN: Part I-descriptive anatomic study; part II-descriptive MRI study; part III-blinded comparison of diagnostic test against gold standard (MRI vs anatomic dissection). SETTING: Chiropractic college gross anatomy laboratory and MRI facilities.

Author(s): 
Cramer, Gregory D.
Skogsbergh, Dennis R.
Bakkum, Barclay W.
Winterstein, James F.
Yu, ShiWei
Tuck, Nathaniel R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVES: Three-part study to (1) identify and describe transforaminal ligaments (TFLs), (2) determine the best low-field-strength magnetic resonance imaging (MRI) technique for TFLs, and (3) determine the ability of low-field-strength MRI to obtain images of TFLs. DESIGN: Part I-descriptive anatomic study; part II-descriptive MRI study; part III-blinded comparison of diagnostic test against gold standard (MRI vs anatomic dissection). SETTING: Chiropractic college gross anatomy laboratory and MRI facilities.

Author(s): 
Cramer, Gregory D.
Skogsbergh, Dennis R.
Bakkum, Barclay W.
Winterstein, James F.
Yu, ShiWei
Tuck, Nathaniel R.
Publication Title: 
The Journal of the American Osteopathic Association

Temporomandibular joint disorders are characterized by chronic or acute musculoskeletal or myofascial pain with dysfunction of the masticatory system. Treatment modalities include occlusal splints, patient education, activity modification, muscle and joint exercises, myofascial therapy, acupuncture, and manipulative therapy. In the physiology of the temporomandibular joint, accessory ligaments limit the movement of the mandible. A thorough knowledge of the anatomy of accessory ligaments is necessary for good clinical management of temporomandibular joint disorders.

Author(s): 
Cuccia, Antonino Marco
Caradonna, Carola
Caradonna, Domenico
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