Month: January 2020

$Medial sesamoid fracture$

Medial sesamoid fracture

23 January 2020 1 comment

Case This 17-year-old national representative player presented with an eight-week history of pain in the plantar surface of her great toe. This had come on insidiously. On examination she was found to have pain with hopping and walking on her toes, as well as localised tenderness over the medial sesamoid. Findings An x-ray series of [...]

Ankle dorsiflexion range of motion changes during a competitive season in professional players

22 January 2020 1 comment

Several lower limb injuries, including lateral ankle sprains, anterior cruciate ligament ruptures and hamstring muscle injuries have been associated with restricted ankle dorsiflexion. This FastFact examines a paper which aimed to evaluate the acute (post-match) and chronic (throughout the season) effects of competition on ankle dorsiflexion range of motion in professional football players1. Restricted ankle [...]

Scaphoid pseudoarthrosis

16 January 2020 1 comment

Case A 17-year-old male goalkeeper fell onto his outstretched hand (FOOSH) causing a hyperextension force to his left wrist. He was diagnosed with a scaphoid fracture and was managed in a thumb spika cast for 8 weeks with regular follow-up x-rays. He was able to return to play 4 weeks later. Eight months after his [...]

Pretibial swelling following ACL-reconstruction

08 January 2020 1 comment

Case A 42-year-old male recreational football player presented with a two-month history of pretibial swelling. He reports having had an ACL-reconstruction (ACLR) 16 years previously. The swelling is variably present, developed after increasing his physical activity and was not associated with any other symptoms. In particular there was no pain, instability or locking. On examination, [...]

How important is the anterolateral complex following ACL injury ?

08 January 2020 1 comment

The majority of football players who sustain an anterior cruciate ligament (ACL) injury opt to have an ACL reconstruction (ACLR). While many are able to return to play without difficulty, the failure rate is high with up to 20% of players needing revision surgery. The results of these failures are multifactorial, but one of the [...]

Knee chondral injury

02 January 2020 1 comment

Case A 22-year-old female football player presented complaining of left knee pain following an incident landing from a jump. At the time of the injury, she noted some swelling that subsided quickly, but the pain persisted. She had a history of a left knee ACL reconstruction and MCL repair eleven months previously. Prior to her [...]

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