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2.1
Supination Injury
Supination Trauma

Presentation

We report this complex presentation sustained following a supination-abduction force. Case report A 20-year-old male, presented to the emergency department after a motor vehicle collision. [faoj.org]

SS, despite being the most commonly used method, also presents failures from both the clinical and biomechanical standpoints. [scielo.br]

The present study indicates that these in vivo pain threshold levels represent approximately 50% of the rotation to failure and 25% of the torque to failure. [ncbi.nlm.nih.gov]

This study presented an accidental supination ankle sprain injury occurred in a laboratory under a high-speed video and plantar pressure capturing setting. [ostrc.no]

This study presented an accidental supination ankle sprain injury that occurred in a laboratory under a high-speed video and plantar pressure capturing setting. [dspace.lboro.ac.uk]

Entire Body System

  • Pain

    pain Tight hip flexors Back pain Sciatica Herniated disks How Foot Problems can Cause Back Pain Problems with the foot can very easily cause a domino effect that extends all the way to the back. [nationalallergyandinjuryclinic.com]

    In a prior in vivo study, approximately 10 Nm of external foot torque and 20 degrees of foot rotation could be tolerated prior to the initiation of pain. [ncbi.nlm.nih.gov]

    Examples of common foot problems that can lead to poor posture and irregular walking patterns include: Plantar fasciitis, which can lead to chronic heel pain and/or arch pain Nerve pain or numbness in the foot (such as neuromas and tarsal tunnel syndrome [orthofeet.com]

    Muscle Strains and Sprains Ankle inversion sprains, knee and hip pain, lower back pain and foot arch pain are all commonly experienced by underpronators. [underpronation.org]

  • Toe Swelling

    Frequent pains at the ankle Clawed hammertoes or toes Swelling of the foot, ankle, or heel. [runnerclick.com]

  • Ankle Swelling

    Whether you have flat feet naturally or fallen arches because of an injury or other condition, both can cause many of the same injuries and problems including tired feet, foot pain, ankle swelling, and overpronation. [treadlabs.com]

Musculoskeletal

  • Ankle Pain

    Other Causes of Supination Include: Sedentary lifestyle Hard Surfaces Limited range of motion Standing for long periods of time Overuse injuries Injuries That Occur Because of Supination Ankle Sprains Ankle pain Wear and tear on outside of feet It band [khohealth.com]

    People who supinate too much are at greater risk of developing certain conditions and symptoms, including: ankle pain ankle sprains calluses or bunions on the outer edge of the foot hammertoes or clawed toes iliotibial band pain syndrome pain in the ball [medicalnewstoday.com]

  • Foot Pain

    FIND YOUR FIT Bursitis Foot Pain Treatment: How To Get Relief And Stay Foot Pain Free More common than you might think, bursitis foot pain is caused by a number of factors. Some are very easy to address while others take a little more effort. [treadlabs.com]

    The chapter starts with general information of ankle and foot pain, known risk factors and prognosis. [mijn.bsl.nl]

    Examples of common foot problems that can lead to poor posture and irregular walking patterns include: Plantar fasciitis, which can lead to chronic heel pain and/or arch pain Nerve pain or numbness in the foot (such as neuromas and tarsal tunnel syndrome [orthofeet.com]

Neurologic

  • Forgetful

    It’s easy to forget, and it can feel like an inconvenience, but these steps help tissues in the feet and legs get ready to work, stretch, and properly bear impact. [heelthatpain.com]

    The spine and pelvis must also be properly evaluated for proper alignment and joint motion, without forgetting the ratio of muscles’ strength and length that must also be assessed. [runnerclick.com]

  • Excitement

    Enter a word (“newspaper”), a word combination (“exciting trip”) or a phrase (“with all good wishes”) into the search box. [en.pons.com]

Workup

Failure to respond to this regimen may indicate underlying pathology, and a further workup may be needed. Subluxation of the ECU Subluxation of the ECU tendon should be considered in the athlete with ulnar wrist pain. [bsems.com.au]

Treatment

[…] findings, we recommend the following strategy for the treatment of supination deformity. [kundoc.com]

The active range of motionin the ankle joint was less at the end of treatment in group 2 than in group 1. [sajp.co.za]

- frequently does well w/ closed reduction; - Operative Treatment: - may be fixed w/ 2 malleolar screws & single fibular screw; - fibula: - K wires, 1.6 mm & figure of 8 tension band wires; - for larger frag use one third tubular plate; - operative [wheelessonline.com]

… Over the past decade, total ankle arthroplasty (TAA) has become a mainstay in the treatment of end-stage ankle arthritis. [player.fm]

Treatment: Protective bracing, physio and surgery may be needed. Central tears warrant an initial trial of conservative treatment with splinting, rehab and/or CSI. [bsems.com.au]

Prognosis

Failure of conservative treatment Differential diagnosis: ankle fracture Prognosis Most ankle sprains heal well. Recurrent ankle sprains may lead to ankle instability, which may require surgical reconstruction of the ankle ligaments. [amboss.com]

The chapter starts with general information of ankle and foot pain, known risk factors and prognosis. [mijn.bsl.nl]

The management and prognosis of such complex midtarsal injuries in the literature have not been elaborated, except for a few case reports favoring open reduction and internal fixation [9]. [faoj.org]

The distinction between a grade I or grade II/III injuries is important because of consequences for both treatment and prognosis. [ncbi.nlm.nih.gov]

RADIOGRAPHIC EVALUATION The 3 important anatomical zones to be considered in the decision making and prognosis of ankle injuries:  Articular surface  Metaphysis  Fibula 12. [slideshare.net]

Etiology

Injuries to ankle ligaments Etiology Supination injury to the ankle joint; → sprain of the lateral ligament complex: The anterior talofibular ligament (ATFL) is most commonly involved. [amboss.com]

CrossRefPubMed Barg A, Pagenstert GI, Hügle T, Gloyer M, Wiewiorski M, Henninger HB & Valderrabano V. (2013) Ankle osteoarthritis: etiology, diagnostics, and classification. Foot Ankle Clin. 2013 Sep;18(3):411–26. [mijn.bsl.nl]

Sever J: Obstetric paralysis: its etiology, pathology, clinical aspects and treatment, with a report of four hundred and seventy cases. Am J Dis Child. 1916, 12 (6): 541-578. [bmcmusculoskeletdisord.biomedcentral.com]

Epidemiology

For the study, published this month in the British Journal of Sports Medicine, Danish researchers shared the results of their “one-year epidemiological observational prospective cohort study,” in which they asked 927 novice runners to participate. [nationalpost.com]

Re-injury is also very common.[27] Epidemiology[edit] Adolescents vs general population ankle sprain instances Ankle Sprain Epidemiology- U.S. [en.wikipedia.org]

Related Medscape Reference topics : Ankle Impingement Syndrome Ankle Sprain Ankle Taping and Bracing Related Medscape resources Resource Center Exercise and Sports Medicine Resource Center Joint Disorders Specialty Site Orthopaedics Epidemiology Frequency [emedicine.medscape.com]

Although there are no epidemiologic studies that identify the dose-response relationship of posture to risk, several studies have shown that wrist flexion/extension, ulnar/radial deviation and forearm supination/pronation does modify carpal tunnel pressure [vistalab.com]

Pathophysiology

This method was followed since the SHEAR deformity is the underlying pathophysiology behind the fixed medial rotation contracture. [bmcmusculoskeletdisord.biomedcentral.com]

Prevention

Prevention Orthotic inserts help correct supination by providing support that prevents the outward over-rotation of your foot. [sportsrec.com]

USING THESE 2 SIMPLE EXERCISES, IN UNDER 10 MINUTES, PREVENT FUTURE INJURIES, EASILY, QUICKLY AND ITS FREE [prosportphysiotherapy.co.uk]

These provide support and prevent excessive stress and movement of the ankle joint. Elevation: Elevation of the injured foot above heart level, preferably mounted, prevents further complications by managing and preventing edema. [bauerfeind.com.au]

This support allows the foot to move naturally while preventing the weakening and collapse of the arch. [yoursole.com]

[…] and are best treated and prevented with orthotic inserts. [stretchcoach.com]

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