Current concepts in sinus tarsi syndrome: A scoping review

IntroductionSinus tarsi syndrome is a relatively unknown condition presenting with pain and a feeling of instability. We aim to summarise evidence on the aetiology, diagnosis and treatment of the condition, whilst answering the question of whether the term should be used.MethodsScoping review following the methodological frameworks of Arksey and O’Malley, Levac and Peters. The review protocol is registered with the Open Science Framework: (https://osf.io/wj6ct/?view_only=59445d344ec34b6fab640d2fa7a83943).ResultsIn total, 605 studies were identified, 31 of which met selection criteria. Sinus tarsi syndrome is used to describe a range of distinct underlying pathologies. MRI and arthrography show non-specific abnormalities in patients and identifying underlying pathologies is challenging.DiscussionThe distinct range of underlying pathologies makes identifying specific imaging abnormalities and optimal treatments difficult. Further research in determining optimal treatments for specific pathologies and investigating the efficacy of conservative treatment must be conducted, before we can justify a more specific diagnosis.     

Cross cultural adaptation,reliability and validity of the Greek version of Identification of Functional Ankle Instability (IdFAI) questionnaire

BackgroundThe objectives of our study were to develop the Greek version of the Identification of Functional Ankle Instability (IdFAI) questionnaire and to evaluate its psychometric properties.MethodsThe IdFAI was translated and adapted into Greek according to the guidelines for cross-cultural adaptation of self report measures. It was tested for test-retest reliability, validity, internal consistency and floor-ceiling effects in 141 participants (54 males, 87 females; 23.5 ± 7.2 years). All participants were asked to fill the Greek IdFAI (IdFAI-GR), the Cumberland Ankle Instability Tool (CAIT), and the Lower Extremity Functional Scale (LEFS), in order to determine construct validity. To determine the test-retest reliability, fifty randomly selected individuals re-filled IdFAI seven days after the first session.ResultsThe IdFAI-GR had high internal consistency (Cronbach alpha = 0.94) and excellent test-retest reliability (ICC_2,1 = 0.97; SEM = 0.7). The IdFAI-GR had strong correlation with the CAIT (r = 0.7; p < 0.001) and moderate correlation with the LEFS (r = 0.5; p < 0.001). No ceiling or floor effects were observed.ConclusionThe Greek IdFAI questionnaire has proven to be a valid and reliable instrument to identify functional ankle instability. It can therefore, be used for both clinical and research purposes in Greek-speaking individuals.     

椎间孔镜联合棘突间融合治疗老年人腰椎管狭窄症伴不稳

目的:观察椎间孔镜联合棘突间融合术治疗老年人腰椎管狭窄症伴不稳的临床疗效.方法:2018年2月至2019年2月诊治82例老年人腰椎管狭窄症伴不稳患者,分为对照组与观察组.对照组41例患者中男23例,女18例;年龄(68.9±4.1)岁;病程(14.1±5.7)个月;单节段病变5例,多节段病变36例;运用单纯Bacfus...     

Missed cervical spine subluxation leading to bilateral facet dislocation with severe deformity requiring 360 fixation

A 41 year-old male that presented after a fall downstairs and the initial imaging was misinterpreted, missing a subtle abnormality, C5/6 subluxation. The patient presented later with neck pain and further imaging demonstrated bilateral facet dislocation with severe deformity requiring 360 spinal fixation.