BRINGING SCIENCE TO TREATMENT
in Ankle and foot injuries, Diagnose & Treat, Joint injuries
Chris Mallac explains the etiology of sinus tarsi syndrome, and outlines diagnosis and management options for clinicians. Sinus tarsi syndrome (STS) is a frequently misdiagnosed condition in which patients have pain over the lateral aspect of the ankle (the sinus tarsi region) with an ‘unstable’ sensation in the rearfoot. STS sufferers usually have a history... MORE
in Diagnose & Treat, Joint injuries, Knee injuries
Patrick Gillham looks into the aetiology of Pellegrini-Stedia syndrome, and how best to treat it using conservative measures. Calcification of soft tissue structures is not uncommon in the body. This process frequently occurs in the shoulder, with the supraspinatus tendon being the most commonly affected. After the shoulder, the hip is the second most frequent... MORE
in Ankle and foot injuries, Joint injuries, Masterclass, Overuse injuries
In the first of this three-part masterclass article, Chris Mallac discusses the progression from acute ankle sprain to chronic and recurrent instability, the relevant anatomy and biomechanics, and how chronic instability can be identified in the athlete. Ankle sprains are one of the most common injuries experienced by athletes, and account for a large percentage of... MORE
in Joint injuries, Masterclass, Overuse injuries, Shoulder injuries
Chris Mallac describes the anatomy and biomechanics of the infraspinatus, outlines some common injury mechanisms, and provides rehab ideas to improve strength and range of motion in this muscle. The infraspinatus (IS), a muscle of the glenohumeral joint, has multiple functions. These include shoulder external rotation, abduction, and stabilization. It works in conjunction with the... MORE
in Diagnose & Treat, Joint injuries
The benefits or otherwise of hyaluronic injections for joint function in athletes remains unclear. Chris Mallac reviews the science and tries to come up with some best practice recommendations. Hyaluronic acid (HA) was first discovered in 1934 by Karl Meyer and John Palmer when they isolated a previously unknown substance in the eye of a cow.... MORE
in Diagnose & Treat, Email Newsletters, Joint injuries, Knee injuries
Pain usually arouses injury concerns, but with knees, it’s often the cringe-worthy sounds they make that send an athlete to see a physiotherapist. The sounds may be worse when going up and down stairs or squatting. These sounds lead the athlete to believe their knee is worn out or damaged(1). Their concern alone often leads... MORE
in Acute injuries, Joint injuries, Knee injuries
In the first of a 2-part article, Chris Mallac describes the anatomy and biomechanics of the medial knee ligaments, the implications of injury, and how these injuries are identified and graded. The superficial medial collateral ligament (s-MCL) is one of the most commonly injured structures at the knee, in both contact sports and sports that... MORE
in Diagnose & Treat, Joint injuries, Shoulder injuries
The subscapularis is the largest and most powerful muscle of the rotator cuff, and an important anterior stabiliser of the humeral head. With that in mind, Chris Mallac explores the anatomy and biomechanics of subscapularis in the first of two articles, including the most common injury presentations. Direct injuries to the muscle-tendon unit of the subscapularis... MORE
in Joint injuries, Knee injuries, Leg injuries
Pat Gilham considers the issue of patellofemoral pain in runners. Can improving soleus capability of play more of a role in treatment? It is well understood that patellofemoral pain (PFP) has a high incidence rate among runners(1). There are many intrinsic factors which are believed to influence PFP in runners, including abnormal anatomical alignment and foot... MORE
in Acute injuries, Anatomy, Diagnose & Treat, Joint injuries, Shoulder injuries
Chris Mallac looks at a rare and under-recognized variant of normal shoulder anatomy known as the Buford complex. He explores how it differs from normal anterior shoulder anatomy and the implications for clinicians in the continuation of our ‘uncommon injury’ series. The Buford complex is a relatively rare and under-recognised variant of normal shoulder anatomy that... MORE
