Shana N. Miskovsky

Scoping Out Ankle Impingement

Lambert T. Li, Ansh Shah, Greta Wilker, Shana N. Miskovsky

Background: Ankle impingement is common in athletes, especially in running, jumping, and cutting activities. We present 2 clinical cases of impingement, anterior (AAI) and posterior (PAI), plus subfibular, demonstrating the utility of ankle arthroscopy and hindfoot endoscopy techniques. Indications: AAI presents with …

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Ankle Impingement Syndromes: What the Radiologist Needs to Know

Alex Sobotie, Alexander Hallwachs, Kacey Pagano, Robert Russell DeVita et autres

Elevated Autoantibodies to the GluA1 Subunit of the AMPA Receptor in Blood Indicate Risk of Cognitive Impairment in Contact Sports Athletes, Irrespective of Concussion

Christopher McNeill Bailey, D Soden, Joseph C. Maroon, Warren R. Selman et autres

To address the need for objective tests of concussion in athletes, we conducted a prospective clinical study in National Collegiate Athletic Association athletes of the relationship between neurocognitive performance and blood levels of the GluA1 subunit of α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor peptides and …

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Peroneal Tendoscopy Technique

Alex Sobotie, Marsalis Christian Brown, Shana N. Miskovsky

Background: Peroneal tendoscopy is indicated for patients with persistent posterolateral ankle pain in which other intraarticular or extraarticular etiologies have been excluded. Physical examination findings and magnetic resonance imaging (MRI) evaluation are often equivocal, making direct visualization critical in characterizing the injury. …

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Asymptomatic Bone Marrow Edema in Weight-bearing Bones in Athletes and Military Trainees: A Systematic Literature Review

Amir Karimi, Mohamed E. El-Abtah, Margaret A. Sinkler, Navid Faraji et autres

Asymptomatic bone marrow edema (aBME) is a non-specific radiographic finding often found in athletes. Although aBME may represent the body's physiological response to training load, the etiology, MRI characteristics, and natural history of aBME remain unknown. To better characterize aBME in the …

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Prevalence of Asymptomatic Talar Bone Marrow Edema in Professional Ballet Dancers: Preliminary Data From a 2-Year Prospective Study

Shana N. Miskovsky, Pranav Khambete, Navid Faraji, Ethan R. Harlow et autres

Background: Compared with symptomatic bone marrow edema (BME) associated with stress fractures, asymptomatic BME seen on magnetic resonance imaging (MRI) is a phenomenon that has been described in high-level athletes and is thought to be related to bone adaptation to biomechanical loading …

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Hybrid Percutaneous Management of Acute Midsubstance Achilles Tendon Ruptures

Christopher J. McMellen, Bijal J. Desai, Margaret A. Sinkler, Shana N. Miskovsky

Background: Operative management techniques of Achilles tendon ruptures can be categorized into open repair, mini-open repair, or percutaneous repair. Indications: Surgical repair of acute ruptures of the Achilles tendon is indicated in athletic populations, with percutaneous repair being an effective technique with …

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Flexible Fixation Technique for Subtle Lisfranc Injuries

Ethan R. Harlow, Ajit M. Vakharia, Mikhail Alexeev, Shana N. Miskovsky

Background: Subtle Lisfranc injuries represent a primarily ligamentous Lisfranc complex injury involving the Lisfranc ligament and the medial and middle cuneiform ligaments. Static radiographic displacement or dynamic instability of the medial cuneiform and 2nd metatarsal typically warrants operative intervention to prevent chronic …

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Prevalence and Morphology of the Coracoclavicular Joint: An Osteological Study of 2,724 Subjects Using Univariable and Multivariable Logistic Regression Analyses

Ethan R. Harlow, Lee M. Sasala, Christopher Talbot, Bijal J. Desai et autres

Background: The coracoclavicular joint (CCJ) is an anomalous articulation between the surfaces of the inferior clavicle and superior coracoid and its etiology is controversial. Reportedly, symptomatic patients demonstrate significant functional limitations including shoulder abduction loss and potential for brachial plexus compression and …

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Biomechanics of the Distal Tibiofibular Syndesmosis: A Systematic Review of Cadaveric Studies

Pranav Khambete, Ethan R. Harlow, Jason G. Ina, Shana N. Miskovsky

BACKGROUND: This investigation's purpose was to perform a systematic review of the literature examining the biomechanics of the ligaments comprising the distal tibiofibular syndesmosis with specific attention to their resistance to translational and rotational forces. Although current syndesmosis repair techniques can achieve …

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Differences in Failure Mode Between Simple and Mattress Suture Configuration in Arthroscopic Bankart Repairs: A Cadaveric Study

Shana N. Miskovsky, Lee M. Sasala, Christopher N. Talbot, Derrick M. Knapik

BACKGROUND: Traumatic anterior shoulder dislocations disrupt the anteroinferior labrum (Bankart lesion), leading to high rates of instability and functional disability, necessitating stabilization. PURPOSE: To investigate modes and locations of repair failure between simple and horizontal mattress suture configurations after arthroscopic Bankart repair …

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Prevalence and location of bone spurs in anterior ankle impingement: A cadaveric investigation

Christopher Talbot, Derrick M. Knapik, Shana N. Miskovsky

Anterior ankle impingement (AAI) results from repetitive microtrauma leading to pain and decreased dorsiflexion due to spur formation and synovial hypertrophy. Information about the prevalence of anterior spur formation in a large population, and the individual contributions of the talus and tibia …

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