kneeTwo orthopedic surgeons at the Belgian University Hospitals Leuven have announced that they have found a new knee ligament. Dr. Steven Claes and Dr. Johann Bellemans and their associates have worked diligently to give a full anatomical depiction of the new ligament that they term the anterolateral ligament (ALL).

Due to its origin and insertion points, they propose that the ALL controls rotation of the tibia; therefore, when someone
sustains an ACL (anterior cruciate ligament) tear, they are most likely damaging the ALL as well. In spite of a successful ACL repair and rehabilitation, some patients still experience the so-called “pivot shift” or episodes of the knee “giving out” during activity. Researchers are in the process of concluding that those sensations are due to injuring the ALL.

After researching for the last 4 years as to why some ACL repairs were still getting the “buckling” or “giving out” sensation, these specialists gathered 41 knee joints from human cadavers and began dissecting them. Results concluded that this fibrous band originates on the outside (lateral) aspect of the femur and inserts at the lateral aspect of the tibia, which leads specialists to agree that this ligament must stabilize the outer part of the knee, preventing it from collapsing inward. All but one of the knees dissected had the presence of the ALL. They suspect that the knee with the missing ALL, possibly ruptured and withered at some point.

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It All Starts at the Big Toe

Did you know that unlike your fingers, which all have individual names the big toe or hallux is the only toe to be awarded a name?  All the rest are just named by their location…2nd, 3rd, 4th, and 5th toe.  Okay, sometimes we refer to the 5th as the “pinkie” but we are really just borrowing from the fingers!  When I think of my toes they tend to work as a team.  They are difficult to individually move and unless you are very skilled, your toes often move together in one big group.  Give it a try – can you pick up your big toe but leave the rest on the floor?  Can you leave your big toe on the ground and pick up the rest? Can you do this without also twisting your ankle inward or outward?  What if I told you that the better control you have at separating and moving your “big toe” from the rest and the greater the flexibility in your toes may solve some of your ailments especially when it pertains to walking and running?

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With summer now officially here, there seems to be an increase in how many times a week a person performs a cardio based workout. The convenience and enjoyment of a quick jog or bike ride during these warm months is quite enticing. However, the importance of a well-balanced workout routine remains consistent even despite an increase in outdoor activity. This is not to say that a steady cardio routine is not an excellent addition to a daily routine, but rather to emphasize the need for some degree of weight training to be tossed in the mix. In doing so, one important muscle group that should receive special attention is the gluteal muscles. The gluteal muscles play a crucial role in the prevention of back, hip, knee, and ankle injuries.

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