Schilling tendon procedure | |
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Specialty | orthopedic |
The Schilling tendon procedure is a temporary surgical procedure developed by the former Boston Red Sox team physician William Morgan, MD, to stabilize the peroneus brevis tendon so that it is prevented from anterior displacement during ankle eversion. [1] If the peroneal retinaculum is torn, the fibular retinacula are no longer stabilized. This allows the peroneus brevis tendon to move untethered over the lateral malleolus, creating pain. During pitching mechanics, the snapping of the tendon over the bone is painful and distracting to the pitcher. [2]
The procedure involves the placement of three sutures through the skin anterior to the path of the peroneus brevis tendon and into the underlying deep connective tissue. These sutures provide a temporary barrier, preventing the tendon from moving anteriorly over the malleolus. [3] This procedure was first tested on a cadaver to establish if the surgery would work or not. [4] The procedure is performed with local anaesthetic, about 24 hours before the player begins to pitch. The stitches must be removed immediately following the cessation of play, and indications are that the stitches may tear during the course of a game. [2]
The procedure is named for Major League Baseball pitcher Curt Schilling, who required the surgery to be able to pitch for the Boston Red Sox in Game 6 of the 2004 American League Championship Series and Game 2 of the 2004 World Series. [5]
The foot is an anatomical structure found in many vertebrates. It is the terminal portion of a limb which bears weight and allows locomotion. In many animals with feet, the foot is a separate organ at the terminal part of the leg made up of one or more segments or bones, generally including claws and/or nails.
The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula.
In human anatomy, the fibularis longus is a superficial muscle in the lateral compartment of the leg. It acts to tilt the sole of the foot away from the midline of the body (eversion) and to extend the foot downward away from the body at the ankle.
Curtis Montague Schilling is an American former Major League Baseball right handed pitcher and commentator for media outlet BlazeTV. He helped lead the Philadelphia Phillies to a World Series appearance in 1993, and won championships in 2001 with the Arizona Diamondbacks and in 2004 and 2007 with the Boston Red Sox, being named a co-winner of the World Series MVP in 2001. Schilling retired with a career postseason record of 11–2, and his .846 postseason winning percentage is a major-league record among pitchers with at least ten decisions. He is a member of the 3,000 strikeout club and has the highest strikeout-to-walk ratio of any of its inactive members. He is tied at third place for the most 300-strikeout seasons.
The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint.
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The ankle, the talocrural region or the jumping bone (informal) is the area where the foot and the leg meet. The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joint. The movements produced at this joint are dorsiflexion and plantarflexion of the foot. In common usage, the term ankle refers exclusively to the ankle region. In medical terminology, "ankle" can refer broadly to the region or specifically to the talocrural joint.
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The 2004 American League Championship Series was the Major League Baseball playoff series deciding the 2004 season American League champion earning the privilege to play in the 2004 World Series. A rematch of the 2003 American League Championship Series, it was played between the Boston Red Sox, who had won the AL wild card and defeated the Anaheim Angels in the American League Division Series, and the New York Yankees, who had won the AL East with the best record in the AL and defeated the Minnesota Twins. The Red Sox became the first team in MLB history to come back from a 3–0 series deficit to win a best-of-seven series. Prior to the 2004 ALCS, no MLB team had so much as forced a Game 7 under those circumstances – and only one team since 2004 has been able to do so.
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In human anatomy, the fibularis brevis is a muscle that lies underneath the fibularis longus within the lateral compartment of the leg. It acts to tilt the sole of the foot away from the midline of the body (eversion) and to extend the foot downward away from the body at the ankle.
The Broström operation is a repair of ligaments on lateral ankle. It is designed to address ankle instability. More importantly, it is primarily used to repair the anterior talofibular ligament (ATFL) in the ankle. It is thought that the majority of patients regain most function in their ankles. The recovery time for the procedure varies according to the patient but usually takes a minimum of 3–6 months.
An ankle fracture is a break of one or more of the bones that make up the ankle joint. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis.
In humans, the sole of the foot is anatomically referred to as the plantar aspect.
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