Publications by authors named "Samuel Ka Kin Ling"

Article Synopsis
  • * The study aims to explore if combining standard exercises with pulse electromagnetic field therapy can enhance stability and reduce muscle weakness in patients with chronic ankle instability.
  • * A randomized trial with 48 participants will compare the effects of active therapy with a placebo over 8 weeks, with evaluations conducted at multiple follow-up points.
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Background: Achilles tendinopathy is a common condition without a reproducible and timely treatment modality. Platelet-rich plasma (PRP) injection has been proposed as an enticing treatment option, but there is no consensus regarding its effectiveness.

Purpose: To pool the available data and evaluate the evidence of the effect of PRP injections on Achilles tendinopathy.

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Background: Pulsed electromagnetic field (PEMF) therapy is a potential nonoperative treatment for Achilles tendinopathy, but the current published literature on its effects is sparse.

Purpose: To evaluate the therapeutic efficacy of PEMF therapy and eccentric exercise for Achilles tendinopathy.

Study Design: Randomized controlled trial; Level of evidence, 1.

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Article Synopsis
  • The text details a new endoscopic treatment for Achilles tendinopathy using a bioinductive collagen scaffold, particularly for cases that haven't improved with non-surgical options.
  • The procedure involves inserting a 4-mm arthroscope through two small portals to perform standard tendon cleaning before placing the collagen scaffold at the injury site.
  • This method is significant as it eliminates the need for open surgery, allowing for a less invasive approach that can be used either on its own or alongside other minimally invasive treatments.
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Aims: Obesity increases tendinopathy's risk, but its mechanisms remain unclear. This study examined the effect of high-fat diet (HFD)-induced obesity on the outcomes and inflammation of collagenase-induced (CI) tendon injury.

Methods: Mice were fed with standard chow (SC) or HFD for 12 weeks.

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Piezo1, a mechanosensitive ion channel, has emerged as a key player in translating mechanical stimuli into biological signaling. Its involvement extends beyond physiological and pathological processes such as lymphatic vessel development, axon growth, vascular development, immunoregulation, and blood pressure regulation. The musculoskeletal system, responsible for structural support, movement, and homeostasis, has recently attracted attention regarding the significance of Piezo1.

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Article Synopsis
  • The study investigates the use of Pulsed Electromagnetic Field therapy (PEMF) as an adjunct treatment for patients with Achilles tendinopathy (AT), which causes pain and limits exercise.
  • It is designed as a randomized double-blind placebo-controlled trial, comparing an active treatment group using PEMF and eccentric exercise against a control group using sham treatment and eccentric exercise over a period of months.
  • The goal is to determine if PEMF can help reduce pain and improve the ability to engage in eccentric exercises, potentially leading to better recovery outcomes for those suffering from AT.
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Acute lateral ankle sprains are common amongst athletes, and screening is essential in preventing these long-term sequelae. Self-reported questionnaires, such as the Cumberland Ankle Instability Tool (CAIT), may help identify individuals with chronic ankle instability. To date, a Cantonese-Chinese version of the CAIT does not exist.

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Background: The incidence of Achilles tendinopathy has risen over the past decades. Insertional Achilles tendinopathy is characterised by tissue degeneration of the Achilles tendon from its insertion in the calcaneus to up to 2 cm proximally. This clinical condition is accompanied by pain, loss of function and diminished exercise tolerance.

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Hallux valgus (HV) is a common foot deformity that is more prevalent in females, characterised by abnormal adduction of the first metatarsal (MT) and valgus deviation of the phalanx on the transverse plane. Increasing evidence indicates that HV is more than a 2D deformity but a 3D one with rotational malalignment. Pronation deformity is seen during clinical examination for HV patients, but the exact origin of this rotational deformity is still unknown.

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Background: Lateral ankle sprain (LAS) is a common injury. Conservative care is not uniformly effective. Chronic ankle instability (CAI) results in up to 70% of patients with LAS in the physically active population.

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Objectives: Foot and ankle injuries are commonly seen in dancers, yet limited studies exist on the injury prevalence of performers of Chinese classical dance. This study aims to determine and assess the prevalence of chronic ankle instability (CAI) in Chinese dancers and correlate the impact of CAI with foot function.

Methods: This is a cross-sectional study of 105 Chinese dancers.

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Article Synopsis
  • The rotator cuff complex, made up of bone, tendon, and muscle, plays a crucial role in shoulder movement, and understanding its interconnectedness is important for treating injuries and disorders.
  • Rotator cuff tears have significant socioeconomic impacts and current treatments often do not adequately address the need for targeted regeneration of the entire complex, despite advancements in regenerative medicine.
  • Future strategies should focus on effective regeneration of bone-tendon-muscle units to improve treatment outcomes for rotator cuff injuries and reduce their burden on healthcare systems.
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Background: Victorian Institute of Sports Assessment (VISA-A) is a patient-reported outcome for assessing symptoms severity associated with Achilles tendinopathy (AT). It is a valid and reliable tool that has been used widely for measuring and monitoring treatment outcomes for AT. This clinical measurement study aims to develop a Chinese version of the VISA-A questionnaire.

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Background: Ultimate Frisbee is a non-contact, self-refereed team sport that is rapidly gaining popularity in Hong Kong. As it is a physically demanding competition, it can result in substantial injury risk. However, the injury epidemiology data in Hong Kong remains lacking.

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Background: Underlying muscle weakness and stiffness may increase the risk of developing rotator cuff tendinopathy. This systematic review aims to assess existing prospective studies to summarize whether muscle weakness and stiffness are risk factors for the development of rotator cuff tendinopathy in overhead athletes.

Methods: A systematic search was performed using PRISMA guidelines.

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Injury to distal tibiofibular syndesmosis is commonly associated with ankle fractures. The surgical treatment especially in isolated chronic syndesmosis instability is still debated. This article has reviewed literature identified from PubMed, EMBASE and Cochrane from year 2000 onwards and compared the functional outcomes between syndesmosis fusion and ligament reconstruction based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

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Objective: To assess the degree of psychological impact among surgical providers during the COVID-19 pandemic.

Summary Of Background Data: The COVID-19 pandemic has extensively impacted global healthcare systems. We hypothesized that the degree of psychological impact would be higher for surgical providers deployed for COVID-19 work, certain surgical specialties, and for those who knew of someone diagnosed with, or who died, of COVID-19.

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Background And Objective: Restoring the shoulder function is a crucial demand of patients with rotator cuff (RC) tears. Most preclinical studies only focused on biological and mechanical measurements. Functional assessment was less investigated in the preclinical studies.

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Article Synopsis
  • The COVID-19 pandemic has significantly impacted Hong Kong's medical system, requiring adaptations to maintain clinical care, education, and research while minimizing infection risks.
  • The article provides insight into the experiences of an orthopaedic unit at a university hospital in navigating these challenges.
  • It aims to share knowledge and strategies that can benefit other medical institutions dealing with similar issues during the pandemic.
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Background: COVID-19 is a droplet-transmitted potentially fatal coronavirus pandemic affecting the world in 2020. The WHO recommended social distancing and human-to-human contact was discouraged to control the transmission. It has put many countries in a state of lockdown and sporting events (including the 2020 Olympics) have been affected.

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Article Synopsis
  • This systematic review analyzes existing research on inflammation's role in tendinopathy, aiming to identify a potential shared underlying cause for the condition.* -
  • Out of 1,431 articles screened, 53 were included, revealing that while many studies mention inflammatory cells, they yield inconsistent results, particularly regarding the involvement of macrophages.* -
  • The findings highlight that tendinopathy may involve various disease stages and differences in pathology, suggesting that while anti-inflammatory medications like NSAIDs can be helpful, they might also complicate tendon healing in the long run.*
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Purpose: To diagnose chronic anterior talofibular ligament (ATFL) injury, three different physical examinations were compared: the anterior drawer test (ADT), the anterolateral drawer test (ALDT), and the reverse anterolateral drawer test (RALDT).

Methods: A total of 72 ankles from potential ATFL-injured patients and the normal population were included and examined using the ADT, ALDT, and RALDT by two examiners without knowing the injury histories of any of the participants. Ultrasound examination was then applied as the gold standard to divide the ankles into the ATFL-injured group and the control group.

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