Wikipedia:Peer review/Sinus tarsi syndrome/archive1

Sinus tarsi syndrome

I've listed this article for peer review because I have been trying to improve it with the advice I was given, but now I would like to know what the next step is. I'm hoping to bring it up to good article status, as it's already pretty close with the B-class assessment.

Thanks, Pear 2.0 (say hi!) 14:01, 18 May 2023 (UTC)

Hi Pear 2.0 (/User:Pear12345678), I have a few general suggestions, but I'm happy to give more directed feedback if you'd like:

1. I wasn't familiar with sinus tarsi syndrome; I skimmed some papers on it, and it looks like you've already got most of what's known about STS in this article (thumbs up!).
2. The goal is for the reading audience to walk away with a clear image of mainstream thinking on the topic. Try to clarify the most important takeaway messages for a reader, e.g. Campbell's Operative Orthopedics has a little blurb on the disorder (access through ClinicalKey, let me know if you'd like me to send it) suggesting STS primarily follows a sprained ankle. The AAPSM page you cite claims it's 80% ankle sprains, 20% soft tissue pinching from severe pronation. If that's true, it's not exactly clear from our article. Perhaps you could highlight that by changing the Causes section from "STS is caused by: [list]", to something like "STS typically follows an inversion (rolling out) ankle sprain (70–80% of cases), though it may also be caused by damage to soft tissue from extreme pronation (20–30% of cases), and more rarely by [the rest of your list]." That thinking can be applied to other sections as well: what's the important takeaway, is that being communicated clearly.
3. Could you give a sense of which treatments typically work? From my skim -- [1] suggests conservative treatment alone typically gets the job done. The Campbell's blurb suggests a cortisone injection often gives permanent relief, the Arshad review just says that O'Connor claimed conservative treatment rarely worked, and later that many studies don't report how often it worked (thanks scientists!). Several sources said removing the fatpad often gives permanent relief. Idk how you want to untangle that, but I trust your more-educated judgment over my skimming.

Otherwise I think it's in good shape! If I could make a more general comment, I'd say that working on articles on these poorly defined disorders is often hard and frustrating work. Basically our ability to write a decent article is limited by how little the medical folks have written about the disorder. If you're truly interested in STS, by all means, go crazy. But if you'd like an easier article-writing experience, maybe you could pick a joint problem that's slightly more common. If there's any way I can help, just let me know. Happy editing! Ajpolino (talk) 20:05, 19 May 2023 (UTC)

@Ajpolino Thank you so so much! I agree that I didn't make the causes clear and I will go ahead and straighten them up!

Also, I will make it more clear which treatments work. For the record, conservative treatments are considered only partially effective, but what would you rather do, orthotics or have someone cut open your feet?

As for the article subject, I have sinus tarsi syndrome, due to the less common cause of pronation - my bones didn't come out aligned correctly - so it is very close to my heart lol. I understand your concern however, it's been difficult to find information, but I write about niche subjects all the time so I've come to like the challenge. Pear 2.0 (say hi!) 18:58, 20 May 2023 (UTC)

Comments from Z1720

Comments after a quick skim:

• Lede should be expanded to be a summary of the whole article.
• I would look for more sources to expand upon the article. Sources can be found at WP:LIBRARY, Google Scholar, Google Books, archive.org, DOAJ.org, or your local library system. Also see WP:MEDRS for medicine specific information about reliable sources.

I hope this helps. Z1720 (talk) 02:00, 24 May 2023 (UTC)

Thank you! Pear 2.0 (say hi!) 11:55, 25 May 2023 (UTC)

Comments from Draken Bowser

Consider adding Khan et al. (2023) as a source. Regards. Draken Bowser (talk) 13:51, 3 June 2023 (UTC)