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Cuboid fractures

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https://www.readbyqxmd.com/read/28693353/injury-characteristics-of-low-energy-lisfranc-injuries-compared-with-high-energy-injuries
#1
Christopher H Renninger, Grant Cochran, Trevor Tompane, Joseph Bellamy, Kevin Kuhn
BACKGROUND: Lisfranc injuries result from high- and low-energy mechanisms though the literature has been more focused on high-energy mechanisms. A comparison of high-energy (HE) and low-energy (LE) injury patterns is lacking. The objective of this study was to report injury patterns in LE Lisfranc joint injuries and compare them to HE injury patterns. METHODS: Operative Lisfranc injuries were identified over a 5-year period. Patient demographics, mechanism of injury, injury pattern, associated injuries, missed diagnoses, clinical course, and imaging studies were reviewed and compared...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28642650/epidemiological-study-on-lisfranc-injuries
#2
Marcel Faraco Sobrado, Guilherme Honda Saito, Marcos Hideyo Sakaki, Pedro Augusto Pontin, Alexandre Leme Godoy Dos Santos, Túlio Diniz Fernandes
OBJECTIVE: To analyze the characteristics of patients with Lisfranc injuries and their associated fractures . METHODS: This is a retrospective analysis on 42 patients with Lisfranc injuries hospitalized at Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, between 2006 and 2010. Parameters on patient profile, risk factors, fracture characteristics, data on treatment and acute complications were analyzed ...
January 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28533626/nonhealing-progressive-stress-fractures-of-the-foot-in-a-13-year-old-basketball-player-is-vitamin-k-deficiency-a-risk-factor
#3
Meral Bayramoğlu, Nuray Ünlütürk
[Purpose] To report an adolescent male basketball player with nonhealing stress fractures of the foot and discuss the probable factors. [Subject and Methods] A 13-year-old basketball player presented with right foot pain. He had been playing basketball for three years and practicing 5 days/week. He denied any increase in daily training intensity. Magnetic resonance imaging confirmed stress fractures of the cuboid and cuneiform, with mild edema of the soft tissues between the tarsal bones and tenosynovitis of the flexor hallucis and flexor digitorum longi...
April 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28482680/optimal-starting-point-for-fifth-metatarsal-zone-ii-fractures-a-cadaveric-study
#4
Geoffrey I Watson, Sydney C Karnovsky, Gabrielle Konin, Mark C Drakos
BACKGROUND: Identifying the optimal starting point for intramedullary fixation of tibia and femur fractures is well described in the literature using a retrograde or anterograde technique. This technique has not been applied to the fifth metatarsal, where screw trajectory can cause iatrogenic malreduction. The generally accepted starting point for the fifth metatarsal is "high and inside" to accommodate the fifth metatarsal's dorsal apex and medial curvature. We used a retrograde technique to identify the optimal starting position for intramedullary fixation of fifth metatarsal fractures...
April 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28472133/stretch-force-guides-finger-like-pattern-of-bone-formation-in-suture
#5
Bo-Hai Wu, Xiao-Xing Kou, Ci Zhang, Yi-Mei Zhang, Zhen Cui, Xue-Dong Wang, Yan Liu, Da-Wei Liu, Yan-Heng Zhou
Mechanical tension is widely applied on the suture to modulate the growth of craniofacial bones. Deeply understanding the features of bone formation in expanding sutures could help us to improve the outcomes of clinical treatment and avoid some side effects. Although there are reports that have uncovered some biological characteristics, the regular pattern of sutural bone formation in response to expansion forces is still unknown. Our study was to investigate the shape, arrangement and orientation of new bone formation in expanding sutures and explore related clinical implications...
2017: PloS One
https://www.readbyqxmd.com/read/28343329/stress-fractures-of-the-foot-and-ankle-part-2-site-specific-etiology-imaging-and-treatment-and-differential-diagnosis
#6
Jacob C Mandell, Bharti Khurana, Stacy E Smith
Stress fractures of the foot and ankle are a commonly encountered problem among athletes and individuals participating in a wide range of activities. This illustrated review, the second of two parts, discusses site-specific etiological factors, imaging appearances, treatment options, and differential considerations of stress fractures of the foot and ankle. The imaging and clinical management of stress fractures of the foot and ankle are highly dependent on the specific location of the fracture, mechanical forces acting upon the injured site, vascular supply of the injured bone, and the proportion of trabecular to cortical bone at the site of injury...
September 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/27735080/reconstruction-of-midfoot-bone-and-soft-tissue-loss-with-chimeric-partial-scapula-and-latissimus-dorsi-muscle-flap-and-short-perforator-based-skin-flap-following-gunshot-injuries-report-of-two-cases
#7
Arzu Ozcan Akcal, Kerim Ünal, Tahsin Gorgulu, Mehmet Akif Akcal, Zekiye Bigat
In this report we present two cases of gunshot injury related midfoot defects, reconstructed with a chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap. The first case, a 14 years old male, had 10 × 8 cm medial plantar and 6 × 4 cm dorsal foot defects and the second case, a 55 years old female, had only 8 × 6 cm dorsal foot defect. In both cases the defects were associated with fractures, one with lateral cuneiform and cuboid with 90% bone loss and the other with navicular bone, respectively...
October 2016: Microsurgery
https://www.readbyqxmd.com/read/27365481/the-patterns-of-injury-and-management-of-cuboid-fractures-a-retrospective-case-series
#8
P Fenton, S Al-Nammari, C Blundell, M Davies
AIMS: Although infrequent, a fracture of the cuboid can lead to significant disruption of the integrity of the midfoot and its function. The purpose of this study was to classify the pattern of fractures of the cuboid, relate them to the mechanism of injury and suggest methods of managing them. PATIENTS AND METHODS: We performed a retrospective review of patients with radiologically reported cuboid fractures. Fractures were grouped according to commonly occurring patterns of injury...
July 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27358264/categorization-and-surgical-management-of-posttraumatic-midfoot-malunion
#9
Chun-Guang Li, Guang-Rong Yu, Yun-Feng Yang, Bing Li
OBJECTIVE: To assess a classification system for midfoot injury that was based on the characteristics of the foot malunion and to evaluate the suggested treatment strategies. METHODS: This retrospective review of data from patients with posttraumatic midfoot malunion categorized each foot deformity into one of three types based on the foot arch and then separated these categories into one of three subtypes based on the forefoot deformity. According to the types of malunion, fascio-cutaneous flap, osteotomy, joint arthrodesis or realignment was used to correct the deformity...
August 2016: Journal of International Medical Research
https://www.readbyqxmd.com/read/27336449/lisfranc-injury-imaging-and-surgical-management
#10
REVIEW
Eva Llopis, Javier Carrascoso, Inigo Iriarte, Mariano de Prado Serrano, Luis Cerezal
The Lisfranc joint is composed of the cuneiform bones and the cuboid and metatarsal bases, united by a synovial capsule and ligamentous complex. Familiarity with the anatomy is essential for image planning and for understanding injury patterns. The more important structures are the Lisfranc ligament and the plantar ligaments that can be visualized with MR, although careful attention to technique and orientation of scan planes is required for accuracy. A combination of conventional radiographs, computed tomography, and MR allow precise diagnosis of Lisfranc fractures, fracture dislocation, and subtle Lisfranc injuries to guide clinical management and surgical planning...
April 2016: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/27313925/a-case-report-of-isolated-cuboid-nutcracker-fracture
#11
Takaaki Ohmori, Shinichi Katsuo, Chiaki Sunayama, Katsunori Mizuno, Tomohiro Ojima, Kotaro Yamakado, Tomonari Ando, Shin Watanabe, Seigaku Hayashi, Hiroyuki Tsuchiya
Isolated cuboid fractures are very rare, since they typically occur in combination with midfoot fractures or dislocations. A 61-year-old man presented at our hospital with pain and swelling on the outside of his right foot. The lateral column of his right foot was shortened by approximately 6.5 mm on X-ray. CT showed displacement of the joint surface between the cuboid and the fourth metatarsal, with a 3.5 mm depression. An MRI revealed no other injuries. Based on these findings, we diagnosed the patient with an isolated nutcracker fracture of the cuboid...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/26969200/plantar-talar-head-contusions-and-osteochondral-fractures-associated-findings-on-ankle-mri-and-proposed-mechanism-of-injury
#12
Tetyana Gorbachova, Peter S Wang, Bing Hu, Jay C Horrow
OBJECTIVE: To evaluate the significance of plantar talar head injury (PTHI) in predicting osseous and soft tissue injuries on ankle MRI. MATERIALS AND METHODS: The IRB approved this HIPAA-compliant retrospective study. The study group consisted of 41 ankle MRIs with PTHI that occurred at our institution over a 5 ½ year period. Eighty MRIs with bone injuries in other locations matched for age, time interval since injury, and gender formed a control group. Injuries to the following structures were recorded: medial malleolus, lateral malleolus/distal fibula, posterior malleolus, talus, calcaneus, navicular, cuboid, lateral, medial and syndesmotic ligaments, spring ligament complex, and extensor digitorum brevis (EDB) muscle...
June 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26761927/reconstructive-shelf-arthroplasty-as-a-salvage-procedure-for-complex-fifth-tarsometatarsal-joint-complex-injuries-a-case-review-and-discussion
#13
REVIEW
Andrew J Rosenbaum, Ralph Zade, Ernest Chesina, Kaushik Bagchi
High-energy cuboid fractures are rare injuries that are commonly associated with other midfoot trauma. With displacement, operative intervention is critical to restore articular congruity and the length of the lateral column. Failure to achieve this predisposes patients to posttraumatic arthritis and deformity, often necessitating secondary procedures. Although primary open reduction and internal fixation is the standard of care for these injuries, at times the traditional principles of fracture fixation cannot be applied to cuboid fractures...
January 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/26349506/-nutcracker-fracture-in-a-ballet-dancer-performing-in-the-nutcracker
#14
Sasha Carsen, Bridget J Quinn, Elizabeth Beck, Heather Southwick, Lyle J Micheli
A 26-year-old female professional dancer sustained an acute injury to her mid-foot during a performance of The Nutcracker. An intra-articular, comminuted, minimally displaced fracture of the cuboid was found. The patient was treated non-operatively with cast and boot immobilization, modified weightbearing, and progressive rehabilitation. She was able to return to professional dance at 6 months post-injury and continues to dance professionally over 1 year out from injury without issue. The unique demands of classical ballet, especially dancing en pointe, increase the risk for mid-foot fractures, and clinicians should have a high-index of suspicion in dancers suffering an acute injury to the foot and ankle with greater than expected pain or swelling...
September 2015: Journal of Dance Medicine & Science
https://www.readbyqxmd.com/read/26280957/unusual-localizations-of-unicameral-bone-cysts-and-aneurysmal-bone-cysts-a-retrospective-review-of-451-cases
#15
Osman Emre Aycan, İsmet Yalkın Çamurcu, Devrim Özer, Yavuz Arıkan, Yavuz Selim Kabukçuoğlu
Unicameral bone cysts (UBC) and aneurysmal bone cysts (ABC) are benign cystic lesions of bone which are easily diagnosed. However, unusual locations may lead to a false diagnosis. Therefore the aim of this retrospective study was to determine the frequency of unusual localizations. The authors studied 451 cases with histopathologically confirmed diagnosis of UBC or ABC, seen between 1981 and 2012. In the UBC group (352 cases) humerus, femur and calcaneus were found to be the most common sites, while acetabulum, scapula, scaphoid, lunatum, metacarpals, metatarsals, toe phalanges and ulna each accounted for less than 1%...
June 2015: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/26243720/open-calcaneus-fractures-and-associated-injuries
#16
Jacob R Worsham, Mark R Elliott, Anthony M Harris
Open calcaneus fractures are usually the result of high-energy mechanisms and are associated with other orthopedic and whole body system injures. Understanding the difference between open versus closed fractures is essential for the provider, and they must be vigilant for the associated injuries that present with this condition. We performed a retrospective medical record review of 62 patients (64 calcaneus fractures) with open calcaneus fractures from January 2003 to January 2013 presenting at a level 1 trauma center...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25510168/bilateral-tarsometatarsal-joint-injuries-an-unusual-mechanism-producing-unusual-variants
#17
P S Young, V L Clement, A Lomax, J Badhesha, R J Miller, A Mahendra
Tarsometatarsal (Lisfranc) joint injuries are rare but potentially devastating conditions requiring anatomical reduction and internal fixation or arthrodesis. We describe an unusual mechanism involving forced eversion and dorsiflexion on both fully supinated feet resulting in bilateral tarsometatarsal joint injury. The injury pattern involved incongruity between the medial and middle columns extending between the cuneiform bones with associated fracture of the cuboid on the right and the cuboid, os calcis and talus on the left...
June 2015: Foot
https://www.readbyqxmd.com/read/25480051/dependence-of-ablative-ability-of-high-intensity-focused-ultrasound-cavitation-based-histotripsy-on-mechanical-properties-of-agar
#18
Jin Xu, Timothy A Bigelow, Gabriel Davis, Alex Avendano, Pranav Shrotriya, Kevin Bergler, Zhong Hu
Cavitation-based histotripsy uses high-intensity focused ultrasound at low duty factor to create bubble clouds inside tissue to liquefy a region, and provides better fidelity to planned lesion coordinates and the ability to perform real-time monitoring. The goal of this study was to identify the most important mechanical properties for predicting lesion dimensions, among these three: Young's modulus, bending strength, and fracture toughness. Lesions were generated inside tissue-mimicking agar, and correlations were examined between the mechanical properties and the lesion dimensions, quantified by lesion volume and by the width and length of the equivalent bubble cluster...
December 2014: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/25471434/combined-fracture-dislocation-of-the-navicular-bone-along-with-cuboid-cuneiform-and-longitudinal-split-fracture-of-the-lateral-malleolus-a-rare-combination-of-fractures
#19
Kapil Mani Khatri Chhetri, Parimal Acharya, Dirgha Raj Rokaya Chhetri
Fracture dislocation of the navicular bone, fracture of the cuboid, cuneiform, and longitudinal split fracture of the lateral malleolus is a rare combination of fractures. This is a high velocity injury fracture and can be caused by forcible plantar flexion and inversion of the foot at the time of impact onto the ground. Here we reported such a case in a 35-year-old male patient who was treated by open reduction and fixation with a partially threaded screw and two K-wires for the navicular bone, and two interfragmentary screws with a one third tubular plate for the lateral malleolus...
2014: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/25442161/foot-and-ankle-problems-in-dancers
#20
REVIEW
Nancy Kadel
The dancer's foot and ankle are subjected to high forces and unusual stresses in training and performance. Injuries are common in dancers, and the foot and ankle are particularly vulnerable. Ankle sprains, ankle impingement syndromes, flexor hallucis longus tendonitis, cuboid subluxation, stress fractures, midfoot injuries, heel pain, and first metatarsophalangeal joint problems including hallux valgus, hallux rigidus, and sesamoid injuries will be reviewed. This article will discuss these common foot and ankle problems in dancers and give typical clinical presentation and diagnostic and treatment recommendations...
November 2014: Physical Medicine and Rehabilitation Clinics of North America
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