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https://www.readbyqxmd.com/read/29456078/transmalleolar-approach-for-arthroscopy-assisted-headless-screw-fixation-of-an-osteochondral-talar-dome-fracture
#1
Ebrahim Izadi, Rahij Anwar, Sarah Phillips, Venu Kavarthapu
Displaced osteochondral fractures of the body of talus quite often require a malleolar osteotomy to gain access to the fracture fragment during internal fixation. We describe a case report in which access to a displaced osteochondral fracture of the lateral talar dome was achieved using an arthroscopy-assisted fibular tunnel approach. This technique resulted in satisfactory fracture healing and a satisfactory clinical outcome.
February 15, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29444575/-classification-of-posterior-malleolar-fractures-in-ankle-fractures
#2
J Bartoníček, S Rammelt, D Klika, O Naňka, M Tuček, K Kostlivý, V Vaněček
The study presents an overview of the most common radiography and CT-based classifications of posterior malleolar fractures in ankle fracture-dislocations. Their analysis has shown that posterior malleolar fractures largely vary in size and shape. Evaluation of fractures by plain radiographs is inadequate. A detailed assessment of the fragment shape and course of fracture lines requires CT examination in all three projections, followed by 3D CT reconstructions.Key words: ankle fracture - dislocations trimalleolar fractures posterior malleolar fractures classification...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/29439685/morphological-characteristics-of-the-posterior-malleolar-fragment-according-to-ankle-fracture-patterns-a-computed-tomography-based-study
#3
Young Yi, Dong-Il Chun, Sung Hun Won, Suyeon Park, Sanghyeon Lee, Jaeho Cho
BACKGROUND: The posterior malleolar fragment (PMF) of an ankle fracture can have various shapes depending on the injury mechanism. The purpose of this study was to evaluate the morphological characteristics of the PMF according to the ankle fracture pattern described in the Lauge-Hansen classification by using computed tomography (CT) images. METHODS: We retrospectively analyzed CT data of 107 patients (107 ankles) who underwent surgery for trimalleolar fracture from January 2012 to December 2014...
February 13, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29424166/-case-control-study-on-reduction-for-external-and-posterior-malleolar-fractures-combined-with-compressive-articular-surface-through-tibiafibular-fractures-region
#4
Guo-Fu Chen, Chun-Li Xu, Bin Wang, Jun-Bo Liang, Chuan-Yi Zhang, Wei Wang
OBJECTIVE: To compare clinical outcomes of external and posterior malleolar fractures associated with compressive articular surface through posteriorlateral incision and posteriormedial incision. METHODS: From January 2012 to January 2015, 52 patients with external and posterior malleolar fractures associated with compressive articular surface were treated by interfix. Among them, 24 patients were treated through posteriourlateral incision, including 16 males and 8 females, aged from 20 to 65 years old with an average of(35...
June 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29415223/a-maisonneuve-fracture-in-an-active-duty-sailor-a-case-report
#5
Ryan R Richmond, Andrew D Henebry
Maisonneuve fractures are relatively well known in the sports medicine, and orthopedic communities, however, can be commonly missed among primary care providers. The following case outlines an active duty 35-yr-old female patient who presented with acute pain on the left ankle and lower leg after she misjudged a step. The injury is a combination of high fibular and medial malleolar fractures with a disruption of the tibiofibular syndesmosis ligaments. This is a result of extreme external rotation and pronation of a fixed foot...
February 5, 2018: Military Medicine
https://www.readbyqxmd.com/read/29409248/the-lateral-malleolar-bony-fleck-classified-by-size-and-pathoanatomy-the-iofas-classification
#6
John Wong-Chung, Adam Tucker, Matthew Lynch-Wong, Desmond Gibson, Diarmaid S O'Longain
BACKGROUND: This study analyzes position of the peroneal tendons and status of the superior peroneal retinaculum (SPR) whenever a lateral malleolar bony flake fracture occurs. METHODS: Twenty-four patients had a lateral malleolar bony fleck on anteroposterior ankle radiographs, either in isolation or associated with other hindfoot injuries. We studied size of the bony flecks, presence or absence of peroneal tendon dislocation and pathoanatomy on CT scans. RESULTS: In 11 patients, a small bony fleck lies within the superior peroneal retinaculum and contiguous periosteum, which are stripped off the lateral fibula (Class II lesions)...
March 16, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29401086/comparing-functional-outcomes-following-injury-specific-fixation-of-posterior-malleolar-fractures-and-equivalent-ligamentous-injuries-in-rotational-ankle-fractures
#7
Ashley E Levack, Stephen J Warner, Elizabeth B Gausden, David L Helfet, Dean G Lorich
OBJECTIVES: To evaluate the effect of posterior bony versus ligamentous injury pattern on functional outcomes in operatively treated rotational ankle fractures DESIGN:: Retrospective cohort analysis of prospective registry SETTING:: Academic level I trauma center PATIENTS/PARTICIPANTS:: Operatively treated supination external rotation (SER) IV and pronation external rotation (PER) IV ankle fractures INTERVENTION:: Lateral malleolus plate fixation with either posterior malleolus (PM) plate fixation or posterior inferior tibiofibular ligament (PITFL) repair MAIN OUTCOME MEASUREMENTS:: Foot and ankle outcome scores (FAOS) at minimum 12 months post-operatively RESULTS:: 178 fractures were treated with injury-specific anatomic fixation of a PM fracture (n=122) or torn PITFL (n=56)...
January 26, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29332433/slippage-of-tightrope-button-in-syndesmotic-fixation-of-weber-c-malleolar-fractures-a-case-series
#8
Mas'uud Ibnu Samsudin, Ming Quan Wayne Yap, Ang Wei Luong, Ernest Beng Kee Kwek
BACKGROUND: Tightrope fixation is an emerging technique for syndesmotic fixation with promising results. However, our case series highlights the slippage of Tightrope buttons as a complication of suture button syndesmotic fixation of Weber C malleolar fractures using limited contact dynamic compression (LCDCP) plates. METHODS: We report a series of cases from our database in which slippage of the Tightrope button through the LCDCP holes in Weber C malleolar fractures was noted...
January 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29320917/hypoesthesia-in-generalised-anxiety-disorder-and-major-depression-disorder
#9
Ana García-Blanco, Pablo González-Valls, Carmen Iranzo-Tatay, Luis Rojo-Moreno, Pilar Sierra, Lorenzo Livianos
OBJECTIVE: The determination of soft signs can be a conducive practice to understand the differential etiology between depression and anxiety. This study aims at examining malleolar hypoesthesia role in distinguishing between patients with generalised anxiety disorder (GAD) and major depression disorder (MDD). METHODS: This study examines the presence of malleolar hypoesthesia in patients with GAD (n = 47) compared to patients with MDD (n = 48) and healthy individuals (controls; n = 99)...
January 10, 2018: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/29305457/the-role-of-a-small-posterior-malleolar-fragment-in-trimalleolar-fractures-a-biomechanical-study
#10
J Evers, M Fischer, I Zderic, D Wähnert, R G Richards, B Gueorguiev, M J Raschke, S Ochman
AIMS: The aim of this study was to investigate the effect of a posterior malleolar fragment (PMF), with < 25% ankle joint surface, on pressure distribution and joint-stability. There is still little scientific evidence available to advise on the size of PMF, which is essential to provide treatment. To date, studies show inconsistent results and recommendations for surgical treatment date from 1940. MATERIALS AND METHODS: A total of 12 cadaveric ankles were assigned to two study groups...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305233/anterolateral-distal-tibia-locking-plate-osteosynthesis-and-their-ability-to-capture-otac3-pilon-fragments
#11
Arun Aneja, T David Luo, Boshen Liu, Molina Domingo, Kerry Danelson, Jason J Halvorson, Eben A Carroll
BACKGROUND: Intra-articular Pilon fractures remain therapeutically challenging due to osteochondral fracturing and comminution, marginal impaction, and insult to the soft tissue envelope. The purpose of this study was to compare the efficacy of anterolateral distal tibial locking plates in capturing main fracture fragments in tibial plafond fractures. METHODS: From May 2011 to Dec 2015, 169 OTA C-type pilon fractures met inclusion and exclusion criteria with computed tomographic (CT) scans performed prior to definitive fixation...
December 16, 2017: Injury
https://www.readbyqxmd.com/read/29260697/-ankle-dislocation-without-malleolar-fracture
#12
Johanne N Bangshøj, Pet Pallesen
Ankle dislocation without malleolar fracture is rarely reported in the literature. This case report presents a 19-year-old man with a right ankle dislocation sustained during a handball game. Reduction was performed in an emergency department, and the following X-ray and MRI revealed no fracture. Given the ankle stability a Walker orthosis was applied. Upon review at two and a half weeks the patient did not wear the orthosis any longer, was found to have good function, and was fully weight-bearing. To the best of our knowledge, no such case has previously been reported in the literature...
December 11, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29247970/comprehensive-biomechanical-characterization-of-feet-in-usma-cadets-comparison-across-race-gender-arch-flexibility-and-foot-types
#13
Jinsup Song, Kersti Choe, Michael Neary, Rebecca A Zifchock, Kenneth L Cameron, Michael Trepa, Marian T Hannan, Howard Hillstrom
Lower extremity musculoskeletal injuries are common, complex, and costly problems. Literature supports associations between static foot structure and dynamic foot function, as well as between overuse injury and demographic characteristics. Previous studies failed to provide a comprehensive biomechanical foot characteristics of at-risk military personnel. In this study, foot structure, function, and arch height flexibility (AHF) were objectively measured in 1090 incoming cadets (16.3% female, mean age of 18...
December 6, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29232164/effect-of-ct-on-management-plan-in-malleolar-ankle-fractures
#14
Ashwani Kumar, Puneet Mishra, Anupama Tandon, Rajesh Arora, Manish Chadha
BACKGROUND: Conventionally ankle fractures have been classified using plain radiographs. Because of complex 3-dimensional anatomy and complexity of injuries, plain radiographs may not always be able to clearly depict the complete fracture pattern. There is a paucity of studies regarding the utility of computed tomography (CT) scanning in malleolar ankle fractures (MAFs). Hence, we conducted this study to further understand the role of the CT scan in MAFs. METHODS: A prospective study of 56 consecutive malleolar ankle fractures was conducted...
January 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29227459/otosclerosis-with-concomitant-anterior-malleolar-ligament-fixation
#15
Yona Vaisbuch, Davood Karimi Hosseini, John S Oghalai
No abstract text is available yet for this article.
January 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29202979/the-functional-outcome-and-quality-of-life-after-treatment-of-isolated-medial-malleolar-fractures
#16
Sini Hanhisuanto, Tero Kortekangas, Harri Pakarinen, Tapio Flinkkilä, Hannu-Ville Leskelä
BACKGROUND: The optimal treatment of isolated medial malleolar fractures is widely debated. The aim of this study is to analyse the different treatment methods. METHODS: The study included 137 patients with an isolated medial malleolar fracture treated at our hospital between 2000 and 2010. Functional outcome was assessed using Olerud-Molander score and health-related quality-of-life (HRQoL) was measured with RAND36 item health survey. Patients were sent follow-up questionnaires after an average of 9...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29182957/ankle-fracture-correlation-of-lauge-hansen-classification-and-patient-reported-fracture-mechanism
#17
Andrzej Boszczyk, Marcin Fudalej, Sławomir Kwapisz, Urszula Klimek, Marta Maksymowicz, Bartłomiej Kordasiewicz, Stefan Rammelt
INTRODUCTION: The genetic Lauge-Hansen classification is used for reconstruction of the mechanism of ankle injury. In this study, we addressed the question of agreement between the mechanism of the fracture as postulated by the Lauge-Hansen classification and mechanism reported by the patient in rotational ankle fractures. MATERIAL AND METHODS: Radiographs of 78 patients with acute malleolar fractures were analyzed and compared with fracture mechanisms reported by these patients...
January 2018: Forensic Science International
https://www.readbyqxmd.com/read/29181360/tension-band-wiring-is-as-effective-as-a-compression-screw-in-a-neglected-medial-maleolus-non-union-a-case-based-discussion-literature-review
#18
Rakesh John, Mandeep Singh Dhillon, Ankit Khurana, Sameer Aggarwal, Prasoon Kumar
Introduction: Isolated, neglected medial malleolus nonunion cases are a rare entity in orthopedic literature. All studies (except one) have described the use of compression screws (with or without plates) for medial malleolar nonunion management. In acute fractures, tension band wiring (TBW) has shown excellent results both in biomechanical and in clinical studies. On the contrary, it has seldom been used in nonunion or in neglected cases. Case Report: We describe a 6-month-old neglected medial malleolus gap nonunion case who presented with progressive pain and limp...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29172015/tibial-impingement-secondary-to-distal-fibular-lag-screw-placement-a-case-report
#19
Lu Bai, Wen Zhou, Wen-Tao Zhang, Wei Huang, Hong-Lei Zhang
Impingement, tibial erosions, and "painful hardware" caused by a lag screw used for malleolar fracture stabilization are rare occurrences. We report a case of a symptomatic lag screw, used to fix a distal fibular fracture, that impinged on the distal tibial and causing symptoms. Awareness of the condition and early diagnosis based on thoughtful review of CT images are key to symptom alleviation. A review of the published data on the complication of "painful hardware" following ankle fracture fixation is also presented...
November 17, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29162248/predicting-syndesmotic-injuries-in-ankle-fractures-a-new-system-based-on-the-medial-malleolar-focus
#20
Enrique Sánchez-Morata, José Carlos Martínez-Ávila, Elena Vacas Sánchez, Verónica Jiménez Díaz, Jaime Zorrilla Sánchez de Neyra, Jesús Vilá Y Rico
The early establishment of the diagnosis of a syndesmotic injury is essential for treatment selection. However, such injuries may not be apparent radiographically. Previous studies have attempted to describe correlations between medial malleolar fracture geometry and syndesmotic disruption. The main objective of this study was to create predictive models for assessing syndesmotic injuries based on an originally described angle, i.e., the medial crural-focal angle (MCFA). This study included 138 ankle fractures involving the medial malleolus...
November 2017: Injury
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