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https://www.readbyqxmd.com/read/29413771/population-based-epidemiology-of-9767-ankle-fractures
#1
Rasmus Elsoe, Svend E Ostgaard, Peter Larsen
BACKGROUND: The purpose was to provide up-to-date information concerning the incidence of ankle fractures in a large and complete population including all age groups, spanning a decade, and report the distribution of fractures, trauma mechanism and patient baseline demographics. METHODS: Population-based epidemiological study of all patients treated for an ankle fracture in a 10-year period from 2005 to 2014. RESULTS: A total of 9767 patients with ankle fractures were treated between 2005 and 2014...
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409300/lateral-malleolus-closed-reduction-and-internal-fixation-with-intramedullary-fibular-rod-using-minimal-invasive-approach-for-the-treatment-of-ankle-fractures
#2
Oded Coifman, Jason T Bariteau, Nachshon Shazar, Shay A Tenenbaum
BACKGROUND: Ankle fractures are extremely common and represent nearly one quarter of all lower-limb fractures. Techniques for fixation of displaced fractures of the lateral malleolus have remained essentially unchanged in recent decades. The current gold standard of treating unstable fractures is with open reduction and internal fixation (ORIF), using plates and screws construct. This study evaluates the use of fibula intramedullary nailing based on minimal invasive surgical approach...
September 7, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409246/prospective-study-of-the-inside-out-arthroscopic-ankle-ligament-technique-preliminary-result
#3
Caio Nery, Lucas Fonseca, Fernando Raduan, Marcus Moreno, Daniel Baumfeld
BACKGROUND: Lateral ankle ligament injury is among the most common orthopedic injuries. The objective of this study is to present the preliminary prospective results of treatment using the "Inside-Out" variant of the fully arthroscopic Broström-Gould technique. METHODS: Twenty six patients were included: 20 male and 6 female, aged 19-60 years, mean 41 years. All patients had positive "anterior drawer" and "talar tilt" tests. When necessary, cartilage injuries were treated with microfracture and arthroscopic resection for anterior impingement; three patients had hindfoot varus, on whom Dwyer osteotomy was performed; one patient had peroneal tendinopathy and was treated with tendoscopic debridement and another one had partial injury of the deltoid ligament, which was treated by direct repair...
March 22, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409203/intramedullary-fixation-of-lateral-malleolus-using-fibula-rod-system-in-ankle-fractures-in-the-elderly
#4
Sudhakar Rao Challagundla, Sandeep Shewale, Calum Cree, Amanda Hawkins
BACKGROUND: Operative management of ever increasing ankle fractures in the elderly need a reliable system of internal fixation. We present results of one such fixation, Fibula Rod System. METHODS: Patients who underwent Fibula Rod System were included. Fracture union rate, complications, time to weight bearing and patient satisfaction using FAAM score were studied. RESULTS: The mean age of the fifteen patients included was 74 years. Satisfactory reduction was achieved and maintained in all...
April 27, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29406346/effect-of-posterior-malleolus-fracture-on-syndesmotic-reduction-a-cadaveric-study
#5
Elizabeth Fitzpatrick, Jessica E Goetz, Tinnart Sittapairoj, Vinay Hosuru Siddappa, John E Femino, Phinit Phisitkul
BACKGROUND: Syndesmotic malreduction and fractures of the posterior malleolus negatively influence outcomes of rotational ankle fractures. Recent data have shown that posterior malleolus fixation contributes to the stability of the syndesmosis. The purpose of this study was to analyze syndesmotic reduction within the context of different sizes of posterior malleolus fracture fragments and different qualities of reduction. METHODS: A model of stage-IV supination-external rotation injury was created in 9 through-the-knee cadaveric specimens...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29404660/peripheral-dxa-measurement-around-ankle-joint-to-diagnose-osteoporosis-as-assessed-by-central-dxa-measurement
#6
Ki Hyuk Sung, Young Choi, Gyeong Hee Cho, Chin Youb Chung, Moon Seok Park, Kyoung Min Lee
OBJECTIVE: This study evaluated the correlation between central and peripheral bone mineral density (BMD) of the ankle joint, using dual-energy X-ray absorptiometry (DXA). We also investigated whether peripheral ankle BMD could be used to identify individuals who were diagnosed with osteoporosis, using central DXA. METHODS: We recruited 134 volunteers aged 20-90 years who agreed to participate in this study. Central BMD of the lumbar spine and left femur, and peripheral BMD of the medial malleolus, distal tibia, lateral malleolus, and talus were measured with DXA...
February 5, 2018: Skeletal Radiology
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/29395807/the-distal-margin-of-the-lateral-malleolus-visible-under-ankle-arthroscopy-articular-tip-from-the-anteromedial-portal-is-separate-from-the-atfl-attachment-site-of-the-fibula-a-cadaver-study
#8
Atsushi Teramoto, Hiroaki Shoji, Yuzuru Sakakibara, Tomoyuki Suzuki, Kota Watanabe, Toshihiko Yamashita
PURPOSE: The purpose of this study was to evaluate the relationship between the lateral malleolus view under ankle arthroscopy and the anterior talofibular ligament (ATFL) attachment site. METHODS: Seven normal ankles from Thiel-embalmed cadavers were investigated. Ankle arthroscopy was performed using a 2.7 mm-diameter, 30-degree, oblique-viewing endoscope. An antero-medial portal (AM), a medial midline portal (MML), and an antero-central portal (AC) were created in order, and the ankle arthroscope was inserted...
January 22, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29384949/compound-grafting-of-residual-vascularized-fibular-head-flap-to-reconstruct-contralateral-lateral-malleolus-a-case-report
#9
Peiji Wang, Man-Yi Cui, Jiaju Zhao, Jun Lv
RATIONALE: Serious external ankle injuries caused by high-energy trauma are often associated not only with bone defect but also with a loss of skin and soft tissue that seriously affects ankle function. Therefore, it is particularly important to reconstruct the external ankle. PATIENT CONCERNS: The patient was a 64-year-old man with destructive injury of both lower extremities due to a machine accident. His left ankle and heel bone, along with the soft tissue, were torn off, and the peripheral blood supply and sensation to the toes of the left foot were lost concerns...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29380255/the-teramoto-distal-tibial-oblique-osteotomy-dtoo-surgical-technique-and-applicability-for-ankle-osteoarthritis-with-varus-deformity
#10
Tsukasa Teramoto, Shota Harada, Motoyuki Takaki, Tomohiko Asahara, Narutaka Kato, Nobuyuki Takenaka, Takasi Matsushita, Yosiaki Makino, Kouitiro Tasiro, Ootuka Kazutaka, Yukinobu Nishi, Kiyoto Kinugsa
We have devised a medial peri-articular osteotomy, the distal tibial oblique osteotomy (DTOO), and have used this technique since 1994 for ankle osteoarthritis of advanced and late stages associated with varus inclination. This report describes the surgical technique and its applicability. DTOO can be used for cases of varus ankle osteoarthritis with a range of the ankle joint movement of at least 10° or more. The osteotomy is obliquely directed cut across the distal tibia from proximal-medial to distal lateral and is of an opening-wedge type with the centre of rotation coincident with the centre of the tibiofibular joint...
January 29, 2018: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/29375899/high-resolution-ultrasonography-of-the-tibial-nerve-in-diabetic-peripheral-neuropathy
#11
Kunwarpal Singh, Kamlesh Gupta, Sukhdeep Kaur
Aim of the study: High-resolution ultrasonography of the tibial nerve is a fast and non invasive tool for diagnosis of diabetic peripheral neuropathy. Our study was aimed at finding out the correlation of the cross sectional area and maximum thickness of nerve fascicles of the tibial nerve with the presence and severity of diabetic peripheral neuropathy. Material and methods: 75 patients with type 2 diabetes mellitus clinically diagnosed with diabetic peripheral neuropathy were analysed, and the severity of neuropathy was determined using the Toronto Clinical Neuropathy Score...
December 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29366540/anatomy-of-master-knot-of-henry-a-morphometric-study-on-cadavers
#12
Orhan Beger, Özlem Elvan, Mert Keskinbora, Burçin Ün, Deniz Uzmansel, Zeliha Kurtoğlu
OBJECTIVE: The objective of this study was to evaluate the features of flexor hallucis longus (FHL), flexor digitorum longus (FDL) and flexor digitorum accessorius (FDA) muscles with relevance to the tendon grafts and to reveal the location of Master Knot of Henry (MKH). METHODS: Twenty feet from ten formalin fixed cadavers were dissected, which were in the inventory of Anatomy Department of Medicine Faculty, Mersin University. The location of MKH was identified...
January 20, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29362280/-magnetic-resonance-imaging-conditions-for-imaging-of-the-tarsal-tunnel
#13
Michinori Nariai, Kyongsong Kim, Masaaki Kawauchi, Akihiro Ishii, Misa Kido, Toyohiko Isu, Rinko Kokubo, Daijiro Morimoto, Naotaka Iwamoto, Akio Morita
BACKGROUND: Tarsal tunnel syndrome(TTS)is an entrapment neuropathy of the posterior tibial nerve within the tarsal tunnel below the medial malleolus. An accurate diagnosis is difficult, and TTS is usually diagnosed from clinical symptoms due to the lack of accurate diagnostic tools. We aimed to standardize the diagnosis of TTS using MRI, and report the MRI conditions for clear visualization of the tarsal tunnel. METHODS: We investigated which sequences and MRI conditions would be appropriate for the imaging of the tarsal tunnel in a healthy volunteer...
January 2018: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29298255/randomized-trial-comparing-suture-button-with-single-syndesmotic-screw-for-syndesmosis-injury
#14
Mette Renate Andersen, Frede Frihagen, Johan Castberg Hellund, Jan Erik Madsen, Wender Figved
BACKGROUND: This study compared clinical and radiographic results between patients who underwent stabilization of an acutely injured syndesmosis with a suture button (SB) and those treated with 1 quadricortical syndesmotic screw (SS). METHODS: Ninety-seven patients, 18 to 70 years old, with an ankle injury that included the syndesmosis were randomized to 2 groups: SB (48 patients) and SS (49). The main outcome measure was the score on the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scale...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29287221/ankle-fractures-getting-it-right-first-time
#15
Anna S Walsh, Victoria Sinclair, Patrick Watmough, Alistair A Henderson
INTRODUCTION: Ankle fractures are common injuries presenting to trauma departments and ankle open reduction and internal fixation (ORIF2) is one of the first procedures targeted in early orthopaedic training. Failure to address the fracture pattern with the appropriate surgical technique and hardware may lead to early failure, resulting in revision procedures or premature degenerative change. Patients undergoing revision ORIF are known to be at much greater risk of complications and many of these secondary procedures may be preventable...
November 28, 2017: Foot
https://www.readbyqxmd.com/read/29282106/ankle-ligament-reconstruction-after-wide-resection-of-the-osteosarcoma-of-the-distal-fibula-a-case-report
#16
Tanawat Vaseenon, Jirawat Saengsin, Amornrat Kaminta, Nuttaya Pattamapaspong, Jongkolnee Settakorn, Dumnoensun Pruksakorn
BACKGROUND: Restoration of the lateral ankle after distal fibulectomy is a difficult reconstructive procedure. Many surgical techniques have been proposed. This report shows another fibular reconstructive option with promising outcome. CASE PRESENTATION: We report the case of a 30-year-old woman who presented with a solitary mass located in the lateral aspect of the ankle. The mass had grown rapidly for 2 months and caused increasing pain. Physical examination showed a 3...
December 28, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29278836/the-fibularis-digiti-quinti-tendon-a-cadaveric-study-with-anthropological-and-clinical-considerations
#17
Morgan E Chaney, Tung V Dao, Benjamin S Brechtel, Stephanie J Belovich, Kathy J Siesel, John R Fredieu
In addition to the fibularis longus and brevis muscles, a number of anomalous muscles or tendons can arise from the lateral compartment of the leg. The authors describe a bilateral and robust fibularis digiti quinti (FDQ) tendon present in the foot of a 99-year-old female cadaver, present the incidence of this tendon in a cohort of 26 cadavers dissected by podiatric-medical students for a lower-extremity anatomy course, and discuss the anthropological and clinical significance of the findings. In these specimen, the FDQ tendon arose from the fibularis brevis tendon proximal to the lateral malleolus, but did not separate completely from the fibularis brevis tendon until passing through the inferior fibular retinaculum...
December 5, 2017: Foot
https://www.readbyqxmd.com/read/29274598/transmissibility-and-waveform-purity-of-whole-body-vibrations-in-older-adults
#18
Freddy Man Hin Lam, Chak-Yin Tang, Timothy Chi Yui Kwok, Marco Yiu Chung Pang
BACKGROUND: This study examined the transmission power and waveform purity of vertical (synchronous) whole-body vibrations upon its propagation in the human body among older adults. METHODS: Forty community-dwelling older adults participated in the study (33 women; mean age: 60.3 (SD 5.7) years). Four vibration frequencies (25, 30, 35, 40Hz), two amplitudes (0.6 and 0.9mm), and six different postures were tested. Skin-mounted tri-axial accelerometers were placed at the medial malleolus, tibial tuberosity, greater trochanter, third lumbar vertebra, and forehead...
December 15, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/29273186/operative-management-of-ao-type-44-ankle-fractures-determinants-of-outcome
#19
Jos Velleman, Stefaan Nijs, Harm Hoekstra
The consequences of inadequate treatment of ankle fractures can be disastrous. We assessed the radiologic and functional outcomes, postoperative quality of life (QOL), and its determinants for patients treated operatively for AO type 44 ankle fractures. Evidence is lacking concerning the management of posterior malleolus fractures and syndesmotic injuries. Our retrospective adult cohort study included 432 AO/OTA type 44 ankle fractures (431 patients). The median follow-up period was 52 months. Outcomes were assessed from the medical records, radiographs, American Orthopaedic Foot and Ankle Society (AOFAS) ankle scale (functional outcome), and EuroQol EQ-5D questionnaires...
December 19, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29237543/diagnosis-and-management-of-mcfarland-fractures-a-case-report-and-review-of-the-literature
#20
M Birt, B Vopat, P Schroeppel, A Tarakemeh, B Everist, S Mullen
BACKGROUND: McFarland fracture is the eponym for a rare Salter Harris III or IV fracture involving the medial distal tibia. These fractures can be difficult to diagnose without a high index suspicion and appropriate radiographic imaging. These fractures may result in significant growth disturbances to the pediatric patient. When diagnosed and treated acutely, these fractures can be managed with cast immobilization and close follow up. If diagnoses in a delayed fashion they can result in significant morbidity including prolonged casting and possible surgical treatment...
December 9, 2017: American Journal of Emergency Medicine
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