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Tarsometatarsal fracture

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https://www.readbyqxmd.com/read/27796800/is-pes-cavus-alignment-associated-with-lisfranc-injuries-of-the-foot
#1
Jeremy D Podolnick, Daniel S Donovan, Nicholas DeBellis, Alejandro Pino
BACKGROUND: Lisfranc (tarsometatarsal joint) injuries are relatively rare, accounting for less than 1% of all fractures, and as many as 20% of subtle Lisfranc injuries are missed at the initial patient presentation. An undiagnosed Lisfranc injury can have devastating consequences to the patient. Therefore, any factor that can raise a clinician's index of suspicion to make this diagnosis is potentially important. The cavus foot has been associated with various maladies of the lower extremity, but to our knowledge, it has not been reported to be associated with Lisfranc injury...
October 28, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27534088/-clinical-observation-on-plate-on-the-metatarsal-side-to-reconstruction-of-tarsometatarsal-joint-dislocations-secondary-to-diabetic-charcot-foot
#2
Hai-bo Zhou, Chao Zhang, Cai-long Liu, Lei Chen
OBJECTIVE: To evaluate clinical results of plate on the metatarsal side to reconstruction of tarsometatarsal joint dislocations secondary to diabetic charcot foot. METHODS: Seven patients (9 feet) patients with tarsometatarsal joint dislocations secondary to diabetic charcot foot were treated with plating from April 2012 to December 2014. All patients were male, and 5 cases were on the unilateral side and 2 cases were on the bilateral sides. The age of patients ranged from 45 to 52 with an average of 48 years old...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27365481/the-patterns-of-injury-and-management-of-cuboid-fractures-a-retrospective-case-series
#3
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/27340569/minimally-invasive-medial-plating-of-low-energy-lisfranc-injuries-preliminary-experience-with-five-cases
#4
Jorge Javier Del Vecchio, Mauricio Ghioldi, Nicolás Raimondi, Manuel De Elias
Fracture dislocations involving the Lisfranc joint are rare; they represent only 0.2% of all the fractures. There is no consensus about the surgical management of these lesions in the medical literature. However, both anatomical reduction and tarsometatarsal stabilization are essential for a good outcome. In this clinical study, five consecutive patients with a diagnosis of Lisfranc low-energy lesion were treated with a novel surgical technique characterized by minimal osteosynthesis performed through a minimally invasive approach...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27267412/functional-outcomes-after-temporary-bridging-with-locking-plates-in-lisfranc-injuries
#5
Paul J van Koperen, Vincent M de Jong, Jan S K Luitse, Tim Schepers
The standard operative treatment of Lisfranc fracture dislocations currently consists of open reduction and transarticular fixation. Recently, bridge plating has been used more often. Using joint spanning, the reduced fracture dislocation is temporary stabilized to minimize articular damage. The present study describes the outcomes of patients treated with bridge plating after tarsometatarsal fracture dislocations compared with transarticular screw fixation. A retrospective cohort study was performed. Patients with an isolated tarsometatarsal injury who had been treated operatively from June 2000 to October 2013 were included...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27218253/-pelvic-limb-damage-control-following-a-complex-foot-injury-case-report
#6
D Velázquez-Vélez, N Durán-Martínez, J A Peñafort-García, A Romero-Peña
More than 20% of the tarsometatarsal joint injuries (Lisfranc injuries) occur during motor vehicle accidents. This kind of trauma is infrequent and in 50% of cases closed reduction is used. A 18 year-old male patient sustained a high-energy trauma resulting in a Gustilo and Anderson III B open Lisfranc fracture dislocation of the left foot. Surgical debridement, open reduction and internal fixation, and immediate skin coverage were performed. The secondary complication rate may decrease with stringent treatment adherence and proper care of severe orthopedic injuries...
September 2015: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/27147683/clinical-outcomes-and-development-of-symptomatic-osteoarthritis-2-to-24-years-after-surgical-treatment-of-tarsometatarsal-joint-complex-injuries
#7
Victor Dubois-Ferrière, Anne Lübbeke, Ashwin Chowdhary, Richard Stern, Dennis Dominguez, Mathieu Assal
BACKGROUND: Injuries to the tarsometatarsal (TMT) joint complex, or Lisfranc injuries, have been reported to result in osteoarthritis (OA) following surgical treatment. Good outcomes with respect to short and medium-term results have been reported. However, long-term results, specifically regarding clinical outcomes and the development of symptomatic OA, are limited. The objectives of this study were to assess clinical outcomes, the occurrence of symptomatic OA, and risk factors for OA at 2 to 24 years after a Lisfranc injury treated surgically with open reduction and internal fixation (ORIF) or with primary arthrodesis...
May 4, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27013521/lisfranc-fracture-dislocation-a-review-of-a-commonly-missed-injury-of-the-midfoot
#8
Simon Lau, Michael Bozin, Tharsa Thillainadesan
Musculoskeletal trauma to the foot is a common presentation to EDs. A Lisfranc fracture dislocation involves injury to the bony and soft tissue structures of the tarsometatarsal joint. While it is most commonly seen post high velocity trauma, it can also present post minor trauma. It is also misdiagnosed in approximately 20% of cases. These Lisfranc injuries typically present to EDs with pain particularly with weight bearing, swelling and post a characteristic mechanism of injury. Diagnosis is via clinical examination and radiological investigation-typically plain radiographs and CTs...
March 24, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26875552/slab-fractures-of-the-third-tarsal-bone-minimally-invasive-repair-using-a-single-3-5-mm-cortex-screw-placed-in-lag-fashion-in-17-thoroughbred-racehorses
#9
W H J Barker, I M Wright
REASONS FOR PERFORMING THE STUDY: (i) A technique for minimally invasive repair of slab fractures of the third tarsal bone has not previously been reported. (ii) Results of third tarsal bone slab fracture repair in Thoroughbred racehorses are lacking. OBJECTIVES: To report the outcomes of repair of uniplanar frontal slab factures of the third tarsal bone using a single 3.5 mm cortex screw in lag fashion. STUDY DESIGN: Retrospective case series...
February 15, 2016: Equine Veterinary Journal
https://www.readbyqxmd.com/read/26870650/arthroscopic-lysis-of-arthrofibrosis-of-the-fifth-tarsometatarsal-joint
#10
Tun Hing Lui
Loss of motion of the fifth tarsometatarsal joint can be a cause of lateral foot pain after Lisfranc fracture-dislocation or fracture of the fifth metatarsal tubercle. Arthroscopic lysis of the joint can be an effective surgical treatment with the advantage of minimal soft-tissue trauma and early vigorous mobilization of the joint. The lysis can be extended to the fourth tarsometatarsal joint and the adjacent tendons if indicated.
December 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/26815863/the-treatment-of-lisfranc-injuries-review-of-current-literature
#11
Thomas Mulier, Julien de Haan, Pieter Vriesendorp, Peter Reynders
Tarsometatarsal or Lisfranc fracture dislocations (LFD) are rare, easily overlooked, and lead to long-term disability. Recognition of such injuries is important so that adequate treatment can be provided. As many as 20% of LFD are either misdiagnosed or overlooked, and these can be a permanent source of pain in polytraumatic patients after the major fractures have healed. It is important to distinguish pure Lisfranc joint dislocations (LD) from LFD and Chopart-Lisfranc dislocations (CLFD). Here, we discuss the protocols for treating these different types of injury...
June 2010: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26767892/accurate-determination-of-screw-position-in-treating-fifth-metatarsal-base-fractures-to-shorten-radiation-exposure-time
#12
Xu Wang, Chao Zhang, Chen Wang, Jiazhang Huang, Xin Ma
INTRODUCTION: This study aimed to identify anatomical markers for determining the optimal lag screw location during surgery for internal fixation of fifth metatarsal base fractures, in order to reduce radiation exposure. METHODS: A total of 50 patients undergoing oblique foot radiography in the lateral position were randomly selected, and the angles between the fifth metatarsal axis and the cuboid articular surface were measured to determine the optimal lag screw placement relative to anatomical markers...
January 6, 2016: Singapore Medical Journal
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/26667561/circular-external-fixator-placement-for-repair-of-an-open-distal-tarsometatarsal-fracture-in-an-african-sacred-ibis-threskiornis-aethiopicus
#14
Matthew E Kinney, Mary Jean Gorse, Mark A Anderson
An adult male African sacred ibis (Threskiornis aethiopicus) was diagnosed with an open right distal tarsometatarsal fracture on physical examination and radiographs. External coaptation in the form of an L splint failed to stabilize the fracture appropriately and additional fixation options were explored. The location of the fracture near the articulation between the tarsometatarsus and the hallux, the short distal fracture segment, and decreased viability of the foot precluded the use of previously described fixation methods for tarsometatarsal fracture repair...
December 2015: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/25924500/-forefoot-plantar-pressure-changes-of-the-first-tarsometatarsal-joint-fracture-dislocation-fixation-by-different-internal-fixations
#15
Xiao Yu, Qing-jiang Pang
OBJECTIVE: To measure the changes of plantar pressure of the first tarsometatarsal joint fracture and dislocation by three different implants to provide experimental reference in selecting implants. METHODS: Eight fresh foot specimens were made into the models of the first tarsometatarsal joint fracture and dislocation, which were fixed with 3.5 mm cortical screw, 1/4 tubular plate and compressive staple in turn. After the loading of 600 N, the changes of the plantar pressure in forefoot were measured by the method of the F-scan plantar pressure system...
February 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/25510168/bilateral-tarsometatarsal-joint-injuries-an-unusual-mechanism-producing-unusual-variants
#16
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/25437072/dorsal-multiple-plating-without-routine-transarticular-screws-for-fixation-of-lisfranc-injury
#17
Richard E Stern, Mathieu Assal
Following a Lisfranc joint injury, stable fixation of the tarsometatarsal joints is crucial to avoid deformity and posttraumatic osteoarthritis, but the ideal method of fixation remains controversial. Kirschner wire (K-wire) fixation of all involved joints with cast immobilization resulted in loss of position, and was replaced by open reduction with improved fixation using transarticular screws. However, it seems intuitive that transarticular screws will result in further damage to already traumatized joints, and this has led to plate-spanning techniques...
December 2014: Orthopedics
https://www.readbyqxmd.com/read/25381348/effect-of-surgical-decompression-of-nerves-in-the-lower-extremity-in-patients-with-painful-diabetic-polyneuropathy-on-stability-a-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Joanne F M Macaré van Maurik, Britt ter Horst, Mireille van Hal, Moshe Kon, Edgar J G Peters
OBJECTIVE: To investigate the effect of decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on static balance using a sensitive pressure mat system. DESIGN: Non-blinded randomized controlled trial. SETTING: Single center study performed at the University Medical Center Utrecht between 2010-2013. SUBJECTS: Patients with painful diabetic polyneuropathy assessed with the Diabetic Neuropathy Symptom score and Diabetic Neuropathy Examination between 18-90 years...
October 2015: Clinical Rehabilitation
https://www.readbyqxmd.com/read/25097515/functional-outcome-of-tarsometatarsal-joint-fracture-dislocation-managed-according-to-myerson-classification
#19
Xiao Yu, Qing-Jiang Pang, Chang-Chun Yang
Objective : To summarize the functional outcome of tarsometatarsal joint fracture-dislocation managed according to Myerson classification. Methods : Total eighty cases of tarsometatarsal joint fracture-dislocation were treated from Mar 2004 to Feb 2012. According to the Myerson classification, there were 14 cases in type A, 12 cases in type B1, 28 cases in type B2, 11 cases in type C1 and 15 cases in type C2. All the cases were treated with open reduction and internal fixation and the incisions and implants were also selected according to the Myerson classification...
July 2014: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/25073524/a-rare-lisfranc-type-injury-involving-dorsal-dislocation-of-the-intermediate-cuneiform
#20
Ashish Jain Kalraiya, Ivor Vanhegan, Alan Cheung, Ben Rudge
Lisfranc injuries occur at the tarsometatarsal joint resulting from direct or indirect force to the midfoot. They account for only 0.2% of all fractures, with diagnoses easily missed on presentation. The resultant instability is often associated with significant morbidity to the patient. This report describes a Lisfranc injury sustained by a healthy gentleman who suffered indirect trauma to the foot when he fell from a standing height. Plain film radiographs and CT revealed dorsal dislocation of the intermediate cuneiform associated with fractures at the base of the third and fourth metatarsals...
July 29, 2014: BMJ Case Reports
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