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Talus fractures

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https://www.readbyqxmd.com/read/28476402/interposition-of-tibialis-posterior-and-flexor-digitorum-longus-tendons-resulted-in-irreducible-ankle-fracture-dislocation
#1
Amir Reza Vosoughi, Mark Glazebrook
Irreducible ankle fracture-dislocations are very rare entities. The present case report demonstrates an unusual finding of tibialis posterior and flexor digitorum longus tendons interposed in the tibiofibular joint impairing successful closed reduction of ankle fracture-dislocation. A 45-year-old patient presented with a bimalleolar pronation-external rotation ankle fracture-dislocation after a motorcycle accident. Attempts to perform closed reduction before surgery were unsuccessful. Subsequent urgent open reduction and internal fixation surgical management revealed interposition of the tibialis posterior and flexor digitorum longus tendons in the tibiofibular joint...
May 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28448709/-ankle-arthroscopy-in-treatment-of-bosworth-fracture
#2
D Saraiva, R Pereira, A Sarmento, R Lemos, X M Oliva
The Bosworth fracture is a pattern of fracture-dislocation of the ankle joint with fixed dislocation of the proximal part of the fibula behind the posterior malleolus. It is a rare injury, which requires high index of suspicion for diagnosis. Fixed dislocation of the fibula does not allow for closed reduction, so open reduction and fixation of fibula or tibia is required. We present a case report of a patient who suffered a Bosworth fracture, with associated medial malleolus fracture. She underwent surgical treatment with open reduction and internal fixation of the fibula and tibia...
September 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28419034/complications-and-functional-outcomes-after-pantalar-dislocation
#3
Kaeleen A Boden, Douglas S Weinberg, Heather A Vallier
BACKGROUND: Pantalar dislocations without associated talar fracture are rare and have high risks of complications, including infection, osteonecrosis, and posttraumatic osteoarthrosis. Limited information on later function exists. This study evaluated complications and outcomes following pantalar dislocation without talar fracture. METHODS: Nineteen patients were identified with open (n = 14) or closed (n = 5) pantalar dislocations without talar fracture. Ten male and 9 female patients with a mean age of 39...
April 19, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28410782/posterior-arthroscopic-tibiotalar-arthrodesis-anatomic-feasibility-study
#4
Louis Malekpour, Said Rahali, Damien Potage, Fabrice Duparc, Franck Dujardin, Xavier Roussignol
Anterior arthroscopic tibiotalar arthrodesis has been well codified. A posterior approach with the patient in prone position is indicated when the anterior approach is precluded by soft tissue issues or for a 1-step procedure associated with posterior subtalar fusion. In an anatomic study, we assessed the feasibility of posterior arthroscopic tibiotalar fusion and sought to determine the arthroscopy entry points, mortise cartilage freshening quality, and risk of osseous, tendinous, vascular, and neural complications...
April 11, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28400423/talus-fracture-in-a-4-year-old-child
#5
Aurélien Michel-Traverso, Trieu Hoai Nam Ngo, Clémence Bruyere, Marco Saglini
Fracture of the talus is uncommon in childhood. We report a case of talar neck fracture that occurred in a 4-year-old girl. We present the radiological findings, the orthopaedic follow-up and the clinical outcome.
April 11, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28385938/the-recognition-and-incidence-of-peroneal-tendon-dislocation-associated-with-a-fracture-of-the-talus
#6
A Sadamasu, S Yamaguchi, R Nakagawa, S Kimura, J Endo, R Akagi, T Sasho
AIMS: The purposes of this study were to clarify first, the incidence of peroneal tendon dislocation in patients with a fracture of the talus and second the factors associated with peroneal tendon dislocation. PATIENTS AND METHODS: We retrospectively examined 30 patients (30 ankles) with a mean age of 37.5 years, who had undergone internal fixation for a fracture of the talus. Independent examiners assessed for peroneal tendon dislocation using the pre-operative CT images...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28371495/safe-zone-of-posterior-screw-insertion-for-talar-neck-fractures-on-3-dimensional-reconstruction-model
#7
Jian-Qun Wu, Sheng-Hui Ma, Song Liu, Cheng-He Qin, Dan Jin, Bin Yu
OBJECTIVE: To investigate the optimal posterior screw placement and the geometry of safe zones for screw insertion in the talar neck. METHODS: Computed tomography data for 15 normal feet were imported into Mimics 10.01 software for 3-dimensional reconstruction; 4.0-mm-diameter screws were simulated from the lateral tubercle of the posterior process of the talus to the talar head. The range of screw paths trajectories and screw lengths at nine locations that did not breach the cortex of the talus were evaluated...
February 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28349756/extruded-talus-treated-with-reimplantation-and-primary-tibiotalocalcaneal-arthrodesis
#8
H R Mohammad, J A'Court, A Pillai
Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28343329/stress-fractures-of-the-foot-and-ankle-part-2-site-specific-etiology-imaging-and-treatment-and-differential-diagnosis
#9
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...
March 25, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28324912/gouty-tophus-as-an-unusual-cause-of-talus-fracture
#10
Steven Thomson, Stefan Urbanski, Paul MacMullan
No abstract text is available yet for this article.
March 21, 2017: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/28293302/3-d-computer-modelling-of-malunited-posterior-malleolar-fractures-effect-of-fragment-size-and-offset-on-ankle-stability-contact-pressure-and-pattern
#11
Teresa Alonso-Rasgado, David Jimenez-Cruz, Michael Karski
BACKGROUND: The positioning of the fracture fragment of a posterior malleolus fracture is critical to healing and a successful outcome as malunion of a posterior malleolar fracture, a condition seen in clinical practice, can affect the dynamics of the ankle joint, cause posterolateral rotational subluxation of the talus and ultimately lead to destruction of the joint. Current consensus is to employ anatomic reduction with internal fixation when the fragment size is larger than 25 to 33% of the tibial plafond...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28290308/osteochondral-lesions-and-partial-fractures-of-the-talus-in-paleopathology
#12
REVIEW
Yves Darton, Véronique Gallien, Élise Henrion, Mathias Dupuis, Isabelle Richard
No abstract text is available yet for this article.
March 2017: International Journal of Paleopathology
https://www.readbyqxmd.com/read/28196041/change-in-talar-translation-in-the-coronal-plane-after-mobile-bearing-total-ankle-replacement-and-its-association-with-lower-limb-and-hindfoot-alignment
#13
Young Yi, Jae-Ho Cho, Ji-Beom Kim, Jae-Young Kim, Su-Yeon Park, Woo Chun Lee
BACKGROUND: Mobile-bearing total ankle replacement (TAR) enables motion at the tibial implant-polyethylene insert interface. This motion could lead to coronal translation of the talus relative to the tibia and may affect radiographic outcome. We aimed to assess the translation of the talus before and after mobile-bearing TAR to determine whether translation of the talus after TAR is associated with coronal plane alignment of the lower limb and hindfoot as well as to investigate the complications associated with talar translation...
February 15, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28167062/treatment-of-peripheral-talus-fractures
#14
REVIEW
John R Shank, Stephen K Benirschke, Michael P Swords
Peripheral talus fractures include injuries to the lateral process, posteromedial talar body, and talar head. These injuries are rare and are often missed. Nonunion with conservative treatment is high and excision can lead to joint instability, rapid arthrosis, and earlier need for arthrodesis. Open reduction internal fixation of most peripheral talus fractures is critical to achieving a good outcome. Open reduction leads to more rapid union and ability to mobilize the ankle and subtalar joints, quicker revascularization of the talus, and lower rates of arthrosis...
March 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28144574/current-management-of-talar-osteochondral-lesions
#15
REVIEW
Arianna L Gianakos, Youichi Yasui, Charles P Hannon, John G Kennedy
Osteochondral lesions of the talus (OLT) occur in up to 70% of acute ankle sprains and fractures. OLT have become increasingly recognized with the advancements in cartilage-sensitive diagnostic imaging modalities. Although OLT may be treated nonoperatively, a number of surgical techniques have been described for patients whom surgery is indicated. Traditionally, treatment of symptomatic OLT have included either reparative procedures, such as bone marrow stimulation (BMS), or replacement procedures, such as autologous osteochondral transplantation (AOT)...
January 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28134962/common-foot-and-ankle-injuries-what-not-to-miss-and-how-best-to-manage
#16
Jessica Reissig, Adam Bitterman, Simon Lee
Injuries to the foot and ankle are commonly encountered, especially among athletes, and can lead to morbidity if not managed appropriately. Health care professionals must have a firm understanding of injury anatomy, diagnoses, and management. This article provides a review of lateral talus process fractures, os trigonum injuries, Lisfranc injuries, turf toe, navicular stress fractures, and syndesmotic injuries.
February 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28116276/is-early-weight-bearing-allowed-in-surgically-treated-talar-neck-fractures
#17
P H S Kalmet, S Sanduleanu, Y Y V Horn, M Poeze, P R G Brink
INTRODUCTION: Non-or partial weight bearing is frequently the standard treatment after peri-articular lower extremity fractures. Displaced talar neck fractures are severe injuries compromising vascularity of the corpus and consequently are at risk for non-union and avascular necrosis, the main reason to restrict weight bearing for up to three months according to most literature. CASE PRESENTATION: We report a case of a 31-year old male with a high impact car accident...
July 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28112555/incidence-and-association-of-ct-findings-of-ankle-tendon-injuries-in-patients-presenting-with-ankle-and-hindfoot-fractures
#18
Ashkahn Golshani, Liang Zhu, Chunyan Cai, Nicholas M Beckmann
OBJECTIVE: Tendon injuries are a commonly encountered finding in ankle CT examinations performed for fractures. This study was designed to identify the incidence and associations of tendon injuries in ankle CT examinations performed for fractures. MATERIALS AND METHODS: A retrospective review was performed of 410 patients who underwent ankle CT during a 6-year period. RESULTS: Tendon injuries were common, seen in 25% of all ankle CT examinations...
February 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28087394/hawkins-type-ii-talar-fracture-with-subtalar-dislocation-a-very-unusual-combination
#19
R Gérard, N Kerfant, G Dubois de Mont Marin, R Stern, M Assal
We report the unusual case of a 16-year-old young man who sustained a rare association of a Hawkins' type-II talar neck fracture with a complete medial subtalar dislocation (Hawkins type-IIB) that occurred as an isolated injury after indirect trauma during a soccer game. Following closed reduction of the subtalar dislocation, standard radiographs and computed tomography (CT) demonstrated a comminuted fracture of the talus involving the base of the talar neck. Open reduction was performed and the fracture was stabilized by ORIF...
May 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28073376/treatment-and-outcome-prognosis-of-patients-with-high-energy-transsyndesmotic-ankle-fracture-dislocation-the-logsplitter-injury
#20
Zhe Wang, Xin Tang, Shenglong Li, Xiuhui Wang, Liangfeng Gong, Tao Zhong, Kunzheng Wang
BACKGROUND: This study aimed to retrospectively review the clinical efficacy of open reduction and internal fixation (ORIF) for treatment of high-energy transsyndesmotic ankle fracture dislocation-the "Logsplitter" injury. METHODS: Between December 2006 and December 2014, 41 patients (29 males and 12 females; mean age, 41.46 ± 13.42 years) with Logsplitter injury were treated by ORIF procedure. Patients were grouped as typical injury (mainly vertical axial stress) and untypical injury (mainly rotational stress) according to the injury mechanism and the degree of the talus wedged into the distal tibiofibular joint...
January 10, 2017: Journal of Orthopaedic Surgery and Research
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