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Ankle pain and anatomy

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https://www.readbyqxmd.com/read/28425054/can-a-three-component-prosthesis-be-used-for-conversion-of-painful-ankle-arthrodesis-to-total-ankle-replacement
#1
Markus Preis, Travis Bailey, Lucas S Marchand, Alexej Barg
BACKGROUND: In patients with painful ankle arthrodesis, the surgical treatment is challenging, and may include takedown of ankle arthrodesis and conversion to a total ankle replacement (TAR). This procedure is technically demanding given the altered anatomy after arthrodesis. Few studies have evaluated TAR in the setting of prior arthrodesis. QUESTIONS/PURPOSES: (1) What intraoperative and perioperative complications were observed in patients who underwent conversion of an ankle arthrodesis to a TAR? (2) Was durable fixation achieved at short term, and what was the alignment of the components? (3) What subsequent surgical procedures were performed, including revisions? (4) What improvements were observed in pain, tibiotalar range of motion (ROM), and quality of life? METHODS: Between January 2007 and December 2014, 18 patients with a painful ankle arthrodesis underwent conversion to TAR at our tertiary referral center...
April 19, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28382374/proximal-peroneus-longus-tear-rare-case-in-a-teenage-athlete-and-review-of-the-literature
#2
Matthew Winfeld, Nancy Chauvin
We present the case of a 15-year-old teenager who sustained an ankle inversion injury while playing American football, which yielded only minimal pain, but also foot numbness and a lateral leg bulge. Magnetic resonance imaging evaluation revealed a proximal peroneal tear. These rare injuries are often associated with compartment syndrome, a surgical emergency, which was ultimately excluded clinically in this patient. Relevant anatomy, mechanism of injury, and clinical manifestations are discussed.
July 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28222618/three-dimensional-printing-in-the-surgical-treatment-of-osteoid-osteoma-of-the-calcaneus-a-case-report
#3
Xiang Ren, Liu Yang, Xiao-Jun Duan
Surgical excision is the traditional treatment for osteoid osteoma. However, the complexity of the foot anatomy makes a satisfactory outcome challenging. Difficulty in localizing the lesion intraoperatively may result in either incomplete tumor resection or excessive bone loss. To date, no published report has described the use of three-dimensional printing in the surgical treatment of osteoid osteoma of the calcaneus. In this case, we printed a three-dimensional model of the calcaneus of a 17-year-old female patient with a 2-year history of night pain in the lateral aspect of the hindfoot and ankle, evaluated the lesion as an osteoid osteoma, and designed a surgical guiding plate...
February 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28058662/os-peroneum-imaging-normal-appearance-and-pathological-findings
#4
REVIEW
Stefano Bianchi, Chandra Bortolotto, Ferdinando Draghi
The os peroneum (OP) is a small sesamoid bone located inside the peroneus longus tendon (PLT), close to the cuboid. The OP can be the cause of pain and can be associated with lesions of the PLT. OP involvement in PLT disorders is frequently misdiagnosed by radiologists. Painful os peroneum syndrome (POPS) refers to a variety of conditions presenting with pain localized on the lateral aspect of the cuboid area. The syndrome can be observed as a consequence of local acute trauma such as ankle sprains or chronic overuse...
February 2017: Insights Into Imaging
https://www.readbyqxmd.com/read/27789336/differential-plantaris-achilles-tendon-motion-a-sonographic-and-cadaveric-investigation
#5
Jay Smith, Håkan Alfredson, Lorenzo Masci, Jacob L Sellon, Charonn D Woods
BACKGROUND: Differential motion between the plantaris and Achilles tendons has been hypothesized to contribute to pain in some patients presenting with Achilles tendinopathy. However, objective evidence of differential Achilles-plantaris motion is currently lacking from the literature. OBJECTIVE: To determine whether differential, multidirectional motion exists between the plantaris tendon (PT) and Achilles tendon (AT) as documented by dynamic ultrasound (US) and postdissection examination in an unembalmed cadaveric model...
October 24, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27599438/arthroscopic-approach-to-posterior-ankle-impingement
#6
REVIEW
Michael H Theodoulou, Laura Bohman
Posterior ankle pain can occur for many reasons. If it is produced by forced plantarflexion of the foot, it is often a result of impingement from an enlarged posterior talar process or an os trigonum. This condition may present in an acute or chronic state. Management is initially nonoperative, but surgical treatments are available. This condition is often seen in athletes, so procedures that limit surgical trauma and allow early return to activity are ideal. An arthroscopic approach for this disorder produces good outcomes with limited complications...
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27340257/treatment-of-foot-and-ankle-neuroma-pain-with-processed-nerve-allografts
#7
Jason M Souza, Chad A Purnell, Jennifer E Cheesborough, Armen S Kelikian, Gregory A Dumanian
BACKGROUND: Localized nerve pain in the foot and ankle can be a chronic source of disability after trauma and has been identified as the most common complication following operative interventions in the foot and ankle. The superficial location of the injured nerves and lack of suitable tissue for nerve implantation make this pain refractory to conventional methods of neuroma management. We describe a novel strategy for management using processed nerve allografts to bridge nerve gaps created by resection of both end neuromas and neuromas-in-continuity...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27295454/efficacy-of-corrective-spinal-orthoses-on-gait-and-energy-consumption-in-scoliosis-subjects-a-literature-review
#8
Alieh Daryabor, Mokhtar Arazpour, Mohammad Samadian, Masoumeh Veiskarami, Monireh Ahmadi Bani
BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a progressive growth disease that affects spinal anatomy, mobility, and left-right trunk symmetry. As a consequence, AIS can modify human gait. Spinal orthoses are a commonly used conservative method for the treatment of AIS. OBJECTIVE: This review evaluated the AIS spinal orthosis literature that involved gait and energy consumption evaluations. STUDY DESIGN: Literature review. METHOD: According to the population intervention comparison outcome measure methods and based on selected keywords, 10 studies met the inclusion criteria...
May 2017: Disability and Rehabilitation. Assistive Technology
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
#9
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/27113595/the-chitranjan-s-ranawat-award-no-difference-in-2-year-functional-outcomes-using-kinematic-versus-mechanical-alignment-in-tka-a-randomized-controlled-clinical-trial
#10
RANDOMIZED CONTROLLED TRIAL
Simon W Young, Matthew L Walker, Ali Bayan, Toby Briant-Evans, Paul Pavlou, Bill Farrington
BACKGROUND: Neutral mechanical alignment (MA) in total knee arthroplasty (TKA) aims to position femoral and tibial components perpendicular to the mechanical axis of the limb. In contrast, kinematic alignment (KA) attempts to match implant position to the prearthritic anatomy of the individual patient with the aim of improving functional outcome. However, comparative data between the two techniques are lacking. QUESTIONS/PURPOSES: In this randomized trial, we asked: (1) Are 2-year patient-reported outcome scores enhanced in patients with KA compared with an MA technique? (2) How does postoperative component alignment differ between the techniques? (3) Is the proportion of patients undergoing reoperation at 2 years different between the techniques? METHODS: Ninety-nine primary TKAs in 95 patients were randomized to either MA (n = 50) or KA (n = 49) groups...
January 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27052302/anatomy-of-the-ankle-ligaments-a-pictorial-essay
#11
Pau Golanó, Jordi Vega, Peter A J de Leeuw, Francesc Malagelada, M Cristina Manzanares, Víctor Götzens, C Niek van Dijk
Understanding the anatomy of the ankle ligaments is important for correct diagnosis and treatment. Ankle ligament injury is the most frequent cause of acute ankle pain. Chronic ankle pain often finds its cause in laxity of one of the ankle ligaments. In this pictorial essay, the ligaments around the ankle are grouped, depending on their anatomic orientation, and each of the ankle ligaments is discussed in detail.
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27033333/interventions-for-treating-ankle-fractures-in-children
#12
REVIEW
Denise E Yeung, Xueli Jia, Clare A Miller, Simon L Barker
BACKGROUND: Ankle fractures, which usually occur after a twisting incident, are a diverse collection of injuries with different levels of complexity and severity. They have an incidence of 1 in 1000 a year in children. Treatment generally involves splints and casts for minor fractures and surgical fixation with screws, plates and pins followed by immobilisation for more serious fractures. OBJECTIVES: To assess the effects (benefits and harms) of different interventions for treating ankle fractures in children...
April 1, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26740306/minimally-invasive-versus-open-distal-fibular-plating-for-ao-ota-44-b-ankle-fractures
#13
Chao-Ching Chiang, Yun-Hsuan Tzeng, Chun-Cheng Lin, Ching-Kuei Huang, Ming-Chau Chang
BACKGROUND: Open reduction and internal fixation (ORIF), the standard treatment for unstable ankle fractures, has well-known wound complications. Minimally invasive surgery (MIS) has been proposed to decrease these complications. The objectives of this study were to describe an algorithm of MIS for fibular plating and compare the radiographic restoration of fibular anatomy, functional outcomes, and complications between ORIF and MIS for ankle fractures. METHODS: This retrospective study included 71 patients with AO/OTA 44-B ankle fractures treated by a single surgeon...
June 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26655217/ultrasound-guided-interventional-procedures-in-pain-medicine-a-review-of-anatomy-sonoanatomy-and-procedures-part-vi-ankle-joint
#14
REVIEW
Neilesh Soneji, Philip W H Peng
Ultrasound-guided injections in pain medicine are emerging as a popular technique for pain interventions. Ultrasound can be applied for procedures of the ankle joint and surrounding structures. This review describes the anatomy and sonoanatomy of the ankle joint, subtalar joint, and surrounding extra-articular structures relevant for intra-articular injection. Second, it reviews injection techniques and the accuracy and efficacy of these intra-articular ankle injections.
January 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/26530393/benign-and-malignant-tumors-of-the-foot-and-ankle
#15
REVIEW
Adam D Singer, Abhijit Datir, Jonathan Tresley, Travis Langley, Paul D Clifford, Jean Jose, Ty K Subhawong
Pain and focal masses in the foot and ankle are frequently encountered and often initiate a workup including imaging. It is important to differentiate benign lesions from aggressive benign or malignant lesions. In this review, multiple examples of osseous and soft tissue tumors of the foot and ankle will be presented. Additionally, the compartmental anatomy of the foot and ankle will be discussed in terms of its relevance for percutaneous biopsy planning and eventual surgery. Finally, a general overview of the surgical management of benign, benign aggressive and malignant tumors of the foot and ankle will be discussed...
March 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26477149/-procedure-of-reconstructing-transverse-arch-of-the-forefoot-by-transfering-tendons-for-correcting-hallux-valgus
#16
Xingchao Yan, Jianfeng Liu, Bin Liu, Zhigang Liu, Yuehai Pan, Xiaoyan Jia, Yanan Zhang, Jiangbo Shao
OBJECTIVE: To explore the effectiveness of the procedure of reconstructing the transverse arch of the forefoot by anastomosing adductor hallucis and abductor hallucis tendons in correcting hallux valgus. METHODS: A retrospective analysis was made on the clinical data from 28 patients (40 feet) with hallux valgus treated with the procedure of reconstructing the transverse arch of the forefoot by anastomosing adductor hallucis and abductor hallucis tendons between January 2010 and January 2014...
April 2015: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/26409593/disorders-of-the-flexor-hallucis-longus-and-os-trigonum
#17
REVIEW
Chamnanni Rungprai, Joshua N Tennant, Phinit Phisitkul
Os trigonum syndrome with disease of the flexor hallucis longus tendon, so-called stenosing flexor tenosynovitis, is a common cause of posterior ankle impingement. Conservative treatment is the recommended first line of treatment, with secondary treatment options of either open or arthroscopic os trigonum excision with flexor hallucis longus retinaculum release. The arthroscopic approaches have gained popularity in the past decade because of less scarring, less postoperative pain, minimal overall morbidity, and earlier return to activities...
October 2015: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/26248876/the-current-role-of-orthoses-in-treating-haemophilic-arthropathy
#18
REVIEW
H De la Corte-Rodriguez, E C Rodriguez-Merchan
INTRODUCTION: Haemophilic arthropathy (HA) is an inevitable consequence of repeated haemarthroses in people with haemophilia, and principally affects their ankles, knees and elbows. It is advisable that haematological treatment be complemented with rehabilitation therapy and surgery. Orthoses are devices that are used within the framework of rehabilitation, in order to change the functional or structural characteristics of the neuromusculoskeletal system. MATERIALS AND METHODS: This article reviews the design, the materials and characteristics of orthoses and the indications for the various orthoses used in HA...
November 2015: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/26187719/outcome-of-distal-first-metatarsal-osteotomy-shortening-in-hallux-rigidus-grades-ii-and-iii
#19
Paolo Ceccarini, Alfredo Ceccarini, Giuseppe Rinonapoli, Auro Caraffa
BACKGROUND: Existing techniques for operative treatment of hallux rigidus commonly combine skeletal and soft tissue interventions to obtain long-lasting relief of pain. To date, operative treatments include implant arthroplasty, cheilectomy, various osteotomies, nonimplant arthroplasty, and arthrodesis. We assessed a technique that respects the anatomy and joint function and used a shortening osteotomy of the head of the first metatarsal. METHODS: We evaluated a series of 40 consecutive patients affected by grade II and III hallux rigidus, aged 32 to 79 years, who had undergone surgery from January 2010 to January 2014...
December 2015: Foot & Ankle International
https://www.readbyqxmd.com/read/26015303/preoperative-and-postoperative-range-of-motion-a-retrospective-comparison-of-two-total-ankle-replacement-systems
#20
COMPARATIVE STUDY
Stephen A Brigido, Jennifer L Mulhern, Garrett M Wobst, Nicole M Protzman
The purpose of the present report was to compare the range of motion between a total ankle replacement requiring arched bony resection and a total ankle replacement requiring a flat cut for implantation. We hypothesized that the arched contour would more closely mimic the patient's pre-existing anatomy and increase the range of motion. Pain was evaluated as a secondary outcome. Twenty-eight patients (age 55.95 ± 15.29 years) were included. Of the 28 patients, 14 were treated with an arch cut and 14 with a flat cut...
September 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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