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Trauma of Foot and Ankle

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By Alex McKanna Podiatry Resident @ Franciscan Alliance/MWU based in Dyer, IN USA
Mohammad Ghorbanhoseini, Azadeh Ghaheri, Kempland C Walley, John Y Kwon
BACKGROUND: Intra-articular calcaneus fractures result in heel shortening, widening, varus malalignment, and loss of height. Little has been written regarding superior displacement of the calcaneal tuber, which warrants consideration as previous literature has demonstrated issues arising from a shortened triceps surae. We sought to determine the amount of tuber elevation seen in calcaneus fractures as compared to normal calcanei and propose 2 new measurements that aid in quantifying displacement and may aid in the surgical management of calcaneus fractures...
June 8, 2016: Foot & Ankle International
Abdellatif Benabbouha, Abdelouab Jaafar
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Brahman S Sivakumar, Peter Wong, Charles G Dick, Richard A Steer, Kevin Tetsworth
OBJECTIVES: To highlight a technique combining fluoroscopy and arthroscopy to aid percutaneous reduction and internal fixation of selected displaced intra-articular calcaneal fractures, assess outcome scores, and compare this method with other previously reported percutaneous methods. DESIGN: Retrospective review of all patients treated by this technique between June 2009 and June 2012. SETTING: A tertiary care center located in Brisbane, Queensland, Australia...
October 2014: Journal of Orthopaedic Trauma
Damian Griffin, Nick Parsons, Ewart Shaw, Yuri Kulikov, Charles Hutchinson, Margaret Thorogood, Sarah E Lamb
OBJECTIVE: To investigate whether surgery by open reduction and internal fixation provides benefit compared with non-operative treatment for displaced, intra-articular calcaneal fractures. DESIGN: Pragmatic, multicentre, two arm, parallel group, assessor blinded randomised controlled trial (UK Heel Fracture Trial). SETTING: 22 tertiary referral hospitals, United Kingdom. PARTICIPANTS: 151 patients with acute displaced intra-articular calcaneal fractures randomly allocated to operative (n=73) or non-operative (n=78) treatment...
2014: BMJ: British Medical Journal
John Y Kwon, Daniel Guss, Darius E Lin, Mostafa Abousayed, Clifford Jeng, Steve Kang, J Kent Ellington
BACKGROUND: There are conflicting data regarding the benefits of delaying operative fixation of calcaneus fractures to decrease wound complication rates. The purpose of this study was to examine the effect of delaying fixation on wound complication rates as well as to identify other risk factors. METHODS: A retrospective review at 4 institutions, including 24 surgeons, identified 405 closed, operatively treated, intra-articular calcaneus fractures. We compared fractures with and without wound complications with regards to patient demographics, medical risk factors, fracture severity, time to fixation, operative approach, primary subtalar arthrodesis, and surgeon experience...
May 2015: Foot & Ankle International
Janyarak Suriyuth, Kittikun Viwatpinyo, Chanakarn Phornphutkul, Pasuk Mahakkanukrauh
BACKGROUND: The deep peroneal nerve innervates muscles of the anterior leg compartment and the dorsum of the foot, and also receives sensation from the first interdigital cleft of the foot. Along its course in lower part of the leg, this nerve is very close to the anterolateral surface of the tibia and might be vulnerable to injury in fractures of the tibia or during surgery. OBJECTIVE: The objective of this study is to clarify the relationship between the deep peroneal nerve and anterolateral surface of tibia...
February 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Mari Yoshikawa, Yoshitaka Nakanishi, Yoshika Kawamura, Keisuke Matsuo, Mitsuru Saeki, Futoshi Wada
A 14-year-old girl with cerebral palsy (spastic diplegia) underwent examination due to a chief complaint of right foot pain, and was diagnosed with a stress fracture of the central one third of the navicular bone. The fracture was considered to have developed due to repeated loading on the navicular bone as a result of an equinus gait.Therefore, she underwent osteosynthesis and Achilles tendon lengthening to correct the equinus deformity. Following our review of the current literature, we did not identify any reports of stress fracture of the navicular bone in cerebral palsy...
March 1, 2015: Journal of UOEH
M J Welck, R Zinchenko, B Rudge
Lisfranc injuries are commonly asked about in FRCS Orthopaedic trauma vivas. The term "Lisfranc injury" strictly refers to an injury where one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot centred on the 2nd tarsometatarsal joint. The injury is named after Jacques Lisfranc de St. Martin (1790-1847), a French surgeon and gynaecologist who first described the injury in 1815. 'Lisfranc injury' encompasses a broad spectrum of injuries, which can be purely ligamentous or involve the osseous and articular structures...
April 2015: Injury
Brent Libby, Hale Ersoy, Stephen J Pomeranz
Lisfranc ligament and joint injuries are relatively uncommon but can result from a variety of low- and high-impact trauma. Up to 20% of Lisfranc fracture-dislocations are misdiagnosed or missed during the initial evaluation. Timely and accurate diagnosis of the injury and early anatomical reduction and stabilization of the Lisfranc joint are crucial to avoid long-term sequelae and functional impairment. Magnetic resonance imaging (MRI) is a sensitive and specific imaging modality and should be considered in injuries with equivocal physical and radiographic findings...
2015: Journal of Surgical Orthopaedic Advances
Yongtao Wu, Hai Jiang, Bing Wang, Wusheng Miao
OBJECTIVE: To analyze the clinical characteristics, the treatment, and the outcome of lateral process fracture of the talus in children. METHODS: From March 2011 to October 2013, 12 children with lateral process fracture of the talus were treated in our hospital. The study contained 3 female and 9 male patients, including 8 patients affected on the left side and 4 on the right side. The age at the time of injury ranged from 8 to 13 years. Concomitant injuries included undisplaced calcaneus fractures in 1 case and distal fibula epiphysis injury in 1 case...
April 2016: Journal of Pediatric Orthopedics
Jungo Imanishi, Peter F M Choong
INTRODUCTION: The majority of patients with extremity sarcoma can be surgically treated without amputation. However, limb-salvage surgery for foot sarcomas including the calcaneus remains challenging. PRESENTATION OF CASE: A 71-year-old man presented with a 5-year history of right heel persistent pain. Imaging studies revealed an osteolytic, destructive and highly metabolic lesion in the right calcaneus. Computed tomography guided core needle biopsy confirmed the diagnosis of grade 2 chondrosarcoma...
2015: International Journal of Surgery Case Reports
Mehmet Nuri Erdem, H Yener Erken, Halil Burc, Gursel Saka, Mehmet Fatih Korkmaz, Mehmet Aydogan
BACKGROUND: The goal of this study was to report the results of selective open reduction and internal fixation of fractures of the posterior malleolus with a posterolateral approach and to compare the results of the 2 techniques. METHODS: We prospectively evaluated 40 patients who underwent posterior malleolar fracture fixation between 2008 and 2012. The patients were treated with a posterolateral approach. We assigned alternating patients to receive plate fixation and the next screw fixation, consecutively, based on the order in which they presented to our institution...
October 2014: Foot & Ankle International
Shehan Hettiaratchy, Peter Dziewulski
No abstract text is available yet for this article.
June 12, 2004: BMJ: British Medical Journal
Craig Clifford, Scott Berg, Kevin McCann, Byron Hutchinson
The purpose of the present study was to compare the primary bending stiffness characteristics of 5 different ankle arthrodesis fixation techniques: 3 compression screws, an anterior locking plate, a lateral locking plate, an anterior locking plate with a compression screw, and a lateral locking plate with a compression screw. A total of 25 full-scale anatomic models consisting of fourth-generation composite tibiae and tali were tested using an Instron 4505 Universal Testing System. We hypothesized that the use of a compression screw with a locking plate would add considerable stiffness to the fixation construct compared with the use of a locking plate alone...
March 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Marcel D Waldinger, Govert J de Lint, Ad P G van Gils, Farhad Masir, Egbert Lakke, Ruben S van Coevorden, Dave H Schweitzer
INTRODUCTION: Spontaneous orgasm triggered from inside the foot has so far not been reported in medical literature. AIMS: The study aims to report orgasmic feelings in the left foot of a woman. METHODS: A woman presented with complaints of undesired orgasmic sensations originating in her left foot. In-depth interview, physical examination, sensory testing, magnetic resonance imaging (MRI-scan), electromyography (EMG), transcutaneous electrical nerve stimulation (TENS), and blockade of the left S1 dorsal root ganglion were performed...
August 2013: Journal of Sexual Medicine
Marissa Srour, Kenji Inaba, Obi Okoye, Carney Chan, Dimitra Skiada, Beat Schnüriger, Mark Trump, Lydia Lam, Demetrios Demetriades
IMPORTANCE: The standard practice of irrigation and debridement (I&D) of open fractures within 6 hours of injury remains controversial. OBJECTIVE: To prospectively evaluate the effect of the time from injury to the initial I&D on infectious complications. DESIGN, SETTING, AND PARTICIPANTS: A total of 315 patients who were admitted to a level 1 trauma center with open extremity fractures from September 22, 2008, through June 21, 2011, were enrolled in a prospective observational study and followed up for 1 year after discharge (mean [SD] age, 33...
April 2015: JAMA Surgery
Kyle S Peterson, W Drew Chapman, Christopher F Hyer, Gregory C Berlet
BACKGROUND: Malreduction of the syndesmosis can lead to increased peak pressures and subsequent arthritis. The purpose of this study was to evaluate the initial syndesmotic reduction and radiographic maintenance when using a knotless suture button fixation device for treatment of syndesmotic injury. METHODS: A retrospective chart and radiographic review was performed to identify patients who underwent open reduction internal fixation of ankle syndesmosis ruptures treated with a knotless, suture button fixation system...
June 2015: Foot & Ankle International
Stephen M Suydam, Thomas S Buchanan, Kurt Manal, Karin Gravare Silbernagel
PURPOSE: The purpose of this study was to establish a relationship between the lengthening of the Achilles tendon post-rupture and surgical repair to muscle activation patterns during walking in order to serve as a reference for post-surgical assessment. METHOD: The Achilles tendon lengths were collected from 4 patients with an Achilles tendon rupture 6 and 12 months post-surgery along with 5 healthy controls via ultrasound. EMG was collected from the triceps surae muscles and tibialis anterior during overground walking...
March 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Benoit Chaput, Harold Eburdery, Jacky Laguerre, Amrei Spiecker, Christian Herlin, Jean-Louis Grolleau
No abstract text is available yet for this article.
April 2015: Plastic and Reconstructive Surgery
Franceska Zampeli, Dimitrios Giotis, Georgios Mantellos, Paraskevi Kosta, Anastasios D Georgoulis
Intra-articular post-traumatic ankle joint mass is a rare entity that may mimic other pathologies, mainly localized form of pigmented villonodular synovitis (LPVS) regarding the clinical and imaging characteristics. We report the case of a 16-year-old female patient that presented an intra-articular ankle joint mass 8 months after an ankle joint sprain for which magnetic resonance imaging (MRI) suggested LPVS as possible diagnosis due to the presence of hemosiderin deposits. Diagnosis of a post-traumatic hematoma of her ankle joint was made via fine needle aspiration (FNA) biopsy and anterior ankle arthroscopy...
March 2015: Foot
2015-02-25 05:05:06
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