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Foot Ankle Spec 2020 Jun 2:1938640020921571. Epub 2020 Jun 2.

Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, University of Bern, Switzerland (HCB, HB, JC-B, FK, MCA).

Static weightbearing radiography can be used to assess stability in ankle fractures by measuring lateral talar shift (medial clear space; MCS). However, the correlation of a stable ankle joint under weightbearing load and the structural integrity of the deltoid ligament has not been shown. In this study, we assessed deltoid ligament integrity on magnetic resonance imaging (MRI) and correlated that with weightbearing and gravity stress test radiography. Read More

J Foot Ankle Surg 2020 May 29. Epub 2020 May 29.

Associate Registrar, Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. Electronic address:

The management of pilon fractures remains challenging owing to the high-energy axial loading mechanism that produces comminution of the articular surface, displacement of tibia metaphysis, and severe soft tissue injury. How to preserve the vitality of soft tissue and achieve anatomic reduction has become a timely issue. We report and evaluate the effect of a modified staging treatment for AO Foundation/Orthopaedic Trauma Association (AO/OTA) 43C1 pilon fracture accompanied by distal fibular and posterior lip of the distal tibia fracture. Read More

J Foot Ankle Surg 2020 May 29. Epub 2020 May 29.

Professor, Department of Human Anatomy, University of Nairobi, Nairobi, Kenya.

Calcaneal morphometric dimensions influence surgical treatment plans after injury. These dimensions display population heterogeneity, and there is a paucity of data in the setting of our hospital in Kenya. Further, estimation of calcaneal dimensions during reconstruction in comminuted fractures can be difficult. Read More

Knee Surg Sports Traumatol Arthrosc 2020 May 30. Epub 2020 May 30.

Foot and Ankle Research and Innovation Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA.

Purpose: To compare the bone healing, clinical, and return to daily activity outcomes after either surgical or conservative management of acute zone 1, 2, and 3 fifth metatarsal fractures.

Methods: A literature search was performed to identify studies published from the earliest record to January 2019 using EMBASE (Ovid), MEDLINE via PubMed, CINAHL, and Web of Science. All articles assessing clinical outcomes of acute proximal fifth metatarsal fractures were included. Read More

Injury 2020 May 5. Epub 2020 May 5.

Amsterdam UMC, University of Amsterdam, trauma unit, Meibergdreef 9, Amsterdam,1105 AZ, The Netherlands. Electronic address:

Background: In the last decade, the sinus tarsi approach (STA) has gained interest over the extensile lateral approach (ELA) in the operative treatment of displaced intra-articular calcaneal fractures (DIACF's), mainly because of the lower rate of surgical site infections (SSIs). However, most studies are small and retrospective. The aim of this study was to evaluate the rate of SSIs of the STA in a large, prospective series of patients and to identify predictors for SSIs. Read More

Clin Podiatr Med Surg 2020 Jul 12;37(3):577-592. Epub 2020 May 12.

Des Moines University, College of Podiatric Medicine and Surgery, 3200 Grand Avenue, Des Moines, IA 50312, USA.

Optimal healing for fractures requires anatomic reduction and stable fixation. This optimizes not only bone healing, but optimal function within the limb including joint functioning. Proper ligamentous healing is also crucial for optimal functioning. Read More

J Clin Med 2020 May 25;9(5). Epub 2020 May 25.

Department of Nephrology, Hospital Clínico Universitario, INCLIVA, Universidad de Valencia, 46010 Valencia, Spain.

The prevalence of vertebral fractures (VF) and their association with clinical risk factors and outcomes are poorly documented in chronic kidney disease (CKD) cohorts. The aim of the study was to evaluate the prevalence of VF in patients with non-dialysis dependent CKD (NDD-CKD), their value in predicting mortality and its correlation with parameters of bone mineral metabolism and vascular calcification. 612 NDD 3‒5 stage CKD patients participating in the OSERCE-2 study, a prospective, multicenter, cohort study, were prospectively evaluated and categorized into two groups according to presence or absence of VF at enrollment. Read More

Med Sci Monit 2020 May 28;26:e921957. Epub 2020 May 28.

Department of Orthopedics, Yucheng People's Hospital, Yucheng, Shandong, China (mainland).

BACKGROUND Avicularin is a plant-derived flavonoid used in traditional Chinese medicine to treat conditions that include ankle fracture. Bradykinin stimulated MG-63 human osteoblastic osteosarcoma cells has previously been studied in an in vitro model. This study aimed to investigate the effects of avicularin on bradykinin-treated MG-63 human osteoblastic osteosarcoma cells in vitro. Read More

Orthop Surg 2020 May 28. Epub 2020 May 28.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The aim of this study was to introduce a novel method of simultaneous in situ decompression of lateral calcaneal bulge and subtalar arthrodesis via a single incision for malunion after calcaneal fractures and evaluate the feasibility of this method.

Methods: From September 2010 to October 2011, six patients (five males and one female) with malunion and delayed heel pain after conservative treatment of displaced intra-articular calcaneal fractures were included in our study. The mean age of the six patients was 32. Read More

Emerg Med Australas 2020 May 27. Epub 2020 May 27.

Public Health Unit, Wide Bay Hospital and Health Service, Hervey Bay, Queensland, Australia.

Objective: To assess the potential impact of the Shetty test over Ottawa ankle foot rules (OAFR) on plain imaging utilisation in the ED.

Methods: Nursing and medical staff assessed both Shetty test and OAFR in ED. All patients received ankle and foot radiographs. Read More

J Orthop Traumatol 2020 May 25;21(1). Epub 2020 May 25.

Department of Orthopedics and Traumatology, Antalya Training and Research Hospital, Antalya Egitim ve Arastirma Hastanesi, Soğuksu mah. Kazım Karabekir cd. Muratpaşa, 07100, Antalya, Turkey.

Background: It is still unknown whether bioabsorbable magnesium (Mg) screws provide an advantage over titanium screws in the treatment of medial malleolar (MM) fractures. The purpose of this retrospective study is to compare the clinical and radiological outcomes of MM fractures fixed with either bioabsorbable Mg screws or conventional titanium screws.

Materials And Methods: A cohort of 48 patients with MM fractures who underwent compression screw fixation was retrospectively reviewed. Read More

Injury 2020 May 7. Epub 2020 May 7.

Limb Reconstruction Unit, Leeds General Infirmary, Leeds, UK.

Aim: We examined the management and outcome of patients suffering complex paediatric lower limb injuries with bone and soft tissue loss.

Method: Patients were identified from our prospective trauma database (2013-2018). Inclusion criteria were age (<18 years) and open lower-limb trauma. Read More

J Am Acad Orthop Surg Glob Res Rev 2020 Feb 12;4(2). Epub 2020 Feb 12.

Department of Orthopaedics (Ms. Silverman and Dr. Kirschenbaum), BronxCare Health System, The Bronx, NY, the Anne Arundel Orthopaedic Surgeons, Annapolis, MD (Mr. Broome), and the Emory School of Medicine, Atlanta, GA (Mr. Jarvis); and the Orthopaedic Foundation for Active Lifestyles (Ms. Plassche).

Although an estimated 20% of emergency department (ED) visits are musculoskeletal in nature, it is unclear which of these require urgent orthopaedic consultation and which orthopaedic subspecialties are best suited for these consults. When an ED's internal staff does not have necessary orthopaedic coverage, transfer to other facilities is required. However, transfers pose major inconveniences and financial burdens to patients and can lead to long ED wait times, hospital financial loss from walk outs, decreased patient safety, and decreased staff morale. Read More

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):425-430

Department of Orthopaedics and Traumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey.

Background: Distal tibial epiphyseal fractures damage to epiphyseal growth plate. Epiphyseal growth arrest (EGA), reflex sympathetic dystrophy and ankle joint stiffness may also occur after distal tibial epiphyseal injury. This study aims to evaluate the role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and EGA in the surgically treated distal tibial epiphyseal fractures. Read More

J Orthop Trauma 2020 Jun;34(6):327-331

Department of Orthopaedics & Rehabilitation, University of Rochester, Rochester, NY.

Objective: To investigate the immediate impact of removing symptomatic syndesmotic screws on PROMIS outcomes and ankle range of motion (ROM) in patients who had previously undergone ankle fracture open reduction and internal fixation (ORIF) and syndesmotic fixation and later experienced functional limitations.

Design: Prospective cohort study.

Setting: Level 1-trauma center. Read More

J Orthop Trauma 2020 May 13. Epub 2020 May 13.

Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, U.K.

Objectives: To compare the biomechanical failure properties of the fibular intramedullary nail with locking plate and lag screw fixation in the management of unstable elderly distal fibular fractures.

Methods: Twelve fresh-frozen cadaveric lower limbs (six matched-pairs) were studied. A simulated OTA/AO 44-B fracture was created, then randomly allocated within each pair to intramedullary nail or locking plate fixation supplemented with an interfragmentary lag screw. Read More

J Orthop Trauma 2020 May 13. Epub 2020 May 13.

Grigore T. Popa University of Medicine and Pharmacy, Department of Trauma and Orthopaedics, Iasi, Romania.

Objectives: To assess the outcome of the sinus tarsi approach and C-Nail fixation of displaced intra-articular calcaneal fractures (DIACFs).

Design: Prospective study.

Setting: University Trauma Department. Read More

Orthop J Sports Med 2020 Apr 24;8(4):2325967120912423. Epub 2020 Apr 24.

Blue Ridge Orthopedics, Department of Orthopedic Surgery, Prisma Health-Upstate, Seneca, South Carolina, USA.

Background: There is disagreement among team physicians, without conclusive evidence, as to when high-level athletes with a Jones fracture should be allowed to return to play after being treated operatively with an intramedullary screw.

Purpose: To report our experience of early return to sport in collegiate athletes after intramedullary screw fixation of Jones fractures.

Study Design: Case series; Level of evidence, 4. Read More

J Orthop 2020 Nov-Dec;22:231-236. Epub 2020 May 6.

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, NY, USA.

Purpose: The adult population is under-represented in existing ice hockey injury studies, despite the number of United States (US) adult ice hockey players increasing from 103,533 in 2007 to 180,400 in 2016 (74%). This study establishes trends in demographics, injury location, and injury type for adult ice hockey players (≥19 years old) in the United States.

Methods: The National Electronic Injury Surveillance System (NEISS) was queried for all ice hockey injuries from January 1, 2007 to December 31, 2016. Read More

Foot Ankle Spec 2020 May 17:1938640020923262. Epub 2020 May 17.

University of Minnesota, Minneapolis, Minnesota (DLM, BPC).

Accurate interpretation of the clinical significance of patient-reported outcome (PRO) research requires determination of the threshold where a difference in PRO score represents a clinical benefit to patients, termed the (MCID). The Short Musculoskeletal Function Assessment (SMFA) is one of the most commonly utilized PRO tools in orthopaedics. However, to date, no MCID has been determined. Read More

Foot Ankle Int 2020 May 16:1071100720917639. Epub 2020 May 16.

Department of Orthopaedic Surgery, University of California, San Francisco, CA, USA.

Background: Intraoperative identification of syndesmotic malreduction during ankle fracture fixation can be challenging. Prior studies describe the normal tibiofibular relationship on anteroposterior and mortise views to aid assessment, but the normal anatomic variation on the lateral view has not been well defined. The aim of this study was to describe the normal anatomy of the lateral radiographic view of the ankle, focusing on the relative position of the fibula and tibial plafond. Read More

Foot Ankle Surg 2020 May 5. Epub 2020 May 5.

Professor of Medicine, Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, 221009, PR China; Surgical Department, Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, 221009, PR China. Electronic address:

Background: The main purpose of this study was to describe the all-inside arthroscopic technique for repairing anterior talofibular ligament (ATFL) avulsion fractures at the attachment points of the fibula and talus, and to evaluate the functional outcomes during long-term follow-up.

Methods: The data of 78 patients with ATFL avulsion fracture treated in our hospital from August 2013 to November 2016 were analyzed retrospectively. All patients underwent surgery. Read More

J Foot Ankle Surg 2020 May 12. Epub 2020 May 12.

Assistant Professor, Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address:

Medial malleolar fractures, occurring in isolation or in bi- or trimalleolar fractures, require surgical fixation if there is any displacement. Several techniques have been described in the literature for open reduction and internal fixation of medial malleolar fractures, but no data exist on the functional outcomes after fixation with a hook plate. The objective of this review study was to compare complication and union rates in patients who underwent hook plate fixation of medial malleolar fractures to those who underwent fixation with 2 lag screws. Read More

J Vasc Interv Radiol 2020 Jun 12;31(6):978-985. Epub 2020 May 12.

Department of Surgery, Jikei University, Tokyo, Japan.

Purpose: This study evaluated the long-term outcomes of the Misago peripheral stent trial (Terumo) for atherosclerotic lesions in the superficial femoral artery (SFA) in patients with claudication.

Materials And Methods: This was a prospective multicenter, single-arm, clinical trial of primary stent placement for de novo cases of SFA disease conducted in the United States and Asia. The primary endpoint was freedom from clinically driven target lesion revascularization (CD-TLR) at 36 months. Read More

Foot Ankle Int 2020 May 15:1071100720914856. Epub 2020 May 15.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Background: Operative treatment of calcaneal fractures using the extensile lateral approach is associated with high rates of soft tissue complications. In the past years, there has been a trend toward less invasive surgical approaches. Percutaneous and arthroscopically assisted calcaneal osteosynthesis (PACO) combines the advantages of visualization of the posterior facet of the subtalar joint with a minimally invasive approach. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):591-595

Department of Foot and Ankle Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To investigate the effectiveness of tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy.

Methods: The clinical data of 21 patients with unilateral foot drop secondary to peroneal nerve palsy between October 2009 and September 2016 was retrospectively analyzed. There were 12 males and 9 females with an average age of 32. Read More

Injury 2020 May 6. Epub 2020 May 6.

Investigation performed at the Department of Orthopaedic Surgery, Pusan National University School of Medicine, Yangsan, Republic of Korea. Electronic address:

Background: This study aimed to determine whether bone density correlates with radiologic and clinical outcomes after screw fixation of displaced intra-articular calcaneal fractures (DIACF) with the sinus tarsi approach.

Materials And Methods: We retrospectively evaluated 43 consecutive cases of unilateral DIACF between March 2015 and December 2017. Radiologic evaluations were performed using preoperative, postoperative, and last follow-up calcaneal lateral and axial radiographs. Read More

World J Orthop 2020 Apr 18;11(4):243-251. Epub 2020 Apr 18.

Department of Orthopedic Surgery, Xpert Clinic, Amsterdam 1103 TB, the Netherlands.

Background: Kitesurfing is an increasingly popular and potentially dangerous extreme water sport. We hypothesized that kitesurfing has a higher injury rate than other (contact) sports and that the minority of injuries are severe.

Aim: To investigate the incidence and epidemiology of kitesurfing injuries in a Dutch cohort during a complete kitesurfing season. Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):471-473. Epub 2020 Mar 11.

Orthopaedics, University Hospitals of Leicester NHS Trust, UK.

Objective: There has recently been a paradigm shift in the management of Achilles tendon rupture and ankle fracture rehabilitation with emphasis on early mobilisation. There is, however, no consensus on post-operative rehabilitation for hind/mid-foot fusion and reconstructive surgery.The aim was to scope the post-operative rehabilitation practices of UK foot and ankle surgeons and allied health professionals (AHPs). Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):426-431. Epub 2019 Jun 8.

Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 College Street, New Haven, CT, 06510, USA.

Background: Extensive research has been conducted concerning the epidemiology of fractures of the calcaneus and ankle. However, less work has characterized the population sustaining talus fractures, necessitating the analysis of a large, national sample to assess the presentation of this important injury.

Methods: The current study included adult patients from the 2011 through 2015 National Trauma Data Bank (NTDB) who had talus fractures. Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):422-425. Epub 2020 Apr 8.

Leicester Orthopaedics, University Hospitals of Leicester, Leicester Royal Infirmary, Infirmary Square, LE1 5WW, UK.

Background: Unstable ankle fractures are common, and majority requires open reduction and internal fixation (ORIF). There is emerging evidence that the rate of malreduction has remained high despite advances in surgical techniques and implants. Malreduced ankle is a prominent cause of post-traumatic ankle arthritis leading to poor patient reported outcome. Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):380-387. Epub 2019 Nov 4.

Department of Orthopaedics, AIIMS, New Delhi, India.

The management of Osteoporotic ankle fractures is still considered to be a challenge by many surgeons. One of the issues seems to be a lack of data focused on this special subgroup, with very little evidence of good quality. We did a narrative review of the literature in an attempt to identify the magnitude of the problem and to evaluate the evidence in support of management options. Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):375-379. Epub 2020 Mar 28.

Trauma and Orthopaedic Department, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.

Restoration of normal ankle kinematics should be the all-encompassing ethos in the approach to management of ankle fractures. To do this, the ligamentous stabilisers must also form part of its assessment and definitive management and be considered during index fracture fixation surgery. This article is a review of the anatomy, mechanics and clinical testing of instability in ankle fractures. Read More

J Foot Ankle Surg 2020 May 8. Epub 2020 May 8.

Orthopedic Surgeon, Orthopaedic and Traumatology Department, University Hospital of Martinica, Martinique, France.

Total or complete dislocation of the talus is a triple dislocation of the tibiotalar, talocalcaneal, and talonavicular joints. It is a rare injury and is considered to be 1 of the most disabling ankle injuries. In light of the literature, there is a lack of consensus on their surgical treatment. Read More

J Foot Ankle Surg 2020 May 8. Epub 2020 May 8.

Professor, Department of Anesthesiology & Pain Management, University of Texas Southwestern, Dallas, TX.

Regional nerve blocks are an effective method of managing acute pain associated with surgery. The relative benefit of preoperative versus postoperative peripheral nerve blocks is not entirely clear. The primary aim of this study was to determine differences in pain scores in patients undergoing preoperative block versus postoperative block versus no block. Read More

Indian J Orthop 2020 May 7;54(3):294-307. Epub 2020 Mar 7.

Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Introduction: Foot and ankle injuries in elite athletes can result in decreased performance, absence from sport and prolonged morbidity. There is paucity of data on foot and ankle injuries in Olympics athletes.

Methods: We conducted a systematic review of the PubMed and EMBASE databases. Read More

Sci Data 2020 May 12;7(1):143. Epub 2020 May 12.

St. Pölten University of Applied Sciences, Institute of Creative Media Technologies, St. Pölten, Austria.

The quantification of ground reaction forces (GRF) is a standard tool for clinicians to quantify and analyze human locomotion. Such recordings produce a vast amount of complex data and variables which are difficult to comprehend. This makes data interpretation challenging. Read More

Case Rep Orthop 2020 20;2020:4218719. Epub 2020 Jan 20.

Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.

Stress fractures following total hip arthroplasty in the lower limbs away from the surgical area are very rare. We report a case of stress fracture in the isolated distal fibula that presented five months after total hip arthroplasty in a patient with developmental dysplasia of the hip. A 67-year-old woman diagnosed with coxarthrosis of the right hip joint, classified as Crowe's group 3, underwent total hip arthroplasty with acetabular reconstruction using a bulk bone graft. Read More

Ann Rehabil Med 2020 Apr 29;44(2):109-116. Epub 2020 Apr 29.

Department of Rehabilitation Medicine, Chungbuk National University Hospital, Cheongju, Korea.

Objective: To determine the factors affecting the amount of weight-bearing during gait training in the elderly patients who underwent internal fixation after femur or pelvic fractures and how well they performed the weight-bearing restriction as directed by the physiatrist.

Methods: In this retrospective chart review study, we measured the amount of weight-bearing on the affected side in 50 patients undergoing internal fixation surgery and rehabilitation after femur or pelvic fracture using a force plate. Patients receiving non-weight-bearing or partial weight-bearing education were considered to perform weight-bearing restriction well when the amount of weight-bearing was <50 lb. Read More

Foot Ankle Int 2020 May 9:1071100720917645. Epub 2020 May 9.

Department of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.

Background: Interfragmentary lag screws, protected by a plate, have been applied for many years in the treatment of supination-external rotation (SER) ankle fractures. Recently, similar biomechanical stability was found between fixation completed with a plate and lag screw and a plate alone. The aim of this study was to determine whether interfragmentary lag screws are necessary during precontoured lateral locking plate fixation for SER lateral malleolar fractures. Read More

J Foot Ankle Surg 2020 May 6. Epub 2020 May 6.

Foot and Ankle Surgeon, Orthopedic Foot and Ankle Center, Worthington, OH.

Ankle fractures are becoming increasingly more common in the elderly population and present a significant burden to the United States health care system. Many factors have been associated with fragility ankle fractures including age, gender, body mass index, diabetes, tobacco use, and osteoporosis. However, the literature is inconsistent regarding the relationship between ankle fractures and osteoporosis. Read More

Cureus 2020 Apr 6;12(4):e7557. Epub 2020 Apr 6.

Orthopedic Trauma, OhioHealth Grant Medical Center, Columbus, USA.

Ankle fractures are common orthopedic injuries. Although operative indications and subsequent stabilization of these fractures have not significantly changed, postoperative protocols remain highly variable. Effects of early weight bearing (EWB) on fracture characteristics in operatively stabilized bimalleolar and bimalleolar equivalent ankle fractures remain poorly publicized. Read More

Foot Ankle Surg 2020 Apr 27. Epub 2020 Apr 27.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address:

Introduction: Percutaneous anterior-posterior (AP) screw is an option for posterior malleolus fracture fixation when the fracture fragment can be reduced indirectly by the mean of ligamentotaxis. However, anterior anatomic structures could be injured during screw placement.

Materials And Methods: Eleven below-knee cadavers were employed for the placement of AP screws in an attempt of fixing assumed Haraguchi Type-I posterior malleolar fractures. Read More

Foot Ankle Clin 2020 Jun 5;25(2):239-256. Epub 2020 Apr 5.

University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany.

Severe calcaneal malunions are debilitating conditions owing to substantial hindfoot deformity with subtalar arthritis and soft tissue imbalance. Type III malunions are best treated with a subtalar distraction bone block fusion. Additional osteotomies may be required for severe varus or superior displacement of the calcaneal tuberosity. Read More

Foot Ankle Clin 2020 Jun 8;25(2):221-237. Epub 2020 Apr 8.

Trauma and Orthopaedic Department, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK; University of Liverpool, Liverpool, UK. Electronic address: https://twitter.com/drlyndonmason.

Malunion of ankle and pilon fractures has significant detrimental effect on function and development of post-trauma osteoarthritis. Unfortunately, the incidence of malunion has been reported to be increasing. It is important to assess the ankle for congruency, because this determines the level where correction will occur. Read More

J Foot Ankle Res 2020 May 7;13(1):19. Epub 2020 May 7.

Department of Internal Medicine, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.

Objective: The aim of this study was to assess the diagnostic value of point-of-care bedside ultrasound (PoCUS) as in usual clinical practice in suspected ankle and fifth metatarsal bone fractures, compared to the standard of radiographic imaging.

Methods: This prospective study included patients ≥17 years presenting to the Emergency Department with ankle trauma and positive Ottawa Ankle Rules. All patients underwent PoCUS of the ankle by a (resident) emergency physician, the images were assessed by an ultrasound expert. Read More

J Bone Joint Surg Am 2020 May;102(9):796-803

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Background: Posttraumatic osteoarthritis (PTOA) is a common and early sequela of tibial pilon fractures resulting in substantial long-term disability. New approaches are needed to objectively and reliably quantify early disease progression in order to critically assess the impact of interventions aimed at preventing or mitigating PTOA. Weight-bearing computed tomography (WBCT) scans provide a means for measuring joint space while the ankle is in a loaded, functional position. Read More

Curr Rev Musculoskelet Med 2020 Jun;13(3):281-288

Department of Orthopaedic Surgery, Aspetar Sports Medicine and Orthopedic Surgery Hospital, Sports City Street 1, Aspire Zone, P.O. Box: 29222, Doha, Qatar.

Purpose Of Review: The purpose of this review is to describe the current evidence on the most common sports-related ankle injuries. Joint anatomy, epidemiology, clinical findings, diagnostic approach, and treatment are presented with a specific focus on the available evidence towards return to play.

Recent Findings: Recent findings show that ankle sprain is the most common injury in the world of sports. Read More

J Am Acad Orthop Surg Glob Res Rev 2020 Apr 6;4(4). Epub 2020 Apr 6.

Department of Orthopedics, Geisinger Medical Center, Danville, PA (Dr. Rocha, Dr. Grandizio, Dr. Maniar, Dr. Horwitz), and the Universidad del Rosario, Bogota, Colombia (Dr. Sanchez).

The United States has the highest population of inmates in the world (per capita and total). Musculoskeletal disorders are included within the 10 most frequent medical reports of prisoners; however, the literature about them is limited. The purpose of this study is to describe the epidemiology and complications of traumatic musculoskeletal injuries. Read More

Sci Rep 2020 May 6;10(1):7655. Epub 2020 May 6.

Department of Radiology, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

This study was to analyze ankle fractures for determining the epidemiology, types, distribution, possible mechanisms and diagnosis precision. Between January 2013 and December 2017, all Chinese patients older than 16 years of age with ankle fractures excluding old ankle fractures and pathological fractures in a tertiary care hospital were analyzed by using the Danis-Weber and Lauge-Hansen classification systems. Among 3952 patients with ankle fractures, 1225 fractures (31%) were Danis-Weber type A, 1640 (42%) were type B, 751 (19%) were type C, and 336 (9%) were perpendicular compression fracture. Read More