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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):467-470

Department of Hand and Microsurgery, Xiangya Hospital, Central South University, Changsha Hunan, 410008, P.R.China.

Objective: To investigate the feasibility and effectiveness of the superior lateral genicular artery perforator flap for repairing of soft tissue defects in extremities.

Methods: Between September 2010 and October 2017, 11 cases of skin and soft tissue in extremities were repaired with the superior lateral genicular artery perforator flap. There were 10 males and 1 female, with an average age of 37. Read More

Chin J Traumatol 2019 Feb 18. Epub 2019 Feb 18.

Department of Plastic & Reconstructive Surgery, Christian Medical College & Hospital, Vellore, Tamilnadu, India.

Purpose: Defects around the distal one third of the leg and ankle are difficult to manage by conservative measures or simple split thickness skin graft. Distally based peroneus brevis muscle flap is a well described flap for such defects.

Methods: This is a retrospective analysis conducted on 25 patients with soft tissue and bony defects of distal third of lower leg and ankle, which were treated using distally based peroneus brevis muscle flap from January 2013 to January 2018. Read More

Ann Transl Med 2019 Feb;7(4):70

Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA.

Soft tissue dysfunction can result from the degeneration of tissues as in the case of degenerative tendinopathy or from the build-up of problematic scar tissue, which can be the result of several aggravating factors, including overuse injuries, acute or chronic trauma, or as a result of surgery. This dysfunction often results in impaired movement, pain, and swelling of the affected area, which can lead to patient dissatisfaction and a lower quality of life. These soft tissue dysfunctions also have a marked economic impact. Read More

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Department of Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, UK.

Displaced medial malleolar fractures, either in isolation or as part of an unstable ankle fracture dislocation, are conventionally treated with internal fixation. We outline the case of a 76-year-old man with diabetes presenting with a grossly deformed open ankle fracture and extruded tibia through a large medial wound. Following irrigation, wound debridement and minimally invasive fibular fixation, the medial fracture reduced anatomically. Read More

Semin Musculoskelet Radiol 2019 Apr 29;23(2):e36-e55. Epub 2019 Mar 29.

Department of Orthopedic Surgery, University of Arizona, Tucson, Arizona.

Radiologists should be familiar with basic principles of fracture fixation and the normal imaging appearances of implant constructs and their complications. The surgeon's selection of external fixation, intramedullary nail fixation, open reduction and internal fixation, or some combination depends on patient factors, fracture configuration, injury to the soft tissue envelope, and surgeon experience. Complications including loss of fixation with resultant malalignment, nonunion, infection, and posttraumatic osteoarthritis present additional challenges for the surgeon as well as the radiologist. Read More

BMC Musculoskelet Disord 2019 Mar 25;20(1):121. Epub 2019 Mar 25.

Committee on Emergency Medicine, Intensive Care and Trauma Management, (Sektion NIS) of the German Trauma Society (DGU), Cologne, Germany.

Background: Missed or underestimated injuries are one of the central problems in trauma care. Foot injuries can easily be missed because they lay beyond the regularly screened field of a trauma computer tomography scan (CT scan). During primary and secondary survey a careful examination of the extremities often becomes of secondary interest in the severely injured patient. Read More

Traffic Inj Prev 2019 22;20(2):196-203. Epub 2019 Mar 22.

a Univ Lyon, Université Lyon 1, IFSTTAR, UMRESTTE UMR_T 9405 , Lyon , France.

Objective: This study assesses the effectiveness of protective clothing (motorcycle jacket, trousers, gloves, knee-high or ankle boots, back protection) for motorized 2-wheeler (MTW) riders.

Methods: This retrospective observational study used injury data from the Rhône Registry of Road Accident Victims, plus a postal survey conducted in 2016. Seven thousand one hundred forty-eight MTW riders involved in accidents between 2010 and 2014 were identified from the Registry and were invited to complete a questionnaire. Read More

J Orthop Trauma 2019 Apr;33(4):161-168

Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.

Objectives: To measure time to flap coverage after open tibia fractures and assess whether delays are associated with inpatient complications.

Design: Retrospective cohort study.

Setting: One forty level I and II trauma centers in Canada and the United States. Read More

Ann Plast Surg 2019 May;82(5):552-559

From the Burn Plastic Surgery, The First Affiliated Hospital of Soochow University, Soochow University, Suzhou, China.

Background: Soft tissue defects with dead space in the ankle and foot remain a challenge for surgeons. The aim of the study was to evaluate the surgical technique and clinical significance of posterior tibial artery perforator flaps carrying partial gastrocnemius muscle for patients with soft tissue defects with dead space in the ankle area.

Methods: Between August 2015 and August 2017, 14 patients (2 women and 12 men) between 20 and 58 years old (median age, 42 years) were hospitalized in The First Affiliated Hospital of Soochow University. Read More

Zhonghua Wai Ke Za Zhi 2019 Mar;57(3):236-240

Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.

Extra-articular distal tibial fractures as a result of high-energy damage are often comminuted or displaced, frequently accompanied by severe soft tissue injuries.Poor blood supply and various complications make the treatment more difficult,affecting life quality of the patients.The main goals of the treatment are to abtain a healed,well-aligned fracture,functional range of motion of the ankle joint and minimizing complications. Read More

J Foot Ankle Surg 2019 Mar;58(2):306-311

Professor, Department of Orthopaedics, Christian Medical College, Vellore, India.

The reverse sural artery (RSA) flap is popular among trauma surgeons to cover the distal third of the leg to the foot. However, flaps that inset in the foot seem to have a high necrosis rate. This study compared the healing of RSA flaps performed for defects proximal to the ankle versus defects distal to the ankle. Read More

Acta Chir Orthop Traumatol Cech 2019 ;86(1):58-64

Klinika úrazovej chirurgie Lekárskej fakulty Slovenskej zdravotníckej univerzity a Univerzitnej nemocnice Bratislava.

PURPOSE OF THE STUDY The aim of this study was to evaluate and present the current concepts in the treatment of intra-articular calcaneal fractures. MATERIAL AND METHODS During the period of ten years (1/2007-12/2016) 162 dislocated intra-articular calcaneal fractures in 145 patients were treated and evaluated at the Trauma Department of University Hospital in Bratislava. The study group included 97 male (67%) and 48 (33%) female patients. Read More

Acta Chir Orthop Traumatol Cech 2019 ;86(1):11-17

Charité - University Medicine Berlin, Center for Musculoskeletal Surgery, Berlin, Germany.

PURPOSE OF THE STUDY The aim of the present study was to evaluate the postoperative outcome of patients with pilon tibial fractures with a minimum follow-up of 24 months, treated according to a staged treatment algorithm. MATERIAL AND METHODS In total, 27 patients (mean age 43.6 ± 13 years, range 18-69) with a pilon tibial fracture and a minimum follow-up of 24 months were included in the study. Read More

In Vivo 2019 Mar-Apr;33(2):489-494

Section Upper Extremity, Foot- and Rheuma Surgery, Trauma Department, Medical School Hanover (MHH), Hannover, Germany

Background/aim: In extensive soft tissue injury, primary internal fracture fixation is not always possible and external fixation for primary immobilization plays an important role. The aim of this study was to compare the accuracy of freehand technique and of a target device for retrograde calcaneotibial fixation in an uninjured bone and an unstable ankle fracture.

Materials And Methods: The calcaneotibial fixation was performed randomly by an experienced surgeon utilizing either a freehand drilling technique or a novel targeting device in four human cadavers before and after producing a bimalleolar ankle fracture. Read More

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019832420

Department of Trauma and Orthopaedics, Division of Surgery and Cancer, Imperial College Healthcare NHS Trust, North West London Major Trauma Centre, London, UK.

Aim:: To evaluate the outcome of a fibular nail in the treatment of open and closed unstable ankle fractures in a non-designer centre.

Methods:: In a retrospective cohort study, a total of 39 ankle fractures (14 open and 25 closed) treated with a locking fibular nail were evaluated between 2012 and 2015 in a non-designer level I major trauma centre. Post-operative radiographs were analysed to assess the quality of reduction (McLennan and Ungersma marking system), fracture union and complications. Read More

Clin Podiatr Med Surg 2019 Apr 12;36(2):323-337. Epub 2018 Dec 12.

Plastic Reconstructive and Orthopaedic Surgery, University of Pennsylvania Health System, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, South Pavilion, 1st Floor, Philadelphia, PA 19104, USA.

Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft tissue complications are addressed with methods that commensurate with the degree of injury, ranging from local wound care to free flap reconstruction. Read More

J Foot Ankle Surg 2019 Feb 13. Epub 2019 Feb 13.

Professor, Department of Orthopaedics and Traumatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.

Distal tibia and fibula fractures are challenging injuries to treat as evidenced by the high rates of wound complications because of vulnerable soft tissue coverage. The aim of this study was to examine the effect on soft tissue complications of the pie-crusting technique when applied between 2 incisions in distal tibia and fibula fractures treated with open reduction and internal fixation. We reviewed 34 patients with distal tibia and fibula fractures treated between September 2014 and March 2017. Read More

J Foot Ankle Surg 2019 Feb 8. Epub 2019 Feb 8.

Surgeon, Department of Traumatology and Orthopedic Surgery, Hospital Regional Universitario de Málaga, Málaga, Spain.

Avulsion fractures of the posterior calcaneal tuberosity are rare injuries, and little is known about the underlying factors, outcomes, and prognosis. Furthermore, classifications described previously focus on fracture morphology, with uncertain clinical utility. We present the results of a retrospective study of 21 patients treated for this pathology from January 2002 to December 2015. Read More

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.

Calcaneus is the most common site of hindfoot fracture, frequently caused by fall from height or high energy trauma. The therapeutic strategy ranged from non-operative to ORIF (Open Reduction Internal Fixation). Indications for percutaneous fixation include soft tissue damage or relative contraindications to open surgery. Read More

J Athl Train 2018 Nov;53(11):1037-1048

Injury Prevention Research Center, University of North Carolina at Chapel Hill.

Context: The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of girls' and women's basketball injury data.

Objective: To describe the epidemiology of injuries sustained in high school girls' basketball in the 2005-2006 through 2013-2014 academic years and collegiate women's basketball in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance.

Design: Descriptive epidemiology study. Read More

J Athl Train 2018 Nov;53(11):1025-1036

Injury Prevention Research Center, University of North Carolina at Chapel Hill.

Context: The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of boys' and men's basketball injury data.

Objective: To describe the epidemiology of injuries sustained in high school boys' basketball in the 2005-2006 through 2013-2014 academic years and collegiate men's basketball in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance.

Design: Descriptive epidemiology study. Read More

Foot Ankle Spec 2019 Feb 2:1938640019826701. Epub 2019 Feb 2.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV).

Background: Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Read More

Zhonghua Shao Shang Za Zhi 2019 Jan;35(1):62-64

Department of Burns and Cutaneous Surgery, Burn Center of PLA, Xijing Hospital, Air Force Medical University, Xi'an 710032, China.

To observe the effects of the method of combining free superficial temporal fascia flaps with skin grafts in repairing deep wounds in posterior ankle region of extensively burned patients. From September 2013 to February 2017, 11 extensively burned patients with deep tissue defects in posterior ankle region were treated in our unit. Two patients had tissue defects in bilateral posterior ankle regions. Read More

Indian J Radiol Imaging 2018 Oct-Dec;28(4):419-426

Department of Radiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.

Ankle trauma is commonly encountered and is most often a sprain injury affecting the ligaments. Accurate diagnosis and appropriate treatment rest on knowledge of complex ligamentous anatomy of ankle and the entire spectrum of pathologies. Magnetic resonance imaging (MRI) is the imaging modality of choice for diagnosing ligament pathologies because of its multiplanar capability and high soft tissue contrast. Read More

Chin J Integr Med 2019 Jan 18. Epub 2019 Jan 18.

School of Chinese Medicine, The University of Hong Kong, Hong Kong SAR, China.

Objective: To investigate the immediate analgesic effect of sinew acupuncture for patients with soft-tissue injuries (STIs).

Methods: Two hundreds eligible adult patients suffering from STIs were recruited and received sinew acupuncture with flexible treatment schedules. The number of treatment sessions was pragmatically decided by each patient on the basis of their pain relief. Read More

J Foot Ankle Surg 2019 Mar 15;58(2):392-397. Epub 2019 Jan 15.

Podiatric Surgical Resident, Department of Podiatric Surgery, Beaumont Hospital Wayne, Wayne, MI.

We present a unique case of an open talar neck fracture with medial subtalar joint dislocation. This rare and traumatic injury was treated with immediate open reduction of the subtalar joint and open reduction internal fixation of the talar neck fracture. After a follow-up of 2. Read More

Plast Reconstr Surg Glob Open 2018 Dec 14;6(12):e1991. Epub 2018 Dec 14.

Department of Plastic and Reconstructive Surgery, Liaquat National Hospital, Karachi, Pakistan.

Background: Soft-tissue coverage is a challenge to the ankle and foot reconstructive surgeon due to its unique requirement of simultaneously withstanding body weight and to provide sensory feedback. We share our experience of medial plantar artery perforator (MPAP) flap, which provides a robust sensate coverage to heel defects.

Methods: Three-year retrospective study, which included soft-tissue injury to heel. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 01;33(1):75-79

Department of Trauma and Micro-orthopedics, Zhongnan Hospital of Wuhan University, Wuhan Hubei, 430071,

Objective: To investigate the clinical application and effectiveness of the composite tissue flaps pedicled with perforating branch of posterior tibial artery for repairing distal leg defects.

Methods: Between September 2014 and August 2017, 12 patients with skin and bone defects of distal leg were repaired with the composite tissue flaps pedicled with perforating branch of posterior tibial artery. There were 8 males and 4 females with an average age of 41. Read More

Medicine (Baltimore) 2019 Jan;98(2):e13888

Division of Plastic and Reconstructive Surgery, National Nagasaki Medical Center, Japan.

Rationale: The superficial circumflex iliac artery perforator (SCIP) free flap is a popular method used in foot reconstruction. Although the SCIP flap has a relatively short pedicle and does not require intramuscular dissection, general anesthesia is largely preferred for SCIP flap reconstruction. We report 2 cases with the free SCIP flap for skin and soft tissue reconstruction of the foot under local anesthesia. Read More

Kathmandu Univ Med J (KUMJ) 2018 Jan.-Mar;16(61):28-34

Department of Orthopedics, B and C Teaching Hospital, Birtamod, Jhapa.

Background Ankle and foot pain is a common clinical problem, that may be due to a variety of soft tissue and osseus abnormalities. Magnetic resonance imaging plays vital role for diagnosing internal derangement of the ankle joint, assessing soft tissue structures around the ankle such as tendons, ligaments, nerves and osseus structures. Method Retrospective magnetic resonance imaging evaluation of the ankle and foot was done in 100 patients using 0. Read More

Med Sci Monit 2018 Dec 29;24:9466-9472. Epub 2018 Dec 29.

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

BACKGROUND Treating acute injury of the heel fat pad is different from treating common soft tissue damage. Due to the paucity of literature on the topic, we described our initial experience treating acute injury of the heel fat pad to determine the ideal treatment method. MATERIAL AND METHODS A total of 53 patients with acute injury of the heel fat pad admitted to our hospital were selected for the study and were randomly divided into 2 groups: the compressed fixation combined with vacuum-assisted closure group and the only reimplanted and sewn group. Read More

J Foot Ankle Surg 2019 Mar 21;58(2):243-247. Epub 2018 Dec 21.

Director of Residency Training, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Lateral hindfoot pain associated with stage 2 to 3 adult-acquired flatfoot is often attributed to subfibular impingement. Preoperative magnetic resonance imaging (MRI) is generally performed to assess the extent of degeneration within the posterior tibial tendon, attenuation of medial soft tissue constraints, and degeneration of hindfoot and/or ankle articulations. The purpose of this study is to determine the incidence of lateral collateral ligament disease/injury associated with stages 2 and 3 adult-acquired flatfoot. Read More

Foot (Edinb) 2018 Dec 5;38:24-29. Epub 2018 Dec 5.

Antalya Education and Research Hospital, Department of Orthopaedics and Traumatology, Antalya, Turkey. Electronic address:

Anterior talofibular ligament (ATFL) injuries can occur in three different distinct patterns; rupture of the ligament as a pure soft tissue injury, an avulsion fracture at the ATFL's attachment to either the fibula or the talus. Although fibular avulsion fractures are common, avulsion fracture of ATFL from talus is extremely rare with a single previously reported case in the current literature. A 34-year-old female with ATFL talar avulsion fracture associated with medial malleolar fracture was presented to the emergency department. Read More

Foot Ankle Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Trauma Surgery, Otto-von-Guericke University, Leipziger Str. 44 Magdeburg, Germany.

Background: We retrospectively evaluated the mid-term results of surgery for talar process fractures (lateral and posterior processes) and exploratively analyzed parameters that potentially impact treatment outcomes.

Methods: Fifteen patients who underwent internal fixation (January 2000 to December 2015) were examined for radiological and clinical functional outcomes. The independent parameters evaluated were age, sex, extent of general injury, soft-tissue damage, surgical latency, and fracture type. Read More

J Biomech 2019 Jan 8;83:260-272. Epub 2018 Dec 8.

The Hong Kong Polytechnic University Shenzhen Research Institute, Shenzhen, China; Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China. Electronic address:

Forefoot strike becomes popular among runners because it facilitates better impact attenuation. However, forefoot strike may overload the plantar fascia and impose risk of plantar fasciitis. This study aimed to examine and compare the foot arch deformation and plantar fascia tension between different foot strike techniques in running using a computational modelling approach. Read More

Case Rep Orthop 2018 11;2018:6207024. Epub 2018 Nov 11.

Klinik für Unfall und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.

Avulsion fractures of the calcaneal tuberosity represent a rare injury pattern that is caused by a powerful tension force from the Achilles tendon and is usually seen following minor trauma, especially in elderly patients. The objective of this study is to describe a surgical technique using cerclage wiring through cannulated screws in the treatment of extra- and intra-articular avulsion fractures of the calcaneal tuberosity and to present our results in a small patient's cohort. Through a 5. Read More

Injury 2018 Dec 3;49 Suppl 4:S25-S28. Epub 2018 Dec 3.

University of Turin, Orthopaedic Clinic, C.T.O. Hospital, Turin, Italy.

Severe traumatic losses of soft tissues and bone at foot and ankle level are often treated by means of amputation, but this may involve important psychological and anatomic consequences for the patient. If there are good vascular conditions, reconstruction by means of composite free flaps is often the only alternative to this demolitive treatment. The transfer of composite free flaps that include vascularized bone from various donor sites may provide anatomical reconstruction and recovery of function of the foot and ankle. Read More

Mymensingh Med J 2018 Oct;27(4):798-804

Dr Md Saiful Islam, Associate Professor, Orthopedic Surgery, Community Based Medical College Bangladesh, Mymensingh.

We conducted a study to evaluate the reliability of the medial hemi-soleus muscle flap for wound coverage of infected open fracture of distal third of tibia. Wound coverage of exposed lower third tibia and ankle region remains a difficult task. Muscle flaps are preferred for infected wounds especially where there are exposed bone, joint and/or tendons. Read More

Am J Orthop (Belle Mead NJ) 2018 Oct;47(10)

University of California, Davis, Department of Orthopaedics, 3301 C St, Ste 1700, Sacramento, CA 95816, USA. Email:

The ankle is one of the most commonly injured joints in soccer and represents a significant cost to the healthcare system. The ligaments that stabilize the ankle joint determine its biomechanics-alterations of which result from various soccer-related injuries. Acute sprains are among the most common injury in soccer players and are generally treated conservatively, with emphasis placed on secondary prevention to reduce the risk for future sprains and progression to chronic ankle instability. Read More

Am J Sports Med 2019 Jan 19;47(1):138-143. Epub 2018 Nov 19.

Department of Orthopaedic Surgery, Washington University in Saint Louis/Barnes-Jewish Hospital, St Louis, Missouri, USA.

Background:: Ankle sprains are the most common musculoskeletal injury in the United States. Chronic lateral ankle instability can ultimately require operative intervention to decrease pain and restore stability to the ankle joint. There are no anatomic studies investigating the vascular supply to the lateral ankle ligamentous complex. Read More

J Athl Train 2018 Nov 19;53(11):1049-1055. Epub 2018 Nov 19.

Michigan State University, East Lansing.

Context: The sex-based differences in the structure and rules of boys' and girls' lacrosse result in very different styles of play, which may have significant implications for the rates and patterns of injuries.

Objective: To compare the epidemiology of injuries sustained by boys' and girls' lacrosse players.

Design: Descriptive epidemiology study. Read More

Foot Ankle Spec 2018 Nov 16:1938640018810422. Epub 2018 Nov 16.

New York University Langone Orthopaedic Hospital, New York, New York (HS, SK, AD, KE).

Background: The incidence and risk factors of wound-healing complications following rotational ankle fracture surgery are well documented in the literature. However, there is a paucity regarding management options following these complications. The goal of this study was to provide a descriptive analysis of one surgeon's experience managing wound complications in patients who have undergone ankle fracture surgery. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 11;32(11):1450-1453

Department of Burns and Plastic Surgery, Pingdingshan Traditional Pingmei Shenma Medical Hospital, Pingdingshan Henan, 467000, P.R.China.

Objective: To investigate effectiveness of the medial ankle branches propeller "Tennis racket-like" flap in repair of heel-ankle tissue defect.

Methods: Between June 2011 and June 2016, 50 patients with heel-ankle tissue defects were treated. There were 40 males and 10 females, with a median age of 35. Read More

Injury 2018 Nov;49 Suppl 3:S105-S109

Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy.

Introduction: Foot and ankle are prone to injuries and often require free flap for complex soft tissue reconstruction due to the insufficiency of local soft tissue. Lower limb reconstruction can be commonly compromised by venous insufficiency, and the elevation of the limb represents a critical component of the postoperative care. This study aims to explore the versatility of combining free soft tissue flap reconstruction for complex foot and ankle defect with a temporary Kickstands External Fixator (KEF) placement. Read More

Foot Ankle Clin 2018 Dec;23(4):571-579

Clinique du Sport, 2 rue Negrevergne, Bordeuax-Mérignac 33700, France. Electronic address:

Inversion ankle sprains represent one of the most common traumatic injuries in the active sports population. Although most respond well to conservative treatment, some hide important lesions. Lateral ankle ligament injuries occur in more than 80% of all ankle sprains, with one-third of these developing chronic ankle instability (CAI). Read More

Injury 2019 Feb 30;50(2):551-557. Epub 2018 Oct 30.

Department of Emergency, Trauma Center, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address:

Purpose: To compare the outcomes of the arched shape-memory connector (ASC) only fixation and the lateral one-third tubular plate fixation in managing unstable Type A or B lateral malleolus fractures according to the Weber (AO) classification, and to evaluate the feasibility and reliability of ASC only fixation in treating these fractures.

Methods: From January 2010 to January 2015, 148 patients with Type A or B (Weber (AO) classification) lateral malleolus fractures treated with the arched shape-memory connector (ASC) only fixation or lateral plate fixation were included. There were 66 patients in the ASC only fixation group and 82 patients in the lateral plate group. Read More

Foot Ankle Surg 2018 Oct 17. Epub 2018 Oct 17.

Department of Orthopaedics, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA.

Background: The objective of this study was to evaluate the success rate of first metatarsophalangeal joint (MTPJ) lateral soft tissue release through a medial transarticular approach.

Methods: Ten cadaveric specimens were used (6 females/4 males, mean age, 73.4years). Read More

Musculoskelet Surg 2018 Oct 23. Epub 2018 Oct 23.

Department of Orthopaedics, Sunshine Hospitals, Secunderabad, 500003, India.

Introduction: Studies have demonstrated a decrease in the incidence of late consequences and the socio-economic burden of intra-articular fractures of calcaneum when treated by surgical fixation. Operative management of displaced intra-articular calcaneal fractures (DIACF) pose significant challenges such as technical difficulty, wound healing and long-term pain and disability.

Materials And Methods: All patients presenting to the ER with DIACF over a period of 2 years and matching the inclusion criteria were enrolled in the study. Read More

J Int Med Res 2018 Dec 23;46(12):5291-5296. Epub 2018 Oct 23.

Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.

The patient was a 26-year-old man who fell while riding a motorcycle and friction led to defects in the lateral malleolus and soft tissue of the ankle. Although the wound surface healed with scarring and skin grafting, the patient had symptoms of ankle joint instability 4 months after the injury. Using a second metatarsal composite tissue flap with a dorsalis pedis artery pedicle, we repaired the soft tissue defect of the ankle and reconstructed the lateral malleolus. Read More

Radiol Clin North Am 2018 Nov;56(6):893-916

Department of Radiology, MSK Division, University of Michigan Health System, 1500 Medical Center Drive-TC2910Q, Ann Arbor, MI 48109, USA.

Ankle impingement syndromes encompass various pathologic entities that contribute to ankle pain with limited range of motion. Although classically described in athletes, these changes can occur in individuals of all ages, often with a history of prior ankle trauma. Ankle impingement is broadly categorized as anterolateral, anterior, posterior, anteromedial, and posteromedial, depending on the area of the ankle affected. Read More