2,369 results match your criteria Dislocation Foot


Percutaneous fixation of Lisfranc injuries.

J Clin Orthop Trauma 2020 May-Jun;11(3):487-491. Epub 2020 Apr 8.

Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Lisfranc injuries may occur in the form of fracture-dislocations or pure ligamentous dislocations or subluxations. These innocuous appearing injuries have the potential for significant morbidity and long-term sequelae resulting in permanent deformities. Ligamentous subluxations account for 20% of these injuries and cases with partial incongruity are amenable to percutaneous fixation. Read More

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http://dx.doi.org/10.1016/j.jcot.2020.03.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211822PMC

Talar Dislocation: Is Reimplantation a Safe Procedure?

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

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http://dx.doi.org/10.1053/j.jfas.2019.09.042DOI Listing

Managing Severely Malunited Calcaneal Fractures and Fracture-Dislocations.

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

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http://dx.doi.org/10.1016/j.fcl.2020.02.005DOI Listing

[Magnetic resonance imaging of normal anatomy and injury of the peroneal tendon].

Zhonghua Yi Xue Za Zhi 2020 May;100(17):1305-1309

Department of Radiology, Peking University Fourth School of Clinical Medicine, Beijing Jishuitan Hospital, Beijing 100035, China.

To explore the MR characteristics of normal anatomy and injured peroneal tendon and the diagnostic value of MR in the peroneal tendon injuries. From February 2018 to December 2018, a total of 20 healthy volunteers (40 ankle joints) were selected, 10 males and 10 females, with an age range of 20-30 (26±3) years. Retrospective analyzed 62 patients with ankle sprain and peroneal tendon injuries confirmed by operation, 34 males and 28 females, with an age range of 14-78(41±14) years. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20191125-02559DOI Listing

Intra-articular Transcalcaneal Fracture-Dislocation Associated With Ipsilateral Transtalar Fracture: A Report of a Rare Combination.

Foot Ankle Spec 2020 May 4:1938640020913177. Epub 2020 May 4.

Department of Orthopaedics, Foot and Ankle Surgery, University of Iowa, Iowa City, Iowa.

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Read More

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http://dx.doi.org/10.1177/1938640020913177DOI Listing

Percutaneous Reduction of a Dislocation of the Interphalangeal Joint of the Great Toe: A Case Report.

J Foot Ankle Surg 2020 Apr 25. Epub 2020 Apr 25.

Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Dorsal dislocation of the interphalangeal joint of the great toe is quite rare. Closed reduction is often attempted in the emergency setting, but this measure is seldom successful because of invagination of the sesamoid-plantar plate complex into the interphalangeal space. Generally, open reduction is indicated when closed reduction fails. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.12.047DOI Listing

Irreducible Ankle Fracture Due to Incarceration of the Long Flexor Tendons Together With the Neurovascular Bundle in the Tibial Fibular Interosseous Space: A Case Report and Short Literature Review.

J Foot Ankle Surg 2020 Apr 25. Epub 2020 Apr 25.

Consultant, Hospital for Trauma and Reconstructive Surgery, BG Hospital Bergmannstrost Halle gGmbH, Halle/S., Germany; Senior Physician, Hospital for Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany.

Ankle fracture dislocations with frustrating attempts at closed reduction are a rare traumatic entity. We present a case of an irreducible ankle fracture due to incarceration of all the flexor tendons including the neurovascular bundle in the tibial fibular interosseous space; to date, only one such case has been published in the literature. A computed tomography scan in both bone and soft tissue windows was necessary to clarify the structures that were inhibiting repositioning. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.10.012DOI Listing

Soleus nerve transfer to deep peroneal nerve for treatment of foot drop.

J Clin Neurosci 2020 Apr 23. Epub 2020 Apr 23.

Neuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran; Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark; Research Unit of Clinical Physiology and Nuclear Medicine, Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; BRIDGE-Brain Research-Inter-Disciplinary Guided Excellence, Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Research Unit of Psychiatry, Department of Psychiatry, Psychiatry in the Region of Southern Denmark, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark. Electronic address:

Different mechanisms including knee dislocation, replacement surgery, nerve tumor, lumbar disc herniation, sharp injury, and gunshot wound lead to foot drop. Several surgical techniques have been used for treatment of foot drop, however, they have had sub-optimal outcomes. Soleus branch of tibial nerve is a good donor for nerve transfer for treatment of foot drop. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.04.086DOI Listing
April 2020
1.318 Impact Factor

Letter to the Editor regarding "Does overcorrection cause any negative effect on pediatric missed Monteggia lesion?"

Eur J Orthop Surg Traumatol 2020 Apr 25. Epub 2020 Apr 25.

Department of Pediatric Orthopedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.

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http://dx.doi.org/10.1007/s00590-020-02673-8DOI Listing

[Exposed dislocation of the first and second cuneiform bones and fracture in situ of the third cuneiform bone of the foot: Clinical case and literature review].

Acta Ortop Mex 2019 Jul-Aug;33(4):256-260

Hospital General de León. León, Guanajuato, México.

Backgrounds: The isolated fracture/dislocation of the cuneiform bones is a not very frequent event and only a few cases have been reported in the literature. This type of event is presented as a variation of the Lisfranc injuries. The present report shows a rare clinical case of a patient with dislocation of the first and second cuneiform bones and fracture in situ of the third cuneiform bone of the left foot. Read More

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A Novel Technique in Treatment of Calcaneocuboid Dislocation with Bifurcate Ligament Reconstruction Using a Semitendinosus Allograft: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0205

Orthopedic Surgery Department, Division of Foot and Ankle Surgery, University of Alabama Birmingham, Birmingham, Alabama.

Case: A 19-year-old woman sustained a plantar flexion-inversion injury to her right ankle after a low-speed motor vehicle collision. Clinical examination demonstrated supinated, adducted deformity of the foot, and prominent calcaneus laterally. Radiographs revealed dislocation of the calcaneocuboid joint, a rare injury, which was successfully stabilized by a novel technique using a hamstring allograft. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00205DOI Listing

Peroneal tendon dislocation in talus fracture and diagnostic value of fleck sign.

Int Orthop 2020 May 17;44(5):973-977. Epub 2020 Mar 17.

Orthopedic Surgery Dept, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.

Introduction: Talus fractures are not uncommon and one of the serious fractures in the foot and ankle. Peroneal tendon dislocation is one of the commonly missed soft tissue injuries which may have significant impact on the outcomes including persistent pain and swelling. They have been reported to be associated with calcaneum as well as talus fractures. Read More

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http://dx.doi.org/10.1007/s00264-020-04534-9DOI Listing

Effect of sesamoid position on functional outcome of operated hallux valgus.

Tunis Med 2019 Dec;97(12):1370-1374

Introduction: The loss of correct relationships between the sesamoid and the first metatarsal is one of the architectural consequences of the hallux valgus (HV). The reduction of this dislocation by lateral soft tissue release (LSTR) is one of the objectives of surgery.

Aim: To study the relationship between postoperative position of sesamoid and clinical outcome at one-year postoperative follow-up. Read More

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December 2019

Charcot Reconstruction: Understanding and Treating the Deformed Charcot Neuropathic Arthropathic Foot.

Authors:
Kwasi Y Kwaadu

Clin Podiatr Med Surg 2020 Apr 31;37(2):247-261. Epub 2020 Jan 31.

Department of Surgery, Temple University School of Podiatric Medicine, 148 North 8th Street, Philadelphia, PA 19107, USA. Electronic address:

With worsening diet and increasing prevalence of diabetes, patient encounters with Charcot neuropathic arthropathy (CNA) are expected to increase. Without intervention, the pathology progresses with further subluxation/dislocation and fracture, placing soft tissues at risk of preulceration or formal ulceration, infection, and potentially major amputation. The need to avoid amputation is of paramount importance. Read More

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http://dx.doi.org/10.1016/j.cpm.2019.12.002DOI Listing

Surgical Treatment and Management for Chronic Dislocated Subtalar Joint.

J Foot Ankle Surg 2020 Mar - Apr;59(2):379-384

Director, Podiatric and Medicine and Surgery Residency, University of Pittsburgh Medical Center, Pittsburgh, PA; Assistant Professor of Orthopaedic Surgery, University Pittsburgh School of Medicine, Pittsburgh, PA.

Lateral dislocation of the subtalar joint is a relatively uncommon pathology. It has previously been described in the literature secondary to acute trauma. This form of dislocation can also be acquired and seen in severe long-standing cases of flatfoot and Charcot neuroarthropathy. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.08.011DOI Listing

Open Reduction and Internal Fixation of Acute Lisfranc Fracture-Dislocation with Use of Dorsal Bridging Plates.

JBJS Essent Surg Tech 2019 Oct-Dec;9(4). Epub 2019 Nov 1.

Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Lisfranc injuries consist of a wide spectrum of injuries, ranging from subtle injuries to severe fracture-dislocations. Injuries with instability of the tarsometatarsal, intercuneiform, or naviculocuneiform joints should be treated with anatomic reduction and stable fixation. The best method of fixation is debated. Read More

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http://dx.doi.org/10.2106/JBJS.ST.19.00009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974315PMC
November 2019

Tendoscopic peroneal retinaculum repair for recurrent peroneal tendon dislocation enables earlier return to sports than the open procedure.

Knee Surg Sports Traumatol Arthrosc 2020 Feb 6. Epub 2020 Feb 6.

Departments of Orthopaedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.

Purpose: The purpose of this study was to evaluate whether tendoscopic peroneal retinaculum repair for patients with recurrent peroneal tendon dislocation (RPTD) is more useful than an open procedure.

Methods: Twenty-five patients with RPTD were retrospectively reviewed. Twelve patients (13 ankles) with RPTD underwent the open procedure (Group A) between 2008 and 2014, and 13 patients (14 ankles) underwent the tendoscopic procedure (Group B) between 2014 and 2017. Read More

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http://dx.doi.org/10.1007/s00167-020-05877-xDOI Listing
February 2020

Endoscopic Resection of Peroneus Quartus.

Arthrosc Tech 2020 Jan 12;9(1):e35-e38. Epub 2019 Dec 12.

Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Yau Ma Tei, China.

The peroneus quartus is the most common supernumerary muscle of the foot and ankle. It can be symptomatic and associated with splits or tears in the peroneus brevis, subluxation or dislocation of the peroneal tendon, tendinous calcification, chronic peroneal compartment syndrome, and painful hypertrophy of the retrotrochlear eminence. The purpose of this Technical Note was to describe the details of endoscopic resection of the peroneus quartus. Read More

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http://dx.doi.org/10.1016/j.eats.2019.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993067PMC
January 2020

Assessment and Management of the Pediatric Cavovarus Foot.

Authors:
Maryse Bouchard

Instr Course Lect 2020 ;69:381-390

The cavovarus foot is challenging to treat. The deformity is typically progressive with an unpredictable natural history. There are concurrent deformities in the fore-, mid-, and hindfoot: the medial arch is elevated, the first ray is plantarflexed, and the heel is in varus. Read More

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February 2020

Expanding the clinical and neuroimaging features of NKX6-2-related hereditary spastic ataxia type 8.

Eur J Med Genet 2020 May 28;63(5):103868. Epub 2020 Jan 28.

Myelin Disorders Clinic, Pediatric Neurology Division, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Pathogenic variants in NKX6-2 gene causing autosomal recessive spastic ataxia type 8 with hypomyelinating leukodystrophy have been reported in few families around the world. In this study, we performed Whole Exome Sequencing and identified a novel missense variant, c.501C > G; p. Read More

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http://dx.doi.org/10.1016/j.ejmg.2020.103868DOI Listing

Diagnosis and Treatment of Peritalar Injuries in the Acute Trauma Setting: A Review of the Literature.

Adv Orthop 2020 3;2020:1852025. Epub 2020 Jan 3.

Albany Medical Center, Albany, NY, USA.

The bony and ligamentous structure of the foot is a complex kinematic interaction, designed to transmit force and motion in an energy-efficient and stable manner. Visible deformity of the foot or atypical patterns of swelling should raise significant concern for foot trauma. In some instances, disruption of either bony structure or supporting ligaments is identified years after injury due to chronic pain in the hindfoot or midfoot. Read More

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http://dx.doi.org/10.1155/2020/1852025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964710PMC
January 2020

Clinical and radiological mid- to long-term results after direct fixation of posterior malleolar fractures through a posterolateral approach.

Arch Orthop Trauma Surg 2020 Jan 25. Epub 2020 Jan 25.

Department of Orthopaedics and Traumatology, Bürgerspital Solothurn, Solothurn, Switzerland.

Background: Direct fixation of posterior malleolar fractures has been shown to lead to higher accuracy of fracture reduction compared to an indirect anterior to posterior fixation but lacks long-term clinical results. This study shows the mid- to long-term clinical and radiological outcome after direct fixation of the posterior malleolus through a posterolateral approach.

Materials And Methods: Thirty-six patients with an ankle fracture including a posterior malleolar fragment (23 × AO-44C, 12 × AO-44B, 1 × unclassifiable) treated with direct fixation of the fragment through a posterolateral approach were retrospectively evaluated. Read More

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http://dx.doi.org/10.1007/s00402-020-03353-2DOI Listing
January 2020

Ligamentous Lisfranc injuries: analysis of CT findings under weightbearing.

Eur J Trauma Emerg Surg 2020 Jan 16. Epub 2020 Jan 16.

Department of Foot and Ankle Surgery, Catholic Clinic Mainz, Mainz, Germany.

Purpose: The aim of this study was to investigate the influence of different ligamentous Lisfranc injuries on computed tomography (CT) findings under weight-bearing and to emphasize the indications for surgical treatment of their various types.

Methods: Sixteen human cadaveric lower limbs were placed in weight-bearing radiolucent frame for CT scanning. All intact specimens were initially scanned, and then, dorsal approach was used for sequential ligaments cutting of: (1) the dorsal and the interosseous (Lisfranc) ligaments between medical cuneiform (MC) and metatarsal 2 (MT2); (2) the plantar ligament between the MC and MT3; (3) the plantar ligament between MC and MT2. Read More

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http://dx.doi.org/10.1007/s00068-020-01302-7DOI Listing
January 2020

[Tendon transfer as a treatment modality of peroneal nerve palsy].

Ugeskr Laeger 2020 Jan;182(2)

This review summaries the knowledge of the treatment of peroneal nerve palsy. Isolated peroneal nerve palsy is often seen after fracture of the knee or knee dislocation. In cases with chronic peroneal nerve palsy and foot drop, tendon transfer of the posterior tibial muscle tendon to the dorsum of the foot is a possibility to be considered. Read More

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January 2020

[Incorrect aftercare of a surgically treated metatarsal fracture].

Unfallchirurg 2020 Jan;123(1):76-79

Schlichtungsstelle für Arzthaftpflichtfragen der norddeutschen Ärztekammern, 30161, Kollenrodtstr. 5, Hannover, Deutschland.

A 60-year-old patient suffered an ankle distortion resulting in a comminuted fracture of the fifth metatarsal. On the same day the accident occurred the patient presented to an emergency department and immediate operative treatment of the fracture was performed by intramedullary Kirschner wires with closed reduction and internal fixation. The aftercare was carried out on an outpatient basis by a registered orthopedist in accordance with the surgeon's instructions. Read More

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http://dx.doi.org/10.1007/s00113-019-00761-xDOI Listing
January 2020

Girolamo Fabrici d'Acquapendente and the Oplomochlion: The Several Applications of an Effective Rehabilitation Tool.

Am J Med Sci 2020 01 24;359(1):1-7. Epub 2019 Oct 24.

Medicine History, Department of Cardiac-Thoracic-Vascular Sciences and Public Health, University of Padova, Padova, Italy.

Girolamo Fabrici d'Acquapendente (1533-1619) was an Italian anatomist, surgeon and physiologist and a protagonist of the scientific revolution of the Renaissance. He made anatomy a scientific discipline and is justly considered a precursor of modern orthopaedics. He invented and used several external corrective devices for the treatment of congenital and acquired deformities of the limbs and spinal column, especially those following tubercular infection and rickets, torticollis, vertebral caries kyphosis, scoliosis, and rachitic deformities of the leg, but also congenital dislocation of the hip and congenital club-foot. Read More

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http://dx.doi.org/10.1016/j.amjms.2019.10.007DOI Listing
January 2020

Voluntary femoro-tibial subluxations: a benign differential diagnosis in the snapping knee of a child.

Knee Surg Sports Traumatol Arthrosc 2020 Jan 2. Epub 2020 Jan 2.

Department of Pediatric Orthopaedic Surgery, Hôpital Femme Mere Enfant, Lyon, France.

Purpose: Voluntary femoro-tibial subluxation is a rare entity predominantly found in pretoddlers. It presents as a dynamic phenomenon with uni- or bilateral audible snapping of the knee, often in a context of fatigue or irritation at the end of the day. The aim of the study was to observe the evolution and recovery in these patients. Read More

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http://dx.doi.org/10.1007/s00167-019-05831-6DOI Listing
January 2020

Aviator's Fracture - Bilateral Fracture-Dislocation of Talus in a 29-year-old Patient: A Case Report.

Malays Orthop J 2019 Nov;13(3):80-84

Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy.

Bilateral fracture-dislocation of the talus is a rare occurrence. It represents 0.06% of the dislocations and 2% of the traumas of the talus. Read More

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http://dx.doi.org/10.5704/MOJ.1911.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915311PMC
November 2019

Primary arthrodesis versus open reduction internal fixation for complete Lisfranc fracture dislocations: a retrospective study comparing functional and radiological outcomes.

ANZ J Surg 2020 Apr 19;90(4):585-590. Epub 2019 Dec 19.

Alfred Hospital, Melbourne, Victoria, Australia.

Background: The aims of this retrospective study were to compare the functional and radiological outcomes of primary arthrodesis and open reduction internal fixation (ORIF) for the treatment of complete Lisfranc fracture dislocations.

Methods: A retrospective cohort study of 39 patients treated for a complete Lisfranc fracture dislocation, defined as Myerson types A and C2, over a period of 8 years at a level 1 trauma centre was performed. Of these, 18 underwent primary arthrodesis, and 21 ORIF. Read More

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http://dx.doi.org/10.1111/ans.15627DOI Listing
April 2020
1.118 Impact Factor

Total hip arthroplasty in hereditary multiple exostoses with secondary osteoarthritis: A case report.

Medicine (Baltimore) 2019 Nov;98(48):e18175

Department of Orthopedic Surgery, Soonchunhyang University Hospital Cheonan, Cheonan.

Rationale: Hereditary multiple exostoses (HME) is an autosomal dominant disease that causes multiple exostoses throughout the body. It usually occurs around the metaphysis of the long bones, and when it involves the hip, symptoms arise due to deformity and the mass effect. If the lesion does not involve the joint or is not associated with arthritis, symptoms can be relieved by surgical excision of the osteochondroma. Read More

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http://dx.doi.org/10.1097/MD.0000000000018175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890341PMC
November 2019

Outcomes Study of an Innovative Method of Direct Repair of Metatarsophalangeal Joint Instability With an Angiocatheter Needle.

J Foot Ankle Surg 2020 Jan - Feb;59(1):178-183. Epub 2019 Nov 19.

Surgeon and Faculty, Podiatric Surgical Residency, Podiatry, Community Health Network, Indianapolis, IN.

Plantar plate tears are a common cause of forefoot pain and digital deformity. Repair of the plantar plate has been described from both a dorsal and plantar approach, each with its own benefits and drawbacks. Many of the approaches use costly devices. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.07.013DOI Listing
November 2019
5 Reads

Posterior malleolus fractures in Bosworth fracture-dislocations. A combination not to be missed.

Injury 2020 Feb 31;51(2):537-541. Epub 2019 Oct 31.

University Center of Orthopaedics and Traumatology, University Hospital Carl Gustav Carus Dresden, Fetscherstrasse 74, 01307, Dresden, Germany. Electronic address:

Objectives: Posterior malleolar fractures (PM) have been linked to inferior outcome in malleolar fractures. This study aims to analyze the prevalence and pathoanatomy of PM fractures in Bosworth fracture-dislocations (BF).

Materials & Methods: Radiographs and computed tomography (CT) scans of 13 patients treated at our institution and 97 cases published between 1947 and 2018, identified in a systematic literature search, were evaluated with respect to the pathoanatomy of BF. Read More

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http://dx.doi.org/10.1016/j.injury.2019.10.088DOI Listing
February 2020

Non-vehicle commuting in Italy: need for ergonomic action for women's lower limbs?

Appl Ergon 2020 Feb 4;83:102982. Epub 2019 Nov 4.

INAIL, National Institute for Insurance Against Accidents at Work, Via Roberto Ferruzzi 38-40, 00143, Rome, Italy.

Introduction: The aim of this paper is to examine gender differences in the occurrence of accidents among workers while walking to or from their workplace (non-vehicle commuting accidents). We have previously found that the lower limb is more often injured at work among women, compared to men, so the paper concentrates on lower limb injuries.

Methods: Using the records of the National Institute for Insurance against Injuries at Work (INAIL), we focused on the non-vehicle commuting accidents of women and men recognized as work-related for the period 2013-2017. Read More

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http://dx.doi.org/10.1016/j.apergo.2019.102982DOI Listing
February 2020

Outcomes after thumb carpometacarpal joint stabilization with an abductor pollicis longus tendon strip for the treatment of chronic instability.

Arch Orthop Trauma Surg 2020 Feb 6;140(2):275-282. Epub 2019 Nov 6.

Department of Pediatric Orthopaedics and Adult Foot and Ankle Surgery, Orthopedic Hospital Vienna-Speising; Affiliated to Medical University Vienna, Speisingerstrasse 109, 1130, Vienna, Austria.

Introduction: Instabilities of the thumb carpometacarpal (CMC) joint, caused by idiopathic ligamentous hyperlaxity, trauma or other conditions may lead to pain, functional impairment and eventually osteoarthritis. Several techniques have been described to enhance stability of the CMC 1. The aim of this study was to evaluate postoperative outcomes after CMC 1 joint stabilization using a soft-tissue procedure in patients with chronic instability. Read More

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http://dx.doi.org/10.1007/s00402-019-03302-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6989670PMC
February 2020

Subluxation of the Middle Facet of the Subtalar Joint as a Marker of Peritalar Subluxation in Adult Acquired Flatfoot Deformity: A Case-Control Study.

J Bone Joint Surg Am 2019 Oct;101(20):1838-1844

The Hospital for Special Surgery, New York, NY.

Background: Progressive peritalar subluxation (PTS) is part of adult acquired flatfoot deformity (AAFD). We investigated the use of the middle facet as an indicator of PTS using standing, weight-bearing computed tomography (CT) images. We hypothesized that weight-bearing CT would be an accurate method of measuring increased subluxation ("uncoverage") and incongruence of the middle-facet among patients with AAFD. Read More

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http://dx.doi.org/10.2106/JBJS.19.00073DOI Listing
October 2019

Temporizing External Fixation vs Splinting Following Ankle Fracture Dislocation.

Foot Ankle Int 2020 Feb 9;41(2):177-182. Epub 2019 Oct 9.

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufmann Medical Building, Pittsburgh, PA, USA.

Background: Closed reduction and splinting followed by outpatient management is standard of care for temporizing most ankle fractures. However, ankle fracture-dislocation potentially warrants a different approach based on the propensity for loss of reduction. The purpose of this study was to determine the rate of complications associated with closed reduction and splinting of unstable ankle fracture-dislocations. Read More

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http://dx.doi.org/10.1177/1071100719879431DOI Listing
February 2020
1 Read

Open ligamentous complex disruption of the lateral ankle without dislocation or fracture: Two case reports.

Medicine (Baltimore) 2019 Oct;98(41):e17447

Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Republic of Korea.

Introduction: Lateral ligamentous complex injury without fracture or dislocation is rare in the literature. Due to the rare injury, it is not clear yet about the proper treatment. This case report suggests a specific diagnosis of this injury as well as an appropriate surgical method. Read More

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http://dx.doi.org/10.1097/MD.0000000000017447DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6799453PMC
October 2019
1 Read

Limited internal fixation combined with a joint-spanning external fixator in the treatment of Midfoot injuries in children.

J Pediatr Orthop B 2019 Sep 18. Epub 2019 Sep 18.

Department of Paediatric Orthopaedics, Jishuitan Hospital, Beijing, China.

The aim of this study was to explore the clinical features and surgical treatment methods of unstable midfoot injuries in children. Eleven children with severe unstable midfoot injuries admitted to Jishuitan Hospital, Beijing, from June 2009 to October 2016 were enrolled, including seven patients with Lisfranc injuries and four patients with Chopart injuries. All Lisfranc injuries had radiographic data from the healthy sides, and radiographs of the affected sides showed that all injured Lisfranc joints separated more than 3 mm compared with the healthy sides. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000675DOI Listing
September 2019
2 Reads

A high-profile thread with grit-blasted and acid-etched surface reduces loosening of medial column fusion bolt in instable Charcot foot.

Foot Ankle Surg 2019 Aug 22. Epub 2019 Aug 22.

Center of Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany.

Background: Intramedullary fusion bolts (FB) were introduced to stabilize the medial column of the instable Charcot foot (ICF), but complications as bolt loosening or breakage are frequent. We compared the use of a standard FB and a high-profile threaded FB with a grit-blasted surface. We hypothesized that implant related complications occurred less often and osseous consolidation of fusion sites was more distinctive using the latter type of FB. Read More

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http://dx.doi.org/10.1016/j.fas.2019.08.004DOI Listing
August 2019
3 Reads

Evaluation of Syndesmosis Reduction after Removal Syndesmosis Screw in Ankle Fracture with Syndesmosis Injury.

Adv Biomed Res 2019 21;8:50. Epub 2019 Aug 21.

Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Ankle fracture-dislocation with a syndesmotic injury has been treated with syndesmotic screw fixation. There are little evidences about the safety and efficacy of syndesmotic screw removal on the syndesmotic malreduction. This study aimed to evaluate the effects of syndesmotic screw removal of distal attachment of the fibula and tibia bones on the syndesmotic reduction and also impact of syndesmotic screw removal on the final functional score of ankle joint. Read More

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http://dx.doi.org/10.4103/abr.abr_66_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6712893PMC
August 2019
4 Reads

The effect of computerised tomography on operative planning in posterior malleolus ankle fractures.

Foot Ankle Surg 2019 Aug 28. Epub 2019 Aug 28.

Trauma and Orthopaedic Unit, Sheffield Teaching Hospitals, Herries Road, Sheffield, S5 7AU, United Kingdom. Electronic address:

Background: The aim of this project was to analyse whether a CT influences surgical planning in ankle fracture involving the posterior malleolus.

Methods: Twenty consecutive patients with fractures involving the posterior malleolus were retrospectively selected and had their plain radiographs and CT scan anonymised. Initially, radiographs alone were presented to nine trauma surgeons to formulate a surgical plan individually. Read More

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http://dx.doi.org/10.1016/j.fas.2019.08.007DOI Listing
August 2019
3 Reads

Open Ankle Dislocation without Associated Malleolar Fracture on a Trampoline. A Case Report.

Z Orthop Unfall 2019 Sep 9. Epub 2019 Sep 9.

Department of Trauma and Orthopaedic Surgery, BG Unfallklinik (Trauma Clinic) Frankfurt am Main.

Dislocation of the ankle without fracture is very uncommon. There are only few reports in the international literature. Up to now approximately 80 cases are published. Read More

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http://dx.doi.org/10.1055/a-0953-8955DOI Listing
September 2019
2 Reads

A Case Study on Aneurysmal Bone Cyst of T2 Vertebral Body in a 7-Year-Old Girl: Anterior and Posterior Surgical Approach for Tumor Resection and Spinal Reconstruction.

Asian J Neurosurg 2019 Jul-Sep;14(3):985-988

Department of Neurosurgery, Birjand University of Medical Sciences, Iran.

Aneurysmal bone cyst (ABC) is defined as a benign lesion of bone containing blood-filled channels divided by soft-tissue septa and mostly diagnosed in children and adolescents. In the present study, the case of a 7-year-old girl with spastic paraparesia and left foot drop was investigated. Spinal imaging revealed a large lytic mass in the posterior elements of the T2 vertebral body, which resulted in the partial collapse of the T2 vertebral body, a T1 to T3 dislocation, and a spinal sagittal imbalance. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_120_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703061PMC
September 2019
4 Reads

Peroneal Tendon Lengthening as an Adjunct Procedure to Aid in the Reduction of the Lateral Malleolus in Diabetic Ankle Fractures: 2 Case Reports.

J Foot Ankle Surg 2019 Nov 31;58(6):1251-1256. Epub 2019 Aug 31.

Section Chief, Orthopaedic Surgery and Medical Director of Rehabilitation Services, Saint Anthony Hospital, Chicago, IL.

It is well-documented that individuals with longstanding diabetes mellitus are at risk for specific metabolic abnormalities; this includes but is not limited to increased glycation of collagenous soft-tissue structures. It is also apparent that such changes can manifest as thickening and increased stiffness of tendinous structures. What remains unknown are the biomechanical ramifications of these changes and how they should affect the surgical management of lower extremity injuries. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.12.039DOI Listing
November 2019
6 Reads

Flexible Fixation Technique for Lisfranc Injuries.

Foot Ankle Int 2019 Nov 30;40(11):1338-1345. Epub 2019 Aug 30.

Department of Orthopedics, University of California, Davis, Sacramento, CA, USA.

Injuries to the Lisfranc complex range from purely ligamentous disruptions to fracture-dislocations of the tarsometatarsal joint. Treatment options include closed/open reduction with percutaneous pinning, open reduction and internal fixation (ORIF), and primary arthrodesis. We present a ligament reinforcement technique utilizing a flexible fixation device for the treatment of ligamentous Lisfranc injuries. Read More

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http://dx.doi.org/10.1177/1071100719873271DOI Listing
November 2019
1 Read