4,054 results match your criteria Imaging in Ankle Fractures


Quantitative CT-Based Methods for Bone Microstructural Measures and Their Relationships With Vertebral Fractures in a Pilot Study on Smokers.

JBMR Plus 2021 May 19;5(5):e10484. Epub 2021 Mar 19.

Department of Electrical and Computer Engineering, College of Engineering University of Iowa Iowa City IA USA.

Osteoporosis causes fragile bone, and bone microstructural quality is a critical determinant of bone strength and fracture risk. This study pursues technical validation of novel CT-based methods for assessment of peripheral bone microstructure together with a human pilot study examining relationships between bone microstructure and vertebral fractures in smokers. To examine the accuracy and reproducibility of the methods, repeat ultra-high-resolution (UHR) CT and micro-CT scans of cadaveric ankle specimens were acquired. Read More

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Is lateral ankle sprain of the child and adolescent a myth or a reality? A systematic review of the literature.

Foot Ankle Surg 2021 May 1. Epub 2021 May 1.

Department of Orthopedics and Traumatology, Ambroise-Paré Hospital, AP-HP, Île-de-France Ouest University, 9 Avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France; Department of Orthopedic Surgery, Clinique du Sport, 36 Boulevard Saint-Marcel, 75005 Paris, France.

Background: Ankle trauma in children and adolescents is the most common orthopedic injury encountered in pediatric trauma. It has long been recognized that a lateral ankle injury in this population is often a Salter and Harris type I fracture of the distal fibula (SH1). The purpose of this study is to confirm the existence of a lateral ankle sprain and to report the incidence of each pathology of the lateral ankle compartment: SH1 fracture, ATFL injury, and osteochondral avulsions. Read More

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Mal-union of sustentaculum tali fracture with talo-calcaneal coalition leading to tarsal tunnel syndrome: A case report.

Foot (Edinb) 2021 Apr 8;47:101797. Epub 2021 Apr 8.

Northwestern Memorial Hospital, Chicago, IL, USA.

Displaced isolated fractures of sustentaculum tali are rare. Inadequate treatment of these injuries can rarely lead to non-union or mal-union and in most cases are treated non-surgically. We report a unique case of undiagnosed mal-union of sustentaculum tali in the setting of underlying tarsal coalition that resulted in symptoms of tarsal tunnel. Read More

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Characteristics and classification of medial malleolar fractures.

Bone Joint J 2021 May;103-B(5):931-938

Department of Orthopedics and Trauma, Peking University People's Hospital, Beijing, China.

Aims: The morphology of medial malleolar fracture is highly variable and difficult to characterize without 3D reconstruction. There is also no universally accepeted classification system. Thus, we aimed to characterize fracture patterns of the medial malleolus and propose a classification scheme based on 3D CT reconstruction. Read More

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Defining a Safe Zone for Percutaneous Screw Fixation of Posterior Malleolar Fractures.

J Foot Ankle Surg 2021 Mar 24. Epub 2021 Mar 24.

Senior Staff Specialist, Department of Musculoskeletal Services - Surgical, Anaesthetics and Procedural Services (SaPS), Gold Coast University Hospital, Gold Coast Health, Southport, Queensland, Australia.

Posterior malleolar fractures require fixation to confer stability to the ankle. Although some have suggested that fractures involving less than 25% of the articular surface require no intervention, estimation of malleolar size on plain imaging is inaccurate. Some posterior malleolar fractures may be particularly suitable for posterior-to-anterior percutaneous screw fixation of the posterior malleolus via a posterolateral approach. Read More

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Computer-assisted contralateral side comparison of the ankle joint using flat panel technology.

Int J Comput Assist Radiol Surg 2021 Apr 20. Epub 2021 Apr 20.

Division of Medical Image Computing, German Cancer Research Center, Heidelberg, Germany.

Purpose: Reduction and osteosynthesis of ankle fractures is a challenging surgical procedure when it comes to the verification of the reduction result. Evaluation is conducted using intra-operative imaging of the injured ankle and depends on the expertise of the surgeon. Studies suggest that intra-individual variance of the ankle bone shape and pose is considerably lower than the inter-individual variance. Read More

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[Comparison of effectiveness between plate and screw internal fixation in treatment of posterior malleolus fractures through posterolateral approach].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):431-438

Guizhou Medical University, Guizhou Guiyang, 550004, P.R.China.

Objective: To compare the effectiveness of posterior malleolus fractures treated by plate and screw internal fixation through posterolateral approach.

Methods: The clinical data of 95 patients with posterior malleolus fractures who were admitted between January 2016 and December 2019 and met the selection criteria were retrospectively analysed. They were divided into plate group (44 cases, treated with posterolateral plate internal fixation) and screw group (51 cases, treated with posterolateral screw internal fixation) according to different treatment methods. Read More

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[Indirect fixation of the third tarsometatarsal joint for high-energy Lisfranc injury].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):426-430

Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, 200065, P.R.China.

Objective: To evaluate the effectiveness of indirect fixation of the 3rd tarsometatarsal joint in the treatment of high-energy Lisfranc injury.

Methods: Between February 2015 and February 2019, 15 patients with high-energy Lisfranc injury were treated. There were 12 males and 3 females with an average age of 44. Read More

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[Ankle fractures-a topic that never grows old].

Authors:
Stefan Rammelt

Oper Orthop Traumatol 2021 04 12;33(2):89-90. Epub 2021 Apr 12.

Zentrum für Fuß- und Sprunggelenkchirurgie, UniversitätsCentrum für Orthopädie, Unfall- und Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

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Comparison of routine computed tomography and plain X-ray imaging for malleolar fractures-How much do we miss?

Foot Ankle Surg 2021 Apr 1. Epub 2021 Apr 1.

Carolina Medical Center, Pory 78, 02-757 Warsaw, Poland; McGowan Institute for Regenerative Medicine, University of Pittsburgh, 450 Technology Drive, Suite 300, Pittsburgh, United States. Electronic address:

Purpose: Most patients with ankle arthrosis have a history of ankle fracture. Evaluation of malleolar fractures solely on X-ray may be insufficient to identify many pathologies that potentially contribute to ankle arthrosis, with a consequent poor prognosis. We investigated the pathologies that may be overlooked in malleolar fractures evaluated solely on plain X-ray. Read More

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[An update on the work-up and management of ankle fractures: A literature review].

Medwave 2021 Mar 19;21(3):e8130. Epub 2021 Mar 19.

Equipo de Cirugía de Pierna, Tobillo y Pie, Departamento de Ortopedia y Traumatología, Clínica Las Condes, Santiago, Chile; Equipo de Cirugía Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital del Trabajador, Santiago, Chile. ORCID: 0000-0002-0222-3086.

Our understanding of the management of ankle fractures has significantly improved in recent years. Computerized axial tomography and better biomechanical insights have renewed the underlying concepts for both diagnosis and treatment. Notwithstanding, some aspects of the management of malleolar fractures still lack consensus. Read More

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Factors impacting the evidence-based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review.

J Foot Ankle Res 2021 Apr 7;14(1):26. Epub 2021 Apr 7.

Holsworth Research Initiative, La Trobe Rural Health School, College of Science, Health and Engineering, La Trobe University, Bendigo, Australia.

Background: Acute Charcot Neuroarthropathy (CN) is a destructive condition that is characterised by acute fractures, dislocations and joint destruction in the weight-bearing foot. The acute phase is often misdiagnosed and can rapidly lead to devastating health outcomes. Early diagnosis and management of CN is imperative to attenuate progression of this condition. Read More

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Pure isolated medial talonavicular joint dislocation following low-energy trauma: a case report.

J Int Med Res 2021 Apr;49(4):3000605211004697

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongam-gu, Cheonan, Korea.

Midtarsal dislocations are relatively rare injuries secondary to high-energy trauma and are typically accompanied by disruption of ligamentous structures and fractures of the midfoot. We herein present a case of a pure isolated medial swivel dislocation of the talonavicular joint (TNJ) that was sustained following low-energy trauma without an associated fracture. A 78-year-old woman visited our emergency department with severe pain in the midfoot area of the right foot without neurovascular deficits. Read More

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Advantages of preoperative planning using computed tomography scan for treatment of malleolar ankle fractures.

World J Orthop 2021 Mar 18;12(3):129-139. Epub 2021 Mar 18.

Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'Adulto, University of Modena and Reggio Emilia, Modena 41121, Italy.

Malleolar ankle fractures have been classified using plain radiographs, and there is no consensus regarding the role of computed tomography (CT) scans in preoperative planning. We analyzed critical aspects, such as limits of standard radiographs, types of injury, classification methods and cost/benefit evaluations. CT scans allow a 3D analysis of the fracture to be obtained and consequently assess the indication for surgical procedure, surgical access and the type of fixation devices required. Read More

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Management of Heel Pad Degloving Injury After Severe Foot Crush Injury: A Case Report Study.

Cureus 2021 Mar 30;13(3):e14191. Epub 2021 Mar 30.

Orthopaedic Department, General Hospital of Ioannina "G. Chatzikosta", Ioannina, GRC.

Crush injuries of the foot and ankle are uncommon and they have a poor prognosis leading to some form of disability. Degloving injuries of the heel and foot after crush injuries are rare and very challenging to manage due to the need for reconstruction of both osseous and soft tissue architecture. We present a salvage strategy for an open injury to the foot with extensive soft tissue detachment from the plantar and dorsal surface. Read More

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Anatomical Study on the Reconstruction of the Anterior Talofibular Ligament.

J Foot Ankle Surg 2021 Mar 14. Epub 2021 Mar 14.

Foot and Ankle Surgeon, Department of Orthopedics, Ruian City People's Hospital, Wenzhou, Zhejiang, China. Electronic address:

The purpose of this study aimed to (1) identify the relationship between the fibula and the talus of the anterior talofibular ligament (ATFL); (2) collect detailed anatomical data and provide anatomical basis for ATFL anatomical reconstruction. We selected 27 ankle specimens of adult cadavers (9 left feet and 18 right feet in 11 males and 16 females; mean age 41.6 years) with the exception of ankle deformities, fractures, underdevelopment and degenerative diseases. Read More

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The Fate of Bone Marrow Lesions After Open Wedge High Tibial Osteotomy: A Comparison Between Knees With Primary Osteoarthritis and Subchondral Insufficiency Fractures.

Am J Sports Med 2021 May 1;49(6):1551-1560. Epub 2021 Apr 1.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Bundang Hospital, Seoul, Republic of Korea.

Background: Subchondral insufficiency fracture of the knee (SIFK) is characterized by a subchondral lesion that may lead to end-stage osteoarthritis (OA). In patients who have SIFK in a precollapse state with varus malalignment, a joint-preserving technique such as open wedge high tibial osteotomy (OWHTO) should be considered.

Purpose: To evaluate the efficacy of OWHTO in primary OA and SIFK-dominant OA by clinical and radiological evaluations including magnetic resonance imaging (MRI). Read More

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A comparison of double single suture-button fixation, suture-button fixation, and screw fixation for ankle syndesmosis injury: A retrospective cohort study.

Medicine (Baltimore) 2021 Apr;100(13):e25328

Lokman Hekim Akay Hospital, Department of Orthopaedic and Traumatology, Ankara, Turkey.

Abstract: Different methods have been used throughout the years for syndesmotic injury but there is no consensus on the ideal treatment. Some methods are expensive and some have more complications. The aim of this study is to compare single suture endobutton with double suture endobutton and screw fixation for syndesmotic injury. Read More

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[Open reduction and internal fixation of posterior malleolus fractures].

Oper Orthop Traumatol 2021 Apr 25;33(2):112-124. Epub 2021 Mar 25.

Sektion Fuß- und Sprunggelenkchirurgie Campus Großhadern & Innenstadt, Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, LMU München, Nussbaumstr. 20, 80336, München, Deutschland.

Objective: Stabilization of the syndesmotic complex by open reduction and internal fixation (ORIF) of the posterior malleolus, restoration of the tibial articular surface, stability of the ankle, posterior tibiofibular ligament and the incisura tibiae, reduction of the fibula into the incisura tibiae by ligamentotaxis.

Indications: Unstable ankle fractures (OTA/AO type 44-B3, C1.3, C2. Read More

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[Operative treatment of bimalleolar fractures].

Oper Orthop Traumatol 2021 Apr 24;33(2):91-103. Epub 2021 Mar 24.

Universitätsklinikum Münster, Albert Schweitzer Campus 1, Gebäude W1, 48149, Münster, Deutschland.

Objective: Anatomical restoration of the function and anatomy of the talocrural joint, anatomical reduction of fractures of the lateral and medial malleoli and to address ligamentous instability when achieving exercise stability.

Indications: Dislocated and intra-articular fractures of the lateral and medial malleoli.

Contraindications: Infections, peripheral arterial occlusive disease, critical soft tissue conditions. Read More

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Fixation of anterolateral distal tibial fractures: the anterior malleolus.

Oper Orthop Traumatol 2021 Apr 22;33(2):125-138. Epub 2021 Mar 22.

University Center of Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Objective: The anterior tibial rim with the anterolateral tibial tubercle provides attachment to the anterior tibiofibular syndesmosis. It may be considered an anterior or "fourth" malleolus. Fixation of a displaced anterior tibial fragment in the treatment of malleolar fractures aims at providing a bone-to-bone fixation of the anterior tibiofibular ligament and restoring the integrity of the tibial incisura. Read More

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[Minimally invasive fixation of distal fibular fractures with intramedullary nailing].

Oper Orthop Traumatol 2021 Apr 16;33(2):104-111. Epub 2021 Mar 16.

UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.

Objective: Minimally invasive osteosynthesis of distal fibula fractures serves as a biomechanically stable and soft-tissue-friendly fixation method in the case of an unstable fracture, poor bone quality, and/or critical soft tissue conditions with restoration of the length, axis and rotation of the distal fibula as well as stabilization of the ankle mortise. The goal is to reduce and stabilize the distal fibular fracture in a quick and stable manner that protects the soft tissues in ankle fractures.

Indications: Unstable malleolar fractures and fracture dislocations; fibular fractures in combination with distal tibia fractures; critical soft tissue conditions around the ankle. Read More

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Internal Fixation of Osteochondral Lesion of the Talus Involving a Large Bone Fragment.

Am J Sports Med 2021 03;49(4):1031-1039

Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

Background: Internal fixation of an osteochondral lesion of the talus (OLT) can restore the congruency of the talus and maintain the subchondral bone and innate hyaline cartilage. However, OLT that is indicated for fixation is rarely encountered; hence, not many studies report on the results after the procedure.

Purpose: To evaluate the clinical and radiological outcomes after internal fixation of chronic OLT involving a large bone fragment of at least 10 mm in diameter and 3 mm in depth on computed tomography (CT). Read More

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[Osteochondral lesions of the talus : Individualized approach based on established and innovative reconstruction techniques].

Unfallchirurg 2021 Apr 5;124(4):319-332. Epub 2021 Mar 5.

Klinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Osteochondral lesions (OCL) of the talus are defined as chondral damage with subchondral involvement. The traumatic etiology is important; in particular, sprains and fractures can lead to lesions of the articular surface and the subchondral plate. As a result, unstable lesions and subchondral cysts can trigger substantial persistent pain and functional impairments. Read More

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[Fractures of the ankle joint].

Authors:
H Polzer S Rammelt

Unfallchirurg 2021 Mar 1;124(3):173-174. Epub 2021 Mar 1.

UniversitätsCentrum für Orthopädie, Unfall- und Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus an der TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

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Imaging patterns of lower extremity injuries in victims of intimate partner violence (IPV).

Emerg Radiol 2021 Feb 24. Epub 2021 Feb 24.

Trauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, MA, USA.

Purpose: To describe the pattern and distribution of lower extremity injuries in victims of intimate partner violence (IPV).

Materials And Methods: A retrospective radiological review of 688 patients reporting IPV to our institution's violence intervention and prevention program between January 2013 and June 2018 identified 88 patients with 154 lower extremity injuries. All lower extremity injuries visible on radiological studies were analyzed. Read More

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February 2021

[Fractures of the anterolateral tibial rim : The fourth malleolus].

Unfallchirurg 2021 Mar 12;124(3):212-221. Epub 2021 Feb 12.

UniversitätsCentrum für Orthopädie, Plastische und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

The anterolateral tibial rim with the anterior tibial tubercle (Tubercule de Tillaux-Chaput) serves as an insertion site of the anterior inferior tibiofibular ligament (AITFL). It can also be termed the anterior malleolus or fourth malleolus. Fractures of the anterolateral tibial rim typically result from an external rotation or abduction mechanism of the talus within the ankle mortise. Read More

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The Current UK Consensus on the Management of Weber B and Posterior Ankle Fractures: A Questionnaire Study as Part of the Acute Management of Ankle Fractures (AUGMENT) Audit.

J Foot Ankle Surg 2021 Feb 8. Epub 2021 Feb 8.

Registrar, Northern General Hospital, Sheffield, United Kingdom.

Ankle fractures are common conditions which are associated with significant morbidity when managed incorrectly. With the incidence due to triple by 2030, standards of practice were created by the British Orthopaedic Association and the British Orthopaedic Foot and Ankle Society to ensure optimal treatment. In spite of this, anecdotally there is still a variation in practice and therefore a questionnaire study was designed to explore clinician decision-making around Weber B and Posterior Malleolus ankle fractures. Read More

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February 2021

[Nonoperative treatment of isolated fractures of the distal fibula].

Authors:
Andreas Baumann

Unfallchirurg 2021 Mar 11;124(3):175-180. Epub 2021 Feb 11.

Department of Trauma and Orthopaedic Surgery, Lancashire Teaching Hospitals, Sharoe Green Lane, PR2 9HT, Preston, Großbritannien.

Stable ankle fractures can be successfully managed nonoperatively. Unstable fractures on the other hand should be treated surgically as operative management consistently leads to better outcomes. How to define stability in ankle fractures continues to be a controversial issue. Read More

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[Ankle fractures in older patients : What should we do differently?]

Unfallchirurg 2021 Mar 10;124(3):200-211. Epub 2021 Feb 10.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert Schweitzer Campus 1, Gebäude W1, Waldeyerstr. 1, 48149, Münster, Deutschland.

As a result of the demographic developments ankle fractures in older patients are part of routine trauma surgery. Due to comorbidities, such as diabetes mellitus, reduced bone quality and limited compliance in follow-up treatment, these fractures are prone to complications. The primary goal in the treatment of older patients with ankle fractures is to maintain mobility. Read More

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