3,530 results match your criteria Imaging in Ankle Fractures


Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb.

Skeletal Radiol 2019 Jan 31. Epub 2019 Jan 31.

Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

Subchondral insufficiency fracture (SIF) is a non-traumatic condition that has historically been associated with elderly, osteoporotic women and patients with systemic conditions. There has been much work done to determine the pathogenesis of SIF, which has previously been regarded as idiopathic, rapid-progressive osteoarthritis or osteonecrosis of the hip, spontaneous osteonecrosis of the knee (SONK), osteochondral defect (OCD) of the talus and adult-onset Freiberg infraction of the metatarsal head. Early diagnosis and management are crucial to prevent subchondral collapse, secondary osteonecrosis and early-onset osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00256-019-3160-4DOI Listing
January 2019
1 Read

Medial malleolar stress fracture resulting from repetitive stress caused by lateral ankle instability: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14311

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan, Korea.

Rationale: Stress fractures are most commonly sustained in the lower extremities owing to the repetitive weight-bearing forces. They are overuse injuries that are seen often in athletes, but rare in the general population, so early diagnosis and proper treatment are important to enable athletes to return to activity. This is a rare example of successful treatment of a medial malleolar stress fracture with lateral ankle instability. Read More

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http://dx.doi.org/10.1097/MD.0000000000014311DOI Listing
February 2019
1 Read

The effectiveness of ultrasound in the detection of fractures in adults with suspected upper or lower limb injury: a systematic review and subgroup meta-analysis.

BMC Emerg Med 2019 Jan 28;19(1):17. Epub 2019 Jan 28.

Centre for Rural Health, University of Aberdeen, Inverness, Scotland, UK.

Background: The aim of the present review is to assess the effectiveness of ultrasound (US) in the detection of upper and lower limb bone fractures in adults compared to a diagnostic gold standard available in secondary and tertiary care centres (e.g. radiography, CT scan or MRI). Read More

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http://dx.doi.org/10.1186/s12873-019-0226-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350304PMC
January 2019
1 Read

Influence of intraoperative conventional fluoroscopy versus cone beam CT on long-term clinical outcome in isolated displaced talar fractures.

J Orthop Surg Res 2019 Jan 8;14(1). Epub 2019 Jan 8.

MINTOS - Medical Imaging and Navigation in Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen, Heidelberg University Hospital, Ludwig-Guttmannstr. 13, 67071, Ludwigshafen, Germany.

Introduction: The objective of the study was to compare the radiologic and clinical outcome of patients with an isolated displaced talus fracture treated intra-operatively with either conventional fluoroscopy or additional cone beam computed tomography (CT).

Methods: Conventional intraoperative fluoroscopy was performed in group 1 and cone beam CT was added in group 2. Clinical outcome was assessed using the Foot Function Index (FFI), American Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, and the Short-Form 12 (SF-12) survey. Read More

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http://dx.doi.org/10.1186/s13018-018-1043-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323861PMC
January 2019
2 Reads

The surgical outcome of Lisfranc injuries accompanied by multiple metatarsal fractures: A multicenter retrospective study.

Injury 2018 Dec 18. Epub 2018 Dec 18.

Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China; The First Clinical College, Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China. Electronic address:

Background: This study assessed the surgical outcomes of Lisfranc injuries accompanied by multiple metatarsal fractures. Metatarsal fractures here refers to metatarsal head, neck, and shaft (including shaft fractures accompanied by fractures of the base) fractures, as well as mixed (i.e. Read More

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http://dx.doi.org/10.1016/j.injury.2018.12.023DOI Listing
December 2018
2 Reads

Supination External Rotational Ankle Fracture Injury Pattern Correlation With Regional Bone Density.

Foot Ankle Int 2018 Dec 21:1071100718816680. Epub 2018 Dec 21.

3 Orthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY, USA.

Background:: Rotational ankle fractures can present with an array of possible osseous and ligamentous injury combinations in reliable anatomic locations. What accounts for these different injury patterns and whether specific patient and injury factors underlie the different injury patterns is unclear. The purpose of this study was to determine whether causative factors exist that could account for the various injury patterns seen with rotational ankle fractures. Read More

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http://dx.doi.org/10.1177/1071100718816680DOI Listing
December 2018
1 Read

Technologies in the Treatment of Bone Marrow Edema Syndrome.

Orthop Clin North Am 2019 Jan;50(1):131-138

Tehran University of Medical Science, Number 21, Dameshgh Street, Vali-e Asr Avenue, Tehran 1416753955, Iran.

Bone marrow edema syndrome is a rare and self-limited syndrome with an unknown cause. The natural time course for improvement of clinical symptoms and normalization in MRI lasts from 3 to 18 months. This entity must be distinguished from other causes of marrow abnormality, such as stress fractures and osteonecrosis, for the best treatment options. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.08.008DOI Listing
January 2019
1 Read

Inference on Injury Mechanism of Ankle Fracture by Lauge-Hansen Classification.

Fa Yi Xue Za Zhi 2018 Oct 25;34(5):512-515. Epub 2018 Oct 25.

Criminal Police Brigade of Yongkang Public Security Bureau, Yongkang 321300, China.

Objectives: To explore the injury mechanism of ankle fracture inferred by the Lauge-Hansen classification with the application of medical imageology and its application value in forensic medicine.

Methods: A total of 32 ankle fracture cases with known injury mechanism were collected from January 2013 to May 2018, which were identified in Yongkang Public Security Bureau, Zhejiang Province. The Lauge-Hansen classification of ankle fracture was performed by three forensic experts based on the data of X-ray and CT image. Read More

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http://dx.doi.org/10.12116/j.issn.1004-5619.2018.05.015DOI Listing
October 2018
1 Read

Lateral Inverted Osteochondral Fracture of the Talus: Case Reports and Review of the Literature.

Acta Clin Croat 2018 Jun;57(2):377-382

Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia.

Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. The management of LIFT lesion is very challenging and early recognition crucial, given that treatment options depend on the articular cartilage condition and sufficiency of the adjacent bone of the displaced fragment. We describe two LIFT cases referred from other institutions after unsuccessful conservative treatment of OLT. Read More

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https://www.unboundmedicine.com/medline/research/Ankle_sprai
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https://hrcak.srce.hr/index.php?show=clanak&id_clanak_je
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http://dx.doi.org/10.20471/acc.2018.57.02.21DOI Listing
June 2018
10 Reads

[Triplane Fractures of the Distal Tibial Epiphysis - Contributions of CT Scans to Indication and Planning of Osteosynthesis].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):336-342

Klinika dětské chirurgie a traumatologie 3. lékařské fakulty Univerzity Karlovy a Thomayerovy nemocnice, Praha.

PURPOSE OF THE STUDY The triplane fracture of the distal tibial epiphysis is characterised by the fracture line in typical three planes which can, however, differ case by case. The authors use the CT imaging as the perfect examination method to determine the nature of the fracture to plan the osteosynthesis. MATERIAL AND METHODS In the five-year retrospective study of a group of patients treated at their own department in the period 2011-2015 the authors assess a total of 55 patients with a triplane fracture. Read More

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January 2018
1 Read

[Headless pressure screw with local complication of PRP for the treatment of intra-articular fracture of old metatarsal].

Zhongguo Gu Shang 2018 Oct;31(10):953-956

The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China.

Objective: To discuss clinical effects of headless pressure screw with local complication of PRP in treating old metatarsal intra-articular fracture.

Methods: From January 2010 to June 2016, 7 patients with old metatarsal intra-articular fracture treated by open reduction headless compression screw internal fixation by local application PRP, including 5 males and 2 females, aged from 21 to 52 years old, 5 patients injured by falling down and 2 patients caused by crushing, the time from injury to operation ranged from 3 to 6 weeks. Preoperative anteroposterior, lateral and oblique X-ray film and three-dimensional CT reconstruction were examined, and the results showed 2 patients on the second metatarsal, 2 patients on the third metatarsal, 3 patients on the fourth metatarsal. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.10.015DOI Listing
October 2018
12 Reads

Staple versus suture closure for ankle fracture fixation: Retrospective chart review for safety and outcomes.

Foot (Edinb) 2018 Dec 22;37:71-76. Epub 2018 Aug 22.

University of Alabama at Birmingham, Department of Orthopaedic Surgery, USA. Electronic address:

Introduction/aim: Recent comparisons of suture versus metal staple skin closure on the rates of wound complications in orthopaedic surgeries have yielded conflicting results. Several studies have since started to approach this question based on anatomic location, comparing suture versus staple closure in total hip and knee arthroplasty and acetabulum fracture surgery. Ankle fractures are one of the most commonly treated fractures by orthopaedic surgeons with unique challenges to skin closure due to the lack of subcutaneous support. Read More

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http://dx.doi.org/10.1016/j.foot.2018.08.003DOI Listing
December 2018
6 Reads

Fractures of the anterior process of the calcaneum; a review and proposed treatment algorithm.

Foot Ankle Surg 2018 Feb 21. Epub 2018 Feb 21.

Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London SE1 9RT, United Kingdom.

Background: There remains a lack of recognition of these fractures, which leads to a delay in diagnosis and appropriate management.

Methods: A comprehensive literature search was performed. Following inclusion and exclusion criteria, 23 studies were available for analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183002
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http://dx.doi.org/10.1016/j.fas.2018.02.004DOI Listing
February 2018
7 Reads

A Morel-Lavallée lesion of the proximal calf in a young trauma patient: A case report.

Medicine (Baltimore) 2018 Oct;97(41):e12761

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

Rationale: The Morel-Lavallée lesion (MLL) is a closed degloving injury developing when shear force acts between the muscle fascia and the subcutaneous layer. MLLs develop principally in the trochanteric area or the pelvis; lesions in the proximal calf are rare. Acute lesions can be treated conservatively, but chronic lesions are best treated surgically because of a high rate of recurrence. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0006
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http://dx.doi.org/10.1097/MD.0000000000012761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203552PMC
October 2018
20 Reads

Management of Isolated Lateral Malleolus Fractures.

J Am Acad Orthop Surg 2019 Jan;27(2):50-59

From the Department of Orthopaedic Surgery, University of Miami Hospital, Miami, FL (Dr. Aiyer and Dr. Zachwieja), the Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO (Dr. Lawrie), and the Orthopaedic Specialty Institute, Orange, CA (Dr. Kaplan).

Isolated lateral malleolus fractures represent one of the most common injuries encountered by orthopaedic surgeons. Nevertheless, appropriate diagnosis and management of these injuries are not clearly understood. Ankle stability is maintained by ligamentous and bony anatomy. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00417DOI Listing
January 2019
5 Reads

Refracture of Kummell Disease Combined with Huge Epidural Hematoma After Minor Trauma.

World Neurosurg 2018 Dec 26;120:500-505. Epub 2018 Sep 26.

Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Republic of Korea.

Background: Kummell disease is defined as avascular necrosis of vertebra, occurs after the delayed posttraumatic osteoporotic vertebral collapse, and mainly occurs in adults older than 50 years of age. We report the first case of refracture of Kummell disease and epidural hematoma followed by paraparesis.

Case Description: A 67-year-old woman with a known case of osteoporotic T12 fracture (3 months back) visited our outpatient clinic complaining of persistent back pain and paraparesis after jerking while getting up from the bed. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.09.130DOI Listing
December 2018
1 Read
2.420 Impact Factor

[Limited versus Extended Lateral Approach for Osteosynthesis of Calcaneal Fractures - Comparison of Temporal and Dynamic Parameters of the Gait Cycle].

Authors:
S Jandová J Pazour

Acta Chir Orthop Traumatol Cech 2018 ;85(1):57-61

Technická univerzita v Liberci.

PURPOSE OF THE STUDY Currently, operative treatment is preferred in dislocated calcaneal fractures. Most frequently used is the extended lateral approach, the disadvantage of which is the risk of early complications. Therefore, less invasive operative techniques are sought that would reduce the risk of such complications. Read More

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January 2019
1 Read

Comparative Nonunion Rates in Triple Arthrodesis.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1154-1156. Epub 2018 Sep 22.

Biostatistician, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

The contemporary literature is unclear regarding the joint that is most "at risk" to yield a nonunion in the performance of triple arthrodesis of the foot. There is also a debate regarding the best methods of joint preparation. A retrospective radiographic review was conducted of all primary triple arthrodeses performed within in a Northern California health maintenance organization between January 2007 and June 2013. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183023
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http://dx.doi.org/10.1053/j.jfas.2018.06.006DOI Listing
February 2019
14 Reads

Long-term results following intra-articular fractures of the medial malleolus in children and adolescents with special emphasis on MRI.

J Orthop Surg (Hong Kong) 2018 May-Aug;26(3):2309499018801136

1 Department of Paediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria.

Purpose: Presently, there is no publication combining clinical follow-up with magnetic resonance imaging (MRI) to determine possible post-traumatic alterations following paediatric intra-articular fractures of the medial malleolus. Therefore, the aims of this study were to retrospectively analyze a cohort of patients with Salter-Harris (SH) III and IV fractures of the medial malleolus and to evaluate their long-term outcome. MRI was used to assess possible changes of the articular surface that cannot be diagnosed on native radiographs. Read More

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http://dx.doi.org/10.1177/2309499018801136DOI Listing
September 2018
3 Reads

Assessment of Ankle Mortise Instability After Isolated Supination-External Rotation Lateral Malleolar Fractures.

J Bone Joint Surg Am 2018 Sep;100(18):1557-1562

Departments of Orthopaedic Surgery (B.O.J., T.Y.K., J.H.B., and S.H.S.) and Radiology (J.S.P.), College of Medicine, Kyung Hee University, Seoul, South Korea.

Background: The diagnosis of clinically important instability following isolated supination-external rotation (SER) distal fibular fractures is a challenge. The purpose of this study was to investigate the accuracy of clinical findings including medial tenderness, swelling, and ecchymosis, combined with the gravity stress test and magnetic resonance imaging (MRI), in the assessment of ankle mortise stability in association with isolated SER-type lateral malleolar fractures. The external rotation (ER) stress test was used as the reference with which the methods of assessment were compared. Read More

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http://Insights.ovid.com/crossref?an=00004623-201809190-0000
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http://dx.doi.org/10.2106/JBJS.17.00993DOI Listing
September 2018
17 Reads

Single-Leg Spica Cast Application for Treatment of Pediatric Femoral Fracture.

JBJS Essent Surg Tech 2017 Sep 13;7(3):e26. Epub 2017 Sep 13.

Central Texas Pediatric Orthopaedics, Austin, Texas.

Use of a single-leg spica cast for femoral fractures in ambulatory children 1 to 5 years of age facilitates care and mobilization of the patient. It may allow a shorter duration of cast treatment than is possible with a traditional one and one-half-leg spica cast, particularly in patients 1 to 3 years of age. The single-leg spica is indicated for children who are small enough to be lifted safely in the cast and who have an isolated, closed, low-energy femoral shaft fracture. Read More

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http://dx.doi.org/10.2106/JBJS.ST.15.00070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132712PMC
September 2017

X-ray features to predict ankle fracture mechanism.

Forensic Sci Int 2018 Oct 5;291:185-192. Epub 2018 Sep 5.

University Center for Orthopaedics & Traumatology, University Hospital Carl Gustav Carus at the TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany. Electronic address:

Introduction: The genetic Lauge-Hansen classification has been traditionally used for reconstruction of the mechanism of ankle injury. The ability of the Lauge-Hansen classification to predict actual mechanism of the injury has been questioned in recent studies, leaving a void in medicolegal reasoning. The aim of this study is to identify morphologic features of malleolar fractures on plain X-rays that may be used to reveal the fracture mechanism. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03790738183068
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http://dx.doi.org/10.1016/j.forsciint.2018.08.042DOI Listing
October 2018
5 Reads

[Effectiveness of tibio-talo-calcaneal arthrodesis with full thread headless compression screws via combined minimal incisions].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1297-1301

Department of Orthopedics/Sports Medicine Center, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing, 400038,

Objective: To investigate the effectiveness of tibio-talo-calcaneal arthrodesis with full thread headless compression screws via combined minimal incisions.

Methods: Between January 2012 and December 2016, 36 patients (36 feet) with ankle diseases underwent tibio-talo-calcaneal arthrodesis with parallel double thread headless compression screws via minimal anterior and lateral oblique incisions. There were 14 males and 22 females with an average age of 53. Read More

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http://dx.doi.org/10.7507/1002-1892.201806048DOI Listing
October 2018
3 Reads

[The treatment of Tillaux bone block in the Ruedi-Allgower type Pilon fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1308-1312

Department of Orthopaedical Oncology, Tianjin Hospital, Tianjin, 300210, P.R.China.

Objective: To analyze the importance and effectiveness of Tillaux bone block in Ruedi-Allgower type Ⅲ of Pilon fracture surgery.

Method: Twenty-one patients with Pilon fractures with Tillaux dislocation were treated between February 2010 and September 2013. There were 17 males and 4 females, aged from 28 to 68 years with an average age of 42. Read More

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http://dx.doi.org/10.7507/1002-1892.201710068DOI Listing
October 2018
34 Reads

Transepiphyseal (Type VII) Ankle Fracture Versus Os Subfibulare in Pediatric Ankle Injuries.

J Pediatr Orthop 2018 Nov/Dec;38(10):e593-e596

Department of Orthopaedic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA.

Background: Pediatric ankle injuries are common, giving rise to ∼17% of all physeal injuries. An os subfibulare in a child with an ankle sprain may be confused with a type VII transepiphyseal fracture. Here, we evaluate the clinical and radiographic features of type VII transepiphyseal fractures to those of os subfibulare presenting with acute ankle trauma with the hypothesis that radiographs are necessary for final diagnosis and neither clinical history nor examination would be diagnostic. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001246DOI Listing
December 2018
2 Reads

Radiological and Clinical Effectiveness of a Novel Calcaneal Fracture Brace after Intra-articular Calcaneal Fracture Surgery.

Clin Orthop Surg 2018 Sep 22;10(3):374-379. Epub 2018 Aug 22.

Department of Orthopaedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Background: After calcaneal fracture surgery, a short leg splint and cast are typically applied. However, these restrict joint exercises, which is inconvenient for patients. In addition, there is a risk of complications, such as pressure ulcers or nerve paralysis with a short leg cast. Read More

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http://dx.doi.org/10.4055/cios.2018.10.3.374DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107817PMC
September 2018
1 Read

Adolescent talus body fracture with high displacement: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e12043

Rationale: Talus fracture is relatively rare in adults. Furthermore, talus fracture in pediatric population is rarer than in adult population. Although undisplaced talus fractures can be treated conservatively, most of talus fractures with displacement require surgical treatment in both pediatric and adult patients. Read More

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http://dx.doi.org/10.1097/MD.0000000000012043DOI Listing
August 2018
5 Reads

Importance of Computed Tomography (CT) in Talar Neck Fractures. Case Studies.

Ortop Traumatol Rehabil 2018 Feb;20(1):31-42

Samodzielny Publiczny Wojewódzki Szpital Chirurgii Urazowej im. Dra Janusza Daaba w Piekarach Śląskich / District Hospital of Orthopaedics and Trauma Surgery in PiekaryŚląskie, Piekary Śląskie, Poland.

Computed tomography is a modern technique producing high quality image of scanned organs. It plays a significant role in diagnostic work-up on orthopedics wards. This paper presents an analysis of management of two cases of Hawkins type I talar neck fracture with ankle joint rotation. Read More

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https://ortopedia.com.pl/gicid/01.3001.0011.5842
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http://dx.doi.org/10.5604/01.3001.0011.5842DOI Listing
February 2018
15 Reads

Utility of Routine Postoperative Radiographs After Fixation of Lower Extremity Fractures.

J Am Acad Orthop Surg 2018 Nov;26(22):799-808

From the Carolinas Medical Center, Charlotte, NC (Dr. Phelps, Dr. Seymour, and Dr. Bosse), and Baylor College of Medicine, Houston, TX (Dr. Coleman).

Introduction: The goal of this study was to investigate the clinical utility of radiographs at all time points after internal fixation of lower extremity fractures.

Methods: A retrospective chart review was conducted at a level I trauma center. Four hundred eighty-five patients with 586 fractures of the femur, tibia, and ankle were included. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00114DOI Listing
November 2018
2 Reads

Nonoperative, open reduction and internal fixation or primary arthrodesis in the treatment of Lisfranc injuries: a prospective, randomized, multicenter trial - study protocol.

BMC Musculoskelet Disord 2018 Aug 21;19(1):301. Epub 2018 Aug 21.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Teiskontie 35, PL2000, 33521, Tampere, Finland.

Background: Lisfranc injuries are known to be rare and often overlooked injuries that can cause long-term disability and pain when missed or treated incorrectly. The wide variety of Lisfranc injuries ranges from subtle ligament distensions to open fracture dislocations. The treatment of Lisfranc joint injuries is still controversial and very little is known about what types of injury can be treated nonoperatively. Read More

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http://dx.doi.org/10.1186/s12891-018-2222-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6102864PMC
August 2018
5 Reads

A minimally invasive (sinus tarsi) approach with percutaneous K-wires fixation for intra-articular calcaneal fractures in children.

J Pediatr Orthop B 2018 Nov;27(6):556-562

Pediatric Orthopedic, Wuhan PuAi Hospital, Tongji Medical College, Huazhong Science and Technology University, Wuhan, China.

The aim of this study was to analyze the management of displaced intra-articular calcaneal fractures in children at our pediatric orthopedic and to determine the results following open reduction via minimally invasive sinus tarsi approach and fixation with Kirschner wires (K-wires). Overall, 25 available cases of calcaneal fractures in children with mean age of 9.8 years were treated by open reduction from January 2010 to December 2015. Read More

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http://Insights.ovid.com/crossref?an=01202412-201811000-0001
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http://dx.doi.org/10.1097/BPB.0000000000000532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166695PMC
November 2018
17 Reads

Bone density correlates with clinical outcomes after ankle fracture fixation.

Arch Orthop Trauma Surg 2018 Dec 9;138(12):1653-1657. Epub 2018 Aug 9.

Orthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY, USA.

Introduction: Osteoporosis and decreased bone density are known to increase fracture incidence and severity. Although much is known regarding the effects of bone density on fracture risk and the treatment options for prevention of fragility fractures, whether bone quality alters clinical outcomes after fracture fixation is unknown. The purpose of this study was to determine whether bone quality correlates with clinical outcomes after fracture fixation. Read More

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http://dx.doi.org/10.1007/s00402-018-3017-7DOI Listing
December 2018
2 Reads

Not all ankle injuries are ankle sprains - Case of an isolated cuboid stress fracture.

Clin Pract 2018 Jul 10;8(3):1093. Epub 2018 Jul 10.

Aster Medcity, Cochin, Kerala, India.

A 22-year old lady, had a twisting injury to her left ankle followed by pain on prolonged weight bearing and walking. Magnetic resonance imaging with computed tomography correlation was done which showed an isolated cuboid stress fracture. Isolated cuboid stress fractures are very rare and are usually misdiagnosed as ankle sprains. Read More

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http://dx.doi.org/10.4081/cp.2018.1093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060484PMC
July 2018
3 Reads

Routine Follow-Up Radiographs for Ankle Fractures Seldom Add Value to Clinical Decision-Making: A Retrospective, Observational Study.

J Foot Ankle Surg 2018 Sep - Oct;57(5):957-960. Epub 2018 Jul 13.

Professor of Trauma Surgery and Trauma Surgeon, Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Currently, the routine use of radiographs for uncomplicated ankle fractures represents good clinical practice. However, radiographs are associated with waiting time, radiation exposure, and costs. Studies have suggested that radiographs seldom alter the treatment strategy if no clinical indication for the imaging study was present. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.035DOI Listing
January 2019
4 Reads

Extra-articular Medial Impression Fracture of the Talus: A Previously Undescribed Injury.

Foot Ankle Spec 2018 Jul 1:1938640018788431. Epub 2018 Jul 1.

Trauma Unit, Academic Medical Center, Amsterdam, Netherlands.

Background: Peripheral fractures of the talus are uncommon. Almost all the literature regarding talar fractures consists of central intra-articular fractures, whereas studies about peripheral talar fractures are lacking. The aim of this study is to increase awareness in diagnosing an unusual peripheral extra-articular medial impression fracture of the talus. Read More

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http://dx.doi.org/10.1177/1938640018788431DOI Listing
July 2018
17 Reads

Is there a need for standardized postoperative radiographs after operative treatment of wrist or ankle fractures?

Eur J Trauma Emerg Surg 2018 Jul 7. Epub 2018 Jul 7.

Department of Orthopedic and Trauma Surgery, Cantonal Hospital Lucerne, P.O. Box 6000, Spitalstrasse 16, 6000, Lucerne, Switzerland.

Purpose: The purpose of this study was to evaluate the frequency of changes in treatment plan due to standardized postoperative radiographs. A secondary aim was to compare our results with a national benchmark.

Methods: This is a single-center retrospective case series of 167 consecutive patients, operated with open reduction and internal fixation (ORIF) for distal radius or ankle fractures in 2014. Read More

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http://dx.doi.org/10.1007/s00068-018-0977-9DOI Listing
July 2018
3 Reads
0.380 Impact Factor

[Fractures of the lateral process of the talus-snowboarder's ankle].

Unfallchirurg 2018 Sep;121(9):715-722

Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Str. 51, 81547, München, Deutschland.

Fractures of the lateral tubercle of the talus (PLT) are rare. With the increasing popularity of the trend sport snowboarding, the incidence of PLT fractures has increased. The most common classification of PLT fractures is the Hawkins classification. Read More

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http://dx.doi.org/10.1007/s00113-018-0519-2DOI Listing
September 2018
2 Reads

Percutaneous versus open reduction and fixation for Tillaux and triplane fractures: a multicenter cohort comparison study.

J Pediatr Orthop B 2018 Nov;27(6):551-555

Department of Orthopaedic Surgery, Division of Pediatric Orthopaedic Surgery.

The goal of this study was to compare open reduction versus percutaneous fixation of adolescent ankle fractures with regards to the incidence of growth disturbance. We performed a retrospective cohort analysis of adolescent patients with triplane or Tillaux fractures. There was an even distribution of triplane fractures and mean initial displacement between cohorts. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000522DOI Listing
November 2018
1 Read

Unusual proximal fragment migration of an os peroneum fracture with associated peroneus longus tendon injury-a tree often hides a forest.

Skeletal Radiol 2019 Feb 27;48(2):317-322. Epub 2018 Jun 27.

Radiology Department, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.

We report the case of a 55-year-old male patient who presented to the emergency department after sustaining a right ankle trauma. Swelling and tenderness of the lateral aspect of the right ankle were present on physical examination without evidence of motor or sensory deficit. Ankle radiographs were performed and showed two bony fragments, the first located postero-inferiorly to the cuboid bone while the second was adjacent to the tip of the lateral malleolus. Read More

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http://dx.doi.org/10.1007/s00256-018-3019-0DOI Listing
February 2019
13 Reads

Technique to maintain anatomic reduction when performing open reduction internal fixation for Salter-Harris type III distal tibial medial malleolus fracture.

Ann R Coll Surg Engl 2019 Jan 18;101(1):74-75. Epub 2018 Jun 18.

Tameside and Glossop Integrated Care NHS Foundation Trust , UK.

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http://dx.doi.org/10.1308/rcsann.2018.0106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303833PMC
January 2019
2 Reads

Functional bracing treatment for stable type B ankle fractures.

Injury 2018 Aug 4;49(8):1607-1611. Epub 2018 Jun 4.

Haaglanden MC, Department of Surgery, Postbus 432, 2501 CK The Hague, The Netherlands. Electronic address:

Background: In general, stable type B ankle fractures are treated conservatively with cast immobilization or a walking boot during six weeks. Some disadvantages of casting are joint stiffness, muscle wasting and lack of comfort. This study was designed to evaluate whether functional treatment with a removable brace is a safe and more comfortable alternative. Read More

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http://dx.doi.org/10.1016/j.injury.2018.06.009DOI Listing

Anatomic Feasibility of Distal Fibula Bicortical Screw Fixation With Lateral Neutralization Plating for Rotational Ankle Fractures.

J Foot Ankle Surg 2018 Sep - Oct;57(5):910-912. Epub 2018 Jun 8.

Clinical Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA. Electronic address:

A common technique for fixation of rotational fibular fractures is to use an interfragmentary compression screw with a laterally positioned neutralization plate. The objective of the present investigation was to examine the anatomic feasibility of distal fibula bicortical fixation within this plating technique. A specific screw insertion technique was performed through a laterally positioned one-third tubular plate on a consecutive series of 81 intact cadaveric ankle mortises. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.020DOI Listing
January 2019

Radiological indicator of reduction adequacy during ankle syndesmosis surgery: A computational cadaveric study.

Injury 2018 Aug 4;49(8):1491-1496. Epub 2018 Jun 4.

Department of Orthopaedic surgery, Gyeongsang National University, College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon-si, Gyeongsangnam-do, 51472, Republic of Korea. Electronic address:

Purpose: We introduced the intraoperative radiological indicator to assess the reduction adequacy without additional procedure or instrument, and propose the optimal syndesmotic screw trajectory.

Methods: Thirty adult cadavers (15 males and 15 females) without ankle problems were enrolled and subjected to continuous 0.75 mm-slice computed tomography (CT) scans. Read More

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http://dx.doi.org/10.1016/j.injury.2018.06.004DOI Listing
August 2018
4 Reads

Modified use of proximal humeral interlocking plate (PHILOS) in lateral malleolus fracture, functional and radiological outcome in series of 13 cases.

Int J Surg 2018 Aug 5;56:79-82. Epub 2018 Jun 5.

Department of Surgery, AKUH, Pakistan. Electronic address:

Background: Lateral malleolus fracture can occur alone or is associated with the fracture of the medial malleolus leading to ankle instability. Treatment is aimed to achieve anatomical reduction and ensure stability. Compared to non-locking plate locking plate provide stable construct and compromise bone vascularity less. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.05.734DOI Listing
August 2018
5 Reads

Arthroscopic Treatment of Pediatric Fractures.

J Pediatr Orthop 2018 Jul;38 Suppl 1:S29-S32

Department of Orthopaedics, Children's Hospital, Toulouse University Hospital, France.

Management of pediatric articular fractures has evolved over the years with a growing interest in arthroscopic handling. Several factors account for this recent appeal among which are progress in technology with increased availability of diagnostic methods, rise in athletic activities responsible for these fractures, and pediatric orthopaedic surgeons getting familiar with arthroscopic techniques. In our institution, 9 of 100 arthroscopic procedures are performed as a consequence of an articular fracture. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001163DOI Listing
July 2018
6 Reads

Concomitant Proximal and Distal Tibiofibular Joint Dislocation Associated With a Tibial Shaft Fracture.

J Am Acad Orthop Surg 2018 Aug;26(15):e329-e332

From the Department of Orthopaedics, Carolinas Medical Center, Charlotte, NC (Dr. Hwang), and the Department of Orthopaedics, Rutgers New Jersey Medical School, Newark, NJ (Dr. Sirkin, Mr. Gala, Dr. Adams, and Dr. Reilly).

An association exists between tibial shaft fractures and ankle injuries. In addition, although uncommon, an association between tibial shaft fractures and proximal tibiofibular dislocations has also been established. A review of the previous literature resulted in one case report of a complete proximal and distal tibiofibular joint dislocation without fracture of the tibia or fibula. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00159DOI Listing
August 2018
2 Reads

The added value of cross-sectional imaging in the detection of additional radiographically occult fractures in the setting of a Chopart fracture.

Emerg Radiol 2018 Jun 6. Epub 2018 Jun 6.

Emergency Radiology, Radiology Department, Massachusetts General Hospital - Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.

Purpose: Radiography has a low sensitivity for the detection of fractures related to the talonavicular and calcaneocuboid articulations, also known as Chopart fractures. The purpose of this study is to determine the sensitivity of radiographs for detecting additional foot and ankle fractures related to Chopart fracture using CT or MRI as the reference standard.

Method: We performed an IRB-approved, retrospective review of radiology reports between 2010 and 2014. Read More

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http://dx.doi.org/10.1007/s10140-018-1615-xDOI Listing
June 2018
1 Read

[Fractures of the anterior process of the calcaneus-frequently overlooked injuries following ankle sprains].

Unfallchirurg 2018 Sep;121(9):730-738

Sektion für Fuß- Sprunggelenkchirurgie, Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Ludwig-Maximilians-Universität München, München, Deutschland.

Fractures to the anterior process of the calcaneus (PAC) have long been considered rare injuries and have received little attention in clinical research. On the contrary, recent studies have reported a distinct higher incidence, especially following ankle sprains. Decisive reasons are that fractures of the PAC are regularly missed on plain radiographs and that a clinical differentiation from injuries to the lateral ankle ligaments is difficult. Read More

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http://dx.doi.org/10.1007/s00113-018-0514-7DOI Listing
September 2018
4 Reads

[Study on sustentaculum tali screw placement for constant fragment of calcaneal fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 May;32(5):581-586

Department of Orthopaedics, Tianjin Hospital, Tianjin, 300211,

Objective: To investigate the anatomical characters of the sustentaculum tali (ST), accurate entry point and direction for the placement of ST screw from posterior subtalar joint facet to the constant fragment (CF) in calcaneal fractures.

Methods: A total of 100 patients with calcaneal fractures performed ankle CT scans were enrolled between January 2016 and April 2016. According to the inclusion criteria, the clinical data of 33 patients were analyzed, including 18 males and 15 females, with a median age of 41. Read More

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http://dx.doi.org/10.7507/1002-1892.201801041DOI Listing
May 2018
6 Reads

[Injuries of the medial collateral ligament and spring ligament complexes].

Unfallchirurg 2018 Sep;121(9):704-714

Radiologie, Hessingpark-Clinic, Augsburg, Deutschland.

The medial collateral ligament (MCL) complex is characterized by a complex anatomical arrangement of the individual ligamentous structures including three joints and the spring ligament complex. Biomechanically it serves as the main stabilizing structure in the ankle region against rotational and pronating forces. Lesions in the region of the MCL complex are more frequent than previously thought and like lesions of the spring ligament complex can lead to pain and instability. Read More

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http://dx.doi.org/10.1007/s00113-018-0513-8DOI Listing
September 2018
2 Reads