4,592 results match your criteria Imaging in Ankle Fractures


Treatment of Knee Osteochondral Fractures.

Healthcare (Basel) 2022 Jun 8;10(6). Epub 2022 Jun 8.

Department of Morphological Sciences, Carol Davila University of Medicine and Pharmacy, RO-020021 Bucharest, Romania.

Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. Read More

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Isolated tear of the tibionavicular component of the superficial deltoid ligament: unusual cause of medial ankle pain.

BMJ Case Rep 2022 Jun 22;15(6). Epub 2022 Jun 22.

Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.

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Detecting bone lesions in the emergency room with medical infrared thermography.

Biomed Eng Online 2022 Jun 13;21(1):35. Epub 2022 Jun 13.

CPGEI - Universidade Tecnológica Federal Do Paraná, Avenida Silva Jardim, 3165, Rebouças, Zip code 80230-901, Curitiba, Brasil.

Introduction: Low- to high-energy impact trauma may cause from small fissures up to extended bone losses, which can be classified as closed or opened injuries (when they are visible at a naked eye).

Objective: The aim of this study was to investigate the feasibility of clinical diagnosis of bone trauma through medical infrared thermography, in a hospital emergency room.

Methods: Forty-five patients with suspected diagnosis of bone fracture were evaluated by means of medical infrared images, and the data correlated with the gold standard radiographic images, in the anteroposterior, lateral, and oblique views, at the orthopedic emergency department. Read More

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An evaluation of the efficacy of percutaneous reduction and screw fixation without bone grafting in Sanders Type-II and Type-III displaced intra-articular calcaneal fractures.

BMC Musculoskelet Disord 2022 Jun 10;23(1):562. Epub 2022 Jun 10.

Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Rd, Chongqing, 400016, China.

Background: The aim of this retrospective monocentric study was to investigate the clinical efficacy of percutaneous reduction and screw fixation without bone grafting in Sanders Type-II and Type-III displaced intra-articular calcaneal fractures (DIACFs).

Methods: The medical records of calcaneal fractures patients who were admitted to our department from January 2018 to January 2020 were retrospectively reviewed, and those meeting the inclusion criteria were fnally included for analysis. All patients were treated with percutaneous reduction and screw fixation, and no patients received bone grafting. Read More

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Transitional ankle fracture management using a new joystick technique.

Injury 2022 Jun 2. Epub 2022 Jun 2.

Department of Orthopedics, Fuzhou Second Hospital, Fuzhou 350007, China; Department of Orthopedics, The Third Clinical Medical College, Fujian Medical University, Fuzhou Second Hospital, Fuzhou 350007, China; Department of Orthopedics, Fuzhou Second Hospital of Xiamen University, School of Medicine, Xiamen University, Fuzhou 350007, China; Fujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopaedic Trauma, Fuzhou 350007, China; Fuzhou Trauma Medical Center, Fuzhou 350007, China.; Fuzhou Key Clinical Specialty, Fuzhou 350007, China. Electronic address:

Purpose: To investigate the feasibility and short-term clinical efficacy of the arthrography-assisted joystick technique for the treatment of adolescent transitional ankle fracture.

Methods: A retrospective analysis was performed in 10 adolescent transitional ankle fracture patients treated with the arthrography-assisted joystick technology. There were 7 male patients and 3 female patients with a mean age of 12. Read More

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Closed isolated anterolateral calcaneal dislocation: a case report.

BMC Musculoskelet Disord 2022 Jun 7;23(1):546. Epub 2022 Jun 7.

Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Complete isolated calcaneal dislocation, defined as dislocation of talocalcaneal and calcaneocuboid joints with intact talonavicular joint without significant fracture, is an exceedingly rare injury.

Case Presentation: A 49-year-old man, after a motor vehicle collision, presented with a closed isolated anterolateral dislocation of the calcaneus associated with fracture of the sustentaculum tali, cuboid, lateral process of the talus, and avulsion fracture of superior peroneal retinaculum. Urgent successful closed reduction was immediately performed in the emergency room under sedation. Read More

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Detection of ankle fractures using deep learning algorithms.

Foot Ankle Surg 2022 May 26. Epub 2022 May 26.

Foot & Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston 02114, MA, USA; Foot & Ankle Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston 02114, MA, USA. Electronic address:

Background: Early and accurate detection of ankle fractures are crucial for optimizing treatment and thus reducing future complications. Radiographs are the most abundant imaging techniques for assessing fractures. Deep learning (DL) methods, through adequately trained deep convolutional neural networks (DCNNs), have been previously shown to faster and accurately analyze radiographic images without human intervention. Read More

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[All-inside subtalar arthroscopy through three portals combined with rafting screws technique for the treatment of the calcaneal fractures of Sanders Ⅱ and Ⅲ].

Zhonghua Wai Ke Za Zhi 2022 Jun;60(6):546-551

Department of Orthopedics, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China.

To investigate the surgical technology and clinical efficacy of using the all-inside subtalar arthroscopy through three portals combined with rafting screws technique for the treatment of the calcaneal fractures of Sanders Ⅱ and Ⅲ. The clinical data of 33 patients (33 feet) with intra-articular displaced calcaneal fractures treated by modified all-inside arthroscopic from March 2017 to March 2019 at Department of Orthopedics,Xuzhou Central Hospital were retrospectively analyzed.There were 19 male patients,and 14 female patients,aged (32. Read More

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[The isolated posterior malleolus fracture].

Ugeskr Laeger 2022 May;184(22)

Ortopædkirurgisk Afdeling, Københavns Universitetshospital - Hvidovre Hospital.

This is a case report of a 26-year-old healthy female who sustained an isolated posterior malleolar fracture; diagnosed by X-ray, confirmed by CT and treated with an orthosis and full weightbearing. Subsequent weightbearing X-rays showed no displacement or concomitant injury. However rare, isolated posterior malleolar fracture may indicate a complex ankle injury and therefore warrant extra attention when diagnosed. Read More

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The effect of talus osteochondral defects of different area size on ankle joint stability: a finite element analysis.

BMC Musculoskelet Disord 2022 May 27;23(1):500. Epub 2022 May 27.

National Clinical Research Center for Orthopaedics, Sports Medicine & Rehabilitation, Beijing, China.

Background: Osteochondral lesion of the talus (OLT) is one of the most common ankle injuries, which will lead to biomechanical changes in the ankle joint and ultimately affect ankle function. Finite element analysis (FEA) is used to clarify the effect of talus osteochondral defects on the stability of the ankle joint at different depths. However, no research has been conducted on talus osteochondral defect areas that require prompt intervention. Read More

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Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures.

Front Surg 2022 10;9:899483. Epub 2022 May 10.

The Second Affiliated Hospital, Department of Orthopaedic Surgery, Hengyang Medical College, University of South China, Hengyang, Hunan, China.

Purpose: Postoperative distal tibial fractures are often associated with complications such as difficulties in fracture healing and surgical incision infection. The purpose of this study is to evaluate the fracture healing time and functional recovery after a retrograde tibial intramedullary nail treatment for distal tibial fractures.

Methods: We retrospectively studied 9 cases of patients with distal tibial fractures treated with retrograde intramedullary nailing (IMN). Read More

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Essential concepts in the treatment of common joint fractures: A narrative review.

Injury 2022 Jul 20;53(7):2395-2399. Epub 2022 May 20.

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

Proximal fractures of the humerus are at high risk of osteonecrosis if the medial calcar is disrupted and the metaphyseal extension of the head fragment is <8mm. Risk factors for failure of osteosynthesis include: poor bone stock, varus dislocation, head dislocation and medial comminution. During surgical treatment of distal humerus fractures, one should aim to restore the arc and stabilize the columns. Read More

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Application of an arched, Ni-Ti shape-memory connector in repairing distal tibiofibular syndesmosis ligament injury.

BMC Musculoskelet Disord 2022 May 19;23(1):476. Epub 2022 May 19.

Department of Orthopedics, The First Affiliated Hospital of Naval Military Medical University, Shanghai, 20000, China.

Objective: To investigate the clinical effect of internal fixation of a Ni-Ti arched shape-memory connector in the treatment of distal tibiofibular syndesmosis ligament injury.

Methods: From January 2013 to January 2016, 108 cases of ankle fracture with distal tibiofibular syndesmosis ligament injury in our hospital were selected, and all of them were fixed with ASCs or screw fixation. The functional evaluation and efficacy evaluation were performed according to the Olerud Molander Ankle Score (Omas) and SF-36. Read More

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Assessment of alternative techniques to quantify the effect of injury on soft tissue in closed ankle and pilon fractures.

PLoS One 2022 11;17(5):e0268359. Epub 2022 May 11.

Department of Trauma, University Hospital Zurich, Raemistrasse, Zurich, Switzerland.

Introduction: Local soft tissue status (STS) guides the timing for definitive surgical treatment strategies of fracture fixation around the ankle joint. The aim of this study was to assess different types of new technical devices in relation to the surgical treatment in closed ankle and pilon fractures.

Methods: This study was designed as a cohort study. Read More

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Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus.

Foot Ankle Int 2022 Jun 10;43(6):783-789. Epub 2022 May 10.

Nisantasi Ortopedi Merkezi ayak-ayak bileği cerrahisi kliniği, Istanbul, Turkey.

Background: Osteochondral lesions of the talus (OLT) treatment is widely debated when the lesion size exceeds 150 mm. The aim of this study was to assess functional outcome and satisfaction rates of the autologous matrix-related chondrogenesis (AMIC) technique and compare the outcomes for OLTs larger than 150 mm that were classified as primary, primary with local tumor-related OLT, or revision cases.

Methods: A total of 77 patients who were operated by AMIC were included. Read More

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The Fate of Osteochondral Lesions of the Talus in Children.

J Foot Ankle Surg 2022 May-Jun;61(3):676-677

Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands; Academic Center for Evidence based Sports medicine (ACES), Amsterdam UMC, Amsterdam, The Netherlands; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center, Amsterdam UMC, Amsterdam, The Netherlands. Electronic address:

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The concept of ring of injuries: evaluation in ankle trauma.

Skeletal Radiol 2022 May 2. Epub 2022 May 2.

Department of Radiology, Strasbourg University Hospital, 1 Avenue Moliere, 67098, Strasbourg, France.

Objective: Radiographs are first-line imaging in ankle trauma but lack sensitivity to detect ligamentous injuries and undisplaced fractures. Our hypothesis was that ankle injuries occur in predefined sequences along two osteoligamentous rings, so that occult injuries non-visible on initial radiographs can be predicted. We, therefore, aimed to validate a ring model of progressive damages in the interpretation of ankle trauma radiographs. Read More

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[A teenager with a traumatic ankle injury].

Ned Tijdschr Geneeskd 2022 03 24;166. Epub 2022 Mar 24.

VieCuri Medisch Centrum, afd. Chirurgie, Venlo.

A 13-year-old girl presented to the traumatology outpatient clinic with a painful right ankle after an inversion trauma. She was unable to bear weight on the right foot. Additional radiographic imaging and CT-scan revealed a Tillaux fracture of the right ankle. Read More

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A new surgical strategy for the treatment of tibial pilon fractures with MIPO facilitated by double reverse traction repositor.

Sci Rep 2022 04 30;12(1):7074. Epub 2022 Apr 30.

Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Hebei Province, No. 139 Ziqiang Road, Shijiazhuang, 050051, People's Republic of China.

The present study aims to introduce a technique combining double reverse traction repositor (DRTR) with minimally invasive plate osteosynthesis (MIPO) in the surgical treatment of pilon fractures and to observe the efficiency of this approach during a short-term follow-up period. From January to December 2018, patients with pilon fractures who were treated by MIPO with DRTR were reviewed. The demographic and fracture characteristics, surgical data, and prognostic data of 24 patients were extracted. Read More

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Fractures of the lateral malleolus - a retrospective before-and-after study of treatment and resource utilization following the implementation of a structured treatment algorithm.

BMC Musculoskelet Disord 2022 Apr 29;23(1):401. Epub 2022 Apr 29.

Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: In 2015 a study of isolated lateral malleolar fractures (AO/OTA44-B1) treated at Sahlgrenska University hospital (SU) during two consecutive years revealed large-scale variation in the choice of treatment and planned follow-up. The study resulted in the development of a structured treatment algorithm (TA) for ankle fractures. We investigated the effects of this well-implemented TA on the classification, treatment and follow-up of lateral malleolar fractures. Read More

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Evolution of a traditional technique: Comparison of a 4-mm lag screw and Kirschner wire technique versus a 4-mm lag screw and Kirschner technique with anti-gliding miniplate fixation for the treatment of medial malleolar fractures.

Ulus Travma Acil Cerrahi Derg 2022 Mar;28(3):336-343

Department of Anatomy, Niğde Ömer Halisdemir University Faculty of Medicine, Niğde-Turkey.

Background: In this study, we aimed to compare a 4-mm lag screw and Kirschner wire technique versus a 4-mm lag screw and Kirschner wire (K-wire) technique with additional miniplate fixation for the treatment of medial malleolar fractures.

Methods: A total of 23 patients who were diagnosed with isolated fractures of the medial malleolus and operated in our center were retrospectively analyzed. The patients were divided into two groups: Group A, medial malleolar fracture fixed with a 4-mm cannulated screw and a K-wire (n=11) and Group B, a 4-mm cannulated screw and K-wire used for fixation with miniplate fixation for extra stability (n=12). Read More

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Radiographic and clinical outcomes of distal tibia fractures (3-12 cm proximal to the plafond): Comparison of two intramedullary nailing.

Ulus Travma Acil Cerrahi Derg 2022 May;28(5):686-692

Department of Orthopedics and Traumatology, Health Sciences University Ümraniye Training and Research Hospital, İstanbul-Turkey.

Background: There are various distal locking options for the repair of tibia distal diametaphyseal fractures with intramedullary nails. There is no consensus about the superiority of any of these distal locking options. In our study, comparing nails with distal bolt locking screw (DSBLS) and conventional nails; we aimed to compare the clinical and radiological results of intramedullary nail models in fixing tibial distal diametaphyseal fractures. Read More

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3D Customized Biological Tibial Intramedullary Nail Fixation for the Treatment of Fracture after Massive Allograft Bone Transplantation of Tibial Osteosarcoma: A Case Report.

Orthop Surg 2022 Jun 28;14(6):1241-1250. Epub 2022 Apr 28.

Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Allograft bone fractures are critical complications in massive allograft bone transplantations. There are limited studies available on the application of 3D printing for massive allograft bone transplantation complications, and no related reports on the treatment of an allograft bone fracture with a complete biological intramedullary nail. A complex case of allograft bone fracture after massive bone transplantation for a right tibial osteosarcoma was treated with fixation of an individualized 3D printed biological tibial intramedullary nail. Read More

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Conservative management of a specific subtype of Maisonneuve fractures: a report of two cases.

AME Case Rep 2022 25;6:17. Epub 2022 Apr 25.

Orthopedic Surgery Department, Riviera-Chablais Hospital, Rennaz, Switzerland.

Background: Maisonneuve fractures are most commonly characterised by a specific pattern with a medial malleolar fracture or deltoid ligament rupture, a disruption of the ankle syndesmosis ligaments and a fracture of the proximal fibula.

Case Description: We hereby describe for the first time two cases of conservative therapy of Maisonneuve fracture with intact medial structures and with associated posterior malleolus fracture. Patients were assessed with ankle radiographs and magnetic resonance imaging (MRI). Read More

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Effect of coronal fracture angle on the stability of screw fixation in medial malleolar fractures: A finite element analysis.

Proc Inst Mech Eng H 2022 Jun 21;236(6):825-840. Epub 2022 Apr 21.

Orthopaedics and Traumatology Department, Antalya Training and Research Hospital, Antalya, Turkey.

Malleolar screw fixation is the most widely used treatment method for medial malleolar (MM) fractures. Here, although buttress plate fixation is advocated for vertical MM fractures, the angular discrimination between oblique and vertical MM fractures is still not fully understood. The purpose of this study is to test the adequacy of screw fixation in MM fractures with different angles and determination of a 'critical fracture angle' to guide surgeons in the decision-making for screw fixation for MM fractures by utilizing an advanced engineering simulation approach. Read More

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Percutaneous Cannulated Screw Fixation vs. Plating With Minimally Invasive Longitudinal Approach After Closed Reduction for Intra-Articular Tongue-Type Calcaneal Fractures: A Retrospective Cohort Study.

Front Surg 2022 4;9:854210. Epub 2022 Apr 4.

Department of Orthopaedics, Peking University Third Hospital, Beijing, China.

Objective: Displaced intra-articular tongue-type fractures are often treated with surgical interventions, and there is a lack of consensus regarding the surgical approach. This retrospective cohort study aimed to compare percutaneous cannulated screw (PCS) fixation and plating with a minimally invasive longitudinal approach (MILA) after closed reduction for the treatment of tongue-type calcaneal fractures.

Materials And Methods: A total of 77 patients with intra-articular tongue-type calcaneal fractures between September 2015 and July 2019 were included in this study. Read More

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Deltoid ligament repair versus trans-syndesmotic fixation for bimalleolar equivalent ankle fractures.

Injury 2022 Jun 1;53(6):2292-2296. Epub 2022 Apr 1.

Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, Duke University Medical Center, 311 Trent Drive, Suite 2214, Box 104002, Durham, NC 27710, USA.

Introduction: The role of deltoid ligament repair is controversial in the treatment of bimalleolar equivalent ankle injuries. Our purpose was to compare midterm functional outcomes and reoperation rates of unstable distal fibula fractures treated with open reduction internal fixation (ORIF) of the fibula and either deltoid ligament repair, trans-syndesmotic fixation, or combined fixation.

Methods: Skeletally mature subjects were retrospectively identified after fixation of isolated unstable distal fibula fractures treated at a single academic level 1 hospital from January 2005 to May 2019. Read More

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Quantitative initial safety range of early passive rehabilitation after ankle fracture surgery.

Injury 2022 Jun 31;53(6):2281-2286. Epub 2022 Mar 31.

Key Laboratory of Institutional Theory and Equipment Design, Ministry of Education, School of Mechanical Engineering, Tianjin University, 135 Yaguan Road, Jinnan District, Tianjin 300354, China.

Background: Early rehabilitation training after ankle fracture surgery is critical to healing and avoiding complications. Inappropriate or excessive motion may impede healing or even lead to secondary injury. Currently, there is a lack of scientific quantitative postoperative rehabilitation methods after ankle fracture. Read More

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Development and validation of a predictive nomogram for preoperative deep vein thrombosis (DVT) in isolated calcaneal fracture.

Sci Rep 2022 04 8;12(1):5923. Epub 2022 Apr 8.

Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, People's Republic of China.

The fact that most of the patients with preoperative DVTs after calcaneal fractures are asymptomatic brought challenges to the early intervention, and periodic imaging examinations aggravated the financial burden of the patients in preoperative detumescence period. This study aimed to use routine clinical data, obtained from the database of Surgical Site Infection in Orthopaedic Surgery (SSIOS), to construct and validate a nomogram for predicting preoperative DVT risk in patients with isolated calcaneal fracture. The nomogram was established base on 7 predictors independently related to preoperative DVT. Read More

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The Comparison of Ottawa Ankle Rules and Shetty test performances in foot-ankle trauma patients visited to the emergency department.

Injury 2022 Jun 31;53(6):2287-2291. Epub 2022 Mar 31.

Department of Emergency Medicine, Taksim Training and Research Hospital, Istanbul, Turkey.

Background: The Ottawa Ankle Rules (OARs) and Shetty test (ST), are assessment guidelines intended to minimize radiographs in patients with ankle trauma. The aim of this study is to determine and compare the effectiveness of OARs and ST in patients admitted to the emergency department (ED) with foot and ankle trauma.

Methods: This prospective cohort study was carried out in the ED of a tertiary care teaching hospital. Read More

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