3,574 results match your criteria Imaging in Ankle Fractures


Ankle Fracture Detection Utilizing a Convolutional Neural Network Ensemble Implemented with a Small Sample, De Novo Training, and Multiview Incorporation.

J Digit Imaging 2019 Apr 18. Epub 2019 Apr 18.

Center for Research Computing, University of Pittsburgh, Pittsburgh, PA, 15260, USA.

To determine whether we could train convolutional neural network (CNN) models de novo with a small dataset, a total of 596 normal and abnormal ankle cases were collected and processed. Single- and multiview models were created to determine the effect of multiple views. Data augmentation was performed during training. Read More

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http://link.springer.com/10.1007/s10278-018-0167-7
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http://dx.doi.org/10.1007/s10278-018-0167-7DOI Listing
April 2019
1 Read

Concurrent Ipsilateral Tibial Shaft and Distal Tibial Fractures in Pediatric Patients: Risk Factors, Frequency, and Risk of Missed Diagnosis.

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic.

Background: The purpose of this study was to determine the frequency of concurrent ipsilateral distal tibial fractures with tibial shaft fractures in the pediatric population; to identify patient and fracture characteristics that increase the likelihood of a concurrent fracture; and determine if any of these concurrent distal tibial fractures were missed on initial radiographic examination.

Methods: Retrospective chart review was done to identify patients 5 to 17 years old who were treated for a tibial shaft fracture at a large, Level 1 free-standing children's hospital and an outpatient orthopaedic practice between 2008 and 2016. Patient and fracture characteristics were recorded. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001384DOI Listing
April 2019
1 Read

Accessory ossicles of the foot-an imaging conundrum.

Emerg Radiol 2019 Apr 8. Epub 2019 Apr 8.

Department of Radiology, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.

Various anatomical variations can be found in the foot and ankle, including sesamoid bones and accessory ossicles. These are usually incidental findings and remain asymptomatic; however, they may cause complications resulting in painful syndromes or degenerative changes secondary to overuse or trauma. They can also lead to fractures or simulate fractures. Read More

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http://link.springer.com/10.1007/s10140-019-01688-x
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http://dx.doi.org/10.1007/s10140-019-01688-xDOI Listing
April 2019
3 Reads

Identification of Postoperative Step-Offs and Gaps With Brodén's View Following Open Reduction and Internal Fixation of Calcaneal Fractures.

Foot Ankle Int 2019 Apr 8:1071100719840812. Epub 2019 Apr 8.

1 Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands.

Background: To date, there is no consensus regarding which postoperative imaging technique should be used after open reduction and internal fixation of an intra-articular calcaneal fracture. The aim of this study was to clarify whether Brodén's view is sufficient as postoperative radiologic examination to assess step-offs and gaps of the posterior facet.

Methods: Six observers estimated the size of step-offs and gaps on Brodén's view in 42 surgically treated intra-articular calcaneal fractures. Read More

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http://dx.doi.org/10.1177/1071100719840812DOI Listing
April 2019
1 Read

Management of ankle fractures in children.

Br J Hosp Med (Lond) 2019 Apr;80(4):201-203

Associate Professor, Academic Orthopaedics, Department of Trauma and Sports Medicine, University of Nottingham, Queen's Medical Centre, Nottingham.

Ankle fractures are a common injury in children and adolescents - 1 in 1000 children will sustain an ankle fracture each year. Understanding the diagnosis and management of these injuries is vital for any doctor or clinician working in the emergency department, orthopaedics or providing community care. This review identifies the important features of high- and low-risk ankle fractures, how to prevent the use of unnecessary radiation and the management of these injuries. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.201DOI Listing
April 2019
2 Reads

Radiologic Evaluation of Lower Leg, Ankle, and Foot Fracture Fixation Hardware.

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

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

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

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http://dx.doi.org/10.1055/s-0039-1681049DOI Listing
April 2019
1 Read

Computed Tomography Imaging-Based Preoperative Virtual Simulation for Calcaneal Fractures Reduction.

J Foot Ankle Surg 2019 Mar;58(2):248-252

Chief Physician, Department of Orthopedics, Shanghai Pudong New Area Zhoupu Hospital, Shanghai, China.

Reduction of calcaneal fractures via a small incision approach at the sinus tarsi is technically difficult. This study was undertaken to determine if preoperative virtual simulation based on computed tomographic data improves reduction and reduces complications. Fifty-five patients with calcaneal fractures were treated via the sinus tarsi approach with minimally invasive plates between February 2013 and December 2015. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.054DOI Listing
March 2019
1 Read

Surgical Considerations for Osteoporosis in Ankle Fracture Fixation.

Orthop Clin North Am 2019 Apr 12;50(2):245-258. Epub 2019 Feb 12.

Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, 1 Kettle Point Avenue, East Providence, RI 02915, USA.

As the geriatric population and associated ankle fractures continues to increase, fracture surgeons should be prepared to surgically manage osteoporotic ankle fractures. There are abundant challenges in management, soft tissue care, and fixation of ankle fractures with poor bone quality especially in elderly patients who have difficulty limiting weight bearing. This article summarizes several different surgical techniques that can be used to optimize outcomes of these fractures. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.10.007DOI Listing
April 2019
1 Read

Is It an Overlooked Injury? Magnetic Resonance Imaging Examination of Occult Talus Lesions Concomitant to Tibial Shaft Fracture.

J Foot Ankle Surg 2019 Feb 22. Epub 2019 Feb 22.

Associate Professor, Department of Radiology, SBÜ Ankara Numune Training and Research Hospital, Ankara, Turkey.

Long-term studies have shown that 10% to 20% of patients continue to experience ankle pain years after tibial fracture, which causes poor functional results and dissatisfaction. The aim of this study was to show that there could be a talus injury in patients with a tibial shaft fracture and to reveal occult talus lesions with magnetic resonance imaging (MRI) examination. Fifty-two patients with a tibial shaft fracture, with closed epiphyses, not extending to the joint and with no problems in the application of MRI examination were included. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.007DOI Listing
February 2019

The correlation between intra-operative 2D- and 3D fluoroscopy with postoperative CT-scans in the treatment of calcaneal fractures.

Eur J Radiol 2019 Mar 18;112:222-228. Epub 2019 Jan 18.

Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.

Objectives: The aim of this study was to determine the correlation of the intra-operative fluoroscopic 2D- and 3D-images compared with a postoperative CT-scan, in terms of quality of reduction and fixation of calcaneal fractures.

Methods: Patients requiring open reduction and internal fixation (ORIF) of a calcaneal fracture were recruited as part of the EF3X-trial. During surgery, intra-operative images of fluoroscopic 2D- and 3D-imaging were obtained to assess the quality of the reduction and implant position. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.01.013DOI Listing
March 2019
4 Reads

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
6 Reads

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380793PMC
February 2019
2 Reads

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 01 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
2 Reads

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
4 Reads

Mid- to Long-term Outcomes After Weber B-type Ankle Fractures With and Without Syndesmotic Rupture.

In Vivo 2019 Jan-Feb;33(1):255-261

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

Background/aim: The aim of the present study was to assess the impact of syndesmotic screw fixation on overall clinical outcomes following Weber B-type ankle fractures.

Materials And Methods: A total of 21 patients with syndesmotic rupture requiring screw fixation were compared to 40 patients with an intact syndesmosis. Olerud-Molander-Ankle-Score, American Orthopedic Foot & Ankle Society ankle hindfoot score, and the Short Form Health Survey-36 were recorded. Read More

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http://dx.doi.org/10.21873/invivo.11469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364085PMC
April 2019
1 Read

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

Injury 2019 Feb 18;50(2):571-578. 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
February 2019
4 Reads

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

Foot Ankle Int 2019 Apr 21;40(4):384-389. 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
April 2019
1 Read

Application of the 'diamond concept' with fast bone marrow aspirate concentration for the treatment of medial malleolus non-union.

Injury 2018 12;49(12):2326-2330

Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, School of Medicine, University of Leeds, Leeds, United Kingdom; NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, United Kingdom. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2018.11.013DOI 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
2 Reads

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
15 Reads

Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials.

J Orthop Surg Res 2018 Nov 12;13(1):283. Epub 2018 Nov 12.

Clinical Medical College, Yangzhou University, Yangzhou, 225001, China.

Objective: To compare the effects of 3D print-assisted surgery and conventional surgery in the treatment of pilon fractures.

Methods: PubMed, Embase, Web of Science, CNKI, CBM, and WanFang data were searched until July 2018. Two reviewers selected relevant studies, assessed the quality of studies, and extracted data. Read More

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http://dx.doi.org/10.1186/s13018-018-0976-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233356PMC
November 2018
2 Reads

Balloon-assisted reduction, pin fixation and tricalcium phosphate augmentation for calcaneal fracture: A retrospective analysis of 42 patients.

Injury 2018 Nov;49 Suppl 3:S94-S99

School of Medicine, University of Bari "Aldo Moro"- AOU Policlinico Consorziale - Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic &Trauma Unit, Bari, Italy.

Introduction: The treatment of intra-articular calcaneal fractures is still complex and controversial. Although open reduction and internal fixation (ORIF) is favored by many authors, several percutaneous techniques have been introduced to reduce complications and to obtain satisfactory clinical and radiological results. Among these percutaneous treatments, balloon reduction and bone graft augmentation is gaining an increasing popularity. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.047DOI Listing
November 2018
3 Reads

A novel method using bone peg fixation for acute osteochondral fracture of the talus: a surgical technique.

Arch Orthop Trauma Surg 2019 Feb 11;139(2):197-202. Epub 2018 Nov 11.

Department of Orthopedic Surgery, Yeungnam University Medical Center, Hyeonchungno 170, Namgu, Daegu, 42415, Republic of Korea.

Introduction: The osteochondral fracture of the talus is an uncommon condition, therefore, there are controversies for the optimal treatment. We report a novel surgical technique of bone peg fixation for osteochondral fracture of the talus.

Materials And Methods: We report two cases that underwent bone peg fixation for the acute osteochondral fractures of talus. Read More

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http://dx.doi.org/10.1007/s00402-018-3066-yDOI Listing
February 2019
4 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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February 2019
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
14 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
8 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
8 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
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203552PMC
October 2018
24 Reads

Beyond the pillars of the ankle: A prospective randomized CT analysis of syndesmosis' injuries in Weber B and C type fractures.

Injury 2018 Nov 5;49 Suppl 3:S54-S60. Epub 2018 Oct 5.

School of Medicine, University of Bari "Aldo Moro", AOU Policlinico Consorziale, Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic &Trauma Unit, Bari, Italy.

Background: This study compared clinical and radiographic results of patients who underwent stabilization of syndesmosis with one tricortical syndesmotic screw divided into three different groups: Group A without preoperative fractured ankle computed tomography (CT) scan, Group B with preoperative fractured CT scan, and Group C with preoperative bilateral ankle CT analysis.

Methods: Between June 2016 and May 2017, fifty-one patients with fracture type AO/OTA 44 B and C were analyzed. Of those, 14 (27. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.005DOI Listing
November 2018
2 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
6 Reads

Should pre-manipulation radiographs be obtained in ankle fracture-dislocations?

Foot (Edinb) 2018 Sep 20;36:10-14. Epub 2018 Sep 20.

Orthopaedic Department, University Hospitals of Leicester, Gwendolen Rd., Leicester LE5 4PW, United Kingdom.

Background: Should pre-manipulation radiographs be obtained in ankle fracture-dislocations? This question remains controversial. The twelfth British Orthopaedic Association Standard for Trauma (BOAST-12) published in August 2016 states that 'Reduction and splinting should be performed urgently for clinically deformed ankles. Radiographs should be obtained before reduction unless this will cause an unacceptable delay'. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592183010
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http://dx.doi.org/10.1016/j.foot.2018.09.001DOI Listing
September 2018
7 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
2 Reads

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
19 Reads

The Results of Physical, Radiologic, Pedabarographic, and Quality-of-Life Assessments in Patients with Surgically Treated Intraarticular Calcaneus Fractures.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1172-1180. Epub 2018 Sep 22.

Associate Professor, Department of Orthopaedics and Traumatology, Dr Lutfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey.

Calcaneal fractures are complex injuries and have historically had a poor prognosis that results in substantial disability. However, no studies have been performed that analyze both the radiographic and plantar pressure changes after treatment of intraarticular calcaneus fracture. Patients with an intrarticular calcaneus fracture treated at our institution during the study period were identified from computerized hospital records. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.06.009DOI Listing
February 2019
3 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
4 Reads

Cone-beam CT measurements of distal tibio-fibular syndesmosis in asymptomatic uninjured ankles: does weight-bearing matter?

Skeletal Radiol 2019 Apr 21;48(4):583-594. Epub 2018 Sep 21.

Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 North Caroline Street, Baltimore, MD, USA.

Objective: To evaluate the influence of weight-bearing (WB) load in standard axial ankle syndesmotic measurements using cone beam CT (CBCT) examination of asymptomatic uninjured ankles.

Materials And Methods: In this IRB approved, prospective study, patients with previous unilateral ankle fractures were recruited. We simultaneously scanned the injured ankles and asymptomatic contralateral ankles of 27 patients in both WB and NWB modes. Read More

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http://dx.doi.org/10.1007/s00256-018-3074-6DOI Listing
April 2019
6 Reads

Functional outcomes of traumatic midfoot injuries.

Injury 2018 Nov 12;49(11):2087-2092. Epub 2018 Sep 12.

University Medical Center Utrecht, Department of Surgery Utrecht, the Netherlands. Electronic address:

Introduction: Midfoot injuries are rare injuries, often the result of high-energy trauma and occurring in the context of multiple trauma. This study aimed to evaluate functional outcomes and health-related quality of life after open reduction and internal fixation for midfoot injuries at a level 1 trauma center treating complex foot injuries.

Methods: Retrospective single level 1 center study with follow-up by questionnaire. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.021DOI Listing
November 2018
3 Reads

Use of F-sodium fluoride bone PET for disability evaluation in ankle trauma: a pilot study.

BMC Med Imaging 2018 09 20;18(1):34. Epub 2018 Sep 20.

Division of PM&R, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, 94063, USA.

Background: There are no objective and accurate rating tools for permanent impairment of traumatized ankles. The purpose of this study is to assess the role of 18F-Sodium fluoride (18F-NaF) positron emission tomography-computed tomography (PET/CT) bone scans in evaluating patients with limited ankle range of motion (ROM) after trauma.

Methods: 18F-NaF PET/CT was performed in 121 patients (75 men, 46 women; mean age: 45. Read More

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http://dx.doi.org/10.1186/s12880-018-0277-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149075PMC
September 2018
6 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
23 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

Arthroscopic posterior subtalar arthrodesis for salvage of posttraumatic arthritis following calcaneal fractures.

Injury 2018 Sep;49 Suppl 2:S65-S70

Department of Traumatology and Orthopedic Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain; Department of Surgery, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.

Background: Subtalar arthrodesis is a treatment option for pain due to posttraumatic arthritis following calcaneal fractures. The goal of this study is to examine the results of arthroscopic subtalar arthrodesis for posttraumatic arthritis following calcaneal fractures.

Patients And Methods: We performed a retrospective case series reviewing 37 consecutive patients (36 male) treated for posttraumatic arthritis following calcaneal fractures by arthroscopic subtalar arthrodesis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183037
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http://dx.doi.org/10.1016/j.injury.2018.07.022DOI Listing
September 2018
16 Reads

Fractures of the tibial pilon treated by open reduction and internal fixation (locking compression plate-less invasive stabilising system): Complications and sequelae.

Injury 2018 Sep 2;49 Suppl 2:S60-S64. Epub 2018 Jul 2.

Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain.

Background: The aim of this study was to evaluate variables that could be related to complications and sequelae in fractures of the tibial pilon treated by open reduction and internal fixation (ORIF) with a locking compression plate-less invasive stabilising system (LCP-LISS).

Patients And Methods: A total of 137 fractures treated by ORIF in a 7-year period were analysed. The mean follow-up was 3. Read More

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http://dx.doi.org/10.1016/j.injury.2018.06.043DOI Listing
September 2018
3 Reads

Preliminary results using patient-specific 3d printed models to improve preoperative planning for correction of post-traumatic tibial deformities with circular frames.

Injury 2018 Sep;49 Suppl 2:S51-S59

Orthopaedic Research Center of Australia, Brisbane, Australia; Department of Orthopaedic Surgery, University of Texas Health Science Center San Antonio, TX, USA.

Background: Preoperative planning for circular external fixators is considered vital towards achieving the best results for complex post-traumatic tibial deformities, and patient-specific 3D printed (3DP) models were used here as a planning aid. The main goal was to investigate the fidelity of the preoperative planning process, by assessing the potential to reduce operative time and determining the need to adjust pre-constructed frames intra-operatively.

Patients And Methods: Nine patients (10 limbs) underwent treatment for post-traumatic tibial complications using circular external fixation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183037
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http://dx.doi.org/10.1016/j.injury.2018.07.017DOI Listing
September 2018
9 Reads
2.140 Impact Factor

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
6 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
4 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
54 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
4 Reads