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Int Orthop 2022 Jun 20. Epub 2022 Jun 20.

Department of Orthopedics, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.

Background: Open reduction and internal fixation (ORIF) is a popular method for treatment of displaced Lisfranc injuries. However, even with anatomic reduction and solid internal fixation, treatment does not provide good outcomes in certain severe dislocations. The purpose of this study was to compare ORIF and primary arthrodesis (PA) of the first tarsometatarsal (TMT) joint for Lisfranc injuries with the first TMT joint dislocation. Read More

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

Musculoskelet Surg 2022 Apr 18. Epub 2022 Apr 18.

Department of Orthopaedics and Traumatology, Rovereto Hospital, Rovereto, Italy.

Background: Subtalar joint dislocation (1% of all dislocations) is the permanent loss of articular relationships in the talonavicular and talocalcaneal joints, without other involvement of the foot. Dislocation can occur medially (85%), laterally (15%), posteriorly (2.5%) and anteriorly (1%). Read More

Ortop Traumatol Rehabil 2022 Feb;24(1):61-67

Katedra i Klinika Ortopedii i Traumatologii Narządu Ruchu Śląskiego Unierwsytetu Medycznego w Katowicach, Polska / Department of Orthopaedics and Musculoskeletal Traumatology, Medical University of Silesia in Katowice, Poland.

Subtalar dislocation is a very rare injury that accounts for just approximately 1% of traumatic dislocations. Stan-dard treatment in acute subtalar dislocations is immediate closed reduction and cast immobilization. Early reduction is of key importance and allows avoiding further damage to soft tissues, nerves and blood vessels. Read More

Front Surg 2021 27;8:788575. Epub 2022 Jan 27.

Department of Orthopaedics and Traumatology, Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.

Bosworth fracture-dislocation is a rare type of ankle injury, which in the typical radiologic are overlap of distal tibia and fibula in the anteroposterior view, posterior subluxation of the talus and syndesmosis dissociation in the lateral view, while in the CT scan, the fibula was displaced behind the posterior edge of the fibular notch (incisura tibiae), locked between the distal tibia and the displaced posterior malleolus fragment. Treatment can be challenging owing to the ignorance or failure of the initial reduction, resulting in an irreducible tibiotalar joint and tibiofibular syndesmosis reduction. To treat this complicated injury, emergent open surgery is always recommended for the first stage reduction to prevent adverse events. Read More

Trauma Case Rep 2022 Apr 26;38:100618. Epub 2022 Jan 26.

Department of Orthopaedic Surgery, Kanazawa University Hospital 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan.

We report a case of equinus foot deformity and malunion of the medial malleolus caused due to tibialis posterior tendon interposition following irreducible fracture-dislocation of the ankle. A 19-year-old female patient was referred to our hospital with the chief complaint of persistent ankle pain and restricted ankle dorsiflexion. Her medical history revealed a fracture-dislocation of the ankle in the left tibia at the age of 18 years. Read More

Foot Ankle Spec 2021 Nov 28:19386400211058264. Epub 2021 Nov 28.

Orthopedic Foot and Ankle Center, Worthington, Ohio.

There is a lack of consensus in the literature regarding optimal treatment methods for Lisfranc injuries, and recent literature has emphasized the need to compare open reduction and internal fixation (ORIF) with primary arthrodesis (PA). The purpose of the current study is to compare reoperation and complication rates between ORIF and PA following Lisfranc injury in a private, outpatient, orthopaedic practice. A retrospective chart review was performed on patients undergoing operative intervention for Lisfranc injury between January 2009 and September 2015. Read More

Int J Surg Case Rep 2021 Dec 12;89:106593. Epub 2021 Nov 12.

Orthopaedics Department, Hospital do Litoral Alentejano, Monte do Gilbardinho, 7540-230 Santiago do Cacém, Portugal.

Introduction And Importance: Combined fracture of the lateral malleolus and cuboid due to a lateral subtalar dislocation is an uncommon injury. Literature is scarce on this trauma association. To the best of our knowledge, this represents a new lesion pattern. Read More

Foot Ankle Clin 2021 Dec 7;26(4):903-913. Epub 2021 Oct 7.

Department of Orthopaedics, Klinikum Stuttgart, Olgahospital, Kriegsbergstraße 62, D-70174 Stuttgart, Germany. Electronic address:

Congenital vertical talus represents a congenital structural foot deformity characterized by the classical rocker bottom deformity. The main feature is dislocation of the talonavicular joint along with contractures of the dorsolateral tendons of the foot and tendo Achilles. In the past treatment consisted of 2- or single-stage more or less extensive soft tissue releases including reduction of the talonavicular joint following casting in the first phase. Read More

J Am Acad Orthop Surg Glob Res Rev 2021 10 21;5(10). Epub 2021 Oct 21.

From the Southeast Permanente Foot and Ankle Trauma and Reconstructive Surgical Fellowship, Atlanta, GA (Speer and Dr. Pike); and the Emerald Coast Foot and Ankle Center, Pensacola, FL (Speer).

Closed pantalar dislocations are a rare variant of an uncommon injury. Pantalar dislocations are typically caused by high-energy trauma resulting in an open injury with associated fracture of the articulating bones. Given its obscurity, the literature on closed pantalar dislocations is scarce, and no standard treatment protocol has been accepted. Read More

Foot Ankle Int 2022 Mar 22;43(3):389-397. Epub 2021 Oct 22.

Department of Orthopedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Republic of Korea.

Background: The purpose of this study was to identify the risk factors for posttraumatic osteoarthritis (OA) after surgery for ankle fractures in patients aged ≤50 years.

Methods: We performed a retrospective review of consecutive patients who underwent surgery for ankle fractures and were followed up for a minimum period of 5 years. The patients were assigned to 2 groups according to the presence of advanced OA at the last follow-up. Read More

J Am Podiatr Med Assoc 2021 Jul;111(4)

The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. Read More

Injury 2021 Oct 30;52(10):3156-3160. Epub 2021 Jun 30.

Escola Paulista de Medicina, UNIFESP, SP, Brazil.

Introduction: Diagnosis and treatment of ankle medial ligament lesions in malleolar fractures has always been a matter of controversy. Even when deltoid involvement is clear, the direct repair of this structure is not a consensus. Recently, deltoid repair through an arthroscopic technique was described aiming to potentialize better clinical results and minimize complications. Read More

Cureus 2021 May 31;13(5):e15349. Epub 2021 May 31.

Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, IND.

Talar body fracture associated with pan-talar (tibiotalar, talocalcaneal, talonavicular) dislocation is a rare condition. Timely intervention with anatomical reduction will lead to better healing of the fracture. It will result in articular congruity of the talus and less chance of secondary arthritis. Read More

Orthop Traumatol Surg Res 2021 10 29;107(6):102996. Epub 2021 Jun 29.

Department of orthopaedics and trauma, Aristide-Le-Dantec university teaching hospital, Dakar, Senegal.

Introduction: Ankle fracture-dislocation (AFD) represents a major threat to the joint and a potential source of complication and functional disability. This study was performed to assess the outcome of AFD in a resource-limited setting and factors associated with the posttraumatic ankle osteoarthritis (PTAOA). We hypothesized that conservative treatment after AFD was associated with higher risk of PTAOA compared to surgical treatment. Read More

Eur J Orthop Surg Traumatol 2022 Jul 18;32(5):821-826. Epub 2021 Jun 18.

Department of Orthopaedic Surgery, University of Washington, 325 9th Ave , Box # 359798, Seattle, WA, 98102, USA.

Purpose: Proximal tibiofibular joint (PTFJ) dislocations are under-investigated injuries. There is scant basic science or clinical evidence to direct management. The purpose of this study was twofold; first to investigate the pathomechanics of PTFJ dislocation on knee mechanics. Read More

J Foot Ankle Surg 2021 Nov-Dec;60(6):1184-1187. Epub 2021 May 13.

Chair of Department of Podiatric Surgery, AdventHealth System, Faculty, Advent Health East Orlando Podiatric Surgical Residency, Orlando, FL.

Recent literature suggests the majority of osteochondral lesions occur in the ankle joint. Previous studies have suggested that varying incidences of talar osteochondral lesions (OCLT) are associated with ankle fractures. The primary aim of our study was to investigate the incidence of osteochondral lesions associated with acute ankle fractures as observed on computed tomographic (CT) imaging. Read More

Medicine (Baltimore) 2021 Jun;100(22):e26247

Department of Orthopedics, Affiliated Hospital of Jining Medical University, Jining City, Shandong Province, China.

Rationale: Open total dislocation of ankle joint is rare and often caused by high-energy injury. The present study describes a patient with open total lateral dislocation of ankle joint without fractures and obtained a satisfactory clinical result following early debridement and irrigation, one-stage repairment of ligaments, and plaster external fixation.

Patient Concerns: The patient, a 45-year-old male, complained of right foot pain with bleeding and limited motion. Read More

Foot (Edinb) 2021 Jun 29;47:101785. Epub 2021 Jan 29.

Consultant Orthopaedic Surgeon, Sportsmed Mumbai, India. Electronic address:

Dislocations of the first metatarsophalangealjoint are rare, and recurrent dislocations unique. A national-level Kabaddi player dislocated his right first metatarsophalangeal joint while playing a game bear footed. After self-manipulative reduction, the patient had multiple dislocations. Read More

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

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

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

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

Foot (Edinb) 2021 Mar 9;46:101737. Epub 2020 Sep 9.

Texas Children's Hospital, 6701 Fannin St., Houston, TX 77030, USA; Department of Orthopedic Surgery, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.

Purpose: Lisfranc fracture dislocations are rare injuries and even more so in the pediatric population. The main purpose of our study is to present a descriptive analysis of Lisfranc injuries in pediatric patients to add to the current sparse literature on this topic. In addition, our secondary outcome was to analyze any differences in patients treated conservatively versus operatively, and those with isolated Lisfranc injuries versus those with associated foot injuries. Read More

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

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

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

Medicine (Baltimore) 2021 Mar;100(12):e25202

Department of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu.

Abstract: To introduce a novel technique of using individualized 3D printing occipitocervical fusion instrument (3D-OCF) for the treatment of upper cervical deformity with atlantoaxial joint dislocation.The surgery for deformity of the craniocervical junction area is a challenge in the field of spine. If the surgical deviation is too large to injure the spinal cord or vertebral artery, it will cause catastrophic damage to the patient. Read More

Arch Orthop Trauma Surg 2022 Jul 17;142(7):1435-1441. Epub 2021 Feb 17.

Department of Surgery of 1st Faculty of Medicine, Charles University and Thomayer Hospital, Videnska 800, Prague 4, 140 00, Czech Republic.

Introduction: Compartment syndrome (CS) is exceedingly rare in ankle fractures. However, the risk of CS development seems to be increased in the presence of a Bosworth fracture-dislocation (BF), a rare variant of locked dislocation of the fibula behind the tibia.

Materials And Methods: Here, we report the case of a 39-year old man with delayed diagnosis of CS after having sustained a BF and failed attempts on closed reduction. Read More

J Orthop Case Rep 2020 Oct;10(7):11-14

Department of Orthopaedics, All India Medical Sciences, Rishikesh, Uttarakhand, India.

Introduction: Combined talar body fracture with a medial malleolar fracture is rare in literature.

Case Presentation: A 30-year-old female presented to our hospital with complaints of pain and swelling over the right ankle joint with difficulty in bearing weight following a motor vehicle accident. Investigation showed talar body fracture of type 2 Sneppen (classification) with an ipsilateral medial malleolar fracture. Read More

Foot Ankle Clin 2020 Dec 30;25(4):727-736. Epub 2020 Sep 30.

Department of Orthopedics and Rehabilitation, University of Iowa, 200 Hawkins drive, Iowa City, IA 52242, USA.

The reported incidence of Lisfranc injuries is 9.2/100.000 person-years; two-thirds of the injuries are nondisplaced. Read More

J Orthop Case Rep 2020 Sep;10(6):41-43

Department of Orthopaedics, Seth G.S. Medical College and K.E.M hospital, Mumbai, Maharashtra, India.

Introduction: Midfoot injuries involving naviculocuneiform and calcanealcuboid joints are very rare. These injuries result from high-energy crushing trauma and most often causes dislocation of the midfoot in plantar direction.

Case Report: A 30-year-old female sustained an injury to the left foot after a fall from a very low height. Read More

Foot Ankle Int 2021 Jun 21;42(6):706-713. Epub 2021 Jan 21.

Michigan Orthopedic Center, Sparrow Hospital, Lansing, MI, USA.

Background: Calcaneal fracture-dislocations are rare but potentially disabling injuries that are regularly overlooked at first presentation. To date, only about 50 cases have been reported in the literature.

Methods: Over a period of 8 years, 10 patients (average age 61. Read More

J Am Acad Orthop Surg 2021 04;29(7):278-287

From the Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran (Vosoughi), and the Department of Orthopaedic Surgery, Case Western Reserve University, The MetroHealth System, Cleveland, OH (Vallier).

Closed pantalar dislocation mainly occurs among male adults aged 20 to 45 years and is usually associated with high-energy trauma, mostly falls (50.0%). The talus dislocates anterolaterally in about 85% of cases. Read More

J Foot Ankle Surg 2021 Mar-Apr;60(2):233-236. Epub 2021 Jan 16.

Resident, Department of Orthopedic Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, Republic of Korea.

The present study investigated the relationship between type of calcaneal fractures and subluxation or dislocation of peroneal tendon. Also, we investigated clinical outcomes of patients with both calcaneal fractures and dislocations or subluxations of peroneal tendons in early surgical treatments (at the time of surgery for calcaneal fractures) and delayed surgical treatment (at the time of surgery for calcaneal plate removal) for dislocations or subluxations of peroneal tendons. We included 151 patients with calcaneal fractures who were followed for ≥2 years after surgery. Read More