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J Foot Ankle Surg 2021 May 13. 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

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

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

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 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

J Foot Ankle Surg 2021 Mar-Apr;60(2):404-407. Epub 2020 Oct 6.

Orthopedic Surgeon, Department of Orthopedic Surgery, Saiseikai Utsunomiya Hospital, Tochigi, Japan.

Pilon fractures with intact fibula have been associated with low-energy trauma. However, the compression force onto the ankle joint can damage the tibiofibular linkage as in a Maisonneuve fracture. Herein, we describe a case of a patient who had a pilon fracture (AO type 43 C3. Read More

Cureus 2020 Nov 28;12(11):e11745. Epub 2020 Nov 28.

Department of Orthopaedics, SRM Medical College Hospital and Research Centre, Chennai, IND.

Closed traumatic dislocation of multiple metatarsophalangeal joints is a rare injury. Until now only one case of simultaneous dislocation of all five metatarsophalangeal joints has been reported in peer-reviewed studies. The complex anatomy of the metatarsophalangeal joints prevents the relocation of the joints in a closed manner in maximum cases. Read More

Int J Surg Case Rep 2021 Jan 2;78:21-25. Epub 2020 Dec 2.

Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima City, Tokushima, 770-8503, Japan. Electronic address:

Introduction: Adult acquired flatfoot deformity (AAFD) caused by posterior tibial tendon dysfunction (PTTD) can lead to the development of peritalar subluxation (PTS) and much more rarely to lateral subtalar dislocation.

Presentation Of Case: A 75-year-old woman was referred to our hospital with an approximately 15-year history of pain in her right foot without obvious trauma. The lateral shifting foot deformity had worsened in the previous 5 years. Read More

SAGE Open Med Case Rep 2020 21;8:2050313X20974525. Epub 2020 Nov 21.

Department of Orthopaedics, Taixing People's Hospital, Yangzhou University, Yangzhou, P.R. China.

The Bosworth fracture dislocation is a rare type of ankle fracture and is usually unrecognized on initial radiographs, therefore early open reduction is recommended. This study reports a 51-year-old female with uncommon imaging and clinical features. Preoperative X-ray, computed tomography, and magnetic resonance imaging of the ankle showed posterior detached dislocation of the intact distal fibula, the loose osteochondral fragments located in the tibiotalar joint, and the rupture of the deltoid ligament. Read More

J Foot Ankle Surg 2021 Jan-Feb;60(1):172-175. Epub 2020 Jun 30.

Research Fellow, Texas Children's Hospital, Division of Orthopedic Surgery; Houston, TX; Research Fellow, Baylor College of Medicine, Department of Orthopedic Surgery, Houston, TX. Electronic address:

Fracture dislocation injuries of the toes are rare among pediatric population. These injuries when acute are mostly treated conservatively and a good reduction must be ensured. We present the case of a 2-year-old girl who presented with missed chronic fracture dislocation of the proximal interphalangeal joint of the fifth toe, which was managed by open reduction and internal fixation and had a good outcome at over 1 year of follow up. Read More

Acta Orthop Traumatol Turc 2020 Sep;54(5):488-496

Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Objective: The aim of this study was to assess the early operative results of a staged progressive reduction technique using a bilateral external fixator in the treatment of patients with open Lisfranc fracture dislocations.

Methods: In this retrospective study, 21 patients (5 women and 16 men; mean age=44.4 years; age range=24 to 69 years) with open Lisfranc fracture dislocations were included. Read More

Foot Ankle Int 2021 Feb 6;42(2):166-175. Epub 2020 Nov 6.

Department of Orthopaedic Surgery, Sagamihara National Hospital, Sagamihara, Kanagawa, Japan.

Background: Resection arthroplasty has long been a major treatment option for forefoot deformity caused by rheumatoid arthritis (RA). However, metatarsophalangeal (MTP) joint-preserving surgery is now surpassing classic resection arthroplasty. This study was performed to compare the postoperative results of these 2 operative methods. Read More

Ulus Travma Acil Cerrahi Derg 2020 11;26(6):943-950

Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey.

Background: The ankle fracture-dislocations are a significant traumatic incident for the bone and the soft tissue surrounding the ankle. Bone stabilization, joint immobilization, anatomic reduction and intervention for soft tissue protection should be performed as early as possible. The present study aims to determine the frequency of major comorbidities that can be seen after surgery in patients with ankle fracture-dislocations and the relationship between the trauma mechanism and clinical status with these comorbidities. Read More

Injury 2021 Jun 8;52(6):1635-1640. Epub 2020 Oct 8.

II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy; Dipartimento Scienze Biomediche e Neuromotorie DIBINEM, Università di Bologna-Alma Mater Studiorum, Bologna, Italy.

Introduction: Injuries involving the tarsometatarsal (TMT) joint are relatively uncommon, and the surgical treatment is potentially characterized by a high complications rate. The purpose of this study is to evaluate the results of the treatment of Lisfranc fracture-dislocations treated with closed reduction and percutaneous fixation with K-wires, considering complications and re-intervantion rate.

Materials And Methods: A retrospective review was performed on all patients undergone closed reduction and percutaneous fixation with K-wires of a Lisfranc fracture-dislocation. Read More

Cureus 2020 Sep 9;12(9):e10346. Epub 2020 Sep 9.

Orthopedics and Traumatology, Al-Zahraa Hospital University Medical Center, Beirut, LBN.

Talar injuries represent serious medico-surgical conditions because of the involvement of the talus in multiple articulations, such as the subtalar, the transverse talar, and the ankle joint complex. Its complete detachment from the surrounding ligaments and bone is known as talar extrusion, a very rare injury with a complicated treatment course. We report a case of a 43-year-old female patient presenting with a non-retrieved complete left talar body extrusion associated with a floating knee, manifested by left tibial shaft fracture and left supracondylar femoral fracture. Read More

Foot Ankle Surg 2020 Sep 18. Epub 2020 Sep 18.

Department of Trauma and Orthopaedic Surgery, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland; University of Basel, Petersplatz 1, 4051 Basel, Switzerland.

Tibialis posterior tendon dislocation, a rare complication in ankle fracture-dislocations, can impede anatomical reduction of the ankle mortise. We report on a 59-year-old healthy male with an open fracture-dislocation of the right ankle. Despite multiple attempts under direct vision of the anterior syndesmosis, anatomical reduction of the ankle mortise was not possible. Read More

Foot Ankle Int 2021 Jan 26;42(1):46-54. Epub 2020 Sep 26.

Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, the Fourth Clinical Medical College of Peking University, Beijing, China.

Background: Isolated shear fractures of a metatarsal head in the lesser toes are rare in clinical practice. We report the clinical and imaging characteristics, and treatment results, of these fractures.

Methods: A retrospective consecutive case-series study was performed on 7 patients with symptomatic isolated shear fracture of a metatarsal head in the lesser toes who were operatively treated using open reduction and internal fixation (ORIF). Read More

Jt Dis Relat Surg 2020 ;31(3):619-625

Hacettepe Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 06100 Sıhhiye, Ankara, Türkiye.

Although osteochondral autograft transplantation (OAT) in the knee and ankle has gained much popularity on the other hand the technique has rarely been applied in the femoral head. In this article, we present a 15-year-old female patient with unstable chondral lesion on the right femoral head. She had a history of open reduction for developmental dysplasia which resulted in avascular necrosis. Read More

Oper Orthop Traumatol 2020 Oct 18;32(5):421-432. Epub 2020 Sep 18.

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

Objective Of Surgery: Joint-spanning transfixation of the ankle joint aims at mostly temporary retention of the reduction, i.e. restoring length and axial alignment and stabilization of the ankle mortise in highly unstable fractures around the ankle and under critical soft tissue conditions. Read More

Chin J Traumatol 2020 Dec 27;23(6):367-371. Epub 2020 Aug 27.

Department of Orthopaedics, The Affiliated Zhongda Hospital Southeast University of Nanjing Medical University, Nanjing 210029, China.

Subtalar dislocation is defined as a separation of the talocalcaneal and talonavicular articulations, commonly caused by high-energy mechanisms, which include falls from height, motor vehicle crashes, and twisting leg injuries. The dislocations are divided into medial, lateral, anterior, and posterior types on the basis of the direction in which the distal part of the foot has shifted in relation to the talus. The most common type is medial dislocation resulted from inversion injury. Read More

Clin Sports Med 2020 Oct 13;39(4):773-791. Epub 2020 Aug 13.

Orthopaedic Foot and Ankle Fellowship, Department of Orthopedic Surgery, Northwestern Memorial Hospital, Center for Comprehensive Orthopaedic and Spine Care, Northwestern University, 259 East Erie, 13th Floor, Chicago, IL 60611, USA. Electronic address:

Lisfranc injuries can be devastating to the athlete and nonathlete. In the athletic population, minor loss of midfoot stability compromises the high level of function demanded of the lower extremity. The most critical aspect of treatment is identifying the injury and severity of the ligamentous/articular damage. Read More

Arthrosc Tech 2020 Aug 22;9(8):e1147-e1153. Epub 2020 Jul 22.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

Fracture of the posteromedial talar process (Cedell fracture) is a rare injury and is usually associated with other injuries such as medial subtalar dislocation. Diagnosis of the fracture necessitates a heightened clinical suspicion, and computed tomography should be performed in any suspicious cases. Timely treatment is important for restoration of proper anatomy and function of the subtalar joint. Read More

J Biol Regul Homeost Agents 2020 May-Jun;34(3 Suppl. 2):89-95

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

The treatment of posterior malleolus fractures has radically changed over the last few years, therefore this study aims to summarize the current evidence on the usefulness of posterior approaches in the management of malleolar fractures. The main elements that suggest the use of a posterior approach to the ankle are the posterior malleolus fragment shape and size, the presence of loose bodies at the fracture site: the possibility to obtain an anatomic fixation of the fracture; the presence of a posterior ankle subluxation; the eventually osteochondral impaction of the tibial plafond and the mechanical stability of the joint. The postero-lateral approach has been widely used to treat these fractures, but the posteromedial approach should be considered in specific cases. Read More

Orthop Surg 2020 Dec 9;12(6):1597-1604. Epub 2020 Aug 9.

Department of Orthopedics, The First Hospital of China Medical University, Shenyang, China.

Objective: To investigate the clinical and radiological outcomes in patients with monoarticular rheumatoid arthritis of the fifth metatarsophalangeal joint after Weil osteotomy.

Methods: From July 2011 to September 2015, 18 feet of 16 rheumatoid arthritis patients who underwent Weil osteotomy of the fifth metatarsal toe with a mean age at the time of surgery of 48.8 ± 7. Read More

Sports Med Arthrosc Rev 2020 Sep;28(3):110-115

Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN.

Ultra-low-velocity knee dislocations are historically rare but increasingly common events. They occur most frequently in obese, morbidly obese, and super obese patients during everyday activities, but they can be as severe or more severe than high-velocity knee dislocations. Ultra-low-velocity knee dislocations frequently are associated with neurovascular injury and other complications. Read More