6,222 results match your criteria Navicular Fracture


Effects of badminton insole design on stress distribution, displacement and bone rotation of ankle joint during single-leg landing: a finite element analysis.

Sports Biomech 2022 Jun 20:1-22. Epub 2022 Jun 20.

Bioinspired Devices and Tissue Engineering (BIOINSPIRA) Research Group, School of Biomedical Engineering and Health Sciences, Faculty of Engineering, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.

Previous research has reported that up to 92% of injuries amongst badminton players consist of lower limb, whereby 35% of foot fractures occurred at the metatarsal bone. In sports, insoles are widely used to increase athletes' performance and prevent many injuries. However, there is still a lack of badminton insole analysis and improvements. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Navicular Fracture.

Foot Ankle Clin 2022 Jun 5;27(2):457-474. Epub 2022 May 5.

Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirónsalud Madrid, Faculty Medicine UEM Madrid, Calle Diego de Velazquez 1, 28223 Pozuelo de Alarcón, Madrid, Spain.

The tarsal navicular is an essential component of the Chopart joint and crucial for most of hindfoot motion. Most fractures are low-energy dorsal avulsions that may be treated nonoperatively. Displaced comminuted fractures require open reduction and internal fixation, sometimes with external fixation, bridge plating, and bone grafting. Read More

View Article and Full-Text PDF

Management of Treatment Failures in Osteochondral Lesions of the Talus.

Foot Ankle Clin 2022 Jun 11;27(2):385-399. Epub 2022 May 11.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA.

Osteochondral lesions of the talus are a common result of traumatic ankle injury. Due to the low success rates of nonoperative management, surgical management of osteochondral lesions of the talus (OLTs) has evolved considerably over the past decade as more outcomes research has emerged, new techniques have been described, and we have developed a better understanding of the role of biologics in the treatment algorithm. We describe, in sequence, the surgical management options, including salvage procedures, for failed treatment of OLTs. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

[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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

[Arthroscopic-assisted fracture reduction combined with robot-navigated nail placement to treat talar neck fractures].

Zhonghua Yi Xue Za Zhi 2022 May;102(19):1472-1475

Department of Foot and Ankle Surgery, Xuzhou Renci Hospital, Xuzhou 221004, China.

This study aims to explore the clinical efficacy of arthroscopic-assisted reduction combined with robot-navigated nail placement in the treatment of talar neck fractures. The clinical data of 13 patients with talar neck fracture in Xuzhou Benevolent Hospital from January 2018 to January 2021 were analyzed in the retrospective study. Among them, there were 9 males and 4 females, aged (36±12) years; there were 8 cases suffered on the right and 5 cases on the left. Read More

View Article and Full-Text PDF

Recovery of the medial gastrocnemius muscle after calcaneus fracture differs between contractile and elastic components.

Clin Biomech (Bristol, Avon) 2022 Jun 10;96:105664. Epub 2022 May 10.

Institute for Biomechanics, BG Klinikum Murnau, Murnau, Germany; Institute for Biomechanics, Paracelsus Medical Private University, Salzburg, Austria.

Background: Calcaneal fractures result in severe functional impairments and walking restrictions. Postoperative evaluation mainly focusses on the restoration of calcaneal anatomy while ankle plantar flexor insufficiency remains largely neglected. This study aims to investigate biomechanical and morphologic adaptions of elastic and contractile components of the gastrocnemius medialis after unilateral calcaneal fracture. Read More

View Article and Full-Text PDF

Terminology for osteochondral lesions of the ankle: proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

J ISAKOS 2022 04 14;7(2):62-66. Epub 2022 Jan 14.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on "terminology for osteochondral lesions of the ankle" developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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:

View Article and Full-Text PDF

Quantitative Ultrasound (QUS) in the Management of Osteoporosis and Assessment of Fracture Risk: An Update.

Adv Exp Med Biol 2022 ;1364:7-34

Interdisciplinary Center of Bone Diseases, Bone and Joint Department, Lausanne University Hospital (CHUV) and Lausanne University, Lausanne, Switzerland.

Quantitative ultrasound (QUS) presents a low cost and readily available alternative to DXA measurements of bone mineral density (BMD) for osteoporotic fracture risk assessment. It is performed in a variety of skeletal sites, among which the most widely investigated and clinically used are first the calcaneus and then the radius. Nevertheless, there is still uncertainty in the incorporation of QUS in the clinical management of osteoporosis as the level of clinical validation differs substantially upon the QUS models available. Read More

View Article and Full-Text PDF

[Tuberculous osteomyelitis in the lateral cuneiform bone causing prolonged pain].

Ugeskr Laeger 2022 03;184(13)

Center for Sundhedsforskning i Grønland, Ilisimatusarfik.

Tuberculous osteomyelitis is an uncommon infection. In this case report, a 29-year-old Greenlandic male with increasing pain, swelling and discolouring of his left foot for four months was admitted to the hospital. He had no systemic symptoms. Read More

View Article and Full-Text PDF

Development of the center of pressure velocity in the healing process after intra-articular calcaneus fractures.

Gait Posture 2022 06 20;95:135-140. Epub 2022 Apr 20.

Institute of Biomechanics, BG Unfallklinik Murnau, Germany; Institute of Biomechanics, Paracelsus Medical University Salzburg, Austria.

Background: Calcaneal fractures are among the most common foot injuries and sometimes develop manifold post-surgical complications. Restricted foot movement is one of the main functional limitations which often persists during long-term rehabilitation. Therefore, it is important to quantitatively monitor the biomechanical foot mobility after calcaneal fracture from an early stage in order to achieve an optimal therapeutic treatment. Read More

View Article and Full-Text PDF

[Intra-articular fracture of the calcaneus associated with injury to lateral collateral ligaments of the ankle].

Acta Ortop Mex 2021 Sep-Oct;35(5):457-460

Sector de Trauma. Instituto de Ortopedia y Traumatología «Carlos E Ottolenghi», Hospital Italiano de Buenos Aires, Argentina.

Calcaneal fractures are the most frequent of the tarsus (3.5% of all fractures). Young adults are mainly affected, being more frequent in men (5. Read More

View Article and Full-Text PDF

Free vascularised osteochondral flap for the treatment of osteochondritis dissecans of the talus.

BMJ Case Rep 2022 Apr 7;15(4). Epub 2022 Apr 7.

Orthopaedics and Traumatology, Klinik Diakonissen Schladming, Schladming, Austria

We present a case report of a man in his 20s with osteochondritis dissecans of the talus, treated with autologous transplantation of a vascularised osteochondral flap. The patient with high level of activity presented to our orthopaedic outpatient department for progressive limping and pain, mainly related to sports. An osteochondritis dissecans grade IV of the medial talus was identified by MRI. Read More

View Article and Full-Text PDF

Anatomical parameters of sustentaculum Tali screw placement in the Asian population: A retrospective radio-anatomical study.

J Orthop Surg (Hong Kong) 2022 Jan-Apr;30(1):10225536221082343

Department of TCM Orthopedics and Traumatology, School of Traditional Chinese Medicine, 70570Southern Medical University, Guangzhou, China.

This study aimed to determine the anatomical parameters of successful Sustentaculum Tali (ST) screw placement in the Asian population. CT scans of unilateral feet of 110 participants were reviewed, retrospectively. The 3 D reconstruction of the calcaneus and morphometric measurements were performed by Mimics Research 19. Read More

View Article and Full-Text PDF

Hyaluronic acid as an adjunct to microfracture in the treatment of osteochondral lesions of the talus: a systematic review of randomized controlled trials.

BMC Musculoskelet Disord 2022 Apr 2;23(1):313. Epub 2022 Apr 2.

Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Background: Osteochondral lesions of the talus (OLT) are common after ankle trauma. Studies have shown that bioactive substances, such as hyaluronic acid (HA), alone, or in combination, with surgical treatment could improve cartilage regeneration and repair, but the effect of HA on patient reported outcomes is unclear.

Methods: Literature searches were performed across four databases (PubMed, SPORTDiscus, Scopus, and The Cochrane Library) for randomized controlled trials in which at least one treatment arm involved use of HA as an adjunct to microfracture to treat patients with OLT. Read More

View Article and Full-Text PDF

CORR Insights®: Should Arthroscopic Bone Marrow Stimulation Be Used in the Management of Secondary Osteochondral Lesions of the Talus? A Systematic Review.

Authors:
Gregory P Guyton

Clin Orthop Relat Res 2022 Jun 29;480(6):1126-1128. Epub 2022 Mar 29.

Orthopaedic Surgeon, MedStar Union Memorial Hospital, Baltimore, MD, USA.

View Article and Full-Text PDF

Return-to-sports after minimally invasive stabilization of intra-articular calcaneal fractures.

Sportverletz Sportschaden 2022 Jun 2;36(2):100-110. Epub 2022 Jun 2.

Department of Orthopedic Surgery, Clinic Diakonissen Schladming.

Background:  Evaluation of different factors in patient quality of life after minimally invasive stabilization of intra-articular calcaneal fractures, including the return-to-sports rate.

Patients And Methods:  Patients with minimally invasive stabilization of intra-articular calcaneal fractures were collected from the database of a Level I trauma center and evaluated in a retrospective and explorative way. The clinical and radiological examination have been done immediately after the operation, after 2 and 6 weeks postoperative and after a minimum follow-up of 2 years. Read More

View Article and Full-Text PDF

A historical review of calcaneal fractures: from the crucifixion of Jesus Christ and Don Juan injuries to the current plate osteosynthesis.

Int Orthop 2022 Jun 25;46(6):1413-1422. Epub 2022 Mar 25.

Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padova, via Giustiniani 2, 35128, Padova, Italy.

Purpose: Calcaneal fractures are one of the most challenging injuries to treat and one of the most divisive. The purpose of this historical review is to highlight the evidence of calcaneal fracture and its treatment through history.

Methods: Archaeological, religious, artistic, literary and historical accounts were searched for descriptions of calcaneal fracture to give a thorough overview of the subject. Read More

View Article and Full-Text PDF

Results of the osteochondral autologous transplantation for treatment of osteochondral lesions of the talus with harvesting from the ipsilateral talar articular facets.

Int Orthop 2022 Jul 25;46(7):1547-1555. Epub 2022 Mar 25.

Department of Hand and Foot Surgery, The Affiliated Hospital of Qingdao University, 1677, Wutaishan Road, Huang Dao Area, Qing Dao City, Shan Dong Province, 266000, China.

Purpose: There are few studies on the clinical outcomes of osteochondral autologous transplantation (OAT) harvesting from local talar non-weight-bearing articular facets for the treatment of osteochondral lesions of the talus (OLTs). The purpose of this study was to review the short- to midterm outcomes of our patients who were treated with OAT harvesting from ipsilateral talar articular facets for OLTs.

Methods: Between December 2010 and November 2018, 24 patients were enrolled in this study. Read More

View Article and Full-Text PDF

Spotty Bone Marrow: A Frequent MRI Finding in the Feet of Ballet Dancers.

J Dance Med Sci 2022 Jun 15;26(2):125-133. Epub 2022 Mar 15.

Thomas Jefferson University Hospital, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Introduction: Bone marrow signal abnormalities on magnetic resonance imaging (MRI) are common in athletes. However, few studies evaluate the MRI appearance of bone marrow in the feet of ballet dancers. Our study aims to describe the "spotty bone marrow" (SBM) pattern in the tarsal bones of a cohort of ballet dancers, establishing its prevalence, distribution, potential associations, and evolution. Read More

View Article and Full-Text PDF

Hindfoot Fractures: Injury Patterns and Relevant Imaging Findings.

Radiographics 2022 May-Jun;42(3):661-682. Epub 2022 Mar 11.

From the Department of Radiology, UCSD Health System, 408 Dickinson St, San Diego, CA 92103-8226 (E.S.); and Department of Radiology, UT Health Science Center, San Antonio, Tex (M.D.).

The hindfoot consists of the talus and calcaneus, spans the tibiotalar to transverse tarsal joints, and is critical for support of body weight and absorption and transfer of physiologic loads during bipedal movements. Hindfoot fractures account for approximately 17% of foot and ankle fractures, with calcaneal fractures being more common than talar fractures. Hindfoot fractures are usually caused by high-impact axial loads such as falls from heights and motor vehicle accidents, and understandably, they are often seen in patients with polytrauma. Read More

View Article and Full-Text PDF

[CLINICAL AND STATISTICAL ANALYSIS OF POSTERIOR FOOT INJURIES].

Georgian Med News 2022 Feb(323):23-29

Odessa National Medical University, Ukraine.

A clinical and statistical study of the frequency, structure and circumstances of posterior foot injury was carried out in 1047 patients admitted to the clinic in the period from 2007 to 2020. Age and gender groups have been identified, in which most often injuries leading to hospitalization occurred as a result of a fall with low kinetic energy at home or on the street, due to negligence, illegal actions and road accidents. The majority of patients were hospitalized urgently after injury, among which fractures of the calcaneus prevailed (84. Read More

View Article and Full-Text PDF
February 2022

Arthroscopy and Micronized Allogenic Cartilage Matrix Grafting for a Missed Talus Nonunion: A Case Report.

JBJS Case Connect 2022 03 9;12(1). Epub 2022 Mar 9.

Cooper Bone and Joint Institute, Department of Foot and Ankle Surgery, Camden, New Jersey.

Case: A 33-year-old man who had experienced polytraumatic injury from a motorcycle collision 5 months previously presented to the clinic with right ankle pain. On physical examination, anterior ankle tenderness was present, and imaging revealed a previously unrecognized nondisplaced talar body fracture with a chondral defect. The patient underwent arthroscopy of the right ankle, which influenced the senior author to perform a medial malleolar osteotomy and subsequent open reduction internal fixation with micronized allogenic cartilage matrix. Read More

View Article and Full-Text PDF

Outcomes of Talar Osteochondral and Transchondral Lesions Using an Algorithmic Approach Based on Size, Location, and Subchondral Plate Integrity: A 10-Year Study on 204 Lesions.

J Foot Ankle Surg 2022 May-Jun;61(3):442-447. Epub 2021 Jun 20.

Fellow, Department of Sports Medicine, Sutter-PAMF, Palo Alto, CA.

The management of transchondral and osteochondral talar lesions has evolved, with microfracturing originally considered the best initial treatment. Despite talar lesions being a tri-dimensional defect, most studies use 2-dimensional parameters to grade them. We propose in this study that tri-dimensional sizing may be more appropriate in evaluation for treatment. Read More

View Article and Full-Text PDF

Stress fracture of the calcaneus.

Tidsskr Nor Laegeforen 2022 03 28;142(4). Epub 2022 Feb 28.

Calcaneal stress fracture is an injury that particularly affects athletes and runners owing to repeated stress on the lower extremities without sufficient recovery time. Medial and lateral heel pain during activity raises suspicion of the injury, but radiological examinations are required for a definitive diagnosis. The treatment is usually conservative, involving rest and dietary correction, and a pharmacological or surgical approach is only relevant in some few cases. Read More

View Article and Full-Text PDF