5,929 results match your criteria Navicular Fracture

Open reduction and internal fixation versus nonoperative treatment for closed, displaced, intra-articular fractures of the calcaneus: long-term follow-up from the HeFT randomized controlled trial.

Bone Joint J 2021 Jun;103-B(6):1040-1046

University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Aims: We report the long-term outcomes of the UK Heel Fracture Trial (HeFT), a pragmatic, multicentre, two-arm, assessor-blinded, randomized controlled trial.

Methods: HeFT recruited 151 patients aged over 16 years with closed displaced, intra-articular fractures of the calcaneus. Patients with significant deformity causing fibular impingement, peripheral vascular disease, or other significant limb injuries were excluded. Read More

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Hawkins type III talar neck fracture dislocation with neurovascular and tendon entrapment in a toddler.

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Department of Trauma and Orthopaedics, Southport and Ormskirk Hospital NHS Trust, Southport, UK

Paediatric displaced fracture of the neck of talus is extremely rare injury with variable outcomes. We report our experience in managing a Hawkins type III talar neck fracture dislocation with neurovascular and tendon entrapment in a 3-year-old boy. We describe the emergency presentation, radiological findings, orthopaedic management and clinical and functional outcomes in this toddler following the injury with review of the current literature. Read More

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Changing epidemiology of lower extremity fractures in adults over a 15-year period - a National Hospital Discharge Registry study.

BMC Musculoskelet Disord 2021 May 19;22(1):456. Epub 2021 May 19.

Department of Orthopaedics and Trauma Surgery, Schön Klinik Neustadt, Am Kiebitzberg 10, 23730, Neustadt in Holstein, Germany.

Background: Demographic changes led to an increasingly ageing population in Germany and thus to possible changes in the frequency of fractures. The primary aim of this study was to report changes in fracture rates of the lower extremities in Germany in 2002 compared to 2017 and to evaluate those changes.

Methods: Inpatient data from the German National Hospital Discharge Registry (ICD10) for 2002 and 2017 were evaluated. Read More

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A case of an injured calcaneus secundarius in a professional soccer player.

BMC Musculoskelet Disord 2021 Apr 22;22(1):374. Epub 2021 Apr 22.

Imaging Unit 2, University Hospital of Strasbourg, Strasbourg, France.

Background: The calcaneus secundarius (CS) is an accessory ossicle of the anterior facet of the calcaneus and is usually asymptomatic. This accessory bone can be frequently mistaken for a fracture of the anterior process of the calcaneus. Few reports of symptomatic CS have been published, and physicians need to be familiar with imaging strategies when encountering chronic ankle pain or in case of suspicion of fracture of the anterior process of the calcaneus. Read More

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The epidemiology and clinical features of calcaneus osteomyelitis following calcaneus fracture: a retrospective study of 127 cases.

Ann Palliat Med 2021 Mar;10(3):3154-3161

Department of Orthopedics, Tongde Hospital of Zhejiang, Hangzhou, China.

Background: To analyze the epidemiology and features of calcaneus osteomyelitis following open reduction and internal fixation (ORIF) after closed calcaneus fracture.

Methods: We retrospectively analyzed 127 cases who were diagnosed with calcaneal osteomyelitis following ORIF via the extended lateral "L-shaped" approach after closed calcaneus fracture between March 2016 and August 2019 in our hospital. We analyzed participant demographics including gender, age, body mass index (BMI), trauma mechanism, Sanders classification, co-morbidity, time between initial injury and surgery, operating time, soft tissue stripping tools, tourniquet pressure, bone grafting option, internal fixation option, presence of bleeding after tourniquet deflation, and drainage option. Read More

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Pure isolated medial talonavicular joint dislocation following low-energy trauma: a case report.

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

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Strong Genetic Effects on Bone Mineral Density in Multiple Locations with Two Different Techniques: Results from a Cross-Sectional Twin Study.

Medicina (Kaunas) 2021 Mar 8;57(3). Epub 2021 Mar 8.

Medical Imaging Centre, Faculty of Medicine, Semmelweis University, 1082 Budapest, Hungary.

: Previous studies have demonstrated that risk of hip fracture is at least partly heritable. The aim of this study was to determine the magnitude of the genetic component of bone mineral density (BMD), using both X-ray and ultrasound assessment at multiple sites. 216 adult, healthy Hungarian twins (124 monozygotic, MZ, 92 dizygotic, DZ; mean age 54. Read More

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A Rare Case of Fractured Posterior Facet of the Talus in Association With Open Medial Subtalar Dislocation.

Cureus 2021 Feb 8;13(2):e13224. Epub 2021 Feb 8.

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

Subtalar or peritalar dislocation is the loss of contact between the articular surface of the talus distally and the calcaneum and navicular. In this paper, a case of open medial type of subtalar dislocation associated with fractured posterior facet of the talus in a 27-year-old man with a history of road traffic accident was reported. Immediate wound irrigation and open reduction under general anesthesia at the emergency room operation theater was successful followed by cast immobilization. Read More

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February 2021

Irreducible Lisfranc injury by tibialis anterior tendon entrapment: A case report.

Medicine (Baltimore) 2021 Mar;100(11):e24822

Department of Orthopedic Surgery, Jeonbuk National University Medical School, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, South Korea.

Rationale: Lisfranc injuries are a dislocation of the metatarsal bones from the tarsal bone. Although closed reduction is possible in most cases of Lisfranc injury when attempted in the early stage, there are some rare cases for which open reduction is required. Herein we report a case of irreducible Lisfranc injury in a 34-year-old man who presented to our institution with painful swelling. Read More

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Internal Fixation of Osteochondral Lesion of the Talus Involving a Large Bone Fragment.

Am J Sports Med 2021 03;49(4):1031-1039

Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

Background: Internal fixation of an osteochondral lesion of the talus (OLT) can restore the congruency of the talus and maintain the subchondral bone and innate hyaline cartilage. However, OLT that is indicated for fixation is rarely encountered; hence, not many studies report on the results after the procedure.

Purpose: To evaluate the clinical and radiological outcomes after internal fixation of chronic OLT involving a large bone fragment of at least 10 mm in diameter and 3 mm in depth on computed tomography (CT). Read More

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[Simultaneous treatment of traumatic calcaneal osteomyelitis and defect deformity with near-arc bone transport by Ilizarov technique].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Mar;35(3):323-329

No.1 Department of Osteomyelitis, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang Henan, 471002, P.R.China.

Objective: To investigate the effectiveness of simultaneous treatment of traumatic calcaneal osteomyelitis and defect deformity with near-arc bone transport by Ilizarov technique.

Methods: Between January 2014 and August 2020, 6 cases of traumatic calcaneal osteomyelitis with defect deformities were treated by simultaneous treatment of near-arc bone transport by Ilizarov technique. The patients were all male; aged from 40 to 61 years (mean, 49. Read More

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[Osteochondral lesions of the talus : Individualized approach based on established and innovative reconstruction techniques].

Unfallchirurg 2021 Apr 5;124(4):319-332. Epub 2021 Mar 5.

Klinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Osteochondral lesions (OCL) of the talus are defined as chondral damage with subchondral involvement. The traumatic etiology is important; in particular, sprains and fractures can lead to lesions of the articular surface and the subchondral plate. As a result, unstable lesions and subchondral cysts can trigger substantial persistent pain and functional impairments. Read More

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[Finite element optimization analysis of minimally invasive screw treatment for Sanders typeⅡcalcaneal fracture].

Zhongguo Gu Shang 2021 Feb;34(2):137-42

Department of Orthopaedics Centre, Huamei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, Zhejiang, China.

Objective: To explore biomechanical characteristics of minimally invasive different screw fixations in treating Sanders typeⅡcalcaneal fractures.

Methods: Dicom data of calcaneus by CT scan were input into Mimics 21.0 software and Ansys15. Read More

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February 2021

[What does the hand surgeon expect from the radiologist in diagnostic imaging of the hand?]

F von Stillfried

Radiologe 2021 Apr 3;61(4):335-342. Epub 2021 Mar 3.

Klinik für Rekonstruktive und Plastische Chirurgie, Handchirurgie, Sankt Vincentius Krankenhaus, Holzstr. 4a, 67346, Speyer, Deutschland.

Background: For hand surgeons, in addition to anamnesis and clinical examination, imaging is the essential component in diagnostics and the basis for therapy planning. The focus on the special field of the "hand" and the adjacent joints is limited with regard to the anatomical extent, but with regard to the possible clinical pictures it encompasses the entire range of pathological changes.

Clinical Issue: Which imaging techniques support the goal of maintaining the functionality of the hand?

Performance: The carpal bones can be represented by computer tomography without superimposition. Read More

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Outcomes of intra-articular calcaneal fractures: surgical treatment of 114 consecutive cases at a maximum care trauma center.

BMC Musculoskelet Disord 2021 Mar 1;22(1):234. Epub 2021 Mar 1.

Department of Orthopaedics and Traumatology, Kantonsspital St. Gallen, Rorschacher Strasse 95, 9007, St. Gallen, Switzerland.

Background: The aim of this retrospective monocentric study was to investigate the outcomes of surgically treated intra-articular calcaneus fractures in a maximum care trauma center.

Methods: One hundred forty patients who had undergone surgery for intra-articular calcaneal fractures between 2002 and 2013 were included. One hundred fourteen cases with 129 fractures were eligible to participate in the study of which 80 were available for a clinical and radiological follow-up. Read More

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Bone SPECT/CT in the Evaluation of Painful Total Ankle Replacement: Validation of Localization Scheme and Preliminary Evaluation of Diagnostic Patterns.

Clin Nucl Med 2021 May;46(5):361-368

From the Departments of Nuclear Medicine.

Purpose: Third-generation total ankle replacement (TAR) is an increasingly popular and effective treatment for end-stage osteoarthritis, yet identifying causes of failure remains challenging. We evaluated integrated bone SPECT/CT in recurrent pain after TAR by validating a standardized reporting scheme, identifying uptake patterns, and assessing diagnostic performance and impact on clinical management.

Patients And Methods: A total of 24 TARs in 16 patients with persistent or recurrent pain received integrated bone SPECT/CT using diagnostic CT settings. Read More

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The Treatment of Avulsion Fracture of the Calcaneal Tuberosity: A New Technique of 180-Degree Annular Internal Fixation.

Clin Interv Aging 2021 15;16:275-280. Epub 2021 Feb 15.

Department of Orthopedic Trauma Surgery, Ningbo No.6 Hospital, Ningbo, People's Republic of China.

Due to the traction of the Achilles tendon and osteoporosis, a large number of reports have shown that a series of complications such as skin flap necrosis and failure of internal fixation after surgery often cause nonunion or malunion of calcaneal tuberosity fractures. At the same time, there is no uniform standard for the operative procedure in the treatment of the avulsion fractures of the calcaneal tuberosity. We presented a new technique for the treatment of avulsion fractures of the calcaneal tuberosity, which is fixed with a 180-degree microplate. Read More

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Cuboid nutcracker fracture in a 9-year-old child.

BMJ Case Rep 2021 Feb 4;14(2). Epub 2021 Feb 4.

CETE - Centro de Traumatologia do Esporte, Federal University of Sao Paulo Paulista Medical School, Sao Paulo, SP, Brazil.

A 9-year-old girl presented to the emergency department reporting intense pain and inability to bear weight on her left foot after a classmate tripped over it. Imaging studies confirmed a fracture of the cuboid bone due to compression of the lateral column of the foot (also known as nutcracker fracture). The patient was treated surgically, with direct reduction of the compression fracture and definitive fixation with two Kirschner wires. Read More

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February 2021

Current management strategies for osteochondral lesions of the talus.

Bone Joint J 2021 Feb;103-B(2):207-212

Imperial College London, London, UK.

The management of symptomatic osteochondral lesions of the talus (OLTs) can be challenging. The number of ways of treating these lesions has increased considerably during the last decade, with published studies often providing conflicting, low-level evidence. This paper aims to present an up-to-date concise overview of the best evidence for the surgical treatment of OLTs. Read More

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February 2021

Could percutaneous fixation with crossed Schanz pins be an alternative to open reduction in the treatment of intra-articular calcaneal fractures?

Int Orthop 2021 03 30;45(3):731-741. Epub 2021 Jan 30.

Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, Tevfik Sağlam St. Number 11, 34147, Bakırköy/Istanbul, Turkey.

Purpose: Despite modern operative techniques and a considerable number of studies in the literature, the best treatment for calcaneal fractures remains an enigma for orthopaedic surgeons. The purpose of the study was to compare clinical and radiographic outcomes between anatomic calcaneal plate (ACP) fixation and crossed Schanz pin (CSP) fixation in the treatment of Sanders type II and III displaced intra-articular calcaneus fractures (DICFs).

Methods: Consecutive 65 patients (49 males, 16 females) who underwent surgery for DCIFs between January 2009 and February 2013 were retrospectively evaluated. Read More

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[Fracture of the posterior malleolus : A paradigm shift].

Unfallchirurg 2021 Mar 29;124(3):181-189. Epub 2021 Jan 29.

Chirurgische Klinik und Poliklinik, Abt. für Unfall- Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Ankle fractures with involvement of the posterior malleolus have a poor prognosis. The traditional concept of addressing the posterior fragment as the final step in the surgical reconstruction depending on the fragment size manifest in the lateral X‑ray, does not do justice to the anatomic and biomechanical relevance of the posterior malleolus. Intra-articular step-offs and fragment displacement ≥ 2 mm, impacted intercalary fragments, involvement of the fibular notch and instability of the syndesmosis, represent parameters relevant for the surgical reconstruction and the functional and radiomorphological outcome independent of fragment size. Read More

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In-Season Management of Acute and Subacute Sports Foot Injuries.

Foot Ankle Clin 2021 Mar;26(1):187-203

Miami Orthopaedic and Sports Medicine Institute, Florida International University, Herbert Wertheim College of Medicine, Team Physician- NFL Miami Dolphins and NHL Florida Panthers, Baptist Health South Florida, 1150 Campo Sano Avenue, Coral Gables, FL 33146, USA.

In athletes, foot injuries present with a variety of mechanisms, severity, and implications for return to play. Although potentially given less attention than knee and shoulder injuries by the team physician, foot injuries are common and thus require knowledgeable consideration. In this article, we review the anatomy, presentation, workup, and management of several of the most common athletic foot injuries, including turf toe, Lisfranc injuries, Jones fractures, and navicular stress fractures. Read More

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Evaluation and Management of Common Accessory Ossicles of the Foot and Ankle in Children and Adolescents.

J Am Acad Orthop Surg 2021 04;29(7):e312-e321

From the Department of Orthopaedics and Physical Medicine (Murphy and Van Nortwick), Medical University of South Carolina, Charleston, SC, the Department of Radiology (Jones), Medical University of South Carolina, Charleston, SC, and the Shriner's Hospital for Children (Moone), Springfield, MA.

Accessory ossicles are a common radiographic finding about the foot and ankle in children and adolescents. They are often noted incidentally during evaluation of foot and ankle injuries, and most can be managed nonsurgically. Although over 20 accessory ossicles have been described around the foot and ankle, five specific structures generate the most concern in pediatric patients. Read More

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Are radiological measurements reliable methods in the postoperative follow-up of calcaneal fractures?

T Bulut M Gursoy

Niger J Clin Pract 2021 Jan;24(1):110-114

Department of Radiology, Izmir Democracy University, Faculty of Medicine, Izmir, Turkey.

Background: Böhler's angle (BA) and the crucial angle of Gissane (CAG) are the most frequently used objective measurements for the follow-up of fixation following calcaneus fracture surgery. However, the measurements of these angles by different people can affect the results and cause conflicting interpretations of different results obtained. This has caused confusion in the literature. Read More

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January 2021

Bone graft versus non-bone graft for treatment of calcaneal fractures: A protocol for meta-analysis.

Medicine (Baltimore) 2021 Jan;100(2):e24261

Department of Hand Surgery, The Second Hospital of Jilin University.

Background: Calcaneal fractures are a prevalent form of injury caused by high-energy trauma. This study aimed at investigating whether bone graft and non-bone graft are essential for the internal fixation of calcaneal fractures. A meta-analysis of relevant clinical studies evaluated radiographic parameters, functional outcomes, and complications that offer practical recommendations on the suitability of bone grafts for the management of Calcaneal fractures. Read More

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January 2021

The Outcomes of Surgically Treated Distal Tibia Salter-Harris Type III and IV Fractures.

J Surg Orthop Adv 2020 ;29(4):219-224

Pennsylvania State University College of Medicine, Department of Orthopaedics, Hershey, Pennsylvania.

Current literature suggests that distal tibia Salter-Harris Type III and IV fractures with > 2 mm of displacement should be treated surgically to minimize growth arrest. The objective of the current study is to determine, in Salter-Harris Type III and IV distal tibia fractures, if gap displacements < 2 mm post-surgery are associated with fracture union, if step-offs > 2 mm post-surgery are associated with osteoarthritis, and to determine how often growth disturbances are observed in surgically-treated patients. A retrospective case series review of fourteen patients with displaced distal tibia Salter-Harris Type III and IV fractures was performed. Read More

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January 2021

Randomized comparative study between extensile lateral and sinus tarsi approaches for the treatment of Sanders type 2 calcaneal fracture.

Bone Joint J 2021 Feb 3;103-B(2):286-293. Epub 2021 Jan 3.

Department of Orthopaedic Surgery, Yeungnam University Medical Center, Daegu, Korea.

Aims: No randomized comparative study has compared the extensile lateral approach (ELA) and sinus tarsi approach (STA) for Sanders type 2 calcaneal fractures. This randomized comparative study was conducted to confirm whether the STA was prone to fewer wound complications than the ELA.

Methods: Between August 2013 and August 2018, 64 patients with Sanders type 2 calcaneus fractures were randomly assigned to receive surgical treatment by the ELA (32 patients) and STA (32 patients). Read More

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February 2021

Comparison between open reduction and internal fixation and minimally invasive surgery in management of Sanders type II calcaneal fracture: A randomized controlled trial protocol.

Medicine (Baltimore) 2020 Dec;99(51):e23813

Department of Orthopaedics.

Background: The minimally invasive surgery possesses an essential and growing function in treating the calcaneal fractures, but the related literature on this topic is limited. For our study, the main purpose was to compare the early prognosis of a group of the patients with Sanders type II fracture of calcaneus treated via minimally invasive surgery and open reduction and internal fixation (ORIF).

Methods: This is a prospective randomized controlled trial in the patients who suffer from displaced intra-articular calcaneal fractures. Read More

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December 2020

Novel Technique for Osteosynthesis of Tongue-Type Calcaneus Fractures in Osteoporotic Bone: A Case Report.

JBJS Case Connect 2020 12 24;10(4):e20.00476. Epub 2020 Dec 24.

Department of Orthopaedic Surgery, Brooke Army Medical Center, Fort Sam Houston, Texas.

Case: A 75-year-old woman with osteoporosis sustained a low-energy mechanism tongue-type calcaneus fracture. Index surgical fixation with conventionally described cannulated screws was complicated by early screw pull-out despite concomitant Achilles lengthening procedure. Using a novel technique, revision fixation was performed using a 5. Read More

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December 2020

Lesion Size May Predict Return to Play in Young Elite Athletes Undergoing Microfracture for Osteochondral Lesions of the Talus.

Arthroscopy 2021 05 24;37(5):1612-1619. Epub 2020 Dec 24.

Department of Orthopaedic Surgery, Dongtan Sacred Heart Hospital, Hallym University, South Korea. Electronic address:

Purpose: To evaluate the clinical and sports-related outcomes of arthroscopic microfracture (MFx) for osteochondral lesion of the talus (OLT) in elite athletes.

Methods: The athletes who underwent arthroscopic MFx for OLTs at our institution between January 2011 and September 2015 with minimum 2 years of follow-up were reviewed. The Foot and Ankle Outcome Score, American Orthopaedic Foot & Ankle Society, and visual analog scale pain score, time and rate of "return-to-competition" (RTC, return to an official match for at least 1 minute after treatment), and rate of "return-to-play" (RTP, participation in at least 2 entire seasons after treatment) were used to evaluate the outcomes. Read More

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