112 results match your criteria Splinting Ankle


Immediate Internal Fixation of Open Ankle Fractures: Report of Thirty-eight Cases Treated with a Standard Protocol.

J Orthop Trauma 2020 Feb;34 Suppl 1:S1-S8

Division of Orthopedic Surgery, University of Texas Health Science Center at Dallas, Dallas, Texas 75235.

We reviewed thirty-eight cases of open ankle fractures that had been treated with a standard protocol: alignment and splinting of the fracture at the scene of injury if possible, antibiotics administered in the emergency room and continued for forty-eight hours, admission of the patient to the operating room as quickly as possible, copious irrigation and thorough debridement of the wound, immediate rigid anatomical internal fixation, and delayed primary closure at five days. All of the fractures united, but three patients required subsequent ankle fusion because of cartilage damage noted at the initial operation. Of the thirty-five ankles with complete follow-up, the functional result was excellent in twenty-six and fair or poor in nine. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001736DOI Listing
February 2020

Temporizing External Fixation vs Splinting Following Ankle Fracture Dislocation.

Foot Ankle Int 2020 Feb 9;41(2):177-182. Epub 2019 Oct 9.

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufmann Medical Building, Pittsburgh, PA, USA.

Background: Closed reduction and splinting followed by outpatient management is standard of care for temporizing most ankle fractures. However, ankle fracture-dislocation potentially warrants a different approach based on the propensity for loss of reduction. The purpose of this study was to determine the rate of complications associated with closed reduction and splinting of unstable ankle fracture-dislocations. Read More

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http://dx.doi.org/10.1177/1071100719879431DOI Listing
February 2020
1 Read

Comparative outcomes of foot cast and short leg cast in pseudo-Jones avulsion fracture: a single blinded randomized controlled trial.

J Foot Ankle Res 2019 10;12:47. Epub 2019 Sep 10.

3Sport and orthopedic center, Samitivej hospital and Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand.

Background: Fractures of the metatarsal bones account for 35% of all foot fractures. Conservative management of fractures proximal to the metaphyseal-diaphyseal junction of the fifth metatarsal bone (pseudo-Jones) is by protected weight bearing. The methods of protected weight bearing include short-leg casting and splinting (boot cast, Jones's bandage and elastic bandage). Read More

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http://dx.doi.org/10.1186/s13047-019-0359-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734469PMC
May 2020
4 Reads

Innervated Dorsalis Pedis Advancement Flap for Burn Foot Contractures.

J Burn Care Res 2020 May;41(3):466-471

Division of Plastic Surgery, Michael and Marian Ilitch Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan.

Dorsal foot burns in children often result in contractures with hyperextension of the toes and secondary gait disturbances. Skin grafting a wound bed after contracture release can result in early recurrence. Adequate contracture release often requires tenolysis and/or joint releases that may be prohibitive of skin grafting and require flap coverage. Read More

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http://dx.doi.org/10.1093/jbcr/irz116DOI Listing
May 2020
7 Reads

Sports Medicine: Fractures, Sprains, and Other Musculoskeletal Injuries.

Authors:
Jeffrey C Leggit

FP Essent 2019 Jul;482:23-26

Uniformed Services University Department of Family Medicine, 4301 Jones Bridge Road A1038, Bethesda, MD 20814-4799.

Family physicians commonly treat athletes with simple fractures and other musculoskeletal injuries that require temporary immobilization. Certain fractures (eg, intraarticular, multiple, open, associated with dislocations or tendon injury) typically are managed by orthopedic subspecialists. During the healing process, a custom-molded or prefabricated orthopedic support, known as an orthosis, may be used to support the injured area and prevent reinjury. Read More

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July 2019
6 Reads

Effectiveness of a programme comprising serial casting, botulinum toxin, splinting and motor training for contracture management: a randomized controlled trial.

Clin Rehabil 2019 Jun 27;33(6):1035-1044. Epub 2019 Feb 27.

Brain Injury Unit, Royal Rehab, Sydney, NSW, Australia.

Objective: To determine the effectiveness of a programme comprising serial casting, botulinum toxin, splinting and motor training in contracture management.

Design: A randomized trial with concealed allocation and assessor blinding, a deferred treatment cross-over design within the control group, was conducted.

Setting: Inpatient Brain Injury Unit of a rehabilitation centre. Read More

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http://dx.doi.org/10.1177/0269215519831337DOI Listing
June 2019
4 Reads

Short term results of dynamic splinting for hallux valgus - A prospective randomized study.

Foot Ankle Surg 2020 Feb 21;26(2):146-150. Epub 2019 Jan 21.

Department for Foot and Ankle Surgery, Clinic for Orthopedics, Hannover Medical School, Anna-von-Borries Strasse 1-7, 30625, Hannover, Germany.

Background Hallux valgus is a common diagnosis in orthopedics. Only a few studies have analyzed the effects of conservative therapy. Therefore, the current study analyzed the effect of a dynamic hallux valgus splint. Read More

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http://dx.doi.org/10.1016/j.fas.2019.01.002DOI Listing
February 2020
3 Reads

Effectiveness of the Taut-Line Hitch Knot in Reducing and Splinting Lower Extremity Fractures.

J Orthop Trauma 2019 Jan;33(1):e31-e35

Department of Orthopaedics, University of Cincinnati, Cincinnati, OH.

Techniques for single-provider reductions are valuable methods for provisional stabilization of fractures. In the setting of a lower extremity fracture, these techniques often use stockinette or kerlex to suspend an extremity while a reduction maneuver is performed, cast padding is applied, and a plaster splint is placed with subsequent molding to maintain reduction. Obtaining and maintaining a suitable amount of tension to the soft material while securing the limb to the stretcher or hospital bed continues to make these reduction maneuvers difficult to perform. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001315DOI Listing
January 2019
5 Reads

MSK injury? Make splinting choices based on the evidence.

J Fam Pract 2018 11;67(11):678-683

Department of Family Medicine, Uniformed Services University of Health Sciences, Bethesda, MD, USA.

Which devices do-and don't-have evidence to support their use when it comes to injuries like carpal tunnel syndrome, "tennis elbow," or an ankle sprain? Read on. Read More

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November 2018
4 Reads

Does Clinical Exam and Ultrasound Compare With MRI Findings When Assessing Tendon Approximation in Acute Achilles Tendon Tears? A Clinical Study.

J Foot Ankle Surg 2019 Jan 9;58(1):161-164. Epub 2018 Oct 9.

Orthopedic Surgeon, Tripler Army Medical Center, Honolulu, HI.

The purpose of this study was to determine if clinical palpation and ultrasound determination of apposition compares with magnetic resonance imaging (MRI) findings in patients with an acute Achilles tendon rupture. A review of 18 consecutive patients presenting with an acute Achilles tendon tear was performed. All tears were diagnosed by clinical exam and confirmed by ultrasound. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.06.008DOI Listing
January 2019
10 Reads
0.980 Impact Factor

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
Publisher Site
http://dx.doi.org/10.1016/j.foot.2018.09.001DOI Listing
September 2018
13 Reads

Management of Talar Body Fractures.

Indian J Orthop 2018 May-Jun;52(3):258-268

Department of Orthopaedics, Ganga Hospital, Coimbatore, Tamil Nadu, India.

Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. Read More

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http://www.ijoonline.com/text.asp?2018/52/3/258/231959
Publisher Site
http://dx.doi.org/10.4103/ortho.IJOrtho_563_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961263PMC
June 2018
29 Reads

Intra-articular Hematoma Block Compared to Procedural Sedation for Closed Reduction of Ankle Fractures.

Foot Ankle Int 2018 10 2;39(10):1162-1168. Epub 2018 Jun 2.

2 Department of Orthopaedic Surgery, Regions Hospital, Saint Paul, MN, USA.

Background: Initial treatment for a displaced ankle fracture is closed reduction and splinting. This is typically performed in conjunction with either an intra-articular hematoma block (IAHB) or procedural sedation (PS) to assist with pain control. The purpose of this study was to compare the safety of IAHB to PS and evaluate the efficiency and efficacy for each method. Read More

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http://dx.doi.org/10.1177/1071100718780693DOI Listing
October 2018
12 Reads

Long-Term Resolution of Severe Ankle Contractures Using Botulinum Toxin, Serial Casting, Splinting, and Motor Retraining.

Physiother Can 2018 ;70(2):152-159

Brain Injury Unit, Royal Rehab, Ryde, N.S.W., Australia.

Serial casting for ankle contractures is traditionally performed in prone, a position that patients may not easily tolerate. Also, although serial casting is effective in correcting contracture, its effect dissipates quickly. This case report describes a procedure for performing casting for ankle contractures in a supine or sitting position. Read More

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https://utpjournals.press/doi/10.3138/ptc.2016-76
Publisher Site
http://dx.doi.org/10.3138/ptc.2016-76DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5938076PMC
January 2018
21 Reads

Online Physical Therapy Protocol Quality, Variability, and Availability in Achilles Tendon Repair.

Foot Ankle Spec 2019 Feb 8;12(1):16-24. Epub 2018 Jan 8.

Department of Orthopedic Surgery, NewYork Presbyterian/Columbia University Medical Center, New York, New York.

Background: Substantial progress has been made in characterizing the benefit of early functional rehabilitation following Achilles tendon repair (ATR). However, standardized ATR rehabilitation guidelines have yet to be produced. Furthermore, as patients increasingly use the Internet to independently retrieve health care content, access to standardized, clinically effective rehabilitation protocols is necessary. Read More

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http://dx.doi.org/10.1177/1938640017751185DOI Listing
February 2019
7 Reads

Z-plasty of the flexor hallucis longus tendon at tarsal tunnel for checkrein deformity.

J Orthop Surg (Hong Kong) 2016 12;24(3):354-357

Departments of Orthopedic Surgery, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, Korea.

Purposes: To review the outcome of Z-plasty of the flexor hallucis longus (FHL) tendon at the tarsal tunnel for checkrein deformity in 8 patients.

Methods: Records of 6 males and 2 females aged 14 to 67 (mean, 39.5) years who underwent Z-plasty (lengthening) of the FHL tendon at the tarsal tunnel for checkrein deformity in the first and second toes by a single surgeon were reviewed. Read More

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http://dx.doi.org/10.1177/1602400316DOI Listing
December 2016
77 Reads

A Child With a Burn-Related Foot and Ankle Contracture Treated With Multiple Modalities.

Pediatr Phys Ther 2017 01;29(1):90-94

Arkansas Children's Hospital, Little Rock.

Purpose: The presence of hypertrophic scars, which cross lower extremity joints, can often result in decreased range of motion, limitations in functional mobility, and gait deviations. This article reviews a case and describes a multimodal treatment approach.

Summary Of Key Points: A 6-year-old girl developed aggressive hypertrophic scars following a burn injury. Read More

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http://dx.doi.org/10.1097/PEP.0000000000000346DOI Listing
January 2017
24 Reads

Evaluation of Common Musculoskeletal Injuries in the Urgent Setting.

Authors:
Anna N Miller

MedEdPORTAL 2016 Dec 7;12:10514. Epub 2016 Dec 7.

Assistant Professor, Department of Orthopaedic Surgery, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center; the Assistant Director of Orthopaedic Trauma, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center.

Introduction: Musculoskeletal (MSK) complaints comprise approximately 20% of primary care and emergency department visits annually in the United States. At the same time, there is a shortage of MSK specialists specifically trained to evaluate and treat these conditions. Improper management of patients with MSK diagnoses increases morbidity and undesirable outcomes for patients and leads to higher health care costs resulting from extraneous tests and imaging. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440529PMC
December 2016
3 Reads

Calcaneus Fractures: A Possible Musculoskeletal Emergency.

J Emerg Med 2017 Jan 19;52(1):28-33. Epub 2016 Sep 19.

Bronson Orthopedic Trauma, Kalamazoo, Michigan.

Background: Calcaneal fractures are commonly seen and treated in the emergency department. There are subsets of calcaneal fractures that pose a high risk to the adjacent soft tissue of the heel and can result in full-thickness tissue necrosis.

Objective: To identify which calcaneal fractures need to be managed within hours and triaged to the orthopedic team and which can be temporized in a neutral or plantarflexed ankle splint and seen in an outpatient setting. Read More

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http://dx.doi.org/10.1016/j.jemermed.2016.07.085DOI Listing
January 2017
20 Reads

Indications and anatomic landmarks for the application of lower extremity traction: a review.

Eur J Trauma Emerg Surg 2016 Dec 23;42(6):695-700. Epub 2016 Jul 23.

Division of Orthopaedic Trauma, Department of Orthopaedics, Alpert Medical School at Brown University, Providence, RI, USA.

Purpose: Fractures of the lower extremity, particularly of the femur and acetabulum, may be difficult to immobilize with splinting alone. These injuries may be best stabilized with the application of various types of skeletal traction. Often, traction is applied percutaneously in an emergent setting, making the knowledge of both superficial and deep anatomy crucial to successful placement. Read More

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http://dx.doi.org/10.1007/s00068-016-0712-3DOI Listing
December 2016
4 Reads

[The Significance of Early Reposition in Patients with Visible Malposition of the Upper Ankle Joint].

Z Orthop Unfall 2016 Dec 7;154(6):612-617. Epub 2016 Jul 7.

Unfallchirurgie und Orthopädische Chirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main.

Protracted dislocation of the upper ankle joint can lead to substantial damage to the surrounding soft tissue, possibly followed by local complications and longer hospitalisation. Although reposition is usually easy to conduct, it is commonly recommended that this should only be performed by an experienced specialist, as long as there is no neurovascular restriction. There are however no exact data or studies on this problem. Read More

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http://dx.doi.org/10.1055/s-0042-110797DOI Listing
December 2016
14 Reads

Adult Contractures in Burn Injury: A Burn Model System National Database Study.

J Burn Care Res 2017 Jan/Feb;38(1):e328-e336

From the *Surgical Services, Sumner Redstone Burn Center, Massachusetts General Hospital, Boston; †Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts; ‡Harvard Medical School, Boston, Massachusetts; §Shriners Hospitals for Children®-Boston, Massachusetts; ‖Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas; ¶Department of Surgery, University of Washington Medicine Regional Burn Center, University of Washington, Seattle; and #University of Texas Medical Branch, Shriners Hospitals for Children, Galveston.

As the overall survival rate for burn injury has improved, increased emphasis is placed on postburn morbidity and the optimization of functional and cosmetic outcomes. One major cause of morbidity and functional deficits is that of joint contractures. The true incidence of postburn contractures and their associated risk factors remains unknown. Read More

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http://dx.doi.org/10.1097/BCR.0000000000000380DOI Listing
February 2018
30 Reads

Pediatric Contractures in Burn Injury: A Burn Model System National Database Study.

J Burn Care Res 2017 Jan/Feb;38(1):e192-e199

From the *Division of Burns, Department of Surgery, Sumner Redstone Burn Center, Surgical Services, Massachusetts General Hospital, Boston; †Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts; ‡Harvard Medical School, Boston, Massachusetts; §Shriners Hospitals for Children, Boston, Massachusetts; ‖Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas; ¶Department of Surgery, University of Washington Medicine Regional Burn Center, University of Washington, Seattle; and #University of Texas Medical Branch, Shriners Hospitals for Children, Galveston.

Joint contractures are a major cause of morbidity and functional deficit. The incidence of postburn contractures and their associated risk factors in the pediatric population has not yet been reported. This study examines the incidence and severity of contractures in a large, multicenter, pediatric burn population. Read More

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http://dx.doi.org/10.1097/BCR.0000000000000341DOI Listing
February 2018
8 Reads

Comparison of Semi-Invasive "Internal Splinting" and Open Suturing Techniques in Achilles Tendon Rupture Surgery.

J Foot Ankle Surg 2016 Sep-Oct;55(5):965-70. Epub 2016 Jun 20.

Resident Physician, Department of Orthopedics and Traumatology, Kocaeli University School of Medicine, Kocaeli, Turkey.

The goal of the present study was to evaluate the semi-invasive "internal splinting" (SIIS) method for repair of Achilles tendon rupture relative to open repair with Krakow sutures. Efficacy was evaluated based on the clinical and functional outcomes, postoperative magnetic resonance imaging measurements, isokinetic results, and surgical complication rates. Functional measurements included the Thermann and American Orthopaedic Foot and Ankle Society (AOFAS) ankle scores, bilateral ankle dorsiflexion, and plantar flexion measurements. Read More

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http://dx.doi.org/10.1053/j.jfas.2016.04.014DOI Listing
July 2017
35 Reads

Outcome Analysis following Operative Skeletal Stabilization in Established Non Unions of Malleolar Fractures - A Series of 11 Cases.

J Orthop Case Rep 2015 Oct-Dec;5(4):82-4

Department of Orthopaedics, Government Peripheral Hospital, Chennai. India.

Introduction: Established non-unions pose a real nightmare for even the most accomplished surgeon. The variations in anatomy due to extensive fibrous tissue growth, soft tissue contractures around the fracture site and bony alterations like smoothening and sclerosis of the fracture ends must each be addressed as a whole if good outcome is to be expected.

Case Series: Here we present a series of 11 patients who had bimalleolar fracture of the ankle following which they had native splinting. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845468PMC
June 2016
8 Reads

Postsplinting x-rays of nondisplaced hand, wrist, ankle, and foot fractures are unnecessary.

Am J Emerg Med 2016 Aug 4;34(8):1625-6. Epub 2016 May 4.

Emergency Medicine Department, Regions Hospital, Saint Paul, MN.

Background: Acute nondisplaced fractures (NDFs) are common in the emergency department (ED), and providers often obtain postsplinting x-rays to identify displacement that potentially occurs during the splinting process. Our objectives are to (1) determine how often x-rays are obtained after splinting of NDFs, (2) identify if postsplinting x-rays change treatment management in the ED, and (3) identify if there are medical complications at follow-up.

Methods: A retrospective chart review of ED patients who were discharged with hand, wrist, ankle, or foot fractures was conducted to determine patients with definite NDFs that were verified by a radiologist, underwent splinting, and either had postsplint x-rays or not. Read More

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http://dx.doi.org/10.1016/j.ajem.2016.05.001DOI Listing
August 2016
22 Reads

Operating Room Time Savings with the Use of Splint Packs: A Randomized Controlled Trial.

Arch Bone Jt Surg 2016 Jan;4(1):10-5

Harvard Combined Orthopaedic Surgery Resident PGY 3, Department of Orthopaedic Surgery, Massachusetts General Hospital, Brigham and Women's Hospital Foot & Ankle Center, Boston, MA.

Background: The most expensive variable in the operating room (OR) is time. Lean Process Management is being used in the medical field to improve efficiency in the OR. Streamlining individual processes within the OR is crucial to a comprehensive time saving and cost-cutting health care strategy. Read More

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http://abjs.mums.ac.ir/article_4364_6abeb467b8fedcde7758a0d3
Web Search
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733228PMC
January 2016
14 Reads

Temporising external fixation of calcaneus fractures prior to definitive plate fixation: a case series.

Injury 2015 Sep;46 Suppl 3:S19-22

Cedars Sinai Medical Center, Los Angeles, CA, United States. Electronic address:

Introduction: Surgical management of calcaneus fractures is technically demanding and has a high risk of wound complications. These fractures are traditionally managed with splinting until swelling has subsided, which can take weeks and leaves the fracture fragments displaced. We describe a novel protocol for the management of displaced intraarticular calcaneus fractures that utilises a temporising external fixator and staged conversion to plate fixation through a sinus tarsi approach. Read More

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http://dx.doi.org/10.1016/S0020-1383(15)30006-1DOI Listing
September 2015
14 Reads

Over-Tightening of the Syndesmosis After Ankle Fracture: A Case Report.

JBJS Case Connect 2015 Oct-Dec;5(4):e85

Orthopaedic Associates of Michigan, 1111 Leffingwell Avenue N.E., Suite 100, Grand Rapids, MI 49525. E-mail address:

Case: An eighteen-year-old patient sustained a fracture-dislocation of the left ankle while playing rugby. The fracture was treated in the emergency department with closed reduction and splinting, followed by open reduction and internal fixation. Subsequently, increased tibiotalar clear space was noted radiographically. Read More

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http://dx.doi.org/10.2106/JBJS.CC.O.00018DOI Listing
December 2017
6 Reads

Management of Toddler's Fractures in the Pediatric Emergency Department.

Pediatr Emerg Care 2016 Jul;32(7):452-4

From the *Department of Pediatrics, University of Washington; †Division of Pediatric Emergency Medicine, and ‡Center for Clinical and Translational Research, Seattle Children's Hospital, Seattle, WA.

Objectives: To evaluate current practice in treatment of toddler's fractures, as well as subsequent healthcare utilization and complications.

Methods: Retrospective cohort study of children age 9 months to 3 years with a radiographically evident toddler's fracture diagnosed at a single academic pediatric emergency department (PED) from January 2008 to December 2012. Data collected included initial form of immobilization (if any), referral to orthopedic clinic, number of repeat radiographs obtained, presence of skin breakdown related to splinting or casting, and presence of other complications. Read More

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http://dx.doi.org/10.1097/PEC.0000000000000497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449267PMC
July 2016
25 Reads

In-shoe multi-segment foot kinematics of children during the propulsive phase of walking and running.

Hum Mov Sci 2015 Feb 10;39:200-11. Epub 2014 Dec 10.

Discipline of Exercise and Sport Science, Faculty of Health Sciences, The University of Sydney, NSW 1825, Australia.

Certain styles of children's shoes reduce 1st metatarsophalangeal joint (MTPJ) and midfoot motion during propulsion of walking. However, no studies have investigated if the splinting effect of shoes on children's 1st MTPJ and midfoot motion occurs during running. This study investigated the effect of sports shoes on multi-segment foot kinematics of children during propulsion of walking and running. Read More

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http://dx.doi.org/10.1016/j.humov.2014.11.002DOI Listing
February 2015
8 Reads

Standing with electrical stimulation and splinting is no better than standing alone for management of ankle plantarflexion contractures in people with traumatic brain injury: a randomised trial.

J Physiother 2014 Dec 25;60(4):201-8. Epub 2014 Oct 25.

Royal Rehabilitation Centre.

Question: Is a combination of standing, electrical stimulation and splinting more effective than standing alone for the management of ankle contractures after severe brain injury?

Design: A multi-centre randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis.

Participants: Thirty-six adults with severe traumatic brain injury and ankle plantarflexion contractures.

Intervention: All participants underwent a 6-week program. Read More

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http://dx.doi.org/10.1016/j.jphys.2014.09.007DOI Listing
December 2014
23 Reads

Bracing versus casting in ankle fractures.

Phys Sportsmed 2014 Nov;42(4):60-70

Hospital for Special Surgery, Department of Orthopedic Surgery, Foot and Ankle Service, New York City, NY.

Casting and splinting techniques for treating patients with fractures have been used for centuries. Functional bracing after ankle fracture has recently been utilized in an effort to avoid the atrophy and stiffness sometimes associated with casting; functional bracing allows for early mobilization of the ankle joint during recovery. Our review investigated the published literature comparing bracing with casting after ankle fracture. Read More

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http://dx.doi.org/10.3810/psm.2014.11.2092DOI Listing
November 2014
10 Reads

A single-person reduction and splinting technique for ankle injuries.

J Orthop Trauma 2015 Apr;29(4):e172-7

Washington University in St. Louis, St. Louis, MO.

Ankle injuries are one of the most common orthopaedic conditions treated in the emergency department. Initial reduction and splinting techniques of these injuries are variable and can place undue stress on the physician and cause patient discomfort. Novice and experienced practitioners have had to repeat splint application because of poor preparation, variable assistant experience, loss of fracture reduction, and improper application. Read More

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http://dx.doi.org/10.1097/BOT.0000000000000249DOI Listing
April 2015
10 Reads

Pilot study for an orthopedic surgical training laboratory for basic motor skills.

Am J Orthop (Belle Mead NJ) 2014 Nov;43(11):E246-52; quiz E253-4

Arthur James Cancer Hospital, Ohio State University, Columbus, OH.

The most effective way to teach and assess a resident's knowledge of musculoskeletal medicine, including orthopedic-specific surgical skills, remains unclear. We designed a surgical skills training session to educate junior-level orthopedic residents in 4 core areas: comfort with basic power equipment, casting/splinting, suturing, and surgical instrument identification. As part of the study reported here, 11 orthopedic residents (postgraduate year 1-3) completed a skills session and were evaluated with written examinations and an ankle fracture model before and after the session. Read More

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November 2014
11 Reads

[Rheumatic tendon pathologies].

Authors:
M Thomas M Jordan

Z Rheumatol 2014 Nov;73(9):806-13

Abteilung für Fuß- und Sprunggelenkschirurgie, Hessingpark- Clinic, Hessingstr.17, 86199, Augsburg, Deutschland,

Background: Rheumatoid arthritis is found in approximately 2 % of the total population in Europe and the peak incidence of the disease is during the fourth and fifth decades of life. In approximately 15 % the first symptoms of the disease occur at the level of the foot and ankle. If the early stage-dependent therapy with pharmaceuticals fails isolated surgery of the tendons (e. Read More

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http://dx.doi.org/10.1007/s00393-014-1407-yDOI Listing
November 2014
11 Reads

Cohesive taping and short-leg casting in acute low-type ankle sprains in physically active patients.

J Am Podiatr Med Assoc 2015 Jul 12;105(4):307-12. Epub 2014 Sep 12.

Background: Cohesive taping is commonly used for the prevention or treatment of ankle sprain injuries. Short-leg cast immobilization or splinting is another treatment option in such cases. To determine the clinical efficacy and antiedema effects of cohesive taping and short-leg cast immobilization in acute low-type ankle sprains of physically active patients, we performed a preliminary clinical study to assess objective evidence for edema and functional patient American Orthopaedic Foot and Ankle Society (AOFAS) scores with these alternative treatments. Read More

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http://dx.doi.org/10.7547/13-130.1DOI Listing
July 2015
19 Reads

Initial management of ankle fractures in the overweight and obese: the providence pinch.

J Emerg Med 2014 Nov 8;47(5):561-4. Epub 2014 Sep 8.

Division of Trauma, Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island.

Background: Obese and overweight people have higher rates of ankle injury, particularly operative ankle fractures. The initial management of unstable ankle fractures includes closed reduction and splinting to limit soft tissue injury and articular cartilage damage until definitive operative fixation can be performed. Adequate reduction can be more difficult in the obese patient due to the weight and additional padding provided by the larger soft tissue envelope. Read More

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http://dx.doi.org/10.1016/j.jemermed.2014.06.040DOI Listing
November 2014
19 Reads

[Evaluation of radiation exposure of personnel in an orthopaedic and trauma operation theatre using the new real-time dosimetry system "dose aware"].

Z Orthop Unfall 2014 Aug 21;152(4):381-8. Epub 2014 Aug 21.

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.

Aim: There is a positive correlation between operation time and staff exposure to radiation during intraoperative use of C-arm fluoroscopy. Due to harmful effects of exposure to long-term low-dose radiation for both the patient and the operating team it should be kept to a minimum. AIM of this study was to evaluate a novel dosimeter system called Dose Aware® (DA) enabling radiation exposure feedback of the personal in an orthopaedic and trauma operation theatre in real-time. Read More

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http://dx.doi.org/10.1055/s-0034-1368603DOI Listing
August 2014
12 Reads

Single provider reduction and splinting of displaced ankle fractures: a modification of Quigley's classic technique.

J Orthop Trauma 2015 Apr;29(4):e166-71

*Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA; and †R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD.

Ankle fractures are commonly treated by orthopaedic surgeons and often require manipulative reduction. This can be painful for the patient and frequently uses 2 or more providers. Intra-articular injection of local anesthetic into the ankle joint precludes the need for conscious sedation (intravenous narcotics and benzodiazepines, propofol, or ketamine). Read More

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http://dx.doi.org/10.1097/BOT.0000000000000206DOI Listing
April 2015
20 Reads

Secondary nerve lengthening to obtain full knee extension in popliteal pterygium syndrome.

J Reconstr Microsurg 2014 May 28;30(4):235-40. Epub 2014 Mar 28.

Department of Plastic Surgery, Brugmann ULB University Hospital, Brussels, Belgium.

Microsurgical nerve lengthening was performed in two siblings presenting a popliteal pterigium syndrome with a knee flexion contracture of 80 degrees. After the first attempt for nerve lengthening and knee extension elsewhere, a repeated lengthening was required due to continuing tip-toe walking and recurrent knee contracture at the age of 3 years. An extensive external and internal interfascicular microsurgical neurolysis resulted in a lengthening of the nerves. Read More

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http://dx.doi.org/10.1055/s-0033-1354735DOI Listing
May 2014
13 Reads

Open surgery versus nonoperative treatments for paediatric trigger thumb: a systematic review.

J Hand Surg Eur Vol 2014 Sep 21;39(7):719-26. Epub 2014 Feb 21.

Department of Pediatric Orthopaedics, Deformity Correction and Adult Foot & Ankle Surgery, Orthopaedic Hospital Vienna, Speising, Austria.

The purpose of this systematic review was to determine the outcome of interphalangeal (IP) joint motion in children undergoing open surgical release, splinting, and passive exercising therapy for the treatment of paediatric trigger thumb. We conducted an online literature search of seven major databases. Only studies with a mean follow-up of at least 12 months were considered for inclusion. Read More

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http://dx.doi.org/10.1177/1753193414523245DOI Listing
September 2014
7 Reads

A distinctive presentation of diplopodia: a Y-metatarsal combining the extra foot and the extra digit of the main foot.

J Foot Ankle Surg 2013 Nov-Dec;52(6):754-6. Epub 2013 Aug 12.

Specialist, Department of Plastic Reconstructive and Aesthetic Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey. Electronic address:

Diplopodia is a rare congenital anomaly and has been described as extra digits, metatarsals, and tarsal bones that form an extra foot or foot-like structure. Various skeletal deformities and anomalies involving other organ systems can accompany diplopodia. Treatment consists of surgery, splinting, and physical therapy, planned according to each patient's specific condition. Read More

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http://dx.doi.org/10.1053/j.jfas.2013.06.015DOI Listing
June 2014
11 Reads

Triceps surae contracture: implications for foot and ankle surgery.

J Am Acad Orthop Surg 2013 Jul;21(7):398-407

The University of Iowa Hospitals & Clinics, Iowa City, IA, USA.

Restricted ankle dorsiflexion secondary to contracture of the gastrocnemius-soleus complex is frequently encountered in patients with foot and ankle pain and is well documented in the literature. During gait, decreased dorsiflexion shifts weight-bearing pressures from the heel to the forefoot, which may result in or exacerbate one of several pathologic conditions. Modest success has been achieved with nonsurgical management of triceps surae contracture, including splinting and stretching exercises. Read More

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http://dx.doi.org/10.5435/JAAOS-21-07-398DOI Listing
July 2013
5 Reads

Fifth toe deformities: overlapping and underlapping toe.

Foot Ankle Spec 2013 Apr 25;6(2):145-9. Epub 2013 Feb 25.

Department of Orthopaedic Surgery, Yale University School of Medicine, New Haven, CT 06520, USA.

Unlabelled: Overlapping fifth toe is thought to be a congenital deformity characterized by the proximal phalanx dorsally subluxating and adducting on the fifth metatarsophalangeal joint. Overlapping fifth toes may present as asymptomatic figments of parental concern, but not infrequently this deformity may be painful and disabling in both the pediatric and adult population. Pediatric overlapping fifth toe often corrects with normal ambulation and physicians only need to intervene if symptomatic deformity persists. Read More

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http://dx.doi.org/10.1177/1938640013477129DOI Listing
April 2013
31 Reads

Novel use of intrathecal baclofen drug delivery system for periodic focal dystonia in a teenager.

Neuromodulation 2013 May-Jun;16(3):273-5. Epub 2012 Sep 25.

Introduction:  Focal dystonia, often affecting part of a limb, is a manifestation of complex regional pain syndrome (CRPS). This can be difficult to diagnose and treat. Furthermore, there may be significant latency between the onset of dystonia after the diagnosis of CRPS. Read More

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http://dx.doi.org/10.1111/j.1525-1403.2012.00510.xDOI Listing
January 2014
8 Reads

Post-splinting radiographs of minimally displaced fractures: good medicine or medicolegal protection?

J Bone Joint Surg Am 2012 Sep;94(17):e128

NYU Hospital for Joint Diseases, 301 East 17th Street, Suite 1402, New York, NY 10003, USA.

Background: Many institutions perform radiographic documentation following splint application even when no manipulation had been performed. The purpose of this study was to evaluate the utility of post-splinting radiographs of acute non-displaced or minimally displaced fractures that did not undergo manipulation. Our hypothesis was that post-splinting radiographs do not demonstrate changes in fracture alignment or impact the management of the patient. Read More

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http://dx.doi.org/10.2106/JBJS.K.00944DOI Listing
September 2012
19 Reads