Introduction And Importance: Stability of the peroneal tendon and lateral ankle structure is essential. Appropriate treatment is mandatory to improve the outcome.
Case Presentation: A 47-year-old female has had ankle pain for around six months. She has a history of falling while getting downstairs. A physical examination around the lateral ankle revealed slight local swelling and tenderness. Advanced radiography shows peroneal inflammation, subluxation, and an Anterior Talo-Fibular Ligament (ATFL) tear. The patient was diagnosed with peroneal tendinitis with subluxation of the peroneal longus tendon and ATFL tear.
Clinical Discussion: We performed an open procedure with debridement, tubularization, and superior retinaculum repair, followed by ATFL repair using a modified Brostorm-Gould technique to stabilize the ankle. The outcomes of the Foot and Ankle Disability Index (FADI) and Visual Analogue Scale (VAS) were evaluated, and they showed promising results after treatment.
Conclusion: Appropriate treatment should be performed to manage lateral ankle pain. A peroneal subluxation accompanied by an ATFL tear could be treated by an open procedure with debridement, tubularization, and superior retinaculum repair, followed by a modified Brostorm-Gould procedure. All these subsequent procedures are valuable and straightforward techniques for managing ankle stabilization.
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http://dx.doi.org/10.1016/j.ijscr.2024.110583 | DOI Listing |
Med Biol Eng Comput
January 2025
Biomedical Engineering, Bahçeşehir University, Çırağan Caddesi Osmanpaşa Mektebi Sokak No: 4-6 Beşiktaş, İstanbul, 34353, Turkey.
This study aims to understand the impact of backpack carriage, a regular activity for many, on back muscles and joint mobility during walking so that clinicians can develop strategies or products to ensure individuals' safety and well-being. Surface electromyography (EMG) and XSENS Awinda motion capture systems were used to analyze the effects of carrying a backpack (12% of body weight) on erector spinae and multifidus muscles, as well as spinal, hip, knee, and ankle joints. Subjects walked at 4 km/h on flat and inclined surfaces.
View Article and Find Full Text PDFJ Orthop Surg Res
January 2025
Sports Medicine Department, Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, No. 199, the Jiefang South Road, Xuzhou, Jiangsu, 221009, China.
Background: To compare the clinical outcomes of inferior extensor retinaculum (IER) augmentation following repair of the anterior talofibular ligament (ATFL) with isolated ATFL repair in patients with an arthroscopically confirmed grade 3 lesion of the ATFL.
Methods: We conducted a retrospective study of consecutive chronic lateral ankle instability (CLAI) patients who underwent arthroscopic ATFL repair between March 2018 and August 2022. The average age of the patients was 31.
J Pediatr Orthop B
October 2024
Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico - San Marco, University of Catania, Catania.
This study evaluated the static, postural, dynamic, and clinical outcomes among five groups of patients: a bilateral CTEV (congenital talipes equinovarus) group treated with tenotomy (n = 14), bilateral CTEV group treated conservatively (n = 6), unilateral CTEV group treated with tenotomy (n = 7), unilateral CTEV group treated conservatively (n = 3), and control group (n = 20). Data were collected through baropodometric examinations and clinical evaluations using Pirani, clubfoot assessment protocol, foot and ankle disability index (FADI), and American Orthopedic Foot and Ankle Society scores. Bilateral CTEV patients treated with tenotomy showed no statistically significant differences compared to healthy controls.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Background: Ankle sprains often result in muscle atrophy and reduced range of motion, which can cause long-term ankle instabilities. Understanding the changes to muscle-such as atrophy-and concomitant changes to deep fascia-which may thicken alongside muscle loss-after ankle sprain injury is important to understanding structural changes about the joint and how they might contribute to longer-term impairments. Here, we employ advanced MRI to investigate skeletal muscle and fascial structural changes during the recovery period of one patient undergoing immobilization after ankle sprains.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
January 2025
Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Purpose: (1) To evaluate the incidence and combination types of concomitant malleolar and fibular fractures in patients with distal spiral tibial shaft fractures. (2) To evaluate the risk factors for concomitant malleolar fractures in patients with distal spiral tibial shaft fractures.
Methods: A retrospective review was performed on 64 cases of surgically treated distal spiral tibial shaft fractures with complete radiographs and computed tomography (CT) scans.
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