1,071 results match your criteria: "Metatarsal Fracture Imagings"

Temporary Circular External Fixation for Spanning the Traumatized Ankle Joint.

JBJS Essent Surg Tech

December 2024

Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Background: Temporary ankle-spanning circular fixation aims to provide osseous stability while (1) allowing access to and recovery of the traumatized soft-tissue envelope and (2) facilitating safe, comfortable, and clinically relevant cross-sectional imaging for surgical planning. It is most commonly utilized in a "span-scan-plan" treatment strategy in cases of peri-articular fractures around the ankle. Conventional monolateral fixators are prone to morbidity at the half-pin sites in the foot and variation in construct stability.

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Lisfranc injuries, involving the tarsometatarsal joints, are rare and account for approximately 0.2% of all fractures. Among these, dorsal dislocation of the intermediate cuneiform is extremely uncommon.

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Percutaneous Screw Fixation of Proximal Fifth Metatarsal Fractures.

JBJS Essent Surg Tech

November 2024

Department of Orthopaedics Foot and Ankle Surgery, The Ohio State University, Columbus, Ohio.

Article Synopsis
  • Metatarsal fractures, particularly affecting the fifth metatarsal, are common injuries, making up 5-6% of outpatient fractures, with zone 2 fractures—specifically Jones fractures—being difficult to manage due to poor blood supply and higher nonunion rates.
  • Surgical treatment, particularly open reduction and internal fixation (ORIF), is preferred for Jones fractures, as it leads to better healing rates compared to conservative treatment methods.
  • The surgical technique involves careful anatomical marking and using a guidewire for screw placement to compress the fracture, followed by a recovery period that includes non-weight-bearing and gradual weight-bearing activities.*
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Post-traumatic synostosis of the metatarsals - a case report.

BMC Musculoskelet Disord

November 2024

Changi General Hospital, 2 Simei St 3, Singapore, 529889, Singapore.

Article Synopsis
  • Synostosis is the abnormal fusion of bones, commonly described as a congenital condition, particularly at the radio-ulnar joint, though it can also occur post-traumatically.
  • A 57-year-old man experienced malunion and synostosis of the fourth and fifth metatarsals after a fifth metatarsal fracture, leading to two surgeries for excision of the synostosis, with successful outcomes after the second intervention.
  • This case represents the first documented instance of post-traumatic synostosis in metatarsals and adds to existing literature on the condition.
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The Prevalence and the Clinical Importance of os vesalianum pedis.

Acta Chir Orthop Traumatol Cech

November 2024

Mugla Sıtkı Kocman University, Faculty of Medicine, Department of Radiology, Muğla, Turkey.

Purpose Of The Study: Os vesalianum pedis (OVP) is a rare accessory bone of the foot located at the base of the fifth metatarsal bone. It is usually asymptomatic and incidentally seen on radiographs. When symptomatic, it manifests itself with lateral foot pain.

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High risk and low incidence diseases: Lisfranc injury.

Am J Emerg Med

November 2024

Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address:

Article Synopsis
  • Lisfranc injuries, while uncommon, are often misdiagnosed and can lead to serious long-term issues if not treated promptly.
  • These injuries can range from minor subluxations to severe fractures and may present with midfoot pain, swelling, or bruising, making immediate diagnosis crucial.
  • Advanced imaging like CT scans is essential when initial x-rays are inconclusive, and collaboration with orthopedic surgery is necessary for proper management.
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Article Synopsis
  • The study examined how the specialty of the treating clinician (orthopaedic surgeons vs. podiatrists) affects the management of zone 2 fractures of the fifth metatarsal in patients over a 10-year period at an academic medical center.
  • It found that podiatrists were more likely to recommend surgical treatment, while orthopaedic surgeons allowed a higher percentage of patients to start bearing weight immediately after the injury.
  • Patients treated by podiatrists also experienced longer periods of immobilization and slower clinical healing compared to those treated by orthopaedic surgeons.
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Cross-sectional size, shape, and estimated strength of the tibia, fibula and second metatarsal in female collegiate-level cross-country runners and soccer players.

Bone

November 2024

Department of Physical Therapy, School of Health and Human Sciences, Indiana University Indianapolis, Indianapolis, IN, United States of America; Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN, United States of America. Electronic address:

Article Synopsis
  • Female distance runners often experience bone stress injuries, especially in the leg and foot long bones, which may be prevented through participation in multidirectional sports during youth.
  • A study comparing college athletes in cross-country running and soccer found that soccer players had larger and stronger tibias, fibulas, and second metatarsals, indicating better bone adaptation due to their diverse movement patterns.
  • The results suggest that young female athletes should avoid early specialization in running and engage in sports like soccer to develop stronger and more resilient skeletal structures, potentially reducing the risk of bone stress injuries.
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Article Synopsis
  • The study assessed the effectiveness of conservative treatments for atraumatic medial sesamoid pain (MSP) in 27 patients involved in sports, focusing on treatment outcomes and underlying pathologies.
  • Nearly half (48.1%) of the patients reported pain relief after treatment, but factors like age, body weight, and the type of sport influenced their recovery outcomes.
  • MRI revealed that 42.8% of patients had no notable abnormalities, with common issues identified being soft tissue signal changes and intraosseous signal changes in the medial sesamoid bone.*
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Pediatric foot development throughout childhood and adolescence can present a diagnostic dilemma for radiologists because imaging appearances may be confused with pathology. Understanding pediatric foot development and anatomical variants, such as accessory ossification centers, is essential to interpret musculoskeletal imaging in children correctly, particularly because many of these variants are incidental but others can be symptomatic. We first briefly review foot embryology.

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[Surgical treatment of forefoot and midfoot fractures : Minimally invasive fixation of metatarsal fractures].

Oper Orthop Traumatol

August 2024

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Objective: Minimally invasive stabilization of metatarsal fractures to enable adequate fracture healing in a correct position to restore anatomy and biomechanics of the foot.

Indications: A. Dislocated diaphyseal and subcapital fractures of the second to fifth metatarsal (> 3 mm, > 10° dislocation).

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Introduction: Lisfranc joint injuries are common and often underdiagnosed. They occur during trauma of various mechanisms, high or low energy. Their management is difficult because of the wide spectrum of lesions and the management of associated lesions, particularly in the emergency stage.

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First cuneo-metatarsal arthrodesis (Modified Lapidus) with plantar plate for the treatment of hallux valgus: clinical and radiological outcomes at one year follow-up.

Orthop Traumatol Surg Res

December 2024

Service de Chirurgie Orthopédique et Traumatologique, Hôpital Trousseau, CHRU de Tours, Avenue de la République, 37170 Chambray-lès-Tours, France; Centre de la Cheville et du Pied, Clinique Saint Léonard, 49800 Trélazé, France.

Article Synopsis
  • - The modified Lapidus arthrodesis is an effective surgical technique for treating moderate to severe hallux valgus deformities, focusing on first tarsometatarsal joint hypermobility and enabling immediate weight-bearing post-surgery.
  • - A study involving 66 patients found a 98.75% success rate for bone union after the procedure, with some minor complications such as one non-union case and two wound issues.
  • - Significant improvements in foot alignment were noted, with reductions in hallux valgus angle and intermetatarsal angle, indicating that this surgical method, when performed with a plantar plate and compression screw, is both reliable and beneficial for patients.
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Although widely used in follow-up treatment protocols, the added value of routine radiographs to clinical decision-making in nonoperative treatment of patients with metatarsal fractures is unclear. This retrospective cohort study aimed to determine whether routine follow-up radiographs contributed to changes in treatment strategies in nonoperative treatment of patients with a metatarsal fracture. Adult (aged ≥ 18 years) patients who received nonoperative follow-up treatment for a metatarsal fracture between May first, 2020 and May second, 2022 were included.

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Atypical Metatarsal Fractures: Report of Five Clinical Cases.

Rev Bras Ortop (Sao Paulo)

July 2024

Faculdade de Medicina, Universidade Federal do Maranhão, São Luís, MA, Brasil.

Atypical fractures are well elucidated when they occur in the femur and are related to the use of bisphosphonates. Prolonged therapy with this drug leads to excessive suppression of bone remodeling, which makes the bone more brittle. In general, they are caused by minimal trauma or are atraumatic.

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Objective: To compare the effectiveness of small incision external articular minimally invasive osteotomy and traditional Chevron osteotomy in the treatment of hallux valgus.

Methods: A retrospective analysis was conducted on the clinical data of 58 patients (58 feet) with hallux valgus who were admitted between April 2019 and June 2022 and met the selection criteria. Among them, 28 cases were treated with small incision external articular minimally invasive osteotomy (minimally invasive group), and 30 cases were treated with traditional Chevron osteotomy (traditional group).

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Scottish Fold cats (Felis catus, Linnaeus 1758) are one of the most well-known and popular cat breeds in the world, characterized by their folded ears attached to the head. Very frequently, cats fall prey of different trauma and accidents that can cause bone fractures especially in the metapodial bones. The method of radiometry is used in veterinary practice to visualize and measure different parts of the animal skeleton.

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BACKGROUND The Lisfranc ligament is crucial for maintaining the transverse and longitudinal arch of the foot. Owing to the disruption between the medial cuneiform bone and the base of the second metatarsal bone, the currently preferred fixation method remains controversial. Our fixation technique involves screwing one anchor to the medial and intermediate cuneiform bones and using the anchor to carry the ligament to bind the Lisfranc joint and first and second metatarsal joints altogether for elastic fixation.

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Article Synopsis
  • A 21-year-old African American female sprinter experienced right foot pain, fatigue, and an unusual continuous menstrual cycle despite a contraceptive implant for three years.
  • An MRI revealed a likely stress fracture in her foot and abnormal bone marrow signals, leading to further investigation after ongoing pain.
  • The results showed severely high triglyceride levels and diabetes, indicating a rare congenital lipodystrophy that initially appeared as a stress fracture and unusual menstrual issues.
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Background: Fifth metatarsal basis fractures are common injuries. Zone 1 fractures are also known as pseudo-jones fractures. This study aimed to elucidate the impact of foot radiologic morphology on pseudo-Jones fractures.

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Lisfranc Injuries.

Clin Podiatr Med Surg

July 2024

Foot and Ankle Surgery, NorthBay Health, Fairfield, CA, USA.

Lisfranc injuries were thought to primarily occur during high-energy events, leading to a preference for fusion treatment; however, recent data have shifted this perspective by highlighting a greater occurrence of low-energy injuries and reshaping the focus on open reduction internal fixation. This multifaceted process is guided by various factors, including the nature of the injury, specific anatomic considerations, and the involved joints. Our overarching goal remains to achieve anatomic reduction, with flexibility in hardware fixation methods.

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Charcot's neuroarthropathy and osteomyelitis can have similar initial presentations. The ability to differentiate between the two pathologic conditions is essential, as each requires different treatment. We present a case of a 53-year-old woman with pain, swelling, and warmth in her left first metatarsophalangeal joint and first tarsometatarsal joint.

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