6,732 results match your criteria: "Navicular Fracture"

Article Synopsis
  • A study investigates the occurrence of asymptomatic triangular fibrocartilage complex (TFCC) changes in patients who underwent wrist MRIs for reasons other than ulnar-sided wrist pain.
  • Of the 132 patients reviewed, 44% showed TFCC abnormalities on MRI, while 80% of those with ulnar-sided pain had similar findings.
  • The results emphasize the need to consider a patient's symptoms alongside MRI findings, as many with non-painful TFCC changes might be identified in routine scans.
View Article and Find Full Text PDF

A rare case of "Hawkins type 3" talar neck fracture in a cat.

Open Vet J

August 2024

Department of Preclinical Sciences and Pathology, Faculty of Veterinary Medicine, Norwegian University of Life Sciences, Ås, Norway.

Article Synopsis
  • * The fracture was treated using a type 1b external skeletal fixator (ESF), with a focus on ensuring proper stabilization while addressing complications related to the hock joint.
  • * After 7 months, the cat displayed minimal lameness and some limited movement in the hock joint, suggesting that ESF may be an effective treatment option for similar fractures in pets.
View Article and Find Full Text PDF
Article Synopsis
  • - The study compares the effectiveness of a modified screw fixation technique versus traditional plate fixation in treating displaced intra-articular calcaneus fractures (DIACF) using a sinus tarsi approach in 187 patients.
  • - Results show that patients in the screw fixation group experienced significantly less pain (lower VAS scores) and a greater improvement in Bohler's angle, although other functional outcome measures weren't significantly different between groups.
  • - Additionally, the hardware removal rate was much lower in the screw fixation group (3.8%) compared to the plate fixation group (14.8%), suggesting screw fixation might be a more favorable option overall.
View Article and Find Full Text PDF
Article Synopsis
  • Wound healing complications are common after calcaneal fractures and are linked to soft-tissue microcirculation, which provides essential nutrients and oxygen.
  • The study investigated the impact of using a pneumatic tourniquet during surgery on microcirculation and wound healing in patients with calcaneal fractures.
  • Results showed that using a tourniquet decreased blood flow and oxygen levels at a deeper level, but this did not affect the overall healing process post-surgery.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates post-operative outcomes of talus fracture surgery in patients with different diabetes statuses: complicated diabetes, uncomplicated diabetes, and no diabetes.
  • Utilizing the PearlDiver database, researchers analyzed data from 5,232 patients who underwent open reduction and internal fixation for talus fractures from 2009 to 2021.
  • Results showed that diabetes patients, especially those with complicated diabetes, faced higher risks of complications like reoperation, acute kidney injury, and sepsis compared to non-diabetic patients within 3 months after surgery.
View Article and Find Full Text PDF
Article Synopsis
  • Talar head fractures are uncommon and mostly reported in men, often linked with other foot injuries and caused by high-energy trauma like car accidents and falls.
  • The study analyzed 32 patients with 33 fractures, focusing on fracture characteristics, treatment options, and outcomes over at least two years.
  • Most fractures required surgical intervention, primarily through screw fixation, with a notable absence of avascular necrosis in the cohort.
View Article and Find Full Text PDF
Article Synopsis
  • The study looked at how well robot-assisted surgery works compared to traditional surgery for healing broken heels (calcaneal fractures).
  • Researchers searched through many medical databases for studies on this, focusing on patient results and safety.
  • The results showed that the robot-assisted method helped patients have shorter hospital stays, less blood loss, and better recovery scores, making it a good option for treatment.
View Article and Find Full Text PDF
Article Synopsis
  • Heel pain in children can be caused by various conditions, including fractures, diseases, and rare tumors, with this text focusing on a rare case of calcaneal exostosis.
  • The case involves a 16-year-old girl with multiple cartilaginous exostoses who had painful masses in her heel, leading to a diagnosis and subsequent surgical excision of the exostosis.
  • Post-surgery, the patient recovered well, being discharged in good condition, completely pain-free within 25 days, indicating effective treatment for her heel pain.
View Article and Find Full Text PDF
Article Synopsis
  • This study investigates whether percutaneous screw guides improve the accuracy of screw placement in surgery for talar fractures.
  • Researchers used CT scans from healthy adults and cadaver specimens to create 3D models of ankle joints, allowing for precise anatomical analysis.
  • The findings compared two groups—one using screw guides and another using free-hand techniques—evaluating parameters such as screw trajectories and operation time, ultimately assessing the effectiveness of the screw guides in surgery.
View Article and Find Full Text PDF
Article Synopsis
  • Paediatric talus fractures are very rare because the elastic cartilage in children can withstand higher forces compared to adults.
  • The most common cause of these fractures is axial loading on the talus while the ankle is dorsiflexed.
  • This text discusses a case of a teenage boy who successfully treated and followed up on a neglected talus neck fracture without surgery.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate a new aiming compression device (ACD) for inserting screws into non-fractured navicular bones (NB) using 10 adult horse cadaver limbs.
  • The procedure, conducted under radiographic guidance, showed an average time of 33.5 minutes, with screw placement assessed as excellent in 9 out of 10 bones, and only one case rated poorly.
  • The findings suggest that the technique effectively allows for screw placement without damaging surrounding bone structures, highlighting its potential for future clinical applications in NB fracture repair.
View Article and Find Full Text PDF
Article Synopsis
  • - Midfoot injuries, like navicular dislocations and fractures, pose significant challenges in trauma care, as illustrated by a case involving a 27-year-old male who fell down stairs, leading to these injuries.
  • - The patient received a detailed treatment plan that included admission, closed reduction, and internal fixation using K-wires, with imaging confirming the injuries' severity.
  • - After surgery, the patient was carefully managed with pain relief, antibiotics, and measures to prevent blood clots, highlighting the importance of a structured treatment approach for successful recovery in such cases.
View Article and Find Full Text PDF

Influence of Fractures and Dislocations in Severity of Rocker-Bottom Deformity in Patients with Charcot Foot.

Int J Low Extrem Wounds

August 2024

Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.

Article Synopsis
  • The study aimed to analyze the relationship between bone fractures and joint dislocations with the severity of arch collapse in patients with Charcot foot, focusing on midfoot deformities.
  • It involved a retrospective review of 28 patients with midfoot Charcot foot deformity, using radiographic measurements to assess the severity of the condition and classify the fractures and dislocations observed.
  • The findings indicated that specific dislocations (like navicular-medial cuneiform) and cuboid fragmentation significantly predicted severe midfoot collapse, highlighting a link between certain injuries and the progression of the deformity.
View Article and Find Full Text PDF
Article Synopsis
  • Total talus dislocation without ankle fracture is a rare injury, accounting for only 0.06% of all dislocations, and often leads to complications like infection and arthritis.
  • A case study details a 40-year-old woman who suffered an open total talus dislocation from an accident, confirmed by radiographs, and required immediate surgical intervention including debridement and ankle stabilization.
  • The successful treatment enabled her to bear weight on the ankle with minimal pain and restored her normal range of motion, highlighting the importance of timely reduction and wound care to prevent further complications.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the relationship between patients' basic demographics and three-dimensional parameters of calcaneal fractures and their recovery outcomes.
  • A total of 43 patients with calcaneal fractures were analyzed for various factors, but the data indicated no correlation between these factors and the patients' pain and function scores after treatment.
  • The findings conclude that elements like age, gender, and specific measurements of the fracture do not influence the prognosis of calcaneal fractures in the studied patient group.
View Article and Find Full Text PDF

The combined talus and sustentaculum fracture: A case series.

Injury

October 2024

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA. Electronic address:

Article Synopsis
  • * A study over 21 years found that many sustentaculum fractures were missed in initial radiographic assessments, particularly in high-energy trauma cases such as Hawkins II fractures.
  • * The study concluded that while independent fixation of these fractures is common, it does not significantly impact the development of post-traumatic osteoarthritis or the need for re-operation.
View Article and Find Full Text PDF

Clinical and radiological outcomes of ankle joint preserving surgical reconstruction for talar neck non-unions-A series of 8 cases.

Injury

June 2024

Foot and Ankle Biomechanics, Experimentation and Research (FABER) Laboratory, Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Electronic address:

Article Synopsis
  • Talar neck non-unions are rare but can cause severe foot deformity, and the best surgical options are still being researched, including techniques like ORIF with bone grafting and ankle fusion.
  • A study included 8 patients, evaluating clinical outcomes after they underwent ORIF with bone grafting, with some also receiving additional procedures for better results.
  • Most patients showed significant improvement in healing and functional scores after surgery, though some faced complications, indicating a need for more extensive studies to confirm long-term success.
View Article and Find Full Text PDF
Article Synopsis
  • Sinus Tarsi plates are implants used in minimally invasive surgeries to fix fractures in the calcaneus bone, and this study focused on how different screw patterns affect their performance.
  • * The research involved creating six 3D models to analyze how different screw placements in 5, 6, and 7-hole plates influenced calcaneus fracture stabilization under various walking conditions.
  • * Findings revealed that while the implant experienced higher stress than the surrounding bone, using a 7-hole plate with anterior screws reduced the risk of failure and provided better stability at the fracture site.
View Article and Find Full Text PDF

Radiographic assessment of calcaneal fractures; A new approach to Böhler's angle using computed tomography.

Foot (Edinb)

September 2024

Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Movement Sciences, AMS - Musculoskeletal Health, Amsterdam, the Netherlands. Electronic address:

Article Synopsis
  • Böhler's angle (BA) is essential for assessing calcaneal fractures and the effectiveness of reconstruction surgery, and this study explores its measurement using CT scans, as opposed to traditional radiographs.
  • The study involved two groups: one with calcaneal fractures and one without, comparing measurements of various Böhler angles from CT to the conventional method.
  • Findings indicate that the central and 3D Böhler angles closely align with traditional measurements, suggesting that 3D reconstruction may be a more accurate and visual method for analyzing severe injuries in the calcaneus.
View Article and Find Full Text PDF
Article Synopsis
  • The Shepherd fracture, a rare injury to the lateral tubercle of the talus, typically occurs from sports-related trauma and is often missed on standard X-rays, necessitating CT scans for proper diagnosis and treatment planning.
  • Surgical intervention is frequently recommended for displaced or complex fractures as conservative treatments can lead to poor long-term outcomes, and minimally invasive techniques like arthroscopic reduction and internal fixation (ARIF) are gaining traction.
  • A case study of a 27-year-old professional football player successfully treated with ARIF illustrates the benefits of a two-port arthroscopic approach, allowing for accurate fracture reduction and faster recovery with less tissue damage.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the benefits of robot-assisted technology in the internal fixation of calcaneal fractures compared to traditional surgical methods, emphasizing the impact of advancements in digital medicine on surgery.
  • A systematic review of literature was conducted, analyzing studies that documented clinical outcomes such as complications, angles (Gissane and Böhler), and patient scores (AOFAS) after surgery.
  • Results showed robot-assisted surgery had advantages in certain areas like intraoperative fluoroscopy and short-term outcomes, but some measures didn't demonstrate significant improvement over traditional methods, indicating a need for more high-quality research.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates extra-articular calcaneal fractures of the joint depression type, which have not been previously reported, focusing on their characteristics and treatment outcomes.
  • Conducted from 2013 to 2021, it included 23 patients treated by the same surgeon, emphasizing demographic relationships and evaluating clinical and radiographic results through various scales and angles.
  • Findings show that these fractures predominantly affect older women, often with low bone mineral density, and post-surgery results indicate significant clinical and radiographic improvement.
View Article and Find Full Text PDF

Functional Ankle Reconstruction Technique After Total Calcanectomy.

J Am Podiatr Med Assoc

July 2024

†Department of Orthopaedics and Traumatology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey.

Background: Although comminuted fractures, osteomyelitis, large skin ulcers, and malignant tumors are rarely seen in the calcaneus, it is a problematic region to treat because it is not an actual compartment and has insufficient blood supply. Few foot and ankle surgeons would recommend total calcanectomy in various cases of malignant tumors, comminuted fractures, ulcerations of the heel often seen in diabetic patients, and chronic osteomyelitis. After calcanectomy, if functional reconstruction is not performed, the patient will experience loss of function, pain, wound problems, talonavicular dislocations, and additional surgical interventions.

View Article and Find Full Text PDF

Three-Dimensional-Printed Patient-Specific Total Cuboid Replacement for Treatment of Post-traumatic Arthritis: A Case Report.

J Am Podiatr Med Assoc

July 2024

*The Reconstruction Institute, Bellevue, OH. Dr. Leatham is now with Podiatry, Christus Trinity Clinic, Tyler, TX.

Cuboid injuries, including fractures, are rare and infrequently occur in isolation. Often, cuboid injuries can be treated nonoperatively. However, when surgery is indicated, appropriate management is necessary for maintaining the associated biomechanics of the midfoot.

View Article and Find Full Text PDF

["Calcaneogenesis" with secondary Achilles tendon-bone allograft for repair of the loss of hindfoot function : A 12-year case report].

Unfallchirurgie (Heidelb)

September 2024

UniversitätsCentrum für Orthopädie, Unfall- und Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.

Article Synopsis
  • Calcanectomy and Achilles tendon resection are complex procedures, but Ilizarov's technique allows for the reconstruction of the calcaneus while preserving the ankle joint.
  • A case study of a 25-year-old motorcyclist who underwent significant surgeries showed a marked improvement in function, with an AOFAS score increase from 35 to 70 over 12 years and nearly complete recovery of plantar flexion strength.
  • This innovative approach demonstrated that even after substantial muscle disconnection, it is possible to restore almost full push-off force using a fresh-frozen tendon-bone allograft, despite the neo-calcaneus being smaller than normal.
View Article and Find Full Text PDF