Pediatric Rupture of Hallux Interphalangeal Joint Lateral Collateral Ligament.

Ligamentous injuries of the hallux are rare, and when seen, they are most commonly treated conservatively. Surgical treatment of such injuries is also rare, making reports on the postoperative outcome and complications even less frequent. A case report of a hallux interphalangeal joint (IPJ) lateral collateral ligament tear in a 16-year-old gymnast is presented.

Is Proprioceptive Training Effective During the Acute Rehabilitation Period of Danis-Weber Type B Ankle Fractures?

Backgrounds: Ankle fractures of Danis-Weber type B represent common lower limb injuries. The aim of the study was to compare the effectiveness of standard physical therapy and proprioception training during the acute rehabilitation period.

Materials And Methods: The study group comprised 38 patients with Danis-Weber type B ankle fractures during the acute rehabilitation period in 2022-2023.

The trans-flap approach in secondary surgeries for severe open limb fractures.

Introduction: The standard treatment for severe open limb fractures comprises fracture fixation and flap surgery. In complicated injuries, secondary surgeries are required for flap-covered fracture sites. Given the risk of flap necrosis, secondary surgery using a flap-dividing approach is generally avoided.

Comparative Safety of Three Temporary Embolic Agents in Transcatheter Arterial Embolization for Degenerative, Inflammatory, and Overuse Joint Disorders.

Purpose: To evaluate the safety and degree of pain relief of three rapidly biodegraded embolic materials, including imipenem/cilastatin (IPM/CS), quick-soluble gelatin sponge particles (QS-GSPs), and resorbable microsphere (RMs), in transcatheter arterial embolization (TAE) for degenerative, inflammatory, and overuse joint disorders.

Materials And Methods: Consecutive 431 patients, 527 joints with refractory overuse injuries, knee osteoarthritis, frozen shoulder, symptomatic rotator cuff tear, synovitis of the foot joints, and persistent pain after knee joint arthroplasty who underwent TAE between March 2020 and May 2023 were included in this retrospective study. IPM/CS, QS-GSPs, and RMs were used in 140 patients (176 TAEs), 136 patients (163 TAEs), and 155 patients (182 TAEs), respectively.

Routine 2D MRI identifies the anterior talofibular ligament fascicles and lateral fibulotalocalcaneal ligament complex with moderate to substantial interobserver reliability.

Purpose: The anterior talofibular ligament (ATFL) consists of two fascicles, with the intra-articular superior fascicle and extra-articular inferior fascicle connected to the calcaneofibular ligament (CFL) via the arciform fibres, forming the lateral fibulotalocalcaneal ligament (LFTCL) complex. Accurate identification of which fascicles have been injured is useful for determining the optimal treatment of patients with lateral ligament injuries. There is a lack of imaging studies demonstrating the distinctive anatomy of these important structures on magnetic resonance imaging (MRI).

Foot and Ankle Injuries in Baseball.

Foot and ankle injuries in baseball provide unique challenges to the provider. Most foot and ankle injuries (ie, ankle sprains and contusions) can be managed non-operatively using a similar approach as in other athletic populations, but a few unique mechanisms of injury in baseball are important to be aware of. While upper extremity injuries such as ulnar collateral ligament (UCL) tears and labral tears are extensively reported on in the literature, there is a need for further baseball-specific research on foot and ankle injuries, especially given the increasing prevalence of these injuries over the past few decades.

Studies directly comparing Lisfranc injuries treated with primary arthrodesis or open reduction and internal fixation show no significant difference in return to sport and complications: A systematic review and meta-analysis.

Lisfranc injuries are common and can cause sport-ending morbidity. Management through primary arthrodesis (PA) or open reduction and internal fixation (ORIF) is a subject of debate. PubMed, EMBASE, and the Web of Science databases were queried for studies assessing return to sport (RTS) outcomes following treatment of Lisfranc injuries with PA or ORIF.

Advances in foot and ankle surgery : a review of recent innovations.

The last five years have seen notable advancements in foot and ankle surgery as a result of technical innovations and more consistent reporting of results. Much progress has been made in improving patient-reported outcome measures, in the development of basic research in this area, and in the development of personalized approaches which optimize outcomes for specific groups of patients. This review focuses on five main areas of development within foot and ankle surgery: ankle arthroplasty, osteomyelitis and the diabetic foot, sports injuries, minimally invasive surgery, and orthobiologics.

Clinical and medico-economic benefits of remote monitoring of chronic wounds.

Through a prospective comparative intention-to-treat study, we studied the impact of remote monitoring of chronic wounds on safety and on the consumption of healthcare system resources. From January to June 2023, 103 consecutive patients were managed according to conventional follow-up (group CF, 61 patients) or to follow-up in which remote wound monitoring (group RM, 42 patients) could be used. Data were collected prospectively.

Uncovering Sex-Related Differences in Skin Macrophage Polarization During Wound Healing in Diabetic Mice.

Background: Chronic wounds, such as diabetes-related foot ulcers, arise from delayed wound healing and create significant health and economic burdens. Macrophages regulate healing by shifting between pro- and anti-inflammatory phenotypes, known as macrophage polarization. Sex and diabetes can impair wound healing, but their influence on macrophage phenotype in skin tissue during wound healing remains unclear, which was investigated in this study using a novel two-sex diabetic mouse model.

The resilience of distally based sural fascio cutaneous flap in soft-tissue defects of lower limb and ankle: a prospective study.

Background: Managing large soft-tissue defects in the distal lower extremities remains challenging for orthopedic surgeons, particularly in elderly patients with comorbidities. This study evaluates the clinical outcomes of the reverse sural flap (RSF) for reconstructing soft-tissue defects in the distal leg, heel, foot, and ankle.

Methods: This prospective study was performed on 52 cases aged from 18 to 60 years old, with either post-traumatic or post-surgical soft tissue defects situated between the distal third leg and the mid-metatarsals of the foot and underwent RSF surgery.

Epidemiology and associated injury risk factors in figure skating: A systematic review.

Objectives: To identify and critically appraise the available evidence on injury epidemiology and risk factors in figure skating.

Design: Systematic review.

Methods: Eight electronic databases were searched from inception to 01 November 2023.

Epidemiology of adolescent runners: non-rearfoot strike is associated with the Achilles tendon and lower leg injury.

Background: Foot strike patterns during running are classified into two types: rearfoot strike (RFS) and non-rearfoot strike (NRFS). These patterns are considered biomechanical risk factors for running-related injuries (RRIs). However, limited research exists on the prevalence or incidence of RRIs associated with different foot strike patterns, particularly within training or clinical practice contexts.

The epidemiology of fifth metatarsal fracture surgeries in Japan using nationwide hospital claim database.

Background: A fifth metatarsal fracture is a common condition with various causes. The epidemiology of this condition is well established in certain populations such as athletes, and people from Western countries, but not in Japan. We aimed to study the epidemiology of fifth metatarsal fracture surgeries in Japan among various age groups from school age to elderly and hypothesized that they are more common in older Japanese patients.

Effect of Repetitive Loading From 5 Km of Running on Plantar Pressure in Healthy Young Participants.

Background: Repetitive loading during running is associated with the occurrence of running injuries. Several previous studies have assessed plantar pressure before, during, and after running. However, the difference in plantar pressure before and after 5 km of running has not been investigated.

Assessing predictors and outcomes of secondary debulking procedures in lower limb trauma reconstruction: A retrospective cohort study.

The goal of flap design in orthoplastic trauma is to provide stable, vascularized coverage for fractures, prevent infection and enable fracture union. This study aimed to improve orthoplastic trauma outcomes by identifying factors that predict the need for secondary flap debulking in severe open lower limb fractures. A retrospective cohort of 893 patients treated at a UK major trauma center was analyzed, with 126 patients (14.

Development of a Lateral Longitudinal Arch Evaluation Method for the Foot Using Ultrasonography: Validation With Radiography and Verification of Intrarater and Interrater Reliability.

Introduction: The lateral longitudinal arch (LLA) is an essential structure of the foot. However, LLA evaluation methods remain underexplored compared to those of the medial longitudinal arch (MLA). This study sought to develop a method for measuring the cuboid height, the keystone of the LLA, using ultrasonography and to verify its correlation with radiography, as well as intrarater and interrater reliability.

Exercise Modalities for Improving Frontal Plane Knee and Foot Posture in Healthy Adults: A Systematic Review.

Lower extremity misalignments increase the risk of chronic overload and acute injuries during sports and daily activities. Medial positioning of the knee and foot in the frontal plane is one of the key biomechanical risk factors associated with lower extremity injuries and pain. Different exercise interventions have been implemented to counteract misalignments.

Sports-Related Injuries in Deaf Competitive Squad Athletes-Results of a Retrospective Self-Assessment.

Background: Deaf squad athletes regularly participate in national/international competitions and most prepare for competitions in clubs with hearing athletes. Hearing loss is associated with difficulties in balance control which may impair functionality. The aim of this study is to provide epidemiological data on sports injuries in deaf squad athletes.

A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers.

Patients with diabetic foot ulcers (DFU) suffering from severe lower limb ischemia face the risk of amputation. Concomitant oxidative stress and hyperinflammation commonly manifest within the tissue affected by DFU, exacerbating the deterioration of DFU wounds. One-two punch strategy of anti-oxidative damage plus anti-inflammatory is anticipated to tackle the challenge of non-healing diabetic wounds.

A systematic review of posterior pilon fractures.

Posterior pilon fractures (PPFs) are intra-articular ankle injuries of the posterior aspect of the distal tibia, often caused by high-energy mechanisms of trauma such as falling from high heights or motor vehicular accidents. However, the definition, mechanism, classification, and surgical approach for fractures have not been thoroughly investigated. This study aims to explore current literature to expand the understanding of this fracture to help physicians achieve better treatment outcomes.

Influence of Step Rate Manipulation on Foot Strike Pattern and Running Economy.

Context: With the rise in distance running, there is an increasing interest in reducing running-related injuries and improving performance. Foot strike patterns (FSP) and step rate (SR) are key factors in managing the external forces generated during foot contact in running. Adjusting SR may help alter FSP and improve running economy (RE), yet its effects on recreational runners are not fully understood.

Future risk of falls induced by ankle-foot sprains history: An observational and mendelian randomization study.

Background: Ankle-foot sprains are the most common musculoskeletal injuries, which can impair balance and theoretically increase the risk of falls, but still, there is a lack of evidence supporting the direct association between ankle-foot sprains and the future risk of falls.

Methods: UK Biobank cohort was utilized to measure the association between ankle-foot sprains and fall risk with covariates adjusted. Then, the two-sample Mendelian randomization (MR) analysis was applied based on the genetically predicated ankle-foot sprains from FinnGen to validate causal relationship.

Anatomical Study of Nerve Injuries With Minimally Invasive Calcaneus Osteotomies.

Background: Calcaneal osteotomy is frequently used in correcting various foot deformities. Minimally invasive procedures such as minimally invasive calcaneus osteotomy (MICO) have become established because of their more favorable risk profile. The literature describes a safe zone for performing the osteotomy to protect the nerve structures.

The Direct Anterior Approach for AO/OTA43B and 43C Pilon Injuries.

Background: Pilon fractures carry high rates of early wound healing, infectious complications, and late posttraumatic arthrosis. When reconstructive procedures are indicated, these patients are at further risk for early complications. Perhaps using the same direct anterior (DA) approach for initial repair and later reconstruction might mitigate these risks, but the DA approach has not been explored for initial repair.