- [Severe injury type procedures-Influence of the cipher 11 "complications" and the COVID-19 pandemic on a center for maximum care of severe injuries]. [Journal Article]Unfallchirurgie (Heidelb). 2023 Feb 06 [Online ahead of print]U
- CONCLUSIONS: The injury type catalogue is used effectively in the catchment area of the present trauma center. Most of the cases treated in the present trauma center are severe injury type procedures; however, more than half of these cases are classified as complications. This development might show the need for a structural change or an adjustment of the HV. The current comments on the injury type catalogue offer important definitions and specifications; however, the conciseness of the entire catalogue should be maintained.
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- 'It Makes Me Feel Old': Understanding the Experience of Recovery From Ankle Fracture at 6 Months in People Aged 50 Years and Over. [Journal Article]Qual Health Res. 2023 Feb 06 [Online ahead of print]QH
- Ankle fracture is a common injury, and depending on injury severity, treatment may be a support boot, cast or surgery. Older people, particularly those with severe injuries who are asked to restrict weight bearing, struggle with early recovery. To elicit older peoples' experience of recovery 6 months after injury, we drew on a phenomenological approach using interviews. Findings revealed that get…
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- Crush injury with significant soft tissue loss managed utilising biological and dynamic tissue systems: a case study. [Journal Article]J Wound Care. 2023 Feb 02; 32(Sup2):S17-S19.JW
- Major traumatic crush injuries are difficult to manage, with high morbidity, requiring prolonged, complex treatment with many procedures. Free-flap reconstruction is often used yet full functionality still may not be regained. In this case study of a traumatic crush injury of the anterior distal tibia, ankle and foot of a 48-year-old male patient, we opted for an alternative management strategy u…
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- Effect of Postoperative Immobilization Time on PROMIS Scores and Clinical outcomes in Ankle Fracture Patients. [Journal Article]Foot Ankle Orthop. 2023 Jan; 8(1):24730114221151080.FA
- CONCLUSIONS: Our study suggests that early mobilization in a walker boot after operative treatment of ankle fractures is a safe alternative to casting in non-neuropathic patients. When considering operative treatment of ankle fractures, factors such as increasing age and BMI are likely to negatively affect postoperative anxiety, physical function, and depression PROMIS scores regardless of immobilization time.
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- Effect of acute ankle experimental pain on lower limb motor control assessed by the modified star excursion balance test. [Journal Article]Front Sports Act Living. 2023; 5:1082240.FS
- CONCLUSIONS: The presence of acute pain during the modified Star Excursion Balance Test can affect performance and thus might interfere with the participant's lower limb motor control. As none of the participants had actual musculoskeletal injury, this suggests that pain and not only musculoskeletal impairments could contribute to the acute alteration in motor control.
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- Imaging of Acute Ankle and Foot Sprains. [Review]Radiol Clin North Am. 2023 Mar; 61(2):319-344.RC
- Ankle and foot injuries are very common injuries in the general population, and more so in athletes. MR imaging is the optimal modality to evaluate for ligamentous injuries of the ankle and associated conditions after ankle sprain. In this article, the authors discuss the epidemiology, biomechanics, normal anatomy, and pathology of the ankle as well as injuries of the hindfoot and midfoot that ar…
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- Imaging of Overuse Injuries of the Ankle and Foot in Sport and Work. [Review]Radiol Clin North Am. 2023 Mar; 61(2):307-318.RC
- Overuse injuries of the ankle and foot are common injuries both in sport and in a work-related context. After clinical assessment, imaging is key for early diagnosis. In this overview article, we focus on imaging techniques, protocols, and imaging findings of overuse injuries of the ankle and foot; we emphasize the important role of structured reporting; and we discuss clinical symptoms, epidemio…
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- Influence of neoprene ankle orthoses on dynamic balance during a vertical jump in healthy individuals and with sprain history: A cross-sectional study. [Journal Article]Gait Posture. 2023 Jan 26; 101:60-65.GP
- CONCLUSIONS: We concluded that orthosis had influence on individuals' balance and joint angles. In healthy individuals presented better balance with and without orthosis and greater flexion with orthosis in the bipodal jump, regarding to the patient group presented smaller oscillations in the unipodal jump with orthosis and showed smaller knee flexion and ankle dorsiflexion.
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- A Missed Pediatric Achilles Tendon Rupture with a Large Gap Managed with Surgical Reconstruction with Allograft: A Case Report. [Journal Article]JBJS Case Connect. 2023 Jan 01; 13(1)JC
- CONCLUSIONS: Achilles tendon ruptures are rare in children and adolescents without a penetrating injury, but the diagnosis must not be missed. Achilles tendon ruptures should be considered in children with acute-onset ankle pain during running, jumping, or sudden dorsiflexion of the ankle. Tendon transfers and allograft may be required after rupture and retraction has occurred in subacute or chronic injuries.
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- The Effect of the Covid-19 Pandemic on the Epidemiology of Ankle Joint Injuries in Adults and Children. [Journal Article]Ortop Traumatol Rehabil. 2022 Dec 31; 24(6):363-373.OT
- CONCLUSIONS: 1. Our study showed the impact of the COVID-19 pandemic on the epidemiology and treatment of ankle joint injuries. 2. The COVID-19 pandemic effected a decrease in the number of patients with ankle joint injuries, particularly pediatric and male patients with these injuries. 3. National lockdown measures had a considerable effect on lowering the numbers of pediatric patients with ankle joint injuries treated conservatively. 4. Importantly, the tendency can be noted among orthopedic surgeons and emergency room doctors to more readily qualify orthopedic patients for a trial of conservative treatment. This only prolongs the duration of treatment and time to the ultimate therapeutic surgery.
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- A Multidimensional Assessment of a Novel Adaptive Versus Traditional Passive Ankle Sprain Protection Systems. [Journal Article]Am J Sports Med. 2023 Feb 03 [Online ahead of print]AJ
- CONCLUSIONS: The adaptive brace offered similar protective effects in high-velocity inversion situations to those of the passive braces while improving range of motion, comfort, and restriction rating during noninjurious motions.
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- Diagnosis and Treatment of Neuropathic Ankle Fractures. [Journal Article]JBJS Rev. 2022 Dec 01; 10(12)JR
- Standard 3-view ankle radiographs are the first-line imaging modality for suspected neuropathic ankle fractures. Computed tomography is helpful to evaluate for concomitant osseous changes and soft-tissue infection.
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- Injury Burden in Professional European Football (Soccer): Systematic Review, Meta-Analysis, and Economic Considerations. [Journal Article]Clin J Sport Med. 2022 Nov 22 [Online ahead of print]CJ
- CONCLUSIONS: Being exposed to injury risk has serious consequences for individual and club performance and economy. This review identified the most relevant targets in injury management, compared their injury data with reference values, and provided economic evidence when trying to gain buy-in from the key decision makers.
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- The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons: A Systematic Review. [Journal Article]JBJS Rev. 2023 Jan 01; 11(1)JR
- CONCLUSIONS: The orthopaedic surgeon population experiences a high prevalence of MSK symptoms and injuries, likely secondary to the biomechanical burdens of tasks required of them during strenuous operations.
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- Altered cutaneous reflexes to non-noxious stimuli in the triceps surae of people with chronic incomplete spinal cord injury. [Journal Article]J Neurophysiol. 2023 Feb 01 [Online ahead of print]JN
- Following spinal cord injury (SCI) task-dependent modulation of spinal reflexes are often impaired. To gain insight into the state of the spinal interneuronal pathways following injury, we studied the amplitude modulation of triceps surae cutaneous reflexes to non-noxious stimuli during standing and early-to-mid stance phase of walking in participants with and without chronic incomplete SCI. Refl…
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- Epidemiology of more than 50,000 ankle fractures in the Swedish Fracture Register during a period of 10 years. [Journal Article]
- CONCLUSIONS: This study presents the epidemiology of all AO/OTA types of ankle fractures. We have demonstrated that most ankle fractures are caused by a simple fall and occur during wintertime. Women are more commonly affected than men and are older at the time of injury. These findings indicate that age-related skeletal fragility, as well as an increasing risk of simple falls in the elderly, may be risk factors for ankle fractures. This study will contribute to the planning of primary prevention for ankle fractures.
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- Conservative Management of Transitional Ankle Fractures in Adolescents: A Pilot Study to Determine Whether Type of Immobilization Affects Outcome. [Journal Article]Orthopedics. 2023 Jan 30 [Online ahead of print]O
- Intra-articular Tillaux and triplane ankle fractures are treated surgically when displaced. Minimally displaced fractures are treated with immobilization alone. Long leg casts (LLCs) are the most traditional method of immobilization because they can prevent weight bearing by flexing the knee and control ankle rotation. However, they also are heavy, decrease mobility, increase the area for contact…
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- [Radiographic diagnosis of distal fibula avulsion fractures: Comparison of ankle X-ray and three-dimensional reconstruction of CT]. [Journal Article]
- CONCLUSIONS: Compared with X-ray, 3D-CT has higher sensitivity in diagnosing distal fibular avulsion fractures, can help clinicians evaluate ossicle's location and choose surgical methods, and is recommended to be performed in patients with suspected distal fibula avulsion fractures in clinical practice.
- Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review. [Review]Phys Ther Sport. 2023 Jan 23; 60:75-83.PT
- CONCLUSIONS: Rehabilitation after LAS comprises simple exercises in the sagittal plane that do not reflect mechanisms of re-injury. Future interventions should incorporate more open chain joint position sense training, multiplanar single limb challenges, and jumping and landing exercises.
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- Return to performance following severe ankle, knee, and hip injuries in National Basketball Association players. [Journal Article]
- The purpose of this study was to compare basketball performance markers 1 y prior to initial severe lower extremity injury, including ankle, knee, and hip injuries, to 1 and 2 y following injury during the regular National Basketball Association (NBA) season. Publicly available data were extracted through a reproducible extraction computed programmed process. Eligible participants were NBA player…
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- The multi-ligament ankle fracture: Epidemiology, key anatomical findings and fixation strategies in unstable open injuries. [Journal Article]
- CONCLUSIONS: A subset of up to 20% of open ankle fractures require supplementary fixation beyond anatomical restoration of the bony anatomy due to persistent ligamentous instability. They are associated with capsuloligamentous and syndesmotic disruption, more commonly affecting the medial structures. These rare injuries can be defined as multi-ligament ankle fractures. Surgeons should be aware of this subset and be able to recognise where supplementary stabilisation strategies are required.
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- A New Method of Nice Knot Elastic Fixation for Distal Tibiofibular Syndesmosis Injury. [Journal Article]Orthop Surg. 2023 Jan 29 [Online ahead of print]OS
- CONCLUSIONS: Nice Knot elastic fixation of DTS injury is firm and stable while maintaining the physiological micromotion of the ankle joint.
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- Ankle instability as a prognostic factor associated with the recurrence of ankle sprain: A systematic review. [Review]Foot (Edinb). 2023 Jan 18; 54:101963.F
- CONCLUSIONS: Ankle instability was a prognostic factor associated with recurrence of ankle sprains in patients with ankle sprains. Therefore, ankle instability is one of important factor in preventing recurrence of ankle sprains.
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- [Effectiveness of new Pilon plate in treatment of type C Pilon fracture]. [Journal Article]Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Jan 15; 37(1):31-36.ZX
- CONCLUSIONS: Compared with the traditional L-shaped plate, the new Pilon plate in the treatment of type C Pilon fracture has the advantages of high reduction quality, reliable fixation, less irritation to soft tissue, high fracture healing rate, and satisfactory functional recovery of ankle joint.
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- Balance training benefits chronic ankle instability with generalized joint hypermobility: a prospective cohort study. [Journal Article]
- CONCLUSIONS: CAI patients with GJH gained equally even better postural stability and muscle strength after the balance training than the non-GJH patients. Balance training could still be an effective treatment for CAI patients with GJH before considering surgery.
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- Soot-Embedded Extruded Talus Fracture After a 5-Story Fall: A Case Report. [Case Reports]JBJS Case Connect. 2023 Jan 01; 13(1)JC
- CONCLUSIONS: There is a lack of well-established guidelines regarding I&D of traumatic wounds contaminated with fine particulates. A review of potential debridement methods is discussed. Orthoapedic surgeons should be aware of hydrosurgical debridement as a potential treatment approach in these unique scenarios.
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- Investigation of the Characteristics and Mechanism of Interosseous Membrane Injuries in Typical Maisonneuve Fracture. [Journal Article]Orthop Surg. 2023 Jan 26 [Online ahead of print]OS
- CONCLUSIONS: The rupture of the IOM was caused by a combination of abduction and external rotation violence. It was manifested in two forms, most of which was not only distal end but also near fibular fracture site ruptures with the middle part intact, and a few were ruptures of the IOM from the ankle to the near fibular fracture site. The tibialis posterior muscle may be related to the location of the fibular fracture.
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- Single lateral approach for open reduction and internal fixation of posterior malleolar fragment in Weber B rotational ankle fracture. [Journal Article]
- Ankle fractures involving the posterior malleolus are a relatively common injuries, but various surgical approaches are still being introduced, and the selection of an appropriate surgical method is still controversial. The aim of this study was to introduce the surgical method using a single lateral approach for open reduction and internal fixation for posterior malleolar (PM) fractures associat…
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- Comparison of different treatment methods for supination-lateral rotation ankle fractures. [Journal Article]Jt Dis Relat Surg. 2023; 34(1):16-23.JD
- CONCLUSIONS: For patients with supination-lateral rotation ankle fractures, fixation with posterolateral fibular approach is more effective for expediting the recovery of ankle joints than conservative therapy and fixation with fibular approach, accompanied by higher safety.
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- Baseball injuries in adolescent athletes with ADHD. [Journal Article]Front Sports Act Living. 2022; 4:1032558.FS
- At the intersection of injury-prone sports such as baseball and conditions like ADHD that affect all aspects of life, there is a lack of research. This limits the availability of preventive care programs designed to target potential risks and promote a safe experience. In this retrospective cohort study, we assess the frequency of injury in youth baseball players with and without ADHD, along with…
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