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Biomedical subjects

J Yde

Publications and source records attributed to J Yde.

25 records · Page 2Linked to original sources

Inferior tibio-fibular diastasis treated by staple fixation.

This paper concerns the operative treatment of the total syndesmotic rupture of the ankle fractures classified as pronation-eversion fractures, stage III and IV, according to Lauge Hansen in 1942. Stabilization of the syndesmosis by a screw between the fibula and the tibia is well known. However, the method involves a risk of inaccurate positioning of the fibula in the incisura tibiae and of injury of the syndesmosis. A method of staple fixation of the syndesmosis in combination with rigid and anatomic osteosynthesis or the fibular fracture is presented and found suitable for securing the syndesmosis during healing. The followup results, range 3 to 10 years, of 16 ankle fractures treated in this way are promising.

Ankle Injuries↗

The Lauge Hansen classification of malleolar fractures.

A total of 488 fractures of the ankle are described and classified into types and stages according to Lauge Hansen (1942). The classification was partly based on operative findings. The type division was: supination-eversion fractures 57.4 per cent, supination fractures 20.1 per cent, pronation and pronation-eversion fractures 20.1 per cent and pronation-dorsiflexion fractures 0.4 per cent. A small percentage of the fractures (1.2) could not be fitted into this system, and two-thirds of these were found to have an isolated fracture of the posterior tibial margin. This fracture seems to be a special type of ankle fracture. It was found that the stage 2 injury in pronation and pronation-eversion fractures is not fully explained by Lauge Hansen. The classification of Lauge Hansen gives a very exact description of ankle fractures. This is very important for the operative treatment and also indispensable for the evaluation of the results of various methods of treatment.

Adolescent↗

Ankle fractures. Supination-eversion fractures stage II. Primary and late results of operative and non-operative treatment.

Sixty-nine patients with stage II supination-eversion fractures of the ankle, 34 treated by operation and 35 treated conservatively, were seen at follow-up after 3-10 years. There was no statistically significant differnce between the results of the two methods. However, larger series and perhaps a longer observation time are probably needed to decide whether the displacement of the lateral malleolus as a result of non-operative treatment affords the same possibility of unhindered ankle function as union of the lateral malleolus in the anatomical position obtained by operation.

Adolescent↗

Ankle fractures: supination-eversion fractures of stage IV. Primary and late results of operative and non-operative treatment.

Supination-eversion fractures of stage IV, 60 treated operatively and 29 non-operatively, were seen at follow-up after 3-10 years. This disclosed a statistically significant difference between the results of the two methods. Operation which attempted to re-establish the anatomical position was apparently the better method in the presence of more than minimal displacement or a suspicion of deltoid ligament rupture.

Ankle Injuries↗

Epidemiology and traumatology of injuries in soccer.

A prospective investigation of soccer injuries among 123 players participating at various competition levels was undertaken in a Danish soccer club. The injury incidence during games was highest at division level (18.5/1000 hours) and lowest at series level (11.9/1000 hours), whereas the distribution of the incidences during practice was reversed. The youth section (16 to 18 years) had incidences that could be compared to the highest senior level. The lower extremity was involved in 84% of the injuries, including 34% of overuse injuries. Ankle sprains were most common (36%) and equally found at all levels, whereas half of all overuse injuries were seen among division players. Contact injuries during tackling occurred most often in lower series and youths (45%). Players participating at high levels had only 30% of the injuries during tackling and 54% during running. More than half of 20 knee injuries were caused by tackling. Thirty-five percent of injured players were absent from soccer for more than 1 month; 28% had complaints 12 months after the end of the season with knee injuries the most serious. The study shows that the injury incidence, the pattern of injury, and the traumatology varied between players participating at different levels of soccer competition.

Adolescent↗