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At least 487 records · Page 27Linked to original sources
PubMed1981

Irreducible tarsometatarsal fracture-dislocation.

Three mechanisms may prevent closed manipulative reduction of the tarsometatarsal fracture-dislocation: anterior tibialis tendon interposition, incongruity of the medial cuneiform-first metatarsal articulation, and interposition of a fracture fragment in the second metatarsal-intermediate cuneiform joint. Awareness of these mechanisms will assist in the surgical approach to athe irreducible tarsometatarsal fracture dislocation. Such an irreducible fracture-dislocation in a 25-year-old male was successfully reduced openly: anatomic reduction and normal passive range of ankle motion resulted. The patient had a slightly painful midfoot during walker ambulation 10 weeks postinjury.

Adult↗
PubMed2000

Use of contoured bar transhock external fixators in 17 cats.

Seventeen cats with injuries involving the distal tibia, talocrural joints, tarsus and metatarsus were treated with contoured connecting bar transhock external fixators as either primary or secondary fixation. The assemblies stabilised all the injuries successfully. Fracture union was achieved in 11 out of 12 cases. Excellent results were achieved in eight cats and the outcome was satisfactory in a further five. Those cats with injuries involving talocrural joint luxation with displacement and significant periarticular soft tissue disruption had poorer long-term results. Complications occurred in seven cases.

Animals↗
PubMed2006

An unusual case of talonavicular dislocation with associated ipsilateral foot fractures.

We describe a previously unreported form of a talonavicular dislocation complicated by navicular, talar neck and open calcaneal fractures. Prompt recognition and rapid reduction of fractures and dislocations gives the best possible outcome. The presence of serious distracting injuries can alter priorities, however the "lesser" injuries often lead to long term morbidity after recovery from the life-threatening injuries.

Adult↗
PubMed1976

Lisfranc's tarsometatarsal fracture-dislocation.

Lisfranc's fracture-dislocation is an injury at the tarsometatarsal joints. Usually the metatarsals dislocate dorsally and laterally. These frectures can be subtle, and a knowledge of the normal relationships is essential. Review of foot radiographs indicated that the most constant normal relationship of the tarsometatarsal joints is the alignment of the second tarsometatarsal joint, which, fortunately, is involved in most Lisfranc's dislocations. There is more variation in normal alignment of the other tarsometatarsal joints, but gross abnormalities are detectable, and the presence of associated chip fractures and clinical correlation will usually clarify more subtle cases.

Adult↗
PubMed2000

Closed talar body fracture with talonavicular dislocation; a case report.

Closed fracture dislocation of the body of the talus is rare. The dislocation of the subtalar and ankle joints (associated with fracture body) has been reported and already described in the current classifications. We report a case of closed fracture of the body of the talus associated with talonavicular dislocation. Open reduction and internal fixation was performed after failed attempt of closed reduction. The fracture has healed and there is no evidence of avascular necrosis after 2 years follow up. We recommend early evaluation of this injury by CT scan or by proper radiographic views under sedation and urgent open reduction if one attempt at closed reduction has failed.

Adult↗
PubMed2002

Chronic subluxation of the midtarsal joint of the foot: a case report.

Traumatic injuries to the midtarsal joint are quite uncommon and usually involve fractures of adjacent bones. Pure dislocations without fracture are very rare. A patient sustained a pure dislocation that was treated with a nonweight-bearing cast for six weeks, but she went on to present with chronic subluxation at the midtarsal joint. Imaging modalities were confusing because the pathology was seen only when the deformation was present throughout the imaging examination, not when it was reduced. Stress varus- valgus radiographs of the foot, not ankle, provided a definitive diagnosis. The patient was treated successful by arthrodesis of calcaneocuboid and talo-navicular joints (the midtarsal joint which was unstable) without subtalar fusion.

Adult↗
PubMed1981

Lisfranc's fracture-dislocation with intercuneiform dislocation: presentation of two cases an a plan for treatment.

The following guidelines in the initial treatment of Lisfranc's fracture-dislocation with intercuneiform disruption are supported by a review of the literature and exemplified by our case presentations. The goal of initial treatment is anatomical reduction which is accomplished in the following sequence. 1) The foot must be brought to length by longitudinal traction. 2) The position of the second cuneiform as the keystone of the transverse arch of the foot must be established. 3) The second metatarsal is then restored as the tendon of the Lisfranc's joint within the mortise of cuneiforms. 4) Fixation of the fifth metatarsal is performed if it is unstable.

Adult↗
PubMed1994

Dynamic study of insole materials simulating real loads.

A new methodology of biomechanical analysis of materials for shoe inserts is presented. This methodology is based on the determination of the loads applied to the materials in real situations and its simulation by means of a dynamic testing machine. Both the rigidity and the energy-absorbing characteristics of the materials are investigated as a function of frequency. This methodology is applied to the study of several commercially available viscoelastic materials intended for shoe inserts in the treatment and prevention of degenerative joint diseases. The influence of thickness is investigated as well as the frequency-dependent behavior of the materials studied. Significant differences between materials and different behavior as a function of thickness and frequency were found. Poron materials were found to have the lowest rigidity, good for adequate pressure distribution, while Noene showed the highest energy absorption. A careful selection of the thickness of Sorbothane was found to be necessary for avoiding flattening of the material.

Adult↗
PubMed1996

Surgical correction of talipes equinovarus following foot and leg compartment syndrome.

Between 1984 and 1994, 40 patients with a posttraumatic compartment syndrome of the lower leg and foot were treated for talipes equinovarus adductus foot deformity, which subsequently developed. Twenty patients had a wedge osteotomy followed by arthrodesis of the midtarsal joint (Chopart joint). Another 17 patients had an arthrodesis of the midtarasal and subtalar joints. In the remaining three patients, in addition to arthrodesis, lengthening of the tendons of the long flexors and the Achilles tendon was performed. Complications included wound infections (six cases), drill hole infections (three cases), chronic osteomyelitis (one case), and an ankle joint infection (one case). The clinical result was assessed as good in 37.5%, fair in 52.5%, and poor in 10% of the patients. Before the operation, 37 patients required modified footwear. After the operation, only eight patients needed them. Wedge osteotomy of the midtarsal and subtalar joints followed by an arthrodesis is an advantageous treatment modality for the correction of severe postischemic equinovarus adductus foot deformities. In our study, patient satisfaction was high. While complications frequently occur, it is not extraordinary considering the salvage nature of the procedure.

Achilles Tendon↗
PubMed1985

CT evaluation of tarsometatarsal fracture-dislocation injuries.

Fracture-dislocation in the tarsometatarsal region (Lisfranc) may be subtle and difficult to recognize on standard radiographic projections. Computed tomography (CT) was used to study the normal anatomy of the forefoot and to evaluate three patients with suspected tarsometatarsal fracture dislocation. The advantages of CT in the evaluation of forefoot trauma are emphasized.

Accidents, Traffic↗