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1. 成人における足関節骨折の概要 overview of ankle fractures in adults
2. 小児における足関節骨折 ankle fractures in children
3. 距骨骨折 talus fractures
4. 皮斑様血管障害 livedoid vasculopathy
5. 足首の捻挫 ankle sprain

English Journal

Impact of trimalleolar ankle fractures: How do patients fare post-operatively?

Hong CC1, Nashi N2, Prosad Roy S1, Tan KJ3.Author information 1University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore.2Yong Loo Lin School of Medicine, National University of Singapore, Singapore.3University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore. Electronic address: tankenjin@gmail.com.AbstractBACKGROUND: We aim to evaluate the clinical and functional outcome of trimalleolar fractures and the ability of patients to return to sporting activities.
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons.Foot Ankle Surg.2014 Mar;20(1):48-51. doi: 10.1016/j.fas.2013.10.001. Epub 2013 Oct 24.
BACKGROUND: We aim to evaluate the clinical and functional outcome of trimalleolar fractures and the ability of patients to return to sporting activities.METHODS: A retrospective review of 31 patients with operatively managed trimalleolar fractures was conducted. Their Olerud and Molander scores and
PMID 24480500

Isolated dislocation of the posterior tibial tendon in an amateur snowboarder: a case report.

Gambardella GV1, Donegan R2, Caminear DS3.Author information 1New Haven Foot Surgeons/Milford Podiatry Associates, New Haven, CT; and Attending Podiatric Surgeon, Yale-New Haven Hospital, New Haven, CT.2Postgraduate Year 2 Resident, Department of Podiatric Medicine and Surgery, Yale-New Haven Hospital/DVA Healthcare System, Hamden, CT.3Connecticut Orthopaedic Specialists, Hamden, CT; Section Chief, Department of Podiatric Surgery, Yale-New Haven Hospital, Saint Raphael Campus, New Haven, CT; and Assistant Clinical Professor, Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT. Electronic address: dcaminear@gmail.com.AbstractIsolated dislocation of the posterior tibial tendon is an uncommon pathologic entity that typically occurs in the setting of acute trauma. The diagnosis remains challenging and is often delayed second to the rarity of the injury and symptoms similar to that of medial ankle sprains and other routinely diagnosed injuries about the ankle. The factors that predispose this tendon to dislocation include a hypoplastic retromalleolar groove, flexor retinaculum insufficiency, chronic repetitive trauma, and a structural abnormality from a previous medial malleolar fracture, or a combination thereof. Dislocation has also been cited as a complication of multiple local steroid injections and tarsal tunnel release. The mechanism of injury appears to involve forced dorsiflexion and eversion of the ankle when the posterior tibial tendon is contracted. Most cases do not respond well to conservative treatment and will require surgery to restore function and eliminate symptoms. We report a case of posterior tibial tendon dislocation related to a snowboarding injury and offer our technique for surgical correction.
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.J Foot Ankle Surg.2014 Mar-Apr;53(2):203-7. doi: 10.1053/j.jfas.2013.10.006. Epub 2013 Dec 19.
Isolated dislocation of the posterior tibial tendon is an uncommon pathologic entity that typically occurs in the setting of acute trauma. The diagnosis remains challenging and is often delayed second to the rarity of the injury and symptoms similar to that of medial ankle sprains and other routinel
PMID 24361009

Comparison of Surgical Techniques of 111 Medial Malleolar Fractures Classified by Fracture Geometry.

Ebraheim NA1, Ludwig T, Weston JT, Carroll T, Liu J.Author information 1Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, OH, USA.AbstractBACKGROUND Evaluation of operative techniques used for medial malleolar fractures by classifying fracture geometry has not been well documented. METHODS One hundred eleven patients with medial malleolar fractures (transverse n = 63, oblique n = 29, vertical n = 7, comminuted n = 12) were included in this study. Seventy-two patients had complicating comorbidities. All patients were treated with buttress plate, lag screw, tension band, or K-wire fixation. Treatment outcomes were evaluated on the basis of radiological outcome (union, malunion, delayed union, or nonunion), need for operative revision, presence of postoperative complications, and AOFAS Ankle-Hindfoot score. RESULTS For transverse fractures, tension band fixation showed the highest rate of union (79%), highest average AOFAS score (86), lowest revision rate (5%), and lowest complication rate (16%). For oblique fractures, lag screws showed the highest rate of union (71%), highest average AOFAS score (80), lowest revision rate (19%), and lowest complication rate (33%) of the commonly used fixation techniques. For vertical fractures, buttress plating was used in every case but 1, achieving union (whether normal or delayed) in all cases with an average AOFAS score of 84, no revisions, and a 17% complication rate. Comminuted fractures had relatively poor outcomes regardless of fixation method. CONCLUSIONS The results of this study suggest that both tension bands and lag screws result in similar rates of union for transverse fractures of the medial malleolus, but that tension band constructs are associated with less need for revision surgery and fewer complications. In addition, our data demonstrate that oblique fractures were most effectively treated with lag screws and that vertical fractures attained superior outcomes with buttress plating.
Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society.Foot Ankle Int.2014 Feb 13. [Epub ahead of print]
BACKGROUND Evaluation of operative techniques used for medial malleolar fractures by classifying fracture geometry has not been well documented. METHODS One hundred eleven patients with medial malleolar fractures (transverse n = 63, oblique n = 29, vertical n = 7, comminuted n = 12) were included in
PMID 24525543