A 41-year-old male with past medical history of hypertension presented to the emergency department after sustaining a right ankle injury while playing basketball. He reported landing on an inverted foot after attempting a ‘dunk’ shot during the game. He then noted exposure of bone at the lateral aspect of his ankle. He denied losing consciousness or sustaining any other injuries. He did admit t...

Accurate reduction of ankle syndesmosis following injury is essential to minimize tibiofibular diastasis and optimize patient outcomes. Although several radiographic parameters have been described in the coronal plane to assist in reduction, tibiofibular diastasis following syndesmotic injury often occurs in the sagittal plane, with the fibula displacing posterior relative to the tibia. A techn...

The authors report on a case of tibial shaft fracture associated with ankle injury. The clinical, radiological and surgical characteristics are discussed. Assessment of associated injuries is often overlooked and these injuries are hard to diagnose. When torque occurs in the lower limb, the ankle becomes susceptible to simultaneous injury. It is essential to make careful assessment based on cli...

background: wound complications following open repair for acute achilles tendon ruptures (aatr) remain the subject of significant debate. the aim of this study is to investigate the effects of covering repaired aatr using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair.   methods: in this case series study, open repair was performed for 32 ...

OBJECTIVES To analyze the mechanism of injury for foot and ankle fractures resulting from automobile accidents to create a basis for developing an improved design for protection. DESIGN Retrospective. SETTING Level I trauma center with accident research unit. PATIENTS Automobile accident reports and medical records of individuals injured in the accidents. MAIN OUTCOME MEASUREMENTS Techn...

Ankle sprains are a common injury and those affected are at a risk of developing chronic ankle instability (CAI). Complications of an acute sprain include increased risk of re-injury and persistent disability; however, the exact link between ankle sprains and chronic instability has yet to be elucidated. The purpose of this study was to investigate neuromuscular control (including kinematics, k...

INTRODUCTION Total talar dislocations are uncommon injuries and usually seen following high velocity injuries. Total talar dislocations (missing talus) without fractures around the ankle are extremely rare. There are no consensuses on the best treatment of such injuries. To best of our knowledge very few cases have been reported in literature. We hereby report a closed total talar dislocation i...

BACKGROUND Lateral ligament ankle sprains are the single most common sports injury. OBJECTIVE To determine the functional outcome of the ankle joint after a moderate or severe inversion injury, comparing standard treatment with an elastic support bandage against an Aircast ankle brace. DESIGN Prospective, randomised controlled trial. SETTING Two accident and emergency departments. METHO...

We studied the merits of physical examination after inversion injury of the ankle in 160 consecutive patients. They had an explanatory operation if they had a positive arthrogram and/or positive signs on a delayed physical examination. To determine the interobserver variation in delayed physical examination, five different examiners were asked to give independent assessment of the injury. Those...