BACKGROUND Foot and ankle injuries account for a large proportion of Emergency Department attendance. The aim of this study was to assess population-based trends in attendances due to foot and ankle injuries in the Netherlands since 1986, and to provide a detailed analysis of health care costs in these patients. METHODS Age- and gender-standardized emergency attendance rates and incidence rat...

Subarachnoid-pleural fistula (SPF) is a rare complication of chest or spine operations for neoplastic disease. Concomitant dural and parietal pleural defects permit flow of cerebrospinal fluid into the pleural cavity or intrapleural air into the subarachnoid space. Dural injury recognized intraoperatively permits immediate repair, but unnoticed damage may cause postoperative pleural effusion, i...

Neurogenic thoracic outlet syndrome (nTOS) resulting from an isolated first rib fracture is extremely infrequent. We report a case of performance limiting nTOS in a college athlete who was initially evaluated and treated for upper extremity ligamentous injury with only transient improvement. Subsequent noninvasive studies were consistent with TOS physiology and MRA showed a large hypertrophic c...

Objective: Lisfranc injuries are found in various injury patterns, especially athletes. These the second most common type of foot However, treatment decision differs and is essential athletes for a good outcome. The main controversies surgical management include whether to execute open or close reduction, fixation technique, arthrodesis’ role Case Report: A previously healthy 21 Years Old Malay...

Dorsal defect of the patella (DDP) is a well-documented yet infrequently observed osteolytic lesion on the superolateral aspect of the patella, primarily occurring in the second and third decades of life. The plain radiographic appearance of DDP is typically a round radiolucent lesion with a peripheral sclerotic margin. On a magnetic resonance imaging (MRI) fluid-sensitive series, DDP is demons...

Ligamentous injury of the tarsometatarsal joint complex 1s an uncommon, but disabling condition that frequently oeeurs In elite athlegs. There are few options for managing these injuries, in part because the relative mechanical contribution of the ligaments af the tarsomcJtatars'sal joint is unknown, complicating decisions regarding which ligaments need reconstruction. In the current study, str...

Ligamentous injury of the tarsometatarsal joint complex is an uncommon, but disabling condition that frequently occurs in elite athletes. There are few options for managing these injuries, in part because the relative mechanical contribution of the ligaments of the tarsometatarsal joint is unknown, complicating decisions regarding which ligaments need reconstruction. In the current study, stren...

Background: Knee extension torque control decreases after anterior cruciate ligament (ACL) rupture. There is a controversy in neuromuscular control changes on the uninvolved side. We intended to evaluate the steadiness and accuracy of quadriceps muscle control in the healthy and deficient sides of people with acute ACL rupture.    Methods: In this cross-sectional study, thirteen men with ACL r...