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Is Tenderness of Medial Malleolus Circumference a Sign of Syndesmosis Injuries? / Ugur Onur Kasman in Journal of the American Podiatric Medical Association, vol 113, 06 (Novembre 2023)
[article]
in Journal of the American Podiatric Medical Association > vol 113, 06 (Novembre 2023)
Titre : Is Tenderness of Medial Malleolus Circumference a Sign of Syndesmosis Injuries? Type de document : article de périodique Auteurs : Ugur Onur Kasman ; Serkan Surucu ; Ozgur Korkmaz Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Fracture
[Thésaurus HELB]:Paramédical:lesion osseuse
[Thésaurus HELB]:Paramédical:Malléole médiale
[Thésaurus HELB]:Paramédical:sensibilité cutanée
[Thésaurus Mesh]Articulation talocrurale
[Thésaurus Mesh]ChevilleRésumé : Background: Syndesmosis injuries occur in approximately 10% of all ankle fractures. The integrity of the deltoid ligament is important in the decision of surgical treatment of lateral malleolus fractures.
Methods: Patients who were operated on for Weber B ankle fracture were evaluated retrospectively, and the relationship between tenderness around the medial malleolus and syndesmosis injury was investigated. Patients with visual analog scale, Foot and Ankle Ability Measure daily living, and sports activity scores in their files were included. This study enrolled 38 patients. The patients were divided into two groups. Group 1 consisted of patients with a medial space greater than 4 mm on preoperative radiographs and a positive intraoperative Cotton test, in which a syndesmosis screw was used. Group 2 consisted of patients with a medial space less than 4 mm on preoperative radiographs and negative intraoperative Cotton test, for whom no syndesmosis screw was used.
Results: In 17 of 38 patients, syndesmosis screws were used because of intraopeative positive Cotton test. In 21 patients, the Cotton test was negative and the syndesmosis screw was not used. Comparing the groups statistically revealed no statistically significant difference in all scores. Tenderness around the medial malleolus was detected in two patients in group 2 and nine patients in group 1. A statistically significant difference was detected in terms of medial clear space values and tenderness around the medial malleolus between both groups.
Conclusions: The absence of tenderness around the medial malleolus in Weber B ankle fractures indicates no syndesmosis injury, whereas the presence of tenderness around the medial malleolus does not mean that there is a syndesmosis injury.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Partial Rupture of the Tibialis Posterior Tendon Associated with a Closed Medial Malleolar Fracture / Jin Park in Journal of the American Podiatric Medical Association, vol. 106, 6 (Novembre 2016)
[article]
in Journal of the American Podiatric Medical Association > vol. 106, 6 (Novembre 2016) . - p. 449-452
Titre : Partial Rupture of the Tibialis Posterior Tendon Associated with a Closed Medial Malleolar Fracture Type de document : article de périodique Auteurs : Jin Park Année de publication : 2016 Article en page(s) : p. 449-452 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Cheville
[Thésaurus Mesh]Tendinopathie du tibial postérieur
[Thésaurus HELB]:Paramédical:Malléole médialeRésumé : Rupture of the tibialis posterior tendon associated with ankle fracture is rare and difficult to diagnose. This rupture can be easily overlooked because the clinical examination is limited owing to acute pain related to a closed ankle fracture. Complete rupture of the tibialis posterior tendon can be identified by a loss of tension during ankle fracture fixation, but partial rupture is more difficult to detect because the tibialis posterior tendon can maintain its tension. A few cases of complete rupture of the tibialis posterior tendon combined with ankle fracture have been reported. It is well-known that failure to diagnose a rupture of the tibialis posterior tendon can lead to long-term disability and a planovalgus foot. However, to our knowledge, this is the first report of partial rupture of the tibialis posterior tendon in the English literature. Herein, we describe a patient with a neglected partial rupture of the tibialis posterior tendon combined with a medial malleolar fracture. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible