Tarsal fractures: part 2

2020 ◽  
Vol 25 (3) ◽  
pp. 1-8
Author(s):  
Karen Lisette Perry
Keyword(s):  
Bone Fractures ◽  
Small Animal ◽  
Positive Outcome ◽  
Good Prognosis ◽  
Tarsal Bone ◽  
Calcaneal Fractures ◽  
Joint Preservation ◽  
Malleolar Fractures ◽  
Tarsal Bones ◽  
Realistic Goal

Both calcaneal and central tarsal bone fractures are commonly encountered in the racing greyhound. While isolated fractures of the numbered tarsal bones are uncommon, malleolar fractures are encountered frequently in small animal practice. Fractures of the central tarsal bone or calcaneal fractures in both dogs and cats may be either fatigue or stress fractures, or associated with Knees and Teeth Syndrome, which may alter the typically expected presentation and prompt assessment for additional fractures, both in the tarsus and elsewhere. Surgical stabilisation is often the treatment of choice, particularly for fractures with an articular component. In many cases, surgical stabilisation leads to a positive outcome, with Greyhounds often being able to return to racing. However, it is important to be aware that fractures in non-racing dogs tend to be more complex and that this good prognosis may not be appropriate to extrapolate. Depending on the nature and severity of injuries, joint preservation may not always be a realistic goal. If the joint cannot be preserved, arthrodesis may become necessary.

Observer variation in the evaluation and classification of severe central tarsal bone fractures in racing Greyhounds

2011 ◽  
Vol 24 (03) ◽  
pp. 215-222 ◽  
Author(s):  
J. F. Innes ◽  
F. McConnell ◽  
M. J. Guilliard ◽  
M. G. Ness ◽  
D. Hodson ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Fractures ◽  
Observer Variation ◽  
Observer Agreement ◽  
Radiographic Evaluation ◽  
Tarsal Bone ◽  
Tarsal Bones ◽  
The Right ◽  
Severe Type

SummaryObjectives: To determine observer agreement on radiographic evaluation of central tarsal bone (CTB) fractures and compare this with evaluation of the same fractures using computed tomography (CT).Methods: Radiographs and CT scans were obtained of the right tarsi from limbs of Greyhounds euthanatized after sustaining severe CTB fracture during racing. Four observers described and classified each fracture. Inter- and intra-observer agreements were calculated.Results: Inter-observer agreement was higher for assessment of fractures using CT. Several fractures assessed by radiography were mis-classified as a less severe type. Intra-observer agreement for assessment and classification of CTB fractures via radiography versus CT was variable. Overall agreement among all four observers was higher for CT than radiography. Additionally, when identifying fractures of the adjacent tarsal bones, observer agreement was higher for CT than radiography.Clinical significance: Computed tomography improved observer ability to correctly evaluate CTB fracture and detect the degree of displacement and extent of any comminution. Identification of fractures of adjacent tarsal bones was also improved when tarsi were assessed using CT. These data suggest that treatment decisions based solely on radiographic assessment of CTB fractures may not produce the expected outcome.

scholarly journals Calcaneonavicular coalition resection

2020 ◽  
Vol 14 (3) ◽  
pp. 297-300
Author(s):  
Mercedes Juncay ◽  
Rafael Sposeto ◽  
Alexandre Godoy-Santos ◽  
Túlio Fernandes
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Conservative Treatment ◽  
Treatment Option ◽  
Expert Opinion ◽  
Tarsal Bone ◽  
Tarsal Coalition ◽  
Level Of Evidence ◽  
Calcaneonavicular Coalition ◽  
Tarsal Bones

Tarsal coalition is an abnormal connection between tarsal bones, caused by an embryogenic failure. Its most common forms are calcaneonavicular and talocalcaneal coalition, which are present in 53% and 37% of the cases, respectively. The onset of symptoms is related to tarsal bone ossification, and mean age for this event is estimated at 16 years for calcaneonavicular coalition. Surgical treatment is indicated for patients who did not improve symptoms with conservative treatment. The aim of this study is to present a surgical technique as a treatment option for resection of calcaneonavicular coalition associated with abnormal cuboid-navicular joint. Level of Evidence V; Therapeutic Studies; Expert Opinion.

scholarly journals Intra-articular Calcaneus Fractures: Current Concepts Review

2020 ◽  
Vol 5 (3) ◽  
pp. 247301142092733
Author(s):  
Paul R. Allegra ◽  
Sebastian Rivera ◽  
Sohil S. Desai ◽  
Amiethab Aiyer ◽  
Jonathan Kaplan ◽  
...  
Keyword(s):  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Treatment Strategies ◽  
Late Complications ◽  
Classification Systems ◽  
Surgical Approaches ◽  
Calcaneal Fractures ◽  
Level Of Evidence ◽  
Tarsal Bones ◽  
Calcaneus Fractures

Calcaneal fractures are the most common fracture of the tarsal bones and represent 1% to 2% of all fractures. Roughly 75% of these fractures include intra-articular involvement of the posterior facet of the calcaneus. Intra-articular calcaneal fractures are challenging injuries to manage for both patients and surgeons given their association with both early and late complications. This article aims to review the management, classification systems, surgical approaches, and care regarding intra-articular calcaneal fractures. A review of the current literature yielded treatment strategies that aim to reduce complications such as soft tissue injury or loss of articular reduction while maintaining satisfactory clinical outcomes. The purpose of this article is to review these current concepts in the management of intra-articular calcaneal fractures. Level of Evidence: Level V, expert opinion.

Computed tomography of proximal metatarsal and concurrent third tarsal bone fractures in a Thoroughbred racehorse

2010 ◽  
Vol 22 (6) ◽  
pp. 290-295 ◽  
Author(s):  
A. E. Poulin Braim ◽  
R. J. W. Bell ◽  
J. A. Textor ◽  
W. Y. Lo ◽  
S. M. Puchalski ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Fractures ◽  
Tarsal Bone

Multiple Tarsal Bone Fractures in a Bennet's Wallaby

1970 ◽  
Vol 1 (2) ◽  
pp. 17
Author(s):  
James O. Brick ◽  
John Franklin ◽  
Jerry Wells
Keyword(s):  
Bone Fractures ◽  
Tarsal Bone

Calcaneal Fracture-Dislocation with Entrapment of the Medial Neurovascular Bundle: A Case Report

Foot & Ankle ◽  
1993 ◽  
Vol 14 (7) ◽  
pp. 411-413 ◽  
Author(s):  
Arati R. Mallik ◽  
Mark D. Chase ◽  
Paul C. Lee ◽  
George P. Whitelaw
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Calcaneal Fracture ◽  
Neurovascular Bundle ◽  
Fracture Dislocation ◽  
Calcaneal Fractures ◽  
Peroneal Tendons ◽  
Tarsal Bones ◽  
The Subject

The calcaneus is the most commonly fractured of all the tarsal bones. Soft-tissue interposition, usually involving the peroneal tendons, has been reported to block reduction of calcaneal fractures and subtalar dislocations. 3 , 4 , 10 To our knowledge, no case of entrapment of the neurovascular bundle has been reported. This is the subject of our report.

scholarly journals The Use of Biodegradable Implants in the Fixation of Small Animal Cancellous Bone Fractures

1988 ◽  
Vol 29 (3-4) ◽  
pp. 469-476 ◽  
Author(s):  
P. Axelson ◽  
J. Räihä ◽  
K. Sittnikow ◽  
K. Skutnabb ◽  
M. Mero ◽  
...  
Keyword(s):  
Cancellous Bone ◽  
Bone Fractures ◽  
Small Animal ◽  
Biodegradable Implants

scholarly journals Radiological tarsal bone morphology in adolescent age of congenital clubfeet treated with the Ponseti method

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Johannes Hamel ◽  
Hubert Hörterer ◽  
Norbert Harrasser
Keyword(s):  
Primary Treatment ◽  
Ponseti Method ◽  
Control Group ◽  
X Rays ◽  
Tarsal Bone ◽  
Motion Segment ◽  
Temporal Course ◽  
Tarsal Bones ◽  
Widespread Acceptance

Abstract Background Major abnormalities of tarsal bone shape after surgical clubfoot treatment are well known from the literature. The Ponseti method has gained widespread acceptance in primary treatment of congenital clubfeet. Despite the longtime experience, data regarding the development of tarsal bones after this treatment are still rare. The aim of the study was therefore to evaluate radiographic parameters describing tarsal bone shape of clubfeet after Ponseti treatment and compare them to age-matched healthy feet. Methods Twenty two consecutive severe clubfeet in 14 patients were investigated by repeated diagnostic ultrasound during the corrective process. Extent and temporal course of correction were documented with standardized X-rays after a mean follow-up of 12 years (between the ages of 10–14 years) and compared to a group of age-matched normal feet. Results Reliability testing for all X-ray parameters showed good to excellent results. In comparison to the control group, all parameters except the radius of the trochlea (RT) were significantly altered in clubfeet with highest differences shown for the anterior talar motion segment (ATM), talonavicular coverage (TNC) and the talometatarsal index (TMT-Index). Differentiation between minor and major deformities showed significant differences only for the front tarsal index (FTI). Conclusions Tarsal bone shape of clubfeet treated by the Ponseti method differs significantly from normal feet. One of the most pronounced and clinically relevant difference of the clubfoot talus compared to the normal talus is the markedly reduced anterior talar motion segment.

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