Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer

2014 ◽  
Vol 4 (4) ◽  
pp. e92 ◽  
Author(s):  
Hsuan-Kai Kao ◽  
James G. Gamble
Keyword(s):  
Posterior Process ◽  
Ununited Fracture

Excision of Ununited Fractures of the Posterior Process of the Talus: A Treatment for Chronic Posterior Ankle Pain

Foot & Ankle ◽  
1992 ◽  
Vol 13 (8) ◽  
pp. 453-457 ◽  
Author(s):  
Barry L. Veazey ◽  
James D. Heckman ◽  
Mayo J. Galindo ◽  
Peter L. J. McGanity
Keyword(s):  
Surgical Excision ◽  
Lateral Approach ◽  
Common Mechanism ◽  
Ankle Pain ◽  
Post Injury ◽  
Posterior Process ◽  
Ununited Fracture ◽  
Physical Findings ◽  
Neuroma Formation

The cases of nine patients with ununited fracture of the posterior process of the talus were reviewed. The most common mechanism of injury was forced plantarflexion. All patients had pain in the posterior ankle region. Common physical findings included tenderness between the lateral malleolus and the Achilles tendon and pain on forced plantarflexion. Of the radiographic imaging modalities used, 99Tc bone scan was found to be the most helpful in diagnosis. All nine patients eventually underwent surgical excision at a mean period of 9.4 months post injury. At average follow-up of 27 months after surgery (range 7–69 months), six of nine patients had good or excellent results with respect to pain relief and return to function. There were two complications of sural neuroma formation, one of which resulted in severe persistent pain after surgery. Based on these findings, we believe the differential diagnosis of chronic posttraumatic ankle pain should include fracture of the posterior process of the talus. Furthermore, excision of an ununited fragment through a lateral approach, taking care to preserve and protect the sural nerve, should lead to the return of painless function in the majority of cases.

Ununited Fracture in Childhood

BMJ ◽  
1899 ◽  
Vol 2 (2019) ◽  
pp. 686-686
Author(s):  
R. C. Dun
Keyword(s):  
Ununited Fracture

scholarly journals Ligaments of the os trigonum: an anatomical study

2021 ◽  
Author(s):  
Paweł Szaro ◽  
Khaldun Ghali Gataa ◽  
Mateusz Polaczek
Keyword(s):  
Posterior Part ◽  
Anatomical Study ◽  
Control Group ◽  
Flexor Hallucis Longus ◽  
Resonance Imaging ◽  
Os Trigonum ◽  
Posterior Process ◽  
Magnetic Resonance Imaging Mri ◽  
Experimental Group ◽  
Posterior Talofibular Ligament

Abstract Purpose The aim of the study was to examine the ligaments of the os trigonum. Methods The ankle joint magnetic resonance imaging (MRI) of 104 patients with the os trigonum (experimental group) and 104 patients without the os trigonum (control group) were re-reviewed. The connections of the os trigonum and posterior talofibular ligament (PTFL), the fibulotalocalcaneal ligament (FTCL), the paratenon of the Achilles tendon, the posterior talocalcaneal ligament (PTCL), the osteofibrous tunnel of the flexor hallucis longus (OF-FHL) and the flexor retinaculum (FR) were studied. Results The os trigonum is connected to structures. The posterior part of the PTFL inserted on the os trigonum in 85.6% of patients, whereas in all patients in the control group, the posterior part of the PTFL inserted on the posterior talar process (p < 0.05). The connection of the PTCL was seen in 94.2% of patients in the experimental group, while it was seen in 90.4% of patients in the control group (p > 0.05). The connection to the FTCL in the experimental group was 89.4%, while in the control group, it was 91.3% (p > 0.05). The communication with the paratenon was seen more often in the control group compared to that in the experimental group (31.7% vs. 63.8%, p < 0.001). The FTCL was prolonged medially into the FR in 85.6% of patients in the experimental group and in 87.5% of patients in the control group (p > 0.05). The flexor hallucis longus (FHL) run at the level of articulation between the os trigonum 63.5% and the posterior process of the talus 25% and less often on the os trigonum 11.5%. Conclusion The os trigonum is connected with all posterior ankle structures and more connections than previously reported.

scholarly journals Quantification and Comparison of Talar Exposure Utilizing a Posteromedial Approach and Medial Malleolar Osteotomy

2021 ◽  
Vol 6 (2) ◽  
pp. 247301142110126
Author(s):  
Jeffrey Donahue ◽  
Ademola Shofoluwe ◽  
Kurt Krautmann ◽  
Emilio Grau-Cruz ◽  
Stephen Becher ◽  
...  
Keyword(s):  
Surface Area ◽  
Digital Image ◽  
National Institutes Of Health ◽  
Level Of Evidence ◽  
Posterior Process ◽  
Medial Malleolar Osteotomy ◽  
Fresh Frozen ◽  
Average Quantity ◽  
Operative Fixation ◽  
Imagej Software

Background: Fractures of the talus are a rare but challenging injury. This study sought to quantify the area of osseous exposure afforded by a posteromedial approach to the talus and medial malleolar osteotomy. Methods: Five fresh-frozen cadaveric lower extremities were dissected using a posteromedial approach and medial malleolar osteotomy respectively. Following exposure, the talar surfaces directedly visualized were marked and captured using a calibrated digital image. The digital images were then analyzed using ImageJ software (National Institutes of Health) to calculate the surface area of the exposure. Results: The average square area of talus exposed using the posteromedial approach was 9.70 cm2 (SD = 2.20, range 7.20-12.46). The average quantity of talar exposure expressed as a percentage was 9% (SD = 1.58, range 7.03-10.40). The average square area of talus exposed using a medial malleolar osteotomy was 14.32 cm2 (SD = 2.00, range 11.26-16.66). The average quantity of talar exposure expressed as a percentage was 12.94% (SD = 1.79, range 9.97-14.73). The posteromedial approach provided superior visualization of the posterior talus, whereas the medial malleolar osteotomy offered greater access to the medial body. Conclusion: The posteromedial approach and medial malleolar osteotomy allow for significant exposure of the talus, yielding 9.70 and 14.32 cm2, respectively. Given the differing portions of the talus exposed, surgeons may prefer to use the posteromedial approach for operative fixation of posterior process fractures and elect to use a medial malleolar osteotomy in cases requiring more extensive medial and distal exposure for neck or neck/body fractures. Level of Evidence: Level IV.

scholarly journals Percutaneous autogenous bone marrow grafting in 20 cases of ununited fracture

1993 ◽  
Vol 64 (6) ◽  
pp. 671-672 ◽  
Author(s):  
Neeraj Kumar Garg ◽  
Sanjiv Gaur ◽  
Surendra Sharma
Keyword(s):  
Bone Marrow ◽  
Autogenous Bone ◽  
Ununited Fracture ◽  
Bone Marrow Grafting

Surgical treatment of lateral and posterior process fractures of the talus: Mid-term results of 15 cases after 7 years

2020 ◽  
Vol 26 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Dominik von Winning ◽  
Roland Lippisch ◽  
Gerald Pliske ◽  
Daniela Adolf ◽  
Felix Walcher ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Posterior Process ◽  
Mid Term Results

scholarly journals The identity of Pseudomystus moeschii (Boulenger, 1890), with the description of two new species of bagrid catfishes from Southeast Asia (Teleostei: Bagridae)

Zootaxa ◽  
2005 ◽  
Vol 851 (1) ◽  
pp. 1 ◽  
Author(s):  
HEOK HEE NG ◽  
KELVIN K.P. LIM
Keyword(s):  
New Species ◽  
Southeast Asia ◽  
Peninsular Malaysia ◽  
The Other ◽  
River Drainage ◽  
Posterior Process ◽  
Two New Species ◽  
The Way

The identity of the poorly known bagrid catfish Pseudomystus moeschii (Boulenger, 1890) is clarified and the species redescribed. Two new species of closely related bagrid catfishes are also described: Pseudomystus carnosus from the Way Seputih River drainage in the province of Lampung in the southern tip of Sumatra, and P. fumosus from the Pahang River drainage in eastern Peninsular Malaysia. Pseudomystus carnosus, P. fumosus and P. moeschii can be distinguished from congeners in having an enlarged posterior process of the post-temporal, presence of long hair-like epithelial projections on the skin and long tubular extensions of the sensory pores. Pseudomystus carnosus differs from the other two species in having a pointed (vs. rounded) tip of the nuchal shield, while P. fumosus differs from the other two species in having very well developed procurrent caudal rays which are sinuously curved along the anterior edges (vs. less developed procurrent caudal rays that slope evenly along the edges). A lectotype is designated for P. moeschii.

Case of Ununited Fracture, Treated by Galvanism

BMJ ◽  
1847 ◽  
Vol s1-11 (24) ◽  
pp. 654-655
Author(s):  
J. Burman
Keyword(s):  
Ununited Fracture
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