Open Calcaneus Fractures and Associated Injuries

Worsham, Jacob; Elliott, Mark R.; Harris, Anthony M.

doi:10.1053/j.jfas.2015.06.015

Cited by 26 publications

(29 citation statements)

References 13 publications

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“… 9 Cuboid fractures are seen in conjunction with other complex injuries such as other hindfoot, midfoot or Lisfranc injuries. 3 Painful subluxation of the cuboid (referred as a cuboid syndrome) is often reported in ballet dancers and athletes. 10 11 12 This condition is hypothesized to occur from a disruption of calcaneocuboid joint.…”

Section: Mechanism Of Injury and Diagnosismentioning

confidence: 99%

“…Most commonly they are seen as isolated avulsion fractures, less frequently are combined with other midfoot fractures, dislocations or are associated with Lisfranc joint injuries. 3 Cuboid fractures in isolation represent a diagnostic challenge and are frequently missed as the majority of cuboid injuries are relatively minor. 4 The radiologic changes occurring in more serious injuries may also be subtle and easily overlooked.…”

Section: Introductionmentioning

confidence: 99%

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Cuboid Injuries

Pountos

Panteli

Giannoudis

2018

IJOO

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Cuboid fractures are rare injuries. A number of different treatment methods have been proposed including plaster immobilization, open reduction, and internal fixation or external fixation. Bone grafting is commonly used to restore bony length. The majority of the current literature suggests that the loss of length of the lateral column and articular congruency are the two criteria opting for the surgical management of these fractures. Nevertheless, the exact indications and ideal management of these fractures are not established mainly due to the rarity of these injuries and the paucity of literature.

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Section: Mechanism Of Injury and Diagnosismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cuboid Injuries

Pountos

Panteli

Giannoudis

2018

IJOO

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“…Auch wenn es sich definitionsgemäß in diesem Fall um eine Luxationsfraktur Typ IV nach Marti und Weber handelt, so ist die Schwere der Verletzung in vielerlei Hinsicht einer Luxatio tali totalis gleichzusetzen, weshalb ein komplikationsträchtiger Verlauf befürchtet werden konnte. Der Unfallmechanismus war typisch für ein Hochrasanztrauma [12,47,48].…”

Section: Diskussionunclassified

Aktuelle Therapieempfehlungen bei Talusluxationsfrakturen vom Typ IV nach Marti und Weber – ein Literaturreview

et al. 2017

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Talar dislocation fractures of type IV (Marti and Weber) are extremely rare injuries with special challenges to the surgeon and poor results. Due to their low incidence and the sparse literature, it is unclear what is the optimal treatment and how complications can be minimised. A literature research was carried out using the online medical database "PubMed". The findings of the literature were then applied to a clinical case of type IV talar dislocation fracture (Marti and Weber). Modern osteosynthesis with generous and multiple access paths is to be preferred to the previously prioritised methods of talectomy and arthrodesis. Priority is put on the fastest possible reposition of the fracture, while sparing the soft tissue and the conditions of vascularisation. It can be assumed that with increasing degree of dislocation the risk of necrosis of the talus rises too, but this does not necessarily correlate with the clinical outcome. In totally dislocated fractures of the talus, the focus is on prompt reposition and sufficient osteosynthetic supply. Nevertheless, frequent complications have to be expected. Medial explantation, which is described in the clinical example and lateral re-implantation of the talar body have never been described before in the literature and were an encouraging development.

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“…patient workups and management. For example, such patterns of associated injuries have been described for calcaneus fractures (which have a known association with lumbar fractures) 8,9 and clavicle fractures (which have a known association with lung injuries). 10 Along with comorbidities and the patient's general condition, associated injuries can impact the fracture management, time to surgery, and outcomes.…”

Section: Introductionmentioning

confidence: 97%

Analysis of Bony and Internal Organ Injuries Associated With 26,357 Adult Femoral Shaft Fractures and Their Impact on Mortality

Anandasivam¹,

Russo²,

Fischer³

et al. 2017

Orthopedics

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The spectrum of injuries associated with femoral shaft fractures and those injuries' association with mortality have not been well delineated previously. Patients in the National Trauma Data Bank who presented with femoral shaft fractures from 2011 to 2012 were analyzed in 3 age groups (18-39, 40-64, and 65+ years). For each group, modified Charlson Comorbidity Index (CCI), mechanism of injury (MOI), injury severity score (ISS), and associated injuries were reported. Multivariate logistic regression was used to identify predictors of mortality. Among the 26,357 patients with femoral shaft fractures, modified CCIs gradually increased with increasing age category and ISS decreased. Motor vehicle accidents were the most common MOI in the younger 2 age groups, whereas falls were the most common MOI in the 65 years and older age group. The top 3 associated bony injuries for the study cohort as a whole were tibia/fibula (20.5%), ribs/sternum (19.1%), and non-shaft femur (18.9%, of which 5.8% of the total cohort were femoral neck) fractures. The top 3 associated internal organ injuries were lung (18.9%), intracranial (13.5%), and liver (6.2%), injuries. A multivariate mortality analysis showed that increasing age, increasing comorbidity burden, and associated injuries all had independent associations with mortality. The injuries most associated with mortality were thoracic organ injuries (adjusted odds ratio [AOR]=3.53), head injuries (AOR=2.93), abdominal organ injuries (AOR=2.78), and pelvic fractures (AOR=1.80). This study used a large, nationwide sample of trauma patients to profile injuries associated with femoral shaft fractures. Associations between injuries and mortality underscore the importance of these findings. [Orthopedics. 2017; 40(3):e506-e512.].

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Open Calcaneus Fractures and Associated Injuries

Cited by 26 publications

References 13 publications

Cuboid Injuries

Cuboid Injuries

Aktuelle Therapieempfehlungen bei Talusluxationsfrakturen vom Typ IV nach Marti und Weber – ein Literaturreview

Analysis of Bony and Internal Organ Injuries Associated With 26,357 Adult Femoral Shaft Fractures and Their Impact on Mortality

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