Is It an Overlooked Injury? Magnetic Resonance Imaging Examination of Occult Talus Lesions Concomitant to Tibial Shaft Fracture

Yavuz, İbrahim; Yıldırım, Ahmet; Öken, Özdamar Fuad; Ceyhan, Erman; İnci, Fatih; Yavuz, Özlem Özkale; Cılız, Deniz

doi:10.1053/j.jfas.2018.09.007

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…29 In addition, an MRI analysis of patients who suffered from tibial shaft fractures showed in 37% concomitant occult talar lesions up to 12 months postoperatively. 30…”

Section: Morphologymentioning

confidence: 99%

Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans

Bruns¹,

Habermann

Werner

2021

CARTILAGE

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This is a review on talus osteochondritis dissecans and talus osteochondral lesions. A majority of the osteochondral lesions are associated with trauma while the cause of pure osteochondritis dissecans is still much discussed with a possible cause being repetitive microtraumas associated with vascular disturbances causing subchondral bone necrosis and disability. Symptomatic nondisplaced osteochondral lesions can often be treated conservatively in children and adolescents while such treatment is less successful in adults. Surgical treatment is indicated when there is an unstable cartilage fragment. There are a large number of different operative technique options with no number one technique to be recommended. Most techniques have been presented in level II to IV studies with a low number of patients with short follow ups and few randomized comparisons exist. The actual situation in treating osteochondral lesions in the ankle is presented and discussed.

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“…29 In addition, an MRI analysis of patients who suffered from tibial shaft fractures showed in 37% concomitant occult talar lesions up to 12 months postoperatively. 30…”

Section: Morphologymentioning

confidence: 99%

Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans

Bruns¹,

Habermann

Werner

2021

CARTILAGE

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“…They observed that 64% of patients, with distal third spiral tibia fractures, had an occult ankle fracture on MRI 28 . Similarly, another study evaluated tibial shaft fracture patients with an MRI and found a talus lesion incidence of 37% 29 . The presence of missed and occult ankle and foot injuries may be contributing factors to persistent ankle pain and restricted range of motion, resulting in decreased dorsiflexion during stance and reduced ankle push‐off power.…”

Section: Discussionmentioning

confidence: 99%

“…12,16,20,[25][26][27] The study population also demonstrated alterations in ankle 28 Similarly, another study evaluated tibial shaft fracture patients with an MRI and found a talus lesion incidence of 37%. 29 The presence of missed and occult ankle and foot injuries may be contributing factors to persistent ankle pain and restricted range of motion, resulting in decreased dorsiflexion during stance and reduced ankle push-off power. The functional limitations and alterations in the ankle reported in the current study signify the importance of evaluating for occult ankle and foot injuries in this population cohort, particularly for distal third tibial shaft fractures.…”

Section: Discussionmentioning

confidence: 99%

Gait and strength assessment following surgical repair by intramedullary nailing of isolated tibial shaft fracture

Canseco,

Becker,

Muscott

et al. 2023

Journal Orthopaedic Research

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The objective of the study was to evaluate the long‐term strength and gait outcomes after intramedullary nailing of isolated tibial diaphyseal fractures. This retrospective cohort study was conducted at an academic Level I trauma center. Fifteen participants with isolated tibial diaphyseal fractures (OTA/AO 42) at least 2 years postoperative from intramedullary nailing (IMN) provided informed consent. The average age was 40 ± 14 (range, 24‐69); there were nine men and six women. Knee flexion‐extension strength data were collected. Temporal spatial, kinematic and kinetic gait parameters were measured and compared to historic control data. Participants completed the SF‐36 and sMFA questionnaires. The mean length of follow‐up between surgery and gait analysis was 6 ± 2 years. The fractured limb demonstrated deficits in quadriceps strength between 9.8‐23.4% compared to the unaffected limb. Temporal spatial parameters revealed slower walking speed, shorter stride length, decreased cadence, and shorter single limb support time in the fractured limb. Altered kinematic and kinetic findings included a knee extension shift during stance, with an increased knee flexor moment demand and decreased total knee power during loading and midstance. These findings represent deficits in concentric and eccentric knee extensor activity. Additionally, the fractured limb demonstrated decreased ankle dorsiflexion during stance and diminished ankle push‐off power. Long‐term outcomes after IMN of tibial diaphyseal fractures demonstrate decreased quadriceps strength and altered gait parameters that may have implications to the high incidence of knee and ankle pain in the fractured limb.This article is protected by copyright. All rights reserved.

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Diaphyseal Tibial Fractures

Efrima,

Khoury

2024

Orthopaedics and Trauma

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Is It an Overlooked Injury? Magnetic Resonance Imaging Examination of Occult Talus Lesions Concomitant to Tibial Shaft Fracture

Cited by 4 publications

References 21 publications

Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans

Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans

Gait and strength assessment following surgical repair by intramedullary nailing of isolated tibial shaft fracture

Diaphyseal Tibial Fractures

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