Prospective observational study of midtarsal joint sprain: Epidemiological and ultrasonographic analysis

Thiounn, Alexis; Szymanski, C.; Lalanne, Clément; Soudy, K.; Demondion, Xavier; Maynou, C.

doi:10.1016/j.otsr.2016.05.008

Cited by 16 publications

(21 citation statements)

References 14 publications

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“…However, little has been reported on subtalar, midtarsal and tarsometatarsal joint injuries associated with foot and ankle sprain. ( 12 , 13 ) Thus, injuries of these structures are commonly neglected or underdiagnosed and are usually managed with an empiric, non-specific and ineffective approach.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room

Debieux¹,

Wajnsztejn²,

Mansur³

2019

Einstein (São Paulo)

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Objective To use magnetic resonance imaging to assess the prevalence of foot and ankle ligament injuries and fractures associated with ankle sprain and not diagnosed by x-ray.Methods We included 180 consecutive patients with a history of ankle sprain, assessed at a primary care service in a 12-month period. Magnetic resonance imaging findings were recorded and described.Results Approximately 92% of patients had some type of injury shown on the magnetic resonance imaging. We found 379 ligament injuries, 9 osteochondral injuries, 19 tendinous injuries and 51 fractures. Only 14 magnetic resonance imaging tests (7.8%) did not show any sort of injury. We observed a positive relation between injuries of the lateral complex, syndesmosis and medial ligaments. However, there was a negative correlation between ankle ligament injuries and midfoot injuries.Conclusion There was a high rate of injuries secondary to ankle sprains. We found correlation between lateral ligament injuries and syndesmosis and deltoid injuries. We did not observe a relation between deltoid and syndesmosis injuries or between lateral ligamentous and subtalar injuries. Similarly, no relation was found between ankle and midfoot injuries.

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Section: Introductionmentioning

confidence: 99%

“…Porém, pouco tem sido relatado em relação às lesões da articulação subtalar, mediotársica e tarsometatársicas na ocorrência de entorses do pé e tornozelo. ( 12 , 13 ) Assim, as lesões destas partes são comumente negligenciadas ou subdiagnosticadas, sendo costumeiramente manejadas de maneira empírica, inespecífica e pouco efetiva.…”

Section: Introductionunclassified

Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room

Debieux¹,

Wajnsztejn²,

Mansur³

2019

Einstein (São Paulo)

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“…The midtarsal joint, also known as the transverse tarsal joint or Chopart's joint, comprises the talonavicular joint medially and the calcaneocuboid joint laterally. 3 It is stabilised by the talonavicular, bifurcated and dorsal and plantar calcaneocuboid ligaments (Figure 8).…”

Section: Discussionmentioning

confidence: 99%

“…1 They are hard to diagnose clinically 2 and poor diagnostic recognition may lead to painful sequelae in the absence of appropriate treatment. 3 This case report presents a patient with a history of ankle trauma where ultrasound recognition of midtarsal joint changes resulted in diagnostic recognition of a midtarsal joint sprain.…”

Section: Introductionmentioning

confidence: 99%

Midtarsal joint sprain: A case report

O'Brien¹

2021

Sonography

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“…[ 19 ] These are the same mechanisms that produce a sprain of the anterior talofibular ligament of the ankle, which has been termed a sprainfracture. An epidemiological observational study of midtarsal joint sprain showed that the most frequent trauma mechanism was foot inversion (76% of cases), followed by plantar hyperflexion (21%), dorsal hyperflexion (2%), and foot eversion (1%) [ 6 , 18 , 21 – 24 ] (Fig. 5 ).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of chronic lateral ankle instability with ligamentum bifurcatum injury

Sun

Wang²,

Tang³

et al. 2018

Medicine

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This study aimed to report our institution's experience in the diagnosis and treatment of chronic lateral ankle instability (CLAI) with ligamentum bifurcatum (LB) injury.This retrospective study included 218 consecutive patients with CLAI who underwent surgery from January 2012 to December 2015. The 218 patients received tendon allograft reconstruction of the lateral ligament. CLAI was combined with LB injury in 51.4% (112/218) of patients. The 112 patients with concurrent LB injury had this treated simultaneously; 36 patients underwent excision of the anterior process of the calcaneus, 68 underwent LB repair, and 8 underwent LB reconstruction. Patients returned for a clinical and radiologic follow-up evaluation at an average of 31 (range, 24–35) months postoperatively. Outcomes were assessed by comparison of pre- and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores, visual analog scale pain scores, Karlsson scores, and radiographic assessment.Of the patients with concurrent LB injury, 82.1% (92/112) returned for final evaluation. Postoperatively, most patients recovered very well. However, the outcome was not ideal in those who underwent excision of the anterior process of the calcaneus; there were significant postoperative decreases in talar tilt (P < .05) and anterior drawer (P < .05), but there was no significant postoperative improvement in visual analog scale pain score and AOFAS score. Patients who underwent LB repair or reconstruction had an excellent or good outcome regarding patient subjective self-assessment, pain scores, Karlsson scores, and AOFAS scores at final follow-up.Patients with CLAI often have concurrent LB injury. The diagnosis of LB injury can be missed or delayed. Clinicians should closely examine the LB in cases of CLAI, and should surgically repair or reconstruct the LB when necessary.

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Prospective observational study of midtarsal joint sprain: Epidemiological and ultrasonographic analysis

Abstract: MJS is frequent, difficult to diagnose clinically, and often severe. Clinical presentation and injury mechanisms differ from ankle sprain. Ultrasound seems to be an indispensable tool in diagnosis.

Cited by 16 publications

References 14 publications

Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room

Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room

Midtarsal joint sprain: A case report

Diagnosis and treatment of chronic lateral ankle instability with ligamentum bifurcatum injury

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