The Snowboarder's Foot and Ankle

Abstract

We undertook a prospective study to determine the type and distribution of foot and ankle snowboarding injuries. Reports of 3213 snowboarding injuries were collected from 12 Colorado ski resorts between 1988 and 1995. Of these, 491 (15.3%) were ankle injuries and 58 (1.8%) were foot injuries. Ankle injuries included 216 (44%) fractures and 255 (52%) sprains. Thirty-three (57%) of the foot injuries were fractures and 16 (28%) were sprains. The remaining injuries were soft tissue injuries, contusions, or abrasions. There was no significant correlation between boot type (soft, hybrid, or hard) and overall foot or ankle injury rate. There were significantly fewer ankle sprains in patients wearing hybrid boots and fewer fractures of the lateral process of the talus in patients wearing soft boots. An unexpectedly high number of fractures of the lateral process of the talus were noted. These 74 fractures represented 2.3% of all snowboarding injuries, 15% of all ankle injuries, and 34% of the ankle fractures. Many of these fractures are not visible on plain radiographs and require computed tomography imaging to be diagnosed. Diagnosis of this fracture pattern is paramount; the physician should be very suspicious of anterolateral ankle pain in the snowboarder, where subtle fractures that may require surgical intervention can be confused with anterior talofibular ligament sprains.

Arthroscopic Excision of Bone Fragments in a Neglected Fracture of the Lateral Process of the Talus in a Junior Soccer Player

“…Another characteristic feature of this fracture is that it is often overlooked and untreated, with as many as 46% of fractures initially being missed. 2,4,5,9 This can lead to persistent pain and subsequent post-traumatic subtalar osteoarthritis.…”

“…[1][2][3][4][5] Although they are found typically in adult snowboarders, the incidence of LPT fractures has been growing in frequency over the past few years, even in the pediatric population. 6 This injury is commonly misdiagnosed on the initial radiographs, and overlooking it can lead to subtalar osteoarthritis.…”

“…6 This injury is commonly misdiagnosed on the initial radiographs, and overlooking it can lead to subtalar osteoarthritis. [2][3][4][7][8][9] In the case of a symptomatic nonunion, open removal of small fragments is generally recommended. 2,[6][7][8][9] We report arthroscopic excision of a bone fragment and loose body of the LPT in an 11-year-old male soccer player.…”

A magyar alpesi sízők és hódeszkázók egészségkárosodásainak összehasonlító statisztikai elemzése

“…A hódeszkások vezető sérülése az alsó végtagon a boka sérülése volt (10,5%), ezt az arányt a nemzetközi szakirodalom 15,3-26%-ra teszi [36,37]. Ámbár a szignifikanciavizsgálatok a hódeszkás bokasérüléseket növekvő-nek találták, a régebbi és az egy évtizeddel későbbi adatok csökkenő tendenciát mutatnak [24].…”

Talus fractures: assessment and treatment

“…Sonrasında fizyoterapi ile güçlen-dirme ve derin duyu egzersizlerine başlanır. [55] Şekil 4. Sagital ve koronal ayak bileği bilgisayarlı tomografi kesitsel görüntüsü.…”