Paratrooper's Ankle Fracture: Posterior Malleolar Fracture

BACKGROUND: We assessed the frequency and types of ankle fractures that frequently occur during parachute landings of special operation unit personnel and analyzed the causes. METHODS: Fifty-six members of the special force brigade of the military who had sustained ankle fractures during parachute landings between January 2005 and April 2010 were retrospectively analyzed. The injury sites and fracture sites were identified and the fracture types were categorized by the Lauge-Hansen and Weber classifications. Follow-up surveys were performed with respect to the American Orthopedic Foot and Ankle Society ankle-hindfoot score, patient satisfaction, and return to preinjury activity. RESULTS: The patients were all males with a mean age of 23.6 years. There were 28 right and 28 left ankle fractures. Twenty-two patients had simple fractures and 34 patients had comminuted fractures. The average number of injury and fractures sites per person was 2.07 (116 injuries including a syndesmosis injury and a deltoid injury) and 1.75 (98 fracture sites), respectively. Twenty-three cases (41.07%) were accompanied by posterior malleolar fractures. Fifty-five patients underwent surgery; of these, 30 had plate internal fixations. Weber type A, B, and C fractures were found in 4, 38, and 14 cases, respectively. Based on the Lauge-Hansen classification, supination-external rotation injuries were found in 20 cases, supination-adduction injuries in 22 cases, pronation-external rotation injuries in 11 cases, tibiofibular fractures in 2 cases, and simple medial malleolar fractures in 2 cases. The mean follow-up period was 23.8 months, and the average follow-up American Orthopedic Foot and Ankle Society ankle-hindfoot score was 85.42. Forty-five patients (80.36%) reported excellent or good satisfaction with the outcome. CONCLUSIONS: Posterior malleolar fractures occurred in 41.07% of ankle fractures sustained in parachute landings. Because most of the ankle fractures in parachute injuries were compound fractures, most cases had to undergo surgical repairs.

Síndrome de hipermovilidad articular benigna: manifestaciones musculoesqueléticas en pie y tobillo / Benign joint hypermobility syndrome: musculoskeletal manifestations in foot and ankle

The hypermobility syndrome benign joint (SHAB) is an inherited disorder that refers to the presence of a greater range of joint mobility associated with musculoskeletal symptoms, such as joint pain, muscle pain, soft tissue injury and non-inflammatory limb pain without coexistence of other systemic rheumatic disease. For the identification of joint hypermobility 1973 Beighton criteria used and the criteria for Brighton SHAB 1998. The joints most commonly affected are knees (87 percent), hip (77 percent), ankle (74 percent) and feet (72 percent). The latter two regions have received little attention. The foot problems include pain in the Achilles tendon, plantar fasciitis, tenosynovitis of the posterior tibial or peroneal, flexor and extensor tendinopathy, bursitis and hallux valgus. For diagnosis, the physical exam and ancillary studies such as ultrasound and MRI to detect changes that are not evident in the observation is used...

El síndrome de hipermovilidad articular benigna (SHAB) es un trastorno hereditario que se refiere a la presencia de un mayor rango de movilidad articular asociado a síntomas musculoesqueléticos, como son artralgias, dolor muscular, lesión de tejidos blandos y dolor no inflamatorio de extremidades, sin coexistencia de otra enfermedad reumática sistémica. Para la identificación de hipermovilidad articular se utilizan los criterios de Beighton 1973, y para SHAB, los criterios de Brighton 1998. Las articulaciones con mayor afección son rodillas (87 por ciento), cadera (77 por ciento), tobillo (74 por ciento) y pies (72 por ciento). Los problemas en el pie incluyen dolor en el tendón de Aquiles, fascitis plantar, tenosinovitis del tibial posterior o peroneos, tendinopatía de flexores y extensores, bursitis y hallux valgus. Para su diagnóstico se emplean el examen físico y estudios complementarios como ultrasonido y resonancia magnética que permitan detectar cambios que no son evidentes en la observación...

Entorse de la cheville sans facture chez les adultes

N.A.

Medial peritalar dislocation in a volleyball player.

We report a medial peritalar dislocation, which was treated with closed reduction and cast for 3 weeks. At follow up 12 months later, there was normal range of motion and mild pain after prolonged walking.