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Calcaneus Stress Fracture

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1. Effect of Calcaneus Fracture Gap Without Step-Off on Stress Distribution Across the Subtalar Joint. (PubMed)

Effect of Calcaneus Fracture Gap Without Step-Off on Stress Distribution Across the Subtalar Joint. Subtalar arthritis is a common consequence following calcaneal fracture, and its development is related to the severity of the fracture. Previous calcaneal fracture models have demonstrated altered contact characteristics when a step-off is created in the posterior facet articular surface. Changes in posterior facet contact characteristics have not been previously characterized for calcaneal (...) fracture gap without step-off.The contact characteristics (peak pressure, area of contact, and centroid of pressure) of the posterior facet of the subtalar joint were determined in 6 cadaveric specimens. After creating a calcaneal fracture to simulate a Sanders type II fracture, the contact characteristics were determined with the posterior facet anatomically reduced followed by an incremental increase in fracture gap displacement of 2, 3, and 5 mm without a step-off of the articular surface.Peak

2016 Foot & Ankle International

2. Calcaneus Stress Fracture

Calcaneus Stress Fracture Calcaneus Stress Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Calcaneus Stress Fracture (...) Calcaneus Stress Fracture Aka: Calcaneus Stress Fracture , Calcaneal Stress Fracture From Related Chapters II. Epidemiology Second most common foot (behind ) III. Pathophysiology Repetitive heel overload Most commonly occurs posterior to the posterior facet of subtalar joint IV. Risk Factors Beginning runner Runners on concrete surface Ballet dancers Increases in weight bearing on hard surfaces V. Symptoms Sudden onset of pain at base of foot Initially pain only with activity ultimately progresses

2018 FP Notebook

3. Finite Element Analysis of Foot and Ankle Impact Injury: Risk Evaluation of Calcaneus and Talus Fracture (PubMed)

stresses were distributed around the talocalcaneal articulation and the calcaneal tuberosity inferiorly, which corresponded to the common fracture sites.The prediction in this study showed that axial compressive impact at 5.0 m/s could produce considerable yielding of trabecular bone in both calcaneus and talus, dominantly by shear and compounded with compression that predispose the rearfoot in the risk of fracture. This study suggested the injury pattern and fracture mode of high energy trauma (...) Finite Element Analysis of Foot and Ankle Impact Injury: Risk Evaluation of Calcaneus and Talus Fracture Foot and ankle impact injury is common in geriatric trauma and often leads to fracture of rearfoot, including calcaneus and talus. The objective of this study was to assess the influence of foot impact on the risk of calcaneus and talus fracture via finite element analysis.A three-dimensional finite element model of foot and ankle was constructed based on magnetic resonance images

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2016 PloS one

4. Radiographic Evaluation of Ankle Joint Stability After Calcaneofibular Ligament Elevation During Open Reduction and Internal Fixation of Calcaneus Fracture. (PubMed)

Radiographic Evaluation of Ankle Joint Stability After Calcaneofibular Ligament Elevation During Open Reduction and Internal Fixation of Calcaneus Fracture. The aim of this prospective study was to evaluate the influence of sectioning the calcaneofibular ligament (CFL) during an extensile lateral approach during open reduction and internal fixation (ORIF) of calcaneal fractures on ankle joint stability.Forty-two patients with calcaneal fractures that received ORIF were included. Talar tilt (...) stress and anterior drawer radiographs were performed on the operative and contralateral ankles 6 months postoperatively.The average degree of talar tilt on stress radiographs was 3.4 degrees (range, 0-12 degrees) on the operative side and 3.2 degrees (range, 0-14 degrees) on the contralateral side. The mean anterior drawer on stress radiographs of the CFL incised ankle was 6.1 mm (range, 2.4-11.8 mm) and on the contralateral ankle was 5.7 mm (range, 2.6-8.6 mm). There was no statistically

2016 Foot & Ankle International

5. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae American College of Radiology End User License Agreement ACR Appropriateness Criteria is a registered trademark of the American College of Radiology. By accessing the ACR Appropriateness Criteria®, you expressly agree and consent to the terms and conditions as described at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/TermsandConditions.pdf Personal use of material is permitted for research, scientific (...) and/or information purposes only. You may not modify or create derivative works based on American College of Radiology material. No part of any material posted on the American College of Radiology Web site may be copied, downloaded, stored in a retrieval system, or redistributed for any other purpose without the expressed written permission of American College of Radiology. Revised 2016 ACR Appropriateness Criteria ® 1 Stress (Fatigue/Insufficiency) Fracture American College of Radiology ACR Appropriateness

2016 American College of Radiology

6. Lower limb stress fractures in sport: Optimising their management and outcome (PubMed)

of the injury. However, there remains a clear division of stress fractures by "high" and "low" risk. "Low risk" stress fractures are those with a low probability of fracture propagation, delayed union, or non-union, and so can be managed reliably with rest and exercise limitation. These include stress fractures of the Postero-Medial Tibial Diaphysis, Metatarsal Shafts, Distal Fibula, Medial Femoral Neck, Femoral Shaft and Calcaneus. "High risk" stress fractures, in contrast, have increased rates of fracture (...) Lower limb stress fractures in sport: Optimising their management and outcome Stress fractures in sport are becoming increasing more common, comprising up to 10% of all of sporting injuries. Around 90% of such injuries are located in the lower limb. This articles aims to define the optimal management of lower limb stress fractures in the athlete, with a view to maximise return rates and minimise return times to sport. Treatment planning of this condition is specific to the location

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2017 World journal of orthopedics

7. Calcaneus Stress Fracture

Calcaneus Stress Fracture Calcaneus Stress Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Calcaneus Stress Fracture (...) Calcaneus Stress Fracture Aka: Calcaneus Stress Fracture , Calcaneal Stress Fracture From Related Chapters II. Epidemiology Second most common foot (behind ) III. Pathophysiology Repetitive heel overload Most commonly occurs posterior to the posterior facet of subtalar joint IV. Risk Factors Beginning runner Runners on concrete surface Ballet dancers Increases in weight bearing on hard surfaces V. Symptoms Sudden onset of pain at base of foot Initially pain only with activity ultimately progresses

2015 FP Notebook

8. Calcaneus, Fractures

processes. This represents bony edema secondary to a fracture, which is not appreciated on the plain radiographs. Calcaneus, fractures. Technetium-99m diphosphonate bone scan depicts a stress fracture of the calcaneus, which was not apparent on plain radiographs. Limitations of techniques Conventional radiographs may be negative in cases involving subtle fractures, particularly in cases involving stress fractures. Comminuted fractures and displacement are common in fractures of the calcaneus (...) calcaneal fracture. Calcaneus, fractures. Saunders type IV calcaneal fracture. Calcaneus, fractures. Saunders type IV calcaneal fracture. Calcaneus, fractures. Saunders type IV calcaneal fracture. Patients with type 1 injuries do well with nonoperative treatment; patients with injuries of types 2 and 3 may be treated effectively with open reduction and internal fixation; and type 4 injuries defy operative reduction. [ ] Stress fractures CT is occasionally performed to diagnose stress fractures. CT

2014 eMedicine Radiology

9. Common Stress Fractures Of The Foot

. Most metatarsal stress fractures will heal without the need for surgery. Some metatarsal fractures might simply . Stress fractures of the inner or first metatarsal and the most outer or fifth metatarsal can be trickier to manage and usually require that you use crutches to allow for healing. For metatarsal fractures that do not heal surgery might be necessary. Stress fracture of the heel or calcaneus: Stress fractures of the heel or calcaneus are less common than fractures of the metatarsals (...) Common Stress Fractures Of The Foot Common Stress Fractures Of The Foot - Howard J. Luks, MD | Search for: Common Stress Fractures Of The Foot Last Updated November 3, 2018 by Howard J. Luks, MD Metatarsal stress fractures of the foot: The metatarsals are the longest bones in the foot. There are 5 metatarsals, one for each toe. Stress fractures can occur in any of the metatarsals. If you have localized severe tenderness and/or swelling over your metatarsals, you likely have a stress fracture

2016 Howard J. Luks, MD blog

10. Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature (PubMed)

Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature Accessory ossicles of the foot are a common finding. Although mostly asymptomatic, they can gain clinical relevance by trauma or stress on the complex biomechanical system of the foot. There are few reports on the entity of symptomatic calcaneus secundarius. Furthermore, the current literature does not address the need for awareness of calcaneus secundarius as a differential (...) . Depending on size and alignment, calcaneus secundarius can alter the biomechanics in the subtalar region generating pain at the ankle. If a patient has persistent sinus tarsi syndrome, a painful limited subtalar range of motion or repetitive ankle sprains, then calcaneus secundarius should be considered in differential diagnosis. Likewise when a fracture of the anterior process of the calcaneus or a calcaneonavicular coalition is suspected, calcaneus secundarius should be considered a possible diagnosis

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2015 Journal of medical case reports

11. Stress fractures of the foot and ankle. (PubMed)

Stress fractures of the foot and ankle. Stress fractures occur as a result of microscopic injuries sustained when bone is subjected to repeated submaximal stresses. Overtime, with repeated cycles of loading, accumulation of such injuries can lead to macro-structural failure and frank fracture. There are numerous stress fractures about the foot and ankle of which a trauma and orthopaedic surgeon should be aware. These include: metatarsal, tibia, calcaneus, navicular, fibula, talus, medial (...) malleolus, sesamoid, cuneiform and cuboid. Awareness of these fractures is important as the diagnosis is frequently missed and appropriate treatment delayed. Late identification can be associated with protracted pain and disability, and may predispose to non-union and therefore necessitate operative intervention. This article outlines the epidemiology and risk factors, aetiology, presentation and management of the range of stress fractures in the foot and ankle.Copyright © 2015 Elsevier Ltd. All rights

2015 Injury

12. Calcaneal stress fracture: an adverse event following total hip and total knee arthroplasty: a report of five cases. (PubMed)

are not familiar with calcaneal stress fractures that may occur in elderly patients after a total knee or total hip arthroplasty.We retrospectively reviewed the clinical features, imaging findings, and bone mineral content of the proximal part of the femur and the distal end of the radius in five patients who had a calcaneal stress fracture after a total knee or total hip arthroplasty.All patients were women with a mean age of 76.8 years. All fractures occurred in the calcaneus on the same side (...) Calcaneal stress fracture: an adverse event following total hip and total knee arthroplasty: a report of five cases. Stress fractures have been reported to occur in the pubis, femoral neck, proximal part of the tibia, and fabella during the postoperative period following total knee or total hip arthroplasty. However, to our knowledge, calcaneal stress fractures after total hip or total knee arthroplasty have not been reported in the English-language literature. Most orthopaedic surgeons

2014 The Journal of Bone and Joint Surgery. American Volume

13. Stress Fractures (Overview)

Stress Fractures (Overview) Stress Fractures: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI3MDI0NC1vdmVydmlldw== processing > Stress Fractures Updated: Apr 04, 2018 (...) Author: Stefanos F Haddad, MD; Chief Editor: Murali Poduval, MBBS, MS, DNB Share Email Print Feedback Close Sections Sections Stress Fractures Overview Background The stress , first described by Breithaupt in 1855, [ ] is a common overuse injury seen in athletes and military recruits. [ , ] The injury is usually seen in the lower extremities, but it has also been reported in the upper extremities and the ribs. The most common locations for stress fractures include the tibia, metatarsals, fibula

2014 eMedicine Surgery

14. Stress Fractures (Diagnosis)

Stress Fractures (Diagnosis) Stress Fractures: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI3MDI0NC1vdmVydmlldw== processing > Stress Fractures Updated: Apr 04, 2018 (...) Author: Stefanos F Haddad, MD; Chief Editor: Murali Poduval, MBBS, MS, DNB Share Email Print Feedback Close Sections Sections Stress Fractures Overview Background The stress , first described by Breithaupt in 1855, [ ] is a common overuse injury seen in athletes and military recruits. [ , ] The injury is usually seen in the lower extremities, but it has also been reported in the upper extremities and the ribs. The most common locations for stress fractures include the tibia, metatarsals, fibula

2014 eMedicine Surgery

15. Stress Fracture

with the appearance of sclerotic bone following a stress fracture. T1-weighted sagittal magnetic resonance image from the ankle. A stress fracture is noted as a linear area of low signal intensity in the calcaneus. Courtesy of Drs. Mike Handlon, Jennifer Keilp, and Molly Hester. Fatigue fracture is classically described in military recruits and runners in whom normal bone is exposed to repeated abnormal stresses. [ ] Insufficiency fracture results when normal stress is applied to abnormal bone (such as bone (...) fracture is noted as a linear area of low signal intensity in the calcaneus. Courtesy of Drs. Mike Handlon, Jennifer Keilp, and Molly Hester. An area of hyposignal is noted in the T1 sequence at the left sacrum, at the site of an acute stress fracture. If imaging is performed soon after the onset of symptoms (typically within 4 weeks), a high signal area often can be observed in the T2-weighted images and represents associated edema or hemorrhage. (See the image below.) The acute stress fracture

2014 eMedicine Radiology

16. Stress Fractures (Treatment)

, with the possible exception of fractures through the physis of the humeral head (little leaguer's shoulder) and fractures through the medial epicondyle (little leaguer's elbow), which may have complications due to the involvement of the growth plate. Other low-risk fractures include stress fractures of the ribs, pelvis, femoral shaft, fibula, calcaneus, and metatarsal shafts. Previous Next: Prevention Nutritional measures Regarding fracture risk, Schwellnus and Jordaan found no benefit with calcium (...) Stress Fractures (Treatment) Stress Fractures Treatment & Management: Nonoperative Therapy, Surgical Care, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI3MDI0NC10cmVhdG1lbnQ= processing > Stress

2014 eMedicine Surgery

17. Stress Fractures (Follow-up)

, with the possible exception of fractures through the physis of the humeral head (little leaguer's shoulder) and fractures through the medial epicondyle (little leaguer's elbow), which may have complications due to the involvement of the growth plate. Other low-risk fractures include stress fractures of the ribs, pelvis, femoral shaft, fibula, calcaneus, and metatarsal shafts. Previous Next: Prevention Nutritional measures Regarding fracture risk, Schwellnus and Jordaan found no benefit with calcium (...) Stress Fractures (Follow-up) Stress Fractures Treatment & Management: Nonoperative Therapy, Surgical Care, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI3MDI0NC10cmVhdG1lbnQ= processing > Stress

2014 eMedicine Surgery

18. Atraumatic Insufficiency Fractures of the Tarsal Bones - An Unusual Cause of Recurrent Heel Pain in a Patient with Rheumatoid Arthritis: A Case Report (PubMed)

Atraumatic Insufficiency Fractures of the Tarsal Bones - An Unusual Cause of Recurrent Heel Pain in a Patient with Rheumatoid Arthritis: A Case Report The incidence of insufficiency fractures is approximately 1% in rheumatoid arthritis patients. The predisposing factors are chronic inflammation, skeletal deformities, biomechanical stresses and osteoporosis. The medications used in the treatment of rheumatoid arthritis such as Glucocorticosteroids and Methotrexate also contribute (...) to the development of osteoporosis and insufficiency fractures. A 68-year old lady who was suffering from rheumatoid arthritis and on long term Methotrexate was seen in the outpatient clinic with recurrent episodes of heel pain. Examination revealed diffuse tenderness around the heel with full range of ankle movements but painful limitation of subtalar joint movements. Radiographic examination of the ankle showed a highly suspicious fracture of the calcaneus and confirmed on MRI as an insufficiency fracture. She

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2018 Malaysian orthopaedic journal

19. The sustentaculum tali screw fixation for the treatment of Sanders type II calcaneal fracture: A finite element analysis (PubMed)

of the fracture line and the stress distribution in the two models were calculated respectively.The maximum principal stress focused on the cortical bone of sustentaculum tali in both the models under the same loading. The displacement of the fracture line, the maximum principal stress of calcaneus and internal fixation system in the model with sustentaculum screw fixation were smaller than that in the model without sustentaculum screw fixation. The stress in the model with sustentaculum screw fixation (...) element model of Sanders type II calcaneal fracture, the two internal fixation simulations were designed. In one model, the AO calcaneal plate was simulated on the lateral side of the calcanues with 7 screws being fixated at different position of the plate. In the other model, the calcaneus was fixated with the same AO calcaneal plate together with an additional screw being infiltrated into the sustentaculum tali. The two models were simulated under the same loading and the displacement

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2014 Pakistan Journal Of Medical Sciences

20. Navicular Fracture (Overview)

are (1) cortical avulsion, (2) tuberosity, (3) body, and (4) stress. [ , , , , ] Cortical and tuberosity avulsion fractures Avulsion fracture, the most common fracture of the navicular, is often associated with ligamentous injuries and results from twisting forces on the mid foot. These fractures are commonly treated conservatively, except for ( ), which may be repaired operatively, especially if a proximal dislocation of 1 cm or more is present. An avulsion of the posterior tibial tendon insertion (...) and carries the worst prognosis. All navicular body fractures with 1 mm or more of displacement require open reduction and internal fixation. Stress fractures The rest of this article primarily discusses the diagnosis and treatment of navicular stress fractures, which are usually sports-related injuries. In 1855, Brehaulpt first described stress fractures in military recruits who were subjected to long marches. As more civilians took up physically demanding sports, the incidence of stress fractures has

2014 eMedicine.com

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