scholarly journals Midtarsal joint injury - extra-articular avulsion fractures

2020 ◽  
Author(s):  
Henry Knipe
2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jung Il Lee ◽  
Ki-Chul Park ◽  
Hyun Soo So ◽  
Duk Hee Lee

Abstract Background Mini-hook plate has been described for the treatment of various small avulsion fragments in the hand. This retrospective study aimed to evaluate clinical outcomes after mini-hook plate fixation in patients with an avulsion fracture around the interphalangeal or metacarpophalangeal joints of the hand. Methods Nineteen patients with avulsion fractures around the interphalangeal or metacarpophalangeal joints of the hand were included in this study. Seven patients had a mallet fracture, and 12 patients had other phalangeal avulsion fractures including central slip, collateral ligament, volar plate, and flexor avulsion fractures. The osseous union and functional outcomes, including finger joint motion, joint stability, pinching strength, and the disabilities of the arm, shoulder, and hand score, were evaluated. Results The mean duration of follow-up was 33.8 months. All patients in mallet and other phalangeal avulsion fractures achieved osseous union between the avulsion fragment and phalangeal bone, and there was no joint subluxation. There were no significant differences in the disabilities of the arm, shoulder, and hand scores. However, the patients with mallet fracture have lower mean percentage values of the total active range of motion and pinching strength than other phalangeal avulsion fractures. We abandoned this procedure in mallet fractures because the early results after mini-hook plate fixation in mallet fractures appeared unfavorable. Conclusion These results suggest that the mini-hook plate fixation can provide sufficient stability and good clinical outcomes in those with phalangeal avulsion fractures. However, the outcomes for mallet fractures were not as good as those for other phalangeal avulsion fractures.


2021 ◽  
Vol 29 ◽  
pp. S65-S66
Author(s):  
M.-F Hsueh ◽  
J.L. Huebner ◽  
C.A. Jacobs ◽  
C. Lattermann ◽  
K.P. Spindler ◽  
...  

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S141-S144 ◽  
Author(s):  
Adam S. Tenforde ◽  
Pete B. Shull ◽  
Michael Fredericson
Keyword(s):  

The Lancet ◽  
1916 ◽  
Vol 188 (4854) ◽  
pp. 495
Author(s):  
PaulBernard Roth
Keyword(s):  

2017 ◽  
Vol 2017 ◽  
pp. 1-11
Author(s):  
E. Panero ◽  
L. Gastaldi ◽  
W. Rapp

Squat exercise is acquiring interest in many fields, due to its benefits in improving health and its biomechanical similarities to a wide range of sport motions and the recruitment of many body segments in a single maneuver. Several researches had examined considerable biomechanical aspects of lower limbs during squat, but not without limitations. The main goal of this study focuses on the analysis of the foot contribution during a partial body weight squat, using a two-segment foot model that considers separately the forefoot and the hindfoot. The forefoot and hindfoot are articulated by the midtarsal joint. Five subjects performed a series of three trials, and results were averaged. Joint kinematics and dynamics were obtained using motion capture system, two force plates closed together, and inverse dynamics techniques. The midtarsal joint reached a dorsiflexion peak of 4°. Different strategies between subjects revealed 4° supination and 2.5° pronation of the forefoot. Vertical GRF showed 20% of body weight concentrated on the forefoot and 30% on the hindfoot. The percentages varied during motion, with a peak of 40% on the hindfoot and correspondently 10% on the forefoot, while the traditional model depicted the unique constant 50% value. Ankle peak of plantarflexion moment, power absorption, and power generation was consistent with values estimated by the one-segment model, without statistical significance.


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