OBJECTIVE To describe the typical sites of stress fractures in the lower extremities and pelvis in rheumatoid patients (rheumatoid arthritis, juvenile chronic arthritis, psoriatic arthritis, ankylosing spondylitis). METHODS Thirty-three patients with 52 stress fractures [mean age 44 years (range 11-73)] were studied at the authors' institution when they were being treated for their rheumatic ...

The purpose of this study is to show that accurate reduction and firm fixation of fractures involving the ankle followed by joint exercises within a few days of operation leads to rapid return of function with consistently good results. Method of treatment-The injuries in this series were treated by open reduction and internal fixation of one or more fractures in order to stabilise the ankle su...

The interobserver variability and the ability of the Lauge-Hansen, A.O. and Broos-Bisschop classification systems to encompass all the ankle fracture patterns were investigated in a study of the radiographs of 293 patients with a total of 294 malleolar fractures. Three different orthopaedic surgeons independently evaluated the sets of ankle radiographs. The examiners classified the ankle fractu...

Overuse injuries of the ankle and foot are common in the general and athletic populations. The wide spectrum of overuse injuries includes ligamentous injuries, soft tissue and osseous impingement, osteochondral lesions, tendon injuries, and stress fractures. Some conditions such as impingement syndromes and stress fractures may be missed on initial physical examination, and patients with such i...

AIM The aim of the study is to compare immediate weight bearing with below-knee cast or immobilization with plaster splint in 6 weeks in patients after operative treatment for ankle bimalleolar fractures. METHODS Fifty-three patients with ankle bimalleolar fractures were treated operatively in 2005 to 2010 and then were randomly allocated to two groups. Immediately weight bearing in a below-k...

Insufficiency fracture is a type of stress fracture, which is the result of normal stresses on abnormal bone. Postmenopausal osteoporosis is the most common cause of insufficiency fractures. An early diagnosis is best made with a bone scan or magnetic resonance imaging, as radiographs may initially appear normal. Insufficiency fractures of the lower leg and ankle are less common. Furthermore, r...

From 1981 to 1985, 193 611 sport parachute jumps were made in the Netherlands of which 267 were reported to have resulted in injury; a detailed report was presented in this journal by Steinberg'. The present communication reports on the results of a follow-up study of that report, based on questionnaires and radiological data. Attention was paid to the accuracy of the types of the reported inju...

Comment 14 This is a reasonable summary of the paper. However, authors could include some changes after the manuscript has been amended so that methods and results are summarised in line with the document. Response 14 We have now updated the abstract to ensure consistency with the updated and improved descriptions provided in the manuscript. Response to Reviewer 3. Thank you for your comments a...

OBJECTIVES The Ottawa Ankle Rules (OAR) have been found to be 100% sensitive in adult patients with ankle injuries, and application of the OAR has resulted in a 28% reduction in the number of x-rays ordered. The objectives of this study were to determine the sensitivity and specificity of the OAR in children and to determine the potential change in x-ray utilization. METHODS Children, aged 2-...

INTRODUCTION Fracture-dislocations of tarsometatarsal joints are rare. Association of these fractures with ankle injuries is very rare; to our knowledge not reported in the literature. Here, we report a rare case of Tarso-metatarsal (Lisfranc) dislocation with bimalleolar fracture with syndesmotic injury. CASE REPORT Patient was treated with closed reduction and fixation of Lisfranc injury wi...