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Integrating Principles and Evidence

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-Foot and Ankle Trauma

Achilles Tendon Pathology

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA 1. Location and Structure The Achilles tendon is located in the posterior ankle. It is the strongest and thickest tendon in the body. Formed from: Soleus muscle Gastrocnemius muscle Inserts into the calcaneus (heel bone). 2. Associated Bursae Subcutaneous Calcaneal Bursa Located superficial to the Achilles […]

Jones Fracture

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Metatarsal Fractures Metatarsal fractures can involve: First metatarsal Fifth metatarsal Second, third, and fourth metatarsals (including stress fractures) 1. First Metatarsal Fractures Key Points Different from fractures of the second, third, and fourth metatarsals. The first metatarsal carries a greater load. Malunion may cause: Transfer lesions […]

Missed Lisfranc Injuries

Courtesy Dr Pradeep Moonot, Dr Ashok Shyam, Ortho TV

Ankle Ligament Injury, Evaluation and Tests, Diagnosis and Treatment.

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Ankle Sprain – Evaluation, Tests, Diagnosis, and Treatment General Concepts Ankle ligaments are complex stabilizers of the ankle joint Injury to these ligaments = ankle sprain Types of Ankle Sprain Low ankle sprain Lateral ligament injury (most common) High ankle sprain Syndesmotic injury (less common, […]

Ankle Fractures: Types, Symptoms and Treatment

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

Ankle Fractures

  Ankle Fractures – Classification Overview Classification of ankle fractures helps determine: Mechanism of injury Stability Treatment strategy Two Most Common Systems Weber Classification – Based on fracture level Lauge-Hansen Classification – Based on mechanism 1. Weber Classification Principle Based on level of fibular fracture relative to: Syndesmosis (distal tibiofibular joint) Weber Type A Fracture […]

Lisfranc Injuries

Courtesy: Ioannis Stavrakakis MD, Crete, Greece

Achilles Tendon Rupture

Courtesy: Lyndon Mason, FRCSOrth, Liverpool, UK   Achilles Tendon Rupture – Key Orthopaedic Principles Introduction The Achilles tendon is formed by: Gastrocnemius Soleus (Together called triceps surae) Insertion Calcaneal tuberosity Fiber Orientation Tendon fibers rotate before insertion Medial gastrocnemius fibers insert more posteriorly Clinical Note Medial gastrocnemius release can improve tightness Blood Supply Segmental Supply […]

From MIS to mis: Evolution of Calcaneal Fracture Management

Courtesy: Alan Yan MD, Asst Professor, University of South Dakota, US

Talus Fractures and Dislocations

Courtesy: Lyndon Mason FRCSOrth, Liverpool Foot and Ankle, UK Overview Talar fractures are uncommon injuries There are no studies higher than Level III evidence The majority of available literature consists of Level IV and Level V studies Current management principles are therefore based largely on accepted clinical wisdom Accepted Principles (“Accepted Wisdom”) Management of talar […]

All about Ankle Fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

Posterior Malleolus Fractures

Courtesy: Prof Lyndon Mason, FRCSOrth, Liverpool, UK

Maisonneuve Fracture of Ankle

Courtesy: Prof Nabil EBraheim, University of Toledo, Ohio, USA MAISONNEUVE FRACTURE OF ANKLE   Maisonneuve fracture involves fracture of the proximal fibula associated with an occult unstable injury of the ankle. Problem in these patients occurs when the ankle injury is presented without a fracture of the lateral malleolus or the medial malleolus and the […]

Fractures of the Calcaneus

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

Skin & Soft Tissue Condition in Calcaneal Fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

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