• Title/Summary/Keyword: Tarsal joint

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Chopart Joint Fracture and Dislocation: A Report of Three Cases (Chopart 관절 골절 및 탈구: 3예 보고)

  • Kim, Sung-Hyun;Suh, Jae Wan;Park, Hyun-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.120-126
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    • 2018
  • Chopart joint fracture and dislocation are rare injuries compared with other joint injuries with various clinical manifestations. Moreover, there is a lack of knowledge of the radiological findings of the joints, and thus, the extent of joint ligament damage may be underestimated, leading to improper treatment. This paper reports three cases of Chopart joint injury and seeks to reconsider the importance of Chopart joint evaluation and treatment.

Talonavicular Dislocation with Nondisplaced Fracture of Navicular - Case Report - (족근 거주상탈구와 동반된 비전위성 주상골 골절 - 증례 보고 -)

  • Hong, Chang-Hwa;Park, Jong-Seok;Choi, Ho-Rim;Lee, Sang-Soen;Kwon, Sai-Won;Cho, Ju-Hyeong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.1
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    • pp.55-57
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    • 2008
  • Isolated navicular fracture and dislocation of talonavicular joint is extremely rare. It is recommended closed or open reduction for displaced fracture. We reported one case of isolated tarsal navicular fracture and dislocation of the talonavicular joint, treated with open reduction and internal fixation using K-wires.

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Operative Treatment of Tarsal Coalitions (족근 골 결합의 수술적 치료)

  • Park, Yong-Wook;Yoon, Tae-Kyung;Jeong, Un-Seob
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.41-46
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    • 2003
  • Purpose: The purpose of this study was to evaluate the results of surgical treatments for tarsal coalitions. Materials and Methods: A retrospective study was conducted between October 1995 and September 2002. Four cases of talocalcaneal coalitions and two cases of calcaneonavicular coalitions were included. We did bone excision for three cases of talocalcaneal coalitions and two cases of calcaneonavicular coalitions. In one case of talocalcaneal coalition, we did subtalar fusion. Follow-up averaged 43 months. We evaluated both the patients' satisfaction rates by Mann and Reynolds scorring and compared the radiographic results between preoperative and final radiography. Results: The satisfaction outcomes at the last follow-up were two excellent and two good in talocalcaneal coalitions and all excellent in calcaneonavicular coalitions. Two cases of talocalcaneal coalition who did excision of coalition complained mild pain in hindfoot, however, symptoms improved than preoperation. In calcaneonavicular coalition, pain is subsided at mean post-operative 13 weeks. During follow-up period, there were no radiographic changes and recurrence in all cases. Conclusion: In small cases, we think the cause of subsidence of symptoms maybe reconstruction of normal joint motion after excision of tarsal coalition. But, we try to warn the patients with talocalcaneal coalition that the symptom may not be completely subsided after the excision of coalitions.

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Unilateral Talonavicular Coalition: A Case Report (편측성 거주상 골결합증: 증례 보고)

  • Ahn, Jungtae;Moon, Myung-Sang;Sung, Ki-Sun;Kwon, Ki-Tae
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.1
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    • pp.36-38
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    • 2016
  • Tarsal coalition is an abnormal union between two or more bones of the hind- and mid-feet, which can occur at various rates from cartilaginous to osseous union. Talonavicular coalition is reported less frequently than calcaneonavicular or talocalcaneal coalition and has been associated with various abnormalities, including symphalangism, clinodactyly, ray anomaly, clubfoot, other tarsal coalitions, and a ball-and-socket ankle joint. Patients with talonavicular coalitions are usually asymptomatic and rarely require surgical treatment. We review the literature and report on a case of 59-year-old male patient with talonavicular coalition.

Non-osseous Coalition of the Third Metatarsal-Lateral Cuneiform Joint: A Case Report (제 3중족-외측 설상 관절에서 발생한 비골성 족근골 결합: 증례 보고)

  • Seo, Jae-Seong;Min, Hak-Jin;Kim, Ki Chun;Roh, Young Ju;Shin, Seong Kee
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.177-180
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    • 2018
  • This paper reports a rare case of the symptomatic third metatarsal (MT3) - lateral cuneiform (LC) in a 55-year-old male who presented with complaints of severe intermittent pain in his right foot. Plain radiographs and computed tomography scans revealed sclerosis and irregularity at this joint. The intraoperative findings demonstrated a fibrocartilaginous coalition. The pain had improved one year after removing the MT3-LC joint by en bloc and arthrodesis.

Effects of Acupuncture Treatment and Taping Therapy After Lisfranc Joint Injuries: A Case Report

  • Kim, Shin-Ae;Kang, Su-Woo;Lee, Eun-Ji;Kwak, Min-Kyung;Jeong, Hui-Gyeong;Sul, Jae-Uk
    • Journal of Acupuncture Research
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    • v.34 no.4
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    • pp.197-200
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    • 2017
  • The effects of acupuncture treatment and taping therapy on a 22-year-old man who suffered from left foot pain due to Lisfranc joint injury were examined. Fractures of the first, second, and third metatarsal bones and a cuneiform bone were treated with acupuncture and taping therapy from March 24, 2017 to May 4, 2017. The patient was evaluated using the American Orthopaedic Foot & Ankle Society's Ankle-Hindfoot Scale. His Ankle-Hindfoot Score increased from 27 points pre-treatment to 65 points post-treatment. There were no side effects. While the improvement observed in this patient is encouraging, no definitive conclusion on the effects of acupuncture treatment and taping therapy on Lisfranc joint injuries can be reached without further large-scale study.

Concurrent Validity of a Universal Goniometer and a Double Meter Inclinometer for Passive Range of Motion in Beagle Dogs

  • Heo, Su-Young;Park, Yun-Sik;Lee, Hae-Beam
    • Journal of Veterinary Clinics
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    • v.34 no.4
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    • pp.241-244
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    • 2017
  • The purpose of this study was to evaluate the concurrent validity of the double meter inclinometer (DMI) for passive joint range of motion (ROM) in beagle dogs and to compare these results to a universal plastic goniometer (UPG). Fifteen beagle dogs were recruited for this study. Joint ROM was evaluated twice with each device to calculate the intraobserver reliability. The intraclass correlation coefficient (ICC) values of the UPG were good to excellent (> 0.75) for all joint ROM tests. Similar results were obtained with the DMI. The ICC values of the DMI were good to excellent (> 0.75) except in extension of the tarsal joint (ICC = 0.69). The majority of the ICC results between each device were poor (< 0.50) with the exception of six joints. Our findings suggest that the inclinometer can be used for passive joint ROM in veterinary medicine. However, caution should be taken when comparing measured values of passive joint ROM obtained utilizing both the DMI and UPG.

Magnetic Resonance Imaging and Ultrasonographic Evaluation of Canine Tarsus

  • Soomin Park;Sang-hwa Ryu;Jae-gwan Heo;Eun-jee Kim;Jihye Choi;Junghee Yoon
    • Journal of Veterinary Clinics
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    • v.41 no.2
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    • pp.79-87
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    • 2024
  • The tarsus in dogs has a complex structure that makes its evaluation relatively challenging. Because an accurate diagnosis of the tarsus is difficult through basic examinations alone, imaging tests are essential. Previous studies have explored the anatomical and radiological features of the canine tarsus using several imaging modalities. However, the imaging utility of the tarsus across different modalities has not been thoroughly evaluated. This study aimed to visualize the tarsal structures using magnetic resonance imaging (MRI) and ultrasonography, compare their utility, and propose suitable imaging modalities and conditions for evaluating specific tarsal structures. Magnetic resonance imaging and ultrasound scans of the tarsus of four healthy dogs were performed, and two observers rated the utility of each image on a five-point scale. Although MRI is more beneficial for assessing the tarsal structures than ultrasound, ultrasound also appears clinically useful for evaluating the cranial tibialis muscle, deep digital flexor tendon, subcutaneous fat, joint space, and superficial digital flexor tendon. In addition, each structure of interest can be evaluated for optimal visibility using specific ultrasound sections, MRI sequences, and planes. In veterinary clinical practice, an initial assessment using ultrasound imaging with optimal visibility is required and if further evaluation is necessary, MRI examinations with optimal MRI sequences and planes can be performed.

Pathological fracture induced by Halicephalobus gingivalis (Nematoda: Rhabditida) in a horse limb

  • Ticiana Meireles Sousa;Hugo Shisei Toma;Antonio de Padua Lima;Antonio Carlos Cunha Lacreta Junior;Maira Meira Nunes;Ana Paula Cassiano da Silva;Daniel Wouters;Adriana Silva Albuquerque;Mary Suzan Varaschin;Djeison Lutier Raymundo;Claudia Dias Monteiro Toma;Fernando Arevalo Batista
    • Parasites, Hosts and Diseases
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    • v.62 no.1
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    • pp.131-138
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    • 2024
  • Halicephalobus gingivalis is a free-living nematode that occasionally causes infections in horses. We report a rare case of limb fracture of horse caused by infection with H. gingivalis. An 8-year-old mare was referred to the Veterinary Hospital of the Federal University of Lavras with claudication grade 5 of the right hind limb, that had been started 3 months ago. The patient had aseptic arthritis in the tarsal joint and edema that extended to the quartile. The radiographic examination showed punctate osteolysis with exacerbation of bone trabeculation along the calcaneus, talus, proximal epiphysis of the third metatarsal and distal epiphysis of the tibia. Treatment for arthritis was initiated, and the animal showed a slight improvement in limb function. However, 21 days after hospitalization, due to a comminuted fracture of the tibia, it was euthanized. At necropsy, yellowish masses were found from the metatarsal to the tibia, and around the tarsal bones and joint. Similar masses were also found in the left kidney. Numerous nematodes compatible with H. gingivalis were identified. This is the first description of a pathological fracture caused by H. gingivalis infection in an equine limb.

Operative Treatment of Symptomatic Naviculocuneiform Coalition in Children (2 Cases Report) (소아 주상설상 결합 환자의 수술적 치료(2예 보고))

  • Kwak, Yoon-Hae;Shin, Won-Hyoung;Park, Jae-Yong
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.3
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    • pp.179-182
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    • 2011
  • Naviculocuneiform coalition is one of uncommon tarsal coalitions and especially symptomatic cases which need operative treatment are rare. Authors report 2 cases of pediatric naviculocuneiform patients who showed symptomatic condition as mainly pain. Plain radiographs, computed tomography or magnetic resolution imaging study showed bony bridge in naviculo-medial cuneiform joint. After over six months conservative treatment, excision of coalition and interposition $Tisseel^{(R)}$ was performed for motion preservation and relief of pain.