Talar chondral defects can be a source of persistent ankle pain and disability. If untreated, there is an increased risk of osteoarthritis. The purpose of our study was to determine diagnostic accuracy of 3T MRI in detecting Outer bridge grades 3 and 4 articular cartilage lesions of the talus in a clinical setting, utilizing a [...]
Lateral ankle sprains are common sports injuries that may require surgery for chronic lateral ankle instability. Anatomic repair or reconstruction is desired, yet there is a scarcity of quantitative information regarding the origins and insertions of the lateral ligaments related to surgically pertinent osseous landmarks. This study fond consistent distances from the anterior talofibular ligament, [...]
The deltoid ligament has both superficial and deep layers and consists of up to six ligamentous bands. The prevalence of the individual bands is variable, and no consensus as to which bands are constant or variable exists. Although other studies have looked at the variance in the deltoid anatomy, none have quantified the distance to [...]
Anatomic reconstructions of the lateral ankle ligaments with grafts have been proposed for patients with generalized ligamentous laxity, long-standing instability with attenuated native tissues, varus hindfoot misalignment, or failed prior lateral ligament surgery and for very large patients or elite athletes because of increased demands. This study found that anatomic reconstruction of the ATFL with [...]
The concept of utilizing nonabsorbable suture tape fixed directly to bone to augment Brostrom repairs of the anterior talofibular ligament (ATFL) has been proposed. No biomechanical studies of this technique are available. We hypothesized that suture tape augmentation alone and Brostrom repair with suture tape augmentation would have similar biomechanical properties to the intact ATFL at [...]
The purpose of this study was to quantitatively describe the locations of the syndesmotic ligaments and the tibiofibular articulating cartilage surfaces on standard radiographic views using reproducible radiographic landmarks and reference axes. Quantitative radiographic guidelines describing the locations of the primary syndesmotic structures demonstrated excellent reliability and reproducibility. Defined guidelines provide additional clinically relevant information regarding [...]
Lateral ankle ligament injuries rank among the most frequently observed athletic injuries that require repair or reconstruction. However, there is a lack of quantitative data detailing the ligament attachment sites on standard radiographic views. This study quantitatively describes the anatomic attachment sites of the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and posterior talofibular ligament (PTFL) [...]
An increase in the number of traumatic injuries to the metatarsophalangeal joint of the big toe, also known as turf toe, has been due to rise in participation on artificial playing surfaces and the use of more flexible shoewear. This study reviews the relevant anatomy, biomechanics, mechanism of injury, clinical assessment and treatment.
An extension sprain to the first metatarsophalangeal (MTP) joint, commonly called "turf toe" has seen great notoriety since the 1980's. This study breaks down the historical perspective, epidemiology, anatomy, diagnosis, and treatment.
Lisfranc injuries in athletes can be difficult to treat. Proper treatment requires careful examination and use of imaging studies. This study analyzes the various treatment options along with proper management of Lisfranc injuries to ensure a successful recovery.
