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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
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Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Ankle Joint01:10

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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"Nutcracker Fracture" in a Ballet Dancer Performing in The Nutcracker.

Sasha Carsen1, Bridget J Quinn2, Elizabeth Beck2

  • 1Division of Sports Medicine, Boston Children's Hospital, 319 Longwood Ave, Boston, Massachusetts, 02115, USA. scarsen@hotmail.com.

Journal of Dance Medicine & Science : Official Publication of the International Association for Dance Medicine & Science
|September 10, 2015
PubMed
Summary

Professional dancers face high risks for cuboid fractures due to intense physical demands. Non-operative treatment allowed one dancer to return to professional ballet within six months.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Dance Medicine

Background:

  • Classical ballet, particularly en pointe work, places extreme stress on the mid-foot.
  • Acute foot and ankle injuries in dancers can indicate serious conditions like fractures.

Observation:

  • A 26-year-old professional dancer experienced an acute, intra-articular, comminuted, minimally displaced cuboid fracture during a performance.
  • The injury was diagnosed using multiple imaging modalities, including plain film radiographs, MRI, and CT scan.

Findings:

  • Non-operative management, including cast/boot immobilization, modified weightbearing, and rehabilitation, was successful.
  • The dancer returned to professional dancing 6 months post-injury and remains asymptomatic over 1 year later.

Implications:

  • Clinicians should maintain a high index of suspicion for mid-foot fractures in dancers presenting with significant foot/ankle pain or swelling.
  • Treatment decisions should consider fracture characteristics and individual patient factors for optimal outcomes in dancers.
  • Understanding the biomechanical stresses in ballet is crucial for preventing and managing such injuries.