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Lisfranc Injuries in the Elite Athlete
Michael Isiah Sandlin1, Cyrus E Taghavi, Timothy P Charlton
1Orthopaedic Surgery Foot and Ankle Fellow, Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Abstract:
The management of sports-related Lisfranc injuries is optimized by a detailed understanding of the relevant anatomy, mechanisms of injury, clinical diagnostic maneuvers, imaging, and treatment options for patients with this disabling injury. A lower energy ligamentous variant Lisfranc injury, which was first observed in professional football players, has recently been described. The treatment options for patients with a Lisfranc injury include nonsurgical management, open reduction and internal fixation, suture-button fixation techniques, and arthrodesis.
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01:27Fractures: Bone Repair
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...
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:24Flail Chest-I
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
The pathophysiology of flail chest is complex, involving fractures of...