Foot & Ankle Archive

SUMMARY: US emergency department data show ankle sprains peak in adolescents/young adults, with young males and older females at higher risk and half occurring during sports like basketball.

SUMMARY: In 427 ankle fractures, posterolateral and lateral approaches showed similar fracture-related infection rates, so approach choice should be based on fracture morphology, not infection risk.

SUMMARY: Title indicates this is an early J Orthop Trauma paper on intra-articular calcaneal fractures, likely addressing diagnosis and surgical management, but no abstract content is provided.

SUMMARY: Study links obesity, hypertension, and estrogen/steroid exposure to symptomatic Achilles tendinopathy, implicating impaired microvascularity as a contributing mechanism.

SUMMARY: Propensity-matched TriNetX cohort study found female athletes on hormonal contraceptives had significantly lower 5-year risk of ACL sprain, meniscal tear, and stress fractures than nonusers.

SUMMARY: Radiofrequency ablation for interdigital neuroma gave meaningful pain/function improvement in about two-thirds of patients at 2 years, though 27% ultimately needed surgery.

SUMMARY: Comprehensive review recommends staged management of Achilles mid-substance tendinopathy starting with eccentric exercise, then high-volume injection or shockwave therapy, reserving surgery for refractory cases.

SUMMARY: In 83 diabetic Charcot arthrodesis patients, longer diabetes duration and smoking—not HbA1c or Brodsky classification—were most consistently linked to early postoperative failure.

SUMMARY: In open ankle fractures, early medial malleolar fixation shortened hospital stay and reduced reoperations but carried a higher infection risk, especially in bi/trimalleolar injuries, urging caution in higher-energy fractures.

SUMMARY: Cadaveric testing showed complete (but not partial) injury to the ATFL's superior fascicle significantly increased internal rotational ankle laxity, supporting use of internal rotation testing for diagnosing ATFL injury.

SUMMARY: Weightbearing cone beam CT offers more reliable 3D measurements (HV and intermetatarsal angles) than conventional radiographs for evaluating hallux valgus deformity.

SUMMARY: In this retrospective multicenter study of syndesmotic screw fixation for ankle fractures, anatomic reduction of the syndesmosis was the only significant predictor of better functional outcome, while 16% of screws may have been unnecessary.

SUMMARY: This review outlines surgical options—from direct repair to muscle transfers and synthetic augments—for managing abductor deficiency causing recurrent instability after THA.

SUMMARY: Landmark 1980 JBJS study by Sutherland et al. characterizing how normal gait patterns mature developmentally in children.

SUMMARY: Hallux valgus is increasingly recognized as a multiplanar deformity with metatarsal pronation—seen in up to 87% of cases on CT—driving recurrence risk and guiding supination-focused surgical correction.

SUMMARY: A staged protocol of early fibula fixation and spanning external fixation followed by delayed definitive plating for complex pilon fractures resulted in low wound complication rates in both closed and open injuries.

SUMMARY: Iliac crest bone-block arthrodesis achieved 97% union and major pain/function gains after failed first MTP joint surgery with bone loss, but complications were common and outcomes worse with comorbidities or larger grafts.

SUMMARY: Reviews nonsurgical options—Achilles stretching, metatarsal offloading, taping, and steroid injections—for managing lesser MTP joint instability, noting injections risk further ligament attenuation.

SUMMARY: Literature review of 20 studies proposes a grading system classifying total ankle arthroplasty complications (e.g., infection, loosening as high-grade) to guide postoperative management.

SUMMARY: This narrative review outlines key surgical principles for treating proximal humerus, distal humerus, distal radius, proximal tibia, and ankle fractures to optimize reduction and reduce complications.

SUMMARY: Higher resilience scores were linked to better mental and physical patient-reported outcomes after operative pilon fracture fixation, independent of injury severity.

SUMMARY: This review supports intramedullary screw fixation as the standard for fifth metatarsal stress fractures in athletes, with plantar plating emerging as a biomechanically favorable alternative.

SUMMARY: Weightbearing CT–based study shows long-leg and dedicated ankle AP radiographs give discordant coronal ankle alignment measurements (varus/valgus mismatch in up to 22% of ankles), so the two views should not be used interchangeably.

SUMMARY: This prospective study found that most patients with symptomatic osteochondral talar lesions have mental health scores as poor as those with mood/anxiety disorders, persisting even after successful treatment, supporting integrated mental health care.

SUMMARY: An international consensus establishes standardized reporting recommendations for participant characteristics (demographics, symptoms, imaging, activity level) in tendinopathy research to improve study quality and comparability.

SUMMARY: A simplified Kirschner-wire-guided technique for talocalcaneal coalition excision reduced operative time and cost compared to traditional methods without increasing complications.

SUMMARY: In this registry cohort, preoperative anxiety/depression was common before total ankle arthroplasty but did not independently predict worse 12-month patient-reported outcomes, and most patients' symptoms resolved postoperatively.

SUMMARY: This review finds that operative ORIF for type 2/3 navicular stress fractures in high-level athletes yields faster, more reliable return to activity than traditional nonweightbearing management.

SUMMARY: This review examines subtalar arthroereisis for flexible progressive collapsing foot deformity in adults, noting generally improved clinical scores but unclear indications and sinus tarsi pain as the main complication.

SUMMARY: Ankle distraction arthroplasty offloads the joint via external fixation as a joint-preserving alternative to arthroplasty/arthrodesis for ankle osteoarthritis, with this review covering its evidence, indications, and outcomes.