Foot & ankle international
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Randomized Controlled Trial
Effects of alcohol injection in rat sciatic nerve as a model for Morton's neuroma treatment.
Previous studies have shown that the injection of dehydrated alcohol has been successful for the treatment of Morton's neuroma in the foot. In this study, we determined the cellular effect of injection of alcohol into and around the sciatic nerve of rats and measured the extent of cell necrosis and/or any associated histologic or inflammatory changes. ⋯ The lack of any measureable changes in nerve or adjacent muscle histology with ethanol injection into the rat sciatic nerve (and surrounding tissues) raises questions about the efficacy of using ethanol injections in the treatment of Morton's neuroma in human clinical practice.
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The literature on the outcome of sport-related ankle fractures has focused on operatively managed fractures, despite a large proportion being treated nonoperatively. We describe the epidemiology, management, and outcome of acute sport-related ankle fractures in a UK population. ⋯ Level III, retrospective comparative study.
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Comparative Study
Comparison of continuous nerve block versus patient-controlled analgesia for postoperative pain and outcome after talar and calcaneal fractures.
Talar and calcaneal fractures and their treatment can cause severe postoperative pain. We hypothesized that a continuous peripheral nerve block (CPNB) would reduce pain scores more effectively than systemic analgesics, improve recovery, and lead to reduced length of stay (LOS). ⋯ Level III, retrospective comparative series.
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Medical imaging of the distal tibiofibular joint requires reliable and simple tools to identify disruption of the syndesmosis. We present an anatomical feature, the "tibiofibular line," which appears on axial computed tomography (CT) images of normal ankles. This feature is a straight line that connects the anterolateral surface of the fibula with the anterolateral tubercle of the tibia at the level of the ankle syndesmosis. The purpose of this study was, first, to demonstrate that this line is a reliable anatomical feature in normal ankles and, second, to demonstrate that this line is displaced with diastasis or malrotation of the syndesmosis. ⋯ Level III, comparative series.