The second largest of the TARSAL BONES. It articulates with the TIBIA and FIBULA to form the ANKLE JOINT.
Inflammation of a bone and its overlaying CARTILAGE.
Harm or hurt to the ankle or ankle joint usually inflicted by an external source.
The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS.
Ankle fractures are breaks in one or more of the bones that make up the ankle joint, namely the tibia, fibula, and/or talus, often caused by trauma or high-impact forces.
Formed by the articulation of the talus with the calcaneus.
Alterations or deviations from normal shape or size which result in a disfigurement of the foot occurring at or before birth.
The largest of the TARSAL BONES which is situated at the lower and back part of the FOOT, forming the HEEL.
The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms.
The articulations between the various TARSAL BONES. This does not include the ANKLE JOINT which consists of the articulations between the TIBIA; FIBULA; and TALUS.
A deformed foot in which the foot is plantarflexed, inverted and adducted.
Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.
Replacement of the ANKLE JOINT.
An ancient city, the site of modern Istanbul. From the 4th to 15th centuries the empire extended from southeastern Europe to western Asia, reaching its greatest extent under Justinian (527-565). By about 1000 A.D. it comprised the southern Balkans, Greece, Asia Minor, and parts of southern Italy. The capture of Constantinople in 1453 marked the formal end of the Byzantine Empire. (From Webster's New Geographical Dictionary, 1988)
Surgical techniques used to correct or augment healing of chondral defects in the joints (CARTILAGE, ARTICULAR). These include abrasion, drilling, and microfracture of the subchondral bone to enhance chondral resurfacing via autografts, allografts, or cell transplantation.
The back (or posterior) of the FOOT in PRIMATES, found behind the ANKLE and distal to the TOES.
Endoscopic examination, therapy and surgery of the joint.
A type of osteochondritis in which articular cartilage and associated bone becomes partially or totally detached to form joint loose bodies. Affects mainly the knee, ankle, and elbow joints.

Assessment of hindfoot deformity by three-dimensional MRI in infant club foot. (1/190)

In 12 infants aged under 16 months with unilateral club foot we used MRI in association with multiplanar reconstruction to calculate the volume and principal axes of inertia of the bone and cartilaginous structures of the hindfoot. The volume of these structures in the club foot is about 20% smaller than that in the normal foot. The reduction in volume of the ossification centre of the talus (40%) is greater than that of the calcaneus (20%). The long axes of both the ossification centre and the cartilaginous anlage of the calcaneus are identical in normal and club feet. The long axis of the osseous nucleus of the talus of normal and club feet is medially rotated relative to the cartilaginous anlage, but the angle is greater in club feet (10 degrees v 14 degrees). The cartilaginous structure of the calcaneus is significantly medially rotated in club feet (15 degrees) relative to the bimalleolar axis. The cartilaginous anlage of the talus is medially rotated in both normal and club feet, but with a smaller angle for club feet (28 degrees v 38 degrees). This objective technique of measurement of the deformity may be of value preoperatively.  (+info)

Fractures of the posteromedial process of the talus. A report of two cases. (2/190)

The authors present two cases of fractures of posteromedial process of talus. One was treated conservatively and the other by excision. The appearances of the CT scans, the therapeutic options and the mechanisms of injury are discussed.  (+info)

Congenital convex pes valgus. (3/190)

Congenital convex pes valgus (congenital vertical talus) is a rare condition. We reviewed ten feet in seven patients who had had surgical correction. All had been operated on by the senior author (JF) and the same surgical technique was used throughout, incorporating transfer of the tibialis anterior to the neck of the talus. The mean age at surgery was 31 months and the mean follow-up was nine years (6 to 14). All patients completed a questionnaire and had clinical, radiological and photographic evaluation performed by an independent examiner. None had required further surgery. All but one were satisfied with the result, and had no functional limitations. They all wore normal shoes. The mean ankle dorsiflexion was 17 degrees and plantar flexion 21 degrees. The mean arc of subtalar motion was 27 degrees. All radiological parameters measured were within the normal range, although irregularity of the talonavicular joint was common. No avascular necrosis of the body of the talus was seen. We conclude that the medium-term results of this procedure are very satisfactory.  (+info)

Subtalar arthrodesis with correction of deformity after fractures of the os calcis. (4/190)

We have reviewed the long-term results of 22 patients (23 fusions) with fractures of the os calcis, who had subtalar arthrodesis with correction of the deformity between 1975 and 1991. The mean follow-up was nine years (5 to 20). All patients were evaluated according to a modified foot score. A radiological assessment was used in which linear and angular variables were measured including the fibulocalcaneal abutment, the height of the heel and fat pad, the angle of the arch and the lateral talocalcaneal and the lateral talar declination angles. The technique used restores the normal relationship between the hindfoot and midfoot and corrects the height of the heel. This leads to better biomechanical balance of the neighbouring joints and gives a favourable clinical outcome. The modified foot score showed a good or excellent result in 51% of the feet. Residual complaints were mostly due to problems with the soft tissues. Subjectively, an excellent or good score was achieved in 78% of the cases. After statistical analysis, except for the height of the heel and the degenerative changes in the calcaneocuboid joint, no significant difference was found in the measured variables between the operated and the contralateral side.  (+info)

Fracture of the entire posterior process of the talus. (5/190)

A 25 year old, who had sustained a fracture of the entire posterior process of the talus, is presented. THe fracture was successfully managed conservatively.  (+info)

The diagnosis of the os trigonum syndrome with a fluoroscopically controlled injection of local anesthetic. (6/190)

PURPOSE: To report the results of excision of the os trigonum using a fluoroscopically controlled injection of local anesthetic to diagnose the os trigonum syndrome. DESIGN AND PATIENTS: Os trigonum syndrome is a recognized cause of pain in the posterior aspect of the foot and ankle. The symptoms and physical findings, however, are often nonspecific and difficult to differentiate from other causes of posterior ankle pain. We report four patients with persistent posterolateral ankle pain despite prolonged nonoperative treatment. An os trigonal syndrome was diagnosed by a positive response to a fluoroscopically guided local anesthetic injection in the region of synchondrosis between the os trigonum and the posterior talus. RESULTS: All four patients underwent excision of the os trigonum with complete resolution of symptoms and return to full activity. CONCLUSIONS: Fluoroscopically controlled injection can help confirm the suspected diagnosis of an os trigonum syndrome and may have positive predictive value regarding the outcome of excisional surgery.  (+info)

Differences in men's and women's mean ankle ligamentous laxity. (7/190)

The incidence of ligamentous ankle injuries is known to be one of the most common athletic injuries that exists. Recently, there has been a great deal of interest regarding the increased risk of female ligamentous injury, such as the anterior cruciate ligament, lateral ankle sprains and others. The purpose of this study is to evaluate whether or not normal lateral ankle ligamentous laxity is similar in male and female athletes. This study selects 22 male and 27 female college athletes who have had no significant ligamentous ankle injuries requiring medical treatment. They were placed on a Telos ligamentous stress device and stressed to a level of 15 daN. Radiographs were then obtained to determine talar tilt at this level of ankle stress. Results were compared between men and women showing that there was a statistically significant difference. Women had a much greater ligamentous laxity of the lateral ankle than men.  (+info)

The study of morphological variation in the hominid fossil record: biology, landmarks and geometry. (8/190)

This review considers some recent advances in shape analysis based on landmark data, and focuses on the application of these methods to the study of skeletal evolution in primates. These advances have provoked some controversy. The major aims of this review are to put these debates in context and to provide an overview for the nonmathematician. The purpose of morphometric studies is considered, together with issues relating to the nature, significance and identification of landmarks before turning to a review of available technologies for the analysis of morphological variation. These are considered in terms of underlying models and assumptions in order to clarify when each is appropriate. To illustrate the application of these methods, 3 example studies are presented. The first examines differences amongst ancient and modern adult human crania using 2-dimensional data. The second illustrates the extension of these methods into 3 dimensions in a study of facial growth in monkeys. The third presents an application to the analysis of the form of the hominoid talus. The review ends with an account of available software resources for shape analysis.  (+info)

The talus is a bone in the foot that articulates with the tibia and fibula to form the ankle joint, also known as the talocrural joint. It is unique because it doesn't have any muscle attachments and gets its blood supply from surrounding vessels. Its main function is to transfer weight and force during movement from the lower leg to the foot.

Osteochondritis is a joint condition where a piece of cartilage or bone in the joint separates from its attachment due to a lack of blood supply. This can cause pain, stiffness, and potentially restricted movement in the affected joint. It often occurs in weight-bearing joints like the knee or ankle, and is more common in children and adolescents. The separated piece may sometimes float around in the joint space, causing further damage to the cartilage and bone. If left untreated, it can lead to long-term joint problems. Also known as osteochondrosis or osteochondritis dissecans.

Ankle injuries refer to damages or traumas that occur in the ankle joint and its surrounding structures, including bones, ligaments, tendons, and muscles. The ankle joint is a complex structure composed of three bones: the tibia (shinbone), fibula (lower leg bone), and talus (a bone in the foot). These bones are held together by various strong ligaments that provide stability and enable proper movement.

There are several types of ankle injuries, with the most common being sprains, strains, and fractures:

1. Ankle Sprain: A sprain occurs when the ligaments surrounding the ankle joint get stretched or torn due to sudden twisting, rolling, or forced movements. The severity of a sprain can range from mild (grade 1) to severe (grade 3), with partial or complete tearing of the ligament(s).
2. Ankle Strain: A strain is an injury to the muscles or tendons surrounding the ankle joint, often caused by overuse, excessive force, or awkward positioning. This results in pain, swelling, and difficulty moving the ankle.
3. Ankle Fracture: A fracture occurs when one or more bones in the ankle joint break due to high-impact trauma, such as a fall, sports injury, or vehicle accident. Fractures can vary in severity, from small cracks to complete breaks that may require surgery and immobilization for proper healing.

Symptoms of ankle injuries typically include pain, swelling, bruising, tenderness, and difficulty walking or bearing weight on the affected ankle. Immediate medical attention is necessary for severe injuries, such as fractures, dislocations, or significant ligament tears, to ensure appropriate diagnosis and treatment. Treatment options may include rest, ice, compression, elevation (RICE), immobilization with a brace or cast, physical therapy, medication, or surgery, depending on the type and severity of the injury.

The ankle joint, also known as the talocrural joint, is the articulation between the bones of the lower leg (tibia and fibula) and the talus bone in the foot. It is a synovial hinge joint that allows for dorsiflexion and plantarflexion movements, which are essential for walking, running, and jumping. The ankle joint is reinforced by strong ligaments on both sides to provide stability during these movements.

An ankle fracture is a medical condition referring to one or more breaks in the bones that make up the ankle joint. The ankle joint is formed by the meeting of three bones: the tibia, fibula, and talus. Ankle fractures can vary in severity, from stable injuries where the broken bones remain aligned, to unstable injuries where the bones are out of alignment or have moved significantly from their normal position.

Ankle fractures can occur as a result of a variety of mechanisms, including twisting, rotating, or rolling the ankle, as well as direct trauma such as a fall, car accident, or sports injury. Symptoms of an ankle fracture may include pain, swelling, bruising, tenderness, and difficulty walking or bearing weight on the affected limb.

Diagnosis of an ankle fracture typically involves a physical examination, medical history, and imaging tests such as X-rays, CT scans, or MRI scans. Treatment may involve immobilization with a cast or splint, surgery to realign and stabilize the bones, or rehabilitation exercises to restore strength and mobility to the affected limb.

It is important to seek medical attention promptly for an ankle fracture, as delaying treatment can lead to complications such as prolonged healing time, decreased range of motion, and increased risk of arthritis or other long-term joint problems.

The subtalar joint is a joint in the foot that is located between the talus and calcaneus (heel) bones. It is called a "joint" because it allows for movement, specifically inversion and eversion, which are the movements that allow the foot to roll inward or outward. The subtalar joint plays an essential role in the biomechanics of the foot and ankle, helping to absorb shock during walking and running, and contributing to the stability of the foot during standing and walking. Issues with the subtalar joint can lead to various foot and ankle problems, such as flatfoot or chronic ankle instability.

Congenital foot deformities refer to abnormal structural changes in the foot that are present at birth. These deformities can vary from mild to severe and may affect the shape, position, or function of one or both feet. Common examples include clubfoot (talipes equinovarus), congenital vertical talus, and cavus foot. Congenital foot deformities can be caused by genetic factors, environmental influences during fetal development, or a combination of both. Treatment options may include stretching, casting, surgery, or a combination of these approaches, depending on the severity and type of the deformity.

The calcaneus is the largest tarsal bone in the human foot, and it is commonly known as the heel bone. It articulates with the cuboid bone anteriorly, the talus bone superiorly, and several tendons and ligaments that help to form the posterior portion of the foot's skeletal structure. The calcaneus plays a crucial role in weight-bearing and movement, as it forms the lower part of the leg's ankle joint and helps to absorb shock during walking or running.

The tarsal bones are a group of seven articulating bones in the foot that make up the posterior portion of the foot, located between the talus bone of the leg and the metatarsal bones of the forefoot. They play a crucial role in supporting the body's weight and facilitating movement.

There are three categories of tarsal bones:

1. Proximal row: This includes the talus, calcaneus (heel bone), and navicular bones. The talus articulates with the tibia and fibula to form the ankle joint, while the calcaneus is the largest tarsal bone and forms the heel. The navicular bone is located between the talus and the cuneiform bones.

2. Intermediate row: This includes the cuboid bone, which is located laterally (on the outside) to the navicular bone and articulates with the calcaneus, fourth and fifth metatarsals, and the cuneiform bones.

3. Distal row: This includes three cuneiform bones - the medial, intermediate, and lateral cuneiforms - which are located between the navicular bone proximally and the first, second, and third metatarsal bones distally. The medial cuneiform is the largest of the three and articulates with the navicular bone, first metatarsal, and the intermediate cuneiform. The intermediate cuneiform articulates with the medial and lateral cuneiforms and the second metatarsal. The lateral cuneiform articulates with the intermediate cuneiform, cuboid, and fourth metatarsal.

Together, these bones form a complex network of joints that allow for movement and stability in the foot. Injuries or disorders affecting the tarsal bones can result in pain, stiffness, and difficulty walking.

The tarsal joints are a series of articulations in the foot that involve the bones of the hindfoot and midfoot. There are three main tarsal joints:

1. Talocrural joint (also known as the ankle joint): This is the joint between the talus bone of the lower leg and the tibia and fibula bones of the lower leg, as well as the calcaneus bone of the foot. It allows for dorsiflexion and plantarflexion movements of the foot.
2. Subtalar joint: This is the joint between the talus bone and the calcaneus bone. It allows for inversion and eversion movements of the foot.
3. Tarsometatarsal joints (also known as the Lisfranc joint): These are the joints between the tarsal bones of the midfoot and the metatarsal bones of the forefoot. They allow for flexion, extension, abduction, and adduction movements of the foot.

These joints play an important role in the stability and mobility of the foot, allowing for various movements during activities such as walking, running, and jumping.

Clubfoot, also known as talipes equinovarus, is a congenital foot deformity where the foot is twisted inward and downward. The affected foot appears to be turned inward and downward, resembling a club or a bowling pin. This condition usually affects one foot but can occur in both feet as well.

The cause of clubfoot is not fully understood, but it is believed to be a combination of genetic and environmental factors. Clubfoot is often diagnosed at birth or during routine prenatal ultrasound exams. Treatment for clubfoot typically involves nonsurgical methods such as stretching, casting, and bracing to gradually correct the position of the foot over time. In some cases, surgery may be required to release tight tendons and realign the bones in the foot and ankle.

If left untreated, clubfoot can lead to significant mobility issues and difficulty walking or participating in activities. However, with early intervention and consistent treatment, most children with clubfoot are able to lead active and normal lives.

Surgical casts are medical devices used to immobilize and protect injured body parts, typically fractured or broken bones, during the healing process. They are usually made of plaster or fiberglass materials that harden when wet and conform to the shape of the affected area once applied. The purpose of a surgical cast is to restrict movement and provide stability to the injured site, allowing for proper alignment and healing of the bones.

The casting process involves first aligning the broken bone fragments into their correct positions, often through manual manipulation or surgical intervention. Once aligned, the cast material is applied in layers, with each layer being allowed to dry before adding the next. This creates a rigid structure that encases and supports the injured area. The cast must be kept dry during the healing process to prevent it from becoming weakened or damaged.

Surgical casts come in various shapes and sizes depending on the location and severity of the injury. They may also include additional components such as padding, Velcro straps, or window openings to allow for regular monitoring of the skin and underlying tissue. In some cases, removable splints or functional braces may be used instead of traditional casts, providing similar support while allowing for limited movement and easier adjustments.

It is essential to follow proper care instructions when wearing a surgical cast, including elevating the injured limb, avoiding excessive weight-bearing, and monitoring for signs of complications such as swelling, numbness, or infection. Regular check-ups with a healthcare provider are necessary to ensure proper healing and adjust the cast if needed.

Ankle arthroplasty, also known as ankle replacement surgery, is a surgical procedure in which the damaged or degenerated joint surfaces of the ankle are removed and replaced with artificial components. The goal of this procedure is to relieve pain, restore range of motion, and improve function in patients with severe end-stage arthritis of the ankle joint.

During the surgery, the surgeon makes an incision over the front or side of the ankle to access the damaged joint. The ends of the tibia and talus bones are then prepared by removing any remaining cartilage and a small amount of bone. The artificial components, which typically consist of metal and plastic parts, are then positioned and fixed in place with cement or screws.

After the surgery, patients will need to undergo physical therapy to help regain strength, range of motion, and mobility in the ankle. It is important to follow the surgeon's instructions carefully during the recovery period to ensure proper healing and optimal outcomes.

Ankle arthroplasty is usually recommended for patients who have tried other treatments, such as pain medication, physical therapy, or bracing, but have not found relief from their symptoms. It is typically reserved for older adults with low functional demands, as younger, more active patients may be better suited for ankle fusion surgery, which provides greater stability and durability over time.

"Byzantium" is a historical term that refers to the city of Constantinople, which is now known as Istanbul in modern-day Turkey. The term is most commonly used in reference to the Byzantine Empire, also known as the Eastern Roman Empire, which was a continuation of the Roman Empire in its eastern provinces during Late Antiquity and the Middle Ages.

The Byzantine Empire had its capital at Constantinople, which was founded by the Roman Emperor Constantine the Great in 324 AD and was renamed after him as "Constantinopolis" or "Constantinople." The term "Byzantium" is derived from the name of the earlier Greek colony that existed on the site of Constantinople, known as "Byzantion."

There is no medical definition associated with the term "Byzantium," as it is a historical and geographical term.

Arthroplasty is a surgical procedure to restore the function or relieve pain in a joint. Subchondral arthroplasty specifically refers to a type of arthroplasty that involves the removal and replacement of damaged or diseased subchondral bone, which is the layer of bone directly beneath the articular cartilage in a joint.

In this procedure, the surgeon removes the damaged or necrotic subchondral bone and replaces it with a graft or synthetic material to restore the smooth, cushioned surface of the joint. This can help to relieve pain, improve mobility, and prevent further degeneration of the joint.

Subchondral arthroplasty may be recommended for patients with advanced osteoarthritis, avascular necrosis, or other conditions that affect the subchondral bone. It is typically considered as a last resort when other treatments have failed to provide adequate relief.

In medical terms, "heel" generally refers to the posterior and largest part of the foot, specifically the calcaneus bone. The heel is the first part of the foot to make contact with the ground during walking or running, and it plays a crucial role in supporting the body's weight and absorbing shock during movement.

The term "heel" can also be used to describe a structure or device that is attached to the back of a shoe or boot to provide additional height, support, or protection to the wearer's heel. These types of heels are often worn for fashion purposes or to compensate for differences in leg length.

Arthroscopy is a minimally invasive surgical procedure where an orthopedic surgeon uses an arthroscope (a thin tube with a light and camera on the end) to diagnose and treat problems inside a joint. The surgeon makes a small incision, inserts the arthroscope into the joint, and then uses the attached camera to view the inside of the joint on a monitor. They can then insert other small instruments through additional incisions to repair or remove damaged tissue.

Arthroscopy is most commonly used for joints such as the knee, shoulder, hip, ankle, and wrist. It offers several advantages over traditional open surgery, including smaller incisions, less pain and bleeding, faster recovery time, and reduced risk of infection. The procedure can be used to diagnose and treat a wide range of conditions, including torn ligaments or cartilage, inflamed synovial tissue, loose bone or cartilage fragments, and joint damage caused by arthritis.

Osteochondritis dissecans (OCD) is a joint condition that occurs when a piece of cartilage or bone in the joint separates from its underlying bone due to a lack of blood supply. This condition most commonly affects the knee, but it can also occur in other joints such as the elbow, ankle, and wrist.

In OCD, the affected area of cartilage and bone may form a loose body that can move around within the joint, causing pain, swelling, and limited mobility. In some cases, the loose body may eventually heal on its own, but in other cases, surgical intervention may be necessary to remove or repair the damaged tissue.

OCD is more common in children and adolescents, particularly those who participate in sports that involve repetitive joint trauma. Treatment for OCD typically involves a combination of rest, physical therapy, and possibly surgery, depending on the severity of the condition.

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