ABSTRACT
CASE: A 70-year-old active woman presented with lateral ankle instability 40 years after a lateral ankle reconstruction procedure. Examination demonstrated gross instability, and advanced imaging revealed attenuation of her previous graft. She underwent anatomic reconstruction through a modified Brostrom-Gould technique and was able to return to hiking without pain. CONCLUSION: Recurrent lateral ankle instability after reconstruction represents a unique challenge for orthopaedic surgeons. Utilization of a modified Brostrom-Gould procedure with suture tape augmentation is a promising alternative to allograft or autograft reconstruction for patients with active lifestyle goals in the context of recurrent instability.
Subject(s)
Joint Instability , Lateral Ligament, Ankle , Aged , Ankle/surgery , Ankle Joint/diagnostic imaging , Ankle Joint/surgery , Female , Humans , Joint Instability/diagnostic imaging , Joint Instability/etiology , Joint Instability/surgery , Lateral Ligament, Ankle/surgery , Treatment OutcomeABSTRACT
Displaced ulnar collateral ligament injuries of the metacarpophalangeal joint of the thumb, also known as Stener lesions, are a well-recognized clinical entity, requiring surgical intervention because of the trapped location of the torn lateral collateral ligament superficial to the adductor aponeurosis of the thumb. We report a similar lesion located at the first metatarsophalangeal joint, to our knowledge the first ever described in the literature. In our patient, magnetic resonance imaging showed a full-thickness tear of the lateral collateral ligament of the first metatarsophalangeal joint, as well as a full-thickness tear of the extensor hood, with dislocation of the proximal part of the ruptured lateral collateral ligament to a position superficial to the extensor hood. Analogous to true Stener lesions, we are convinced these patients also need early surgical repair. Therefore, we would like to raise awareness about their existence to ensure adequate management of these lesions, in order to prevent possible long-term complications like chronic pain, instability, and joint degeneration.
Subject(s)
Lateral Ligament, Ankle/diagnostic imaging , Lateral Ligament, Ankle/injuries , Magnetic Resonance Imaging/methods , Martial Arts/injuries , Metatarsophalangeal Joint/diagnostic imaging , Metatarsophalangeal Joint/injuries , Adolescent , Combined Modality Therapy , Female , Humans , Lateral Ligament, Ankle/surgery , Metatarsophalangeal Joint/surgery , Physical Therapy Modalities , RuptureABSTRACT
Chronic varus instability of the hallux interphalangeal joint is a rare injury, and only a few reports of this injury have been published. In some studies, this injury has been related to taekwondo. Taekwondo is an essential martial art in the Korean military. We have described a case of varus instability of the hallux interphalangeal joint in a professional soldier who had practiced taekwondo for 5 years and the surgical outcome after reconstruction of the lateral collateral ligament with the fourth toe extensor tendon.
Subject(s)
Hallux/surgery , Joint Instability/surgery , Lateral Ligament, Ankle/surgery , Toe Joint/surgery , Adult , Chronic Disease , Hallux/injuries , Humans , Male , Martial Arts/injuries , Plastic Surgery Procedures , Tendons/transplantationABSTRACT
Plantar dislocation of the 1st metatarsophalangeal joint is an extremely rare injury. To the best of our knowledge, there are no previous reports in the literature of an isolated dislocation of this type requiring open reduction and surgical repair. In this case report, we describe the clinical and operative findings and discuss in detail our surgical technique for the successful management of this unusual injury.