Yıl: 2021 Cilt: 30 Sayı: 4 Sayfa Aralığı: 185 - 208 Metin Dili: İngilizce DOI: 10.17827/aktd.905091 İndeks Tarihi: 29-07-2022

Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine

Öz:
Foot and ankle injuries may be due to ligament strain or complicated and unstable distant bone fractures depending on the direction and shape of the trauma. Early diagnosis and treatment prevent complications and long-term morbidity. The specialist should take the patient’s history and determine the mechanism and nature of the trauma (recurrent or not) and post-trauma mobilization predictions to evaluate an injured foot and ankle. The trauma mechanism generally points to the possible location of the damage. Trauma size critical for determining the time it takes the injury to recover and the patient to return to work, which can be shortened by the right immobilization. Foot and ankle injuries are more common in indoor court athletes and people with reduced proprioceptive senses and restricted foot dorsiflexion. The specialist should identify preventable and modifiable risk factors and take necessary measures.
Anahtar Kelime: LOW EXTREMİTY FRACTURES FOOT INJURY ANKLE INJURY

Birinci Basamakta Ayak ve Ayak Bileği Travmalı Hastaların Değerlendirilmesi

Öz:
Ayak ve ayak bileği yaralanmaları bu anatomik lokalizasyondaki bağların gerilmesinden kaynaklanabileceği gibi travmanın yönünne, şekline göre uzak kemik kırıklarına neden olabilecek komplike unstabil kırık şeklinde de olabilir. Yaralanmanın erken tanınıp uygun tedavinin uygulanması komplikasyonları ve uzun dönem morbiditeyi önlemek anlamında önemlidir. Travmatik ayak ve ayak bileği değerlendirilirken dikkatlice öykü alınmalıdır. Travmanın mekanizması, hastanın travma sonrası mobilizasyonun öngörüleri ve tekrarlayan bir travma olup olmadığı belirlenmelidir. Yaralanmanın mekanizması hasarın oluşacağı yeri genelde gösterir. Yaralanmanın boyutu, iyileşme için gereken süre ve işe dönme yeteneğini belirlemede önemlidir. Uygun immobilizasyon bu süreyi kısaltabilir. Propriyoseptif duyularında azalma, ayağı dorsifleksiyonda kısıtlılığı olanlarda, kapalı kort sporu yapanlarda ayakve ayak bileği yaralanma riski artmaktadır. Önlenebilir ve değiştirilebilir risk faktörleri belirlenmeli ve tedbir alınmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. Vuurberg, G., Hoorntje A., Wink L. M., van der Doelen B. F. W., van den Bekerom M. P., Dekker R. et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. Br J Sports Med. 2018;52:956.
  • 2. White, T; Bugler, K. Ankle Fractures. In: Tornetta III P, ed. Rockwood and Green's fractures in adults. 9th ed; 2020:4530.
  • 3. Boyce, S. H., Quigley M. A. Review of sports injuries presenting to an accident and emergency department. Emerg Med J. 2004;21:704-6.
  • 4. Court-Brown, C. M., McBirnie J., Wilson G. Adult ankle fractures--an increasing problem? Acta Orthop Scand. 1998;69:43-7.
  • 5. Nitz, A. J., Dobner J. J., Kersey D. Nerve injury and grades II and III ankle sprains. Am J Sports Med. 1985;13:177-182.
  • 6. Williams, G. N., Jones M. H., Amendola A. Syndesmotic ankle sprains in athletes. Am J Sports Med. 2007;35:1197-1207.
  • 7. Bachmann, L. M. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review (vol 326, pg 417, 2003). British Medical Journal. 2003;327:17-17.
  • 8. Odak, S., Ahluwalia R., Unnikrishnan P., Hennessy M., Platt S. Management of Posterior Malleolar Fractures: A Systematic Review. J Foot Ankle Surg. 2016;55:140-5.
  • 9. van den Bekerom, M. P., Mutsaerts E. L., van Dijk C. N. Evaluation of the integrity of the deltoid ligament in supination external rotation ankle fractures: a systematic review of the literature. Arch Orthop Trauma Surg. 2009;129:227-35.
  • 10. Nikken, J. J., Oei E. H., Ginai A. Z., Krestin G. P., Verhaar J. A., van Vugt A. B. et al. Acute ankle trauma: value of a short dedicated extremity MR imaging examination in prediction of need for treatment. Radiology. 2005;234:134-42.
  • 11. Sloan, J. P., Hain R., Pownall R. Clinical benefits of early cold therapy in accident and emergency following ankle sprain. Arch Emerg Med. 1989;6:1-6.
  • 12. SooHoo, N. F., Krenek L., Eagan M. J., Gurbani B., Ko C. Y., Zingmond D. S. Complication rates following open reduction and internal fixation of ankle fractures. J Bone Joint Surg Am. 2009;91:1042-49.
  • 13. van den Bekerom, M. P. J., Sjer A., Somford M. P., Bulstra G. H., Struijs P. A. A., Kerkhoffs Gmmj. Non-steroidal anti- inflammatory drugs (NSAIDs) for treating acute ankle sprains in adults: benefits outweigh adverse events. Knee Surg Sports Traumatol Arthrosc. 2015;23:2390-99.
  • 14. Olson, S. A., Glasgow R. R. Acute compartment syndrome in lower extremity musculoskeletal trauma. J Am Acad Orthop Surg. 2005;13:436-44.
  • 15. Bussa, M., Guttilla D., Lucia M., Mascaro A., Rinaldi S. Complex regional pain syndrome type I: a comprehensive review. Acta Anaesthesiol Scand. 2015;59:685-97.
  • 16. sanders RW, Clare MP. Calcaneous Fractures. 7 ed; 2010.
  • 17. Fortin, P. T., Balazsy J. E. Talus fractures: evaluation and treatment. J Am Acad Orthop Surg. 2001;9:114-27.
  • 18. Chan, G. M., Yoshida D. Fracture of the lateral process of the talus associated with snowboarding. Ann Emerg Med. 2003;41:854-8.
  • 19. Baumhauer, J. F., Alvarez R. G. Controversies in treating talus fractures. Orthop Clin North Am. 1995;26:335-51.
  • 20. Archdeacon, M., Wilber R. Fractures of the talar neck. Orthop Clin North Am. 2002;33:247-62, x.
  • 21. Baumhauer, J. F., Manoli A., 2nd. Principles of management of the severely traumatized foot and ankle. Instr Course Lect. 2002;51:159-167.
  • 22. Thordarson, D. B. Talar body fractures. Orthop Clin North Am. 2001;32:65-77, viii.
  • 23. Eiff MP, Hatch RL. Fracture Management for Primary Care. Fracture Management for Primary Care. 3rd ed; 2012.
  • 24. Isaacs, J. D., Baba M., Huang P., Symes M., Guzman M., Nandapalan H. et al. The diagnostic accuracy of Bohler's angle in fractures of the calcaneus. J Emerg Med. 2013;45:879-84.
  • 25. Boyle, M. J., Walker C. G., Crawford H. A. The paediatric Bohler's angle and crucial angle of Gissane: a case series. J Orthop Surg Res. 2011;6:2.
  • 26. Schweitzer ME, Karasic D. The Foot. In: LF R, ed. Radiology of Skeletal Trauma; 2002:1319.
  • 27. Kalsi, R., Dempsey A., Bunney E. B. Compartment syndrome of the foot after calcaneal fracture. J Emerg Med. 2012;43:e101- 106.
  • 28. Schildhauer TA, Coulibaly MO, Hoffman MF. Fractures and dislocations of the midfoot and forefoot. In: Bucholz RW HJ, McQueen MM, ed. Rockwood and Green's Fractures in Adults; 2015:2690.
  • 29. Hermel, M. B., Gershon-Cohen J. The nutcracker fracture of the cuboid by indirect violence. Radiology. 1953;60:850-4.
  • 30. Carsen, S., Quinn B. J., Beck E., Southwick H., Micheli L. J. "Nutcracker Fracture" in a Ballet Dancer Performing in The Nutcracker. J Dance Med Sci. 2015;19:124-27.
  • 31. Borrelli, J., Jr., De S., VanPelt M. Fracture of the cuboid. J Am Acad Orthop Surg. 2012;20:472-477.
  • 32. Lucerna, A., Espinosa J., Butler N., Wenke A., Caltabiano N. Nutcracker Cuboid Fracture: A Case Report and Review. Case Rep Emerg Med. 2018;2018:3804642.
  • 33. Stodle, A. H., Hvaal K. H., Enger M., Brogger H., Madsen J. E., Ellingsen Husebye E. Lisfranc injuries: Incidence, mechanisms of injury and predictors of instability. Foot Ankle Surg. 2020;26:535-40.
  • 34. Raikin, S. M., Elias I., Dheer S., Besser M. P., Morrison W. B., Zoga A. C. Prediction of midfoot instability in the subtle Lisfranc injury. Comparison of magnetic resonance imaging with intraoperative findings. J Bone Joint Surg Am. 2009;91:892- 99.
  • 35. Kura, H., Luo Z. P., Kitaoka H. B., Smutz W. P., An K. N. Mechanical behavior of the Lisfranc and dorsal cuneometatarsal ligaments: in vitro biomechanical study. J Orthop Trauma. 2001;15:107-110.
  • 36. Ross, G., Cronin R., Hauzenblas J., Juliano P. Plantar ecchymosis sign: a clinical aid to diagnosis of occult Lisfranc tarsometatarsal injuries. J Orthop Trauma. 1996;10:119-122.
  • 37. Kuo, R. S., Tejwani N. C., Digiovanni C. W., Holt S. K., Benirschke S. K., Hansen S. T., Jr. et al. Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Joint Surg Am. 2000;82:1609-18.
  • 38. Myerson, M. S., Fisher R. T., Burgess A. R., Kenzora J. E. Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle. 1986;6:225-42.
  • 39. Hasselman, C. T., Vogt M. T., Stone K. L., Cauley J. A., Conti S. F. Foot and ankle fractures in elderly white women. Incidence and risk factors. J Bone Joint Surg Am. 2003;85:820-24.
  • 40. Armagan, O. E., Shereff M. J. Injuries to the toes and metatarsals. Orthop Clin North Am. 2001;32:1-10.
  • 41. Smith, J. W., Arnoczky S. P., Hersh A. The intraosseous blood supply of the fifth metatarsal: implications for proximal fracture healing. Foot Ankle. 1992;13:143-152.
  • 42. Quill, G. E., Jr. Fractures of the proximal fifth metatarsal. Orthop Clin North Am. 1995;26:353-61.
  • 43. Van Vliet-Koppert, S. T., Cakir H., Van Lieshout E. M., De Vries M. R., Van Der Elst M., Schepers T. Demographics and functional outcome of toe fractures. J Foot Ankle Surg. 2011;50:307-310.
  • 44. Schnaue-Constantouris, E. M., Birrer R. B., Grisafi P. J., Dellacorte M. P. Digital foot trauma: emergency diagnosis and treatment. J Emerg Med. 2002;22:163-170.
  • 45. Hatch, R. L., Hacking S. Evaluation and management of toe fractures. Am Fam Physician. 2003;68:2413-18.
  • 46. Al-Waeli, H., Reboucas A. P., Mansour A., Morris M., Tamimi F., Nicolau B. Non-steroidal anti-inflammatory drugs and bone healing in animal models-a systematic review and meta-analysis. Syst Rev. 2021;10:201.
APA Omeroglu M (2021). Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. , 185 - 208. 10.17827/aktd.905091
Chicago Omeroglu Mevlana Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. (2021): 185 - 208. 10.17827/aktd.905091
MLA Omeroglu Mevlana Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. , 2021, ss.185 - 208. 10.17827/aktd.905091
AMA Omeroglu M Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. . 2021; 185 - 208. 10.17827/aktd.905091
Vancouver Omeroglu M Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. . 2021; 185 - 208. 10.17827/aktd.905091
IEEE Omeroglu M "Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine." , ss.185 - 208, 2021. 10.17827/aktd.905091
ISNAD Omeroglu, Mevlana. "Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine". (2021), 185-208. https://doi.org/10.17827/aktd.905091
APA Omeroglu M (2021). Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. Arşiv Kaynak Tarama Dergisi, 30(4), 185 - 208. 10.17827/aktd.905091
Chicago Omeroglu Mevlana Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. Arşiv Kaynak Tarama Dergisi 30, no.4 (2021): 185 - 208. 10.17827/aktd.905091
MLA Omeroglu Mevlana Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. Arşiv Kaynak Tarama Dergisi, vol.30, no.4, 2021, ss.185 - 208. 10.17827/aktd.905091
AMA Omeroglu M Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. Arşiv Kaynak Tarama Dergisi. 2021; 30(4): 185 - 208. 10.17827/aktd.905091
Vancouver Omeroglu M Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine. Arşiv Kaynak Tarama Dergisi. 2021; 30(4): 185 - 208. 10.17827/aktd.905091
IEEE Omeroglu M "Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine." Arşiv Kaynak Tarama Dergisi, 30, ss.185 - 208, 2021. 10.17827/aktd.905091
ISNAD Omeroglu, Mevlana. "Evaluation of Patients with Foot and Ankle Trauma in Emergency Medicine". Arşiv Kaynak Tarama Dergisi 30/4 (2021), 185-208. https://doi.org/10.17827/aktd.905091