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A typical snowboarding injury--fracture of the processus lateralis tali

, : A typical snowboarding injury--fracture of the processus lateralis tali. Therapeutische Umschau. Revue Therapeutique 57(12): 756-759

Before the development of the snowboard sport, the fracture of the lateral process of the talus was a very rare injury. Since the increasing popularity of snowboarding, starting in Europe at about 1980, these fractures occurred more frequently. The largest epidemiological serie from Kirkpatrick in 1998 reports an incidence of 2.3% of all snowboarding injuries representing 15% of all snowboarding ankle injuries [1]. The common mechanism for fracture is dorsiflexion of the ankle and inversion of the hindfoot. Early diagnosis is emphasized in all series reviewed in the literature to prevent long-term complications [4]. Because routine radiographs failed to determine either the size or comminution of the fractured process, CT imaging was used to accurately assess the size, displacement, and comminution of the fractured process. CT scans also showed the extent of subtalar joint involvement, any associated tendon pathology, or additional fractures [5]. Many of these fractures are not visible on plain radiographs and require computed tomography imaging to be diagnosed. Diagnosis of this fracture pattern is paramount; the physician should be very suspicious of anterolateral ankle pain in the snowboarder, where subtle fractures that may require surgical intervention can be confused with anterior talofibular ligament sprains [1]. Most authors agree, that nondisplaced fractures are best treated with cast immobilization and that displaced fractures require a surgical treatment: Single large displaced fragments are reduced and internally fixed, small displaced or comminuted fragments may need surgical excision. After two to three days bedrest with elevated leg, ambulation is started under partial weight bearing of 10-15 kg for 6 weeks. Physicians caring for snowboarders should look specifically for fracture of the lateral process of the talus in a snowboarder with a lateral ankle or foot injury [3]. This fracture can mimic a lateral ankle sprain, yet the fracture is easily missed on plain radiographs of the ankle. Because displaced or comminuted fractures can cause long-term disability, primary care physicians and specialists alike need to be aware of the association of this fracture with snowboarding [3].


PMID: 11155553

Other references

Belintsev B.N.; Vol'kenshtein M.V., 1977: Phase transitions in an evolving population. Doklady Biological Sciences 235(1-6): (1978)

Yaremchuk M.J.; Weiland A.J., 1990: The role of the free tissue transfer in the reconstruction of the traumatized lower extremity. Border, J R (Ed ) Blunt Multiple Trauma: Comprehensive Pathophysiology And Care Xxi+861p Marcel Dekker, Inc : New York, New York, Usa; Basel, Switzerland Illus Maps 671-690

Inman, O.L.; Bovie, W.T.; Barr, C.E., 1926: The reversal of physiological dominance in Amoeba by ultraviolet light. The apparatus was arranged so that amoebae entered a small square illuminated by light of wave length 275[mu][mu]. Visual light was admitted coincidently to observe the organisms. In 66% there was reversal of dominance within 45[degree] of diametr...

Van Driessche W.; P., 1992: Cell volume expansion activates poorly selective cation channels in the apical membrane of a6 cells. FASEB Journal 6(4): A1195

Sharma, V., 1978: Demand and supply relationships for the Indian vegetable oil industry with particular emphasis on estimation and prediction. The paper presents an economic and statistical model of the Indian vegetable oil industry, based on 2-stage least squares; the results are presented and analyzed for their statistical validity, and they are compared with available parameter estima...

Iversen, V.; Bronstad, A.; Gjerde,; Reed, R.K., 2003: Continuous measurements of plasma protein extravasation with microdialysis following various inflammatory challenges in rat and mouse skin. In this study we use microdialysis technique to measure plasma protein extravasation (PPE) in rat and mouse skin with application of the drugs either i.v. or via the microdialysis fiber. Hollow plasmapheresis fibers with 3 cm membranes and 0.4 mm...

Narzikulov, MN.; Stoliarov, MV., 1972: Aphididae and Acridoidea new for the fauna of the USSR and their zoogeography. Doklady Akad Nauk tadzhik SSR: 1511: 60-62

Beevers, J.G., 1982: The limitations of efficiency and livestock improvement at the industry level. This discussion refers to the Australian pig industry.

Tahir-Hussein, M., 1982: Evaluation of groundwater resources in Tokar Delta, Sudan. Hydrological sciences journal 27(2): 139-145

Manna, P.R.; Eubank, D.W.; Stocco, D.M., 2003: Assessment of the role of activator protein-1 on transcription of the mouse steroidogenic acute regulatory protein gene. cAMP-dependent mechanisms regulate the steroidogenic acute regulatory (StAR) protein even though its promoter lacks a consensus cAMP response-element (CRE, TGACGTCA). Transcriptional regulation of the StAR gene has been demonstrated to involve com...