Calcaneal fracture is the most common of the tarsal fractures and represents 1%-2% of all fractur... more Calcaneal fracture is the most common of the tarsal fractures and represents 1%-2% of all fractures. The fractures may be divided into extra-articular (not affecting the joint) and intra-articular (involving the talo-calcaneal and calcaneal cuboid joints) types. The management of heel fractures includes nonoperative and operative treatments, but no clear consensus has been reached. The choice of operative treatment is still controversial with many factors influencing the final clinical outcome. Many studies have assessed the outcome of treatment of calcaneal fractures, but there is a general disagreement on their management. The objective of this study was to collect and evaluate the scientific evidence reported in the literature supporting the different treatments for calcaneal fractures.
Morton's neuroma is a common injury of the forefoot that affects the third web space of the toes.... more Morton's neuroma is a common injury of the forefoot that affects the third web space of the toes. The pain, localized to the forefoot and toes, may appear gradually but usually becomes significant and persistent. Often it occurs after walking and is relieved by removing the shoe and manipulating the forefoot. The management of this condition varies widely and includes conservative and surgical treatments. There is no general agreement on the optimal treatment for this pathology. The aim of this review was to collect and assess the scientific evidence reported in the literature supporting the different treatments in the management of Morton's neuroma, comparing the different outcomes of conservative and surgical treatments. A literature analysis was performed on the different managements in the search for the best scientific evidence on this topic.
Journal of Bone and Joint Surgery - British Volume, 2008
A 20-year-old man sustained an open medial dislocation of the ankle without an associated fractur... more A 20-year-old man sustained an open medial dislocation of the ankle without an associated fracture after a low-energy inversion injury. Prompt debridement and reduction with primary wound closure of the skin were performed without suture of the capsule. Immobilisation in a non-weight-bearing cast for 30 days followed by ankle bracing for two weeks and subsequent physiotherapy, produced full functional recovery by three months. At follow-up at one year there was a full range of pain-free movement, although the radiographs and MR scan showed early post-traumatic degenerative change at the medial aspect of the tibiotalar and the calcaneocuboid joints.
Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2004
Patient-oriented measures, represented by self-administered questionnaires, have become an import... more Patient-oriented measures, represented by self-administered questionnaires, have become an important aspect of clinical outcome assessment. To be used with different language groups and in different countries, questionnaires must be translated and adapted to new cultural characteristics, and then validated by a widely accepted process to evaluate reliability and validity, fundamental characteristics for each measure. The aim of the study was to perform the cross-cultural adaptation and to assess the reliability and validity of the Italian version of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Type of Study: A cross-cultural adaptation and cross-sectional study of a sample of patients undergoing anterior cruciate ligament (ACL) reconstruction with a subsample followed up prospectively for retest reliability. Methods: The IKDC Subjective Knee Form was culturally adapted for Italian-speaking people, following the simplified Guillemin criteria. Reliability and validity were assessed in a cross-sectional study of 50 consecutive patients undergoing ACL reconstruction. A subsample of 20 patients was followed up prospectively for retest reliability. Results: The results were compared with other validated patient-oriented measures. The principal IKDC scale showed a high correlation with other patient-oriented measures as hypothesized, and it also showed good values with regard to reproducibility, consistency, and validity, compared with the versions of IKDC published in other languages. Conclusions: These findings suggest that the evaluation capacities of the IKDC Italian version are equivalent to those of other language versions of the IKDC. Level of Evidence: Level II.
Calcaneal fracture is the most common of the tarsal fractures and represents 1%–2% of all fractur... more Calcaneal fracture is the most common of the tarsal fractures and represents 1%–2% of all fractures. The fractures may be divided into extra-articular (not affecting the joint) and intra-articular (involving the talo-calcaneal and calcaneal cuboid joints) types. The management of heel fractures includes nonoperative and operative treatments, but no clear consensus has been reached. The choice of operative treatment is
Calcaneal fracture is the most common of the tarsal fractures and represents 1%-2% of all fractur... more Calcaneal fracture is the most common of the tarsal fractures and represents 1%-2% of all fractures. The fractures may be divided into extra-articular (not affecting the joint) and intra-articular (involving the talo-calcaneal and calcaneal cuboid joints) types. The management of heel fractures includes nonoperative and operative treatments, but no clear consensus has been reached. The choice of operative treatment is still controversial with many factors influencing the final clinical outcome. Many studies have assessed the outcome of treatment of calcaneal fractures, but there is a general disagreement on their management. The objective of this study was to collect and evaluate the scientific evidence reported in the literature supporting the different treatments for calcaneal fractures.
Morton's neuroma is a common injury of the forefoot that affects the third web space of the toes.... more Morton's neuroma is a common injury of the forefoot that affects the third web space of the toes. The pain, localized to the forefoot and toes, may appear gradually but usually becomes significant and persistent. Often it occurs after walking and is relieved by removing the shoe and manipulating the forefoot. The management of this condition varies widely and includes conservative and surgical treatments. There is no general agreement on the optimal treatment for this pathology. The aim of this review was to collect and assess the scientific evidence reported in the literature supporting the different treatments in the management of Morton's neuroma, comparing the different outcomes of conservative and surgical treatments. A literature analysis was performed on the different managements in the search for the best scientific evidence on this topic.
Journal of Bone and Joint Surgery - British Volume, 2008
A 20-year-old man sustained an open medial dislocation of the ankle without an associated fractur... more A 20-year-old man sustained an open medial dislocation of the ankle without an associated fracture after a low-energy inversion injury. Prompt debridement and reduction with primary wound closure of the skin were performed without suture of the capsule. Immobilisation in a non-weight-bearing cast for 30 days followed by ankle bracing for two weeks and subsequent physiotherapy, produced full functional recovery by three months. At follow-up at one year there was a full range of pain-free movement, although the radiographs and MR scan showed early post-traumatic degenerative change at the medial aspect of the tibiotalar and the calcaneocuboid joints.
Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2004
Patient-oriented measures, represented by self-administered questionnaires, have become an import... more Patient-oriented measures, represented by self-administered questionnaires, have become an important aspect of clinical outcome assessment. To be used with different language groups and in different countries, questionnaires must be translated and adapted to new cultural characteristics, and then validated by a widely accepted process to evaluate reliability and validity, fundamental characteristics for each measure. The aim of the study was to perform the cross-cultural adaptation and to assess the reliability and validity of the Italian version of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Type of Study: A cross-cultural adaptation and cross-sectional study of a sample of patients undergoing anterior cruciate ligament (ACL) reconstruction with a subsample followed up prospectively for retest reliability. Methods: The IKDC Subjective Knee Form was culturally adapted for Italian-speaking people, following the simplified Guillemin criteria. Reliability and validity were assessed in a cross-sectional study of 50 consecutive patients undergoing ACL reconstruction. A subsample of 20 patients was followed up prospectively for retest reliability. Results: The results were compared with other validated patient-oriented measures. The principal IKDC scale showed a high correlation with other patient-oriented measures as hypothesized, and it also showed good values with regard to reproducibility, consistency, and validity, compared with the versions of IKDC published in other languages. Conclusions: These findings suggest that the evaluation capacities of the IKDC Italian version are equivalent to those of other language versions of the IKDC. Level of Evidence: Level II.
Calcaneal fracture is the most common of the tarsal fractures and represents 1%–2% of all fractur... more Calcaneal fracture is the most common of the tarsal fractures and represents 1%–2% of all fractures. The fractures may be divided into extra-articular (not affecting the joint) and intra-articular (involving the talo-calcaneal and calcaneal cuboid joints) types. The management of heel fractures includes nonoperative and operative treatments, but no clear consensus has been reached. The choice of operative treatment is
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