{"title":"Vom Bild zur Schraube – Versorgungsansätze bei Talus- und Kalkaneusfrakturen","authors":"","doi":"10.1016/j.fuspru.2025.04.001","DOIUrl":"10.1016/j.fuspru.2025.04.001","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 2","pages":"Pages 73-74"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anatomical and Micro-CT Assessment of the First Metatarsal Head Vascularization and Soft Tissue Envelope Following Minimally Invasive Chevron Osteotomy for Hallux Valgus Deformity","authors":"","doi":"10.1016/j.fuspru.2025.04.002","DOIUrl":"10.1016/j.fuspru.2025.04.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 2","pages":"Page 131"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moderne Bildgebung von Sprunggelenk und Rückfuß","authors":"Markus Herbert Lerchbaumer , Torsten Diekhoff","doi":"10.1016/j.fuspru.2025.05.001","DOIUrl":"10.1016/j.fuspru.2025.05.001","url":null,"abstract":"<div><div>No new modalities have been introduced in multimodal musculoskeletal (MSK) imaging of the ankle in recent years, but existing imaging procedures have been optimized. Sonography is known to be the primary imaging modality for assessing tendons and ligaments in the ankle joint area, especially the Achilles tendon. As a new metric parameter, shear wave elastography has been introduced in clinical routine, primarily used in tendon characterization with regard to tendinopathies. In addition the established use of sonography in trauma imaging, research in this area is currently focusing on its use for extended quantitative diagnostics and follow-up imaging. Conventionally used tomographic imaging modalities (computed tomography [CT] and magnetic resonance imaging [MRI]) has been fundamentally improved to overcome its physical limitations. MRI optimized by artificial intelligence (AI) acceleration enables a significant reduction of scanning time regarding Turbo-spin-echo sequences and thus a reduction of the examination time to 4 to 6 min per joint, while image quality remains unchanged. This leads to considerable time savings combined with more capacity in MSK imaging with MRI. The new parametric CT algorithms (DECT and photon counting CT) enable improved assessment of bone and soft tissue as well as quantitative evaluation of bone and soft tissue changes.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 2","pages":"Pages 75-84"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zugangswege zur Talusfraktur – Kann der ventrale Zugang bilaterale Zugänge ersetzen?","authors":"Dominik Adl Amini , Frank Graef , Tobias Gehlen","doi":"10.1016/j.fuspru.2025.05.005","DOIUrl":"10.1016/j.fuspru.2025.05.005","url":null,"abstract":"<div><div>Talus fractures are among the most complex injuries in the lower extremity. Overall, they are a rare injury and account for only approx. 0.3–0.5% of all fractures and approx. 3–4% of fractures of the foot. They mainly affect young adults (third decade of life) in a ratio of 3:1 between men and women. Due to the specific anatomical, biomechanical and vascular characteristics of the talus, surgical treatment is challenging. The correct choice of the surgical approach is crucial in order to achieve anatomical reduction of the fracture and good long term function.</div><div>Traditionally, bilateral approaches are used for complex talus fractures, exposing both the the medial and lateral side of the talus. Establishing the ventral approach allows direct visualization of the caput and the colum ventrally. However, the question arises as to whether this method can represent a less invasive invasive alternative to the traditional bilateral approaches.</div><div>In summary, the evidence suggests that the ventral approach may be a useful alternative to bilateral approaches for certain indications, particularly isolated fractures of the talar neck. However, bilateral approaches remain the gold standard for complex, multidirectional fractures. The choice of the surgical approaxch should nevertheless always be individually based on fracture complexity, patient characteristics and surgical expertise.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 2","pages":"Pages 85-92"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ann-Sophie C. Weigel, Alexander Milstrey, Michael J. Raschke, Sabine Ochman
{"title":"Häufig übersehene peritalare Frakturen","authors":"Ann-Sophie C. Weigel, Alexander Milstrey, Michael J. Raschke, Sabine Ochman","doi":"10.1016/j.fuspru.2025.05.002","DOIUrl":"10.1016/j.fuspru.2025.05.002","url":null,"abstract":"<div><div>Peripheral talus fractures are among the rarest foot injuries (20% of all talus fractures). These fracture can lead to a reduced functional outcome and are associated with concomitant injuries such as subtalar dislocation. Furthermore, peripheral talus fractures are often diagnosed late or even overlooked, suggest ing a high number of unreported cases. This can be explained by the poor visibility of the fractures on conventional x -rays. If such x-rays do not indicate a fracture but the clinical picture does, further clarification with cross-sectional imaging, in particular computerised tomography, should be considered.</div><div>Peritalar fractures can be categorised according to the American Orthopaedic Trauma Association (OTA) or the AO classification. In contrast, fractures of the lateral talar process are categorised according to Hawkins. Subtalar dislocations are categorised according to their dislocation pattern. Depending on the fracture morphology, soft tissue damage and concomitant injuries, the further procedure (conservative or surgical treatment) is determined. The few existing studies show that the severity of the injury and the concomitant injuries have an influence on the outcome.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 2","pages":"Pages 103-114"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuafnahmen (Stand 01.03.25)","authors":"","doi":"10.1016/S1619-9987(25)00106-0","DOIUrl":"10.1016/S1619-9987(25)00106-0","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 2","pages":"Page 135"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}