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The superficial peroneal nerve (SPN) is frequently at risk of iatrogenic injury during the open reduction and internal fixation of the distal fibula. The risk of nerve injury is increased for the Blair and Botte type B pattern of SPN, crossing the distal fibula from posterior to anterior (at 5 to 7 cm) from the lateral malleolar tip. Recently, two cases of Blair and Botte type B pattern were observed during the open reduction and internal fixation of the distal fibula at our hospital. Herein, the authors describe two cases of anatomic variation of SPN with a literature review.
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http://dx.doi.org/10.1016/j.tcr.2025.101209 | DOI Listing |
Acta Ortop Mex
September 2025
Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario-Malvarrosa. Valencia, España.
Introduction: subtalar dislocations, typical of high-energy trauma, are classified as medial, lateral, anterior or posterior depending on the deviation of the foot in relation to the talus. Lateral dislocation accounts for 17% of the total and has a worse prognosis. Immediate reduction is required to reduce the risk of sequelae, the incidence of which is around 90%.
View Article and Find Full Text PDFJ Orthop Res
September 2025
Department of Orthopedic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, Chaoyang District, China.
Injuries to the distal tibiofibular joint are often associated with ankle fractures, sports-related injuries, or instability, whereas proximal tibiofibular joint injuries are more commonly present with lateral- or posterolateral-compartment lesions of the knee. These conditions may be related to the relative motion between the tibia and fibula; however, precise movement patterns have yet to be fully elucidated. This study analyzes the relative motion of the tibia and fibula in 16 healthy adults (32 bones; 8 males and 8 females) throughout a normal gait cycle.
View Article and Find Full Text PDFCureus
July 2025
Medicine and Surgery, Jawaharlal Nehru Medical College, Aligarh, IND.
Background Giant cell tumors (GCTs) of the distal radius present significant reconstructive challenges following wide resection. Proximal fibular autograft reconstruction has been a biologically compatible solution, particularly valuable in resource-limited settings. This study evaluates clinical and functional outcomes of this technique.
View Article and Find Full Text PDFInt J Surg Case Rep
August 2025
Department of Orthopedic Surgery, Hospital of Gafsa, Gafsa, Tunisia.
Introduction And Importance: Osteosarcoma (OS) is the most common primary malignant bone tumor. Radiological features may resemble benign processes, making diagnosis challenging. Delayed recognition can affect treatment outcomes, as timely intervention is crucial for managing the tumor effectively.
View Article and Find Full Text PDFFoot Ankle Surg
August 2025
Department of Orthopaedics, Funing People's Hospital, Jiangsu 224400, China. Electronic address:
Introduction: The presence of a posterior malleolar (PM) fragment has a negative prognostic impact in ankle fractures. Percutaneous anterior to posterior screw fixation has been advocated for the treatment of ankle fractures involving the posterior malleolus and satisfactory results were demonstrated in several studies. The aim of this retrospective study was to evaluate the clinical effect of percutaneous anterior to posterior screw fixation via lateral malleolus incision window approach (APSF-LMA) for the treatment of posterior malleolus fracture (PMF) and present outcomes of patients with type 4 of Bartoníček-Rammelt classification in comparison to using the dorsiflexion ankle anterior posterior screw fixation (APSF-DA) and posterior plate fixation through posterolateral approach (PPF-PLA).
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