Answer to ‘A 22-year-old professional soccer player with atraumatic ankle pain’

[...]it was decided to perform an acute percutaneous internal compression fixation of the fracture by means of an Acutrak screw ( figure 5 ). Since there was a progression of oedema along the fracture line-without real fracture diastasis-the authors chose a single compression screw fixation as the d...

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Bibliographic Details
Published in:British journal of sports medicine 2015-12, Vol.49 (24), p.1602-1603
Main Authors: D'Hooghe, P, Wiegerinck, J I, Tol, J L, Landreau, P
Format: Article
Language:English
Subjects:
Ankle
Athletes
Fractures
Gangrene
Metabolism
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Summary:[...]it was decided to perform an acute percutaneous internal compression fixation of the fracture by means of an Acutrak screw ( figure 5 ). Since there was a progression of oedema along the fracture line-without real fracture diastasis-the authors chose a single compression screw fixation as the definitive treatment. The load that has to be absorbed during these actions created by the ground impact, the extremes in plantar/dorsiflexion of the foot (kicking the ball) and other traumatic actions should be considered as important pathogenetic factors in repetitive ankle injuries. [...]it has to be considered that playing at the end of a game, are coordinated less precise as the athlete is often fatigued. 6 Diagnosis of stress fracture is based on clinical suspicion, a detailed history and a physical examination, followed by appropriate imaging investigations.
ISSN:0306-3674
1473-0480
DOI:10.1136/bjsports-2013-092579a