Turco's injury: diagnosis and treatment

The aim of this study was to alert doctors to the existence of Turco's injury and discus the existing treatments that have been described in the worldwide literature. A bibliographic survey of Lisfranc's injury and Turco's injury covering from 1985 to 2013 was conducted in the SciELO...

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Main Authors: Ana Paula Simões da Silva, Leandro Girardi Shimba, Luiz Henrique Boraschi Vieira Ribas, Alexandre Simmonds de Almeida, Vinicius Naves, Aires Duarte Júnior
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2014-08-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000400321&lng=en&tlng=en
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author Ana Paula Simões da Silva
Leandro Girardi Shimba
Luiz Henrique Boraschi Vieira Ribas
Alexandre Simmonds de Almeida
Vinicius Naves
Aires Duarte Júnior
author_facet Ana Paula Simões da Silva
Leandro Girardi Shimba
Luiz Henrique Boraschi Vieira Ribas
Alexandre Simmonds de Almeida
Vinicius Naves
Aires Duarte Júnior
author_sort Ana Paula Simões da Silva
collection DOAJ
description The aim of this study was to alert doctors to the existence of Turco's injury and discus the existing treatments that have been described in the worldwide literature. A bibliographic survey of Lisfranc's injury and Turco's injury covering from 1985 to 2013 was conducted in the SciELO and PubMed databases. Among the 193 articles, those relating to bone-ligament injuries of the Lisfranc joint and high-energy trauma were excluded, as were the case reports. The patients selected were professional or amateur athletes who solely presented a ligament injury to the Lisfranc joint (Turco's injury), which was diagnosed from the history, physical examination, radiographs and magnetic resonance images. Non-athletic patients and those with associated bone injuries were excluded (10). According to the injury classification, the patients were treated by means of either an open or a closed procedure and then a standard rehabilitation protocol. Out of the 10 patients, five underwent conservative treatment and five underwent surgical treatment using different techniques and synthesis materials. We obtained two poor results, one satisfactory, five good and two excellent. We conclude that the correct diagnosis has a direct influence on the treatment and on the final result obtained, and that lack of knowledge of this injury is the main factor responsible for underdiagnosing Turco's injury. There is a need for randomized prospective studies comparing the types of synthesis and evolution of treated cases, in order to define the best treatment for this injury.
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spelling doaj.art-c4fa826899ed495a8a6ca343a1fa76c62024-02-03T05:56:15ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782014-08-0149432132710.1016/j.rboe.2014.04.018S0102-36162014000400321Turco's injury: diagnosis and treatmentAna Paula Simões da SilvaLeandro Girardi ShimbaLuiz Henrique Boraschi Vieira RibasAlexandre Simmonds de AlmeidaVinicius NavesAires Duarte JúniorThe aim of this study was to alert doctors to the existence of Turco's injury and discus the existing treatments that have been described in the worldwide literature. A bibliographic survey of Lisfranc's injury and Turco's injury covering from 1985 to 2013 was conducted in the SciELO and PubMed databases. Among the 193 articles, those relating to bone-ligament injuries of the Lisfranc joint and high-energy trauma were excluded, as were the case reports. The patients selected were professional or amateur athletes who solely presented a ligament injury to the Lisfranc joint (Turco's injury), which was diagnosed from the history, physical examination, radiographs and magnetic resonance images. Non-athletic patients and those with associated bone injuries were excluded (10). According to the injury classification, the patients were treated by means of either an open or a closed procedure and then a standard rehabilitation protocol. Out of the 10 patients, five underwent conservative treatment and five underwent surgical treatment using different techniques and synthesis materials. We obtained two poor results, one satisfactory, five good and two excellent. We conclude that the correct diagnosis has a direct influence on the treatment and on the final result obtained, and that lack of knowledge of this injury is the main factor responsible for underdiagnosing Turco's injury. There is a need for randomized prospective studies comparing the types of synthesis and evolution of treated cases, in order to define the best treatment for this injury.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000400321&lng=en&tlng=enArticulações tarsianas/lesõesOssos do metatarsoFraturas ósseasLuxações
spellingShingle Ana Paula Simões da Silva
Leandro Girardi Shimba
Luiz Henrique Boraschi Vieira Ribas
Alexandre Simmonds de Almeida
Vinicius Naves
Aires Duarte Júnior
Turco's injury: diagnosis and treatment
Revista Brasileira de Ortopedia
Articulações tarsianas/lesões
Ossos do metatarso
Fraturas ósseas
Luxações
title Turco's injury: diagnosis and treatment
title_full Turco's injury: diagnosis and treatment
title_fullStr Turco's injury: diagnosis and treatment
title_full_unstemmed Turco's injury: diagnosis and treatment
title_short Turco's injury: diagnosis and treatment
title_sort turco s injury diagnosis and treatment
topic Articulações tarsianas/lesões
Ossos do metatarso
Fraturas ósseas
Luxações
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000400321&lng=en&tlng=en
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AT alexandresimmondsdealmeida turcosinjurydiagnosisandtreatment
AT viniciusnaves turcosinjurydiagnosisandtreatment
AT airesduartejunior turcosinjurydiagnosisandtreatment