Foot and Ankle Clinics

Metatarsophalangeal Fusion Techniques with First Metatarsal Bone Loss/Defects

June 13, 2015

First metatarsophalangeal joint disorder is a common cause of chronic forefoot pain that is frequently encountered in the orthopedic clinic. Numerous surgical techniques have been described to improve patient pain and function in this regard, including prosthetic joint replacement, resection arthroplasty, and arthrodesis

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Metatarsophalangeal Joint Fusion

June 9, 2015

First metatarsophalangeal (MTP) joint fusion aims at elimination of pain resulting from end-stage arthritis and obtaining a stable, plantigrade first toe. Associated deformities are corrected and greater defects are filled with interposition autograft or allograft

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First Metatarsophalangeal Joint Degeneration

June 5, 2015

Arthroscopic treatment of hallux rigidus is appropriate after failed nonoperative treatment. Debridement with cheilectomy, and fusion are the main indications for arthroscopic treatment of hallux rigidus

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Subtalar Anatomy and Mechanics

June 1, 2015

Understanding subtalar joint biomechanics and pathomechanics provides a framework for understanding both common pathologic hindfoot and forefoot conditions and surgical planning.

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Why It Is Important To Evaluate Shoe Heel To Toe Drop In Patients With Equinus

May 19, 2015

The role of equinus in lower extremity pathologies is well documented in the literature. In fact, Foot and Ankle Clinics of North America dedicated its entire December 2014 edition to “The Gastrocnemius.” 1 Much of the literature has been directed to the surgical and non-surgical management of equinus, conditions associated with equinus, and the evaluation of equinus.

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The Subtalar Joint: It Is More Complicated Than You Think

April 22, 2015

Understanding the subtalar joint is extremely important in order to grasp the complexity of the foot. The anatomy and biomechanics are crucial to the function of the hindfoot, ankle, midfoot, and even forefoot. This issue provides expertise in areas ranging from anatomy, radiology, biomechanics, congenital and acquired conditions, and treatment options of the subtalar joint.

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Subtalar Instability

April 18, 2015

Subtalar instability is a common clinical entity. Clinicians should have a high index of suspicion of this diagnosis in patients who have been diagnosed with chronic lateral ankle instability but have failed standard management and have continued pain in the sinus tarsi. As with ankle instability, nonoperative management is the initial mainstay of treatment.

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Subtalar Coalition in Pediatrics

April 18, 2015

Subtalar tarsal coalition is an autosomal dominant developmental maldeformation that affects between 2% and 13% of the population. The most common locations are between the calcaneus and navicular and between the talus and calcaneus.

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Subtalar Coalitions in the Adult

April 11, 2015

Tarsal coalitions, while relatively uncommon, are typically identified in adult patients during an evaluation for ankle instability, sinus tarsus pain, and/or pes planovalgus. The true incidence of tarsal coalition is unknown with estimates ranging from 1% to 12% of the overall population. The most common area of involvement of the subtalar joint is the middle facet, and heightened awareness should be present in adult patients with limited motion of the subtalar joint

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