Foot and Ankle Surgery

Diagnosis of mortons neuroma

November 27, 2014

Diagnostic Accuracy of Clinical Tests for Morton’s Neuroma Compared with Ultrasonography Devendra Mahadevan, FRCS (Tr&Orth)email, Muralidharan Venkatesan, MRCS, Raj Bhatt, FRCR, Maneesh Bhatia, FRCS (Tr&Orth) The Journal of Foot and Ankle Surgery; Articles in Press Quote: The aim of the present study was to assess the diagnostic accuracy of 7 clinical tests for Morton’s neuroma (MN) compared with ultrasonography (US). Forty patients (54 feet) were diagnosed with MN using predetermined clinical criteria

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Early Results of a Posterolateral Polyaxial Angle-Stable Plate for Tibiotalocalcaneal Arthrodesis

November 27, 2014

Tibiotalocalcaneal arthrodesis is still considered the reference standard therapy for salvage of severe osteoarthritic deformities of the ankle and hindfoot. Because of the unique anatomy and biomechanics of the ankle, even minor injuries can progress to end-stage osteoarthritis over time

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Effects of Right Lower Limb Orthopedic Immobilization on Braking Function: An On-The-Road Experimental Study With Healthy Volunteers

November 27, 2014

Little is known about how immobilization of the right lower limb might affect driving. The purpose of the present study was to evaluate the effect of 2 types of immobilization on the emergency braking time of healthy subjects during actual driving conditions. The emergency braking times of 14 healthy volunteers were assessed in a closed circuit under 3 conditions: wearing running shoes, wearing an Aircast Walker®, or wearing a walking cast on their right lower limb.

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Acute Compartment Syndrome after Gastrocnemius Rupture (Tennis Leg) in a Nonathlete without Trauma

November 27, 2014

Acute compartment syndrome is a serious emergency that warrants urgent decompression, and tennis leg (i.e., rupture of the medial head of the gastrocnemius) is a known clinical condition that is usually treated symptomatically, with good results overall. In rare cases, acute compartment syndrome is associated with tennis leg after severe direct muscle trauma or severe exercise in athletes or physically active individuals.

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Unicameral Bone Cyst in the Calcaneus of Mirror Image Twins

November 27, 2014

Unicameral bone cysts (UBCs) are benign tumor-like lesions that commonly occur in the diaphyseal or metaphyseal region of the long bones within the first 2 decades of life. Until today, the pathogenesis of UBC has been unclear, but mechanisms such as vascular occlusion or a response to trauma have been supposed. During the past decade, in particular, the genetic aspects of the development of this rare lesion have been discussed

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A Retrospective Study of 63 Hallux Valgus Corrections Using the Osteodesis Procedure

November 27, 2014

Osteotomy procedures have been the most popular approach to hallux valgus deformity correction. Soft tissue approaches have, in general, been regarded as ineffective for moderate and severe hallux valgus deformities. Osteodesis is a soft tissue technique that has been shown to be effective in the past but is still seldom practiced

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Targeting the Plantar Fascia for Corticosteroid Injection

November 26, 2014

Plantar fasciitis is often a difficult condition to treat. It is related to repetitive strain of the fascia at its attachment to the heel bone

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Diagnostic Accuracy of Clinical Tests for Morton’s Neuroma Compared with Ultrasonography

November 26, 2014

The aim of the present study was to assess the diagnostic accuracy of 7 clinical tests for Morton’s neuroma (MN) compared with ultrasonography (US). Forty patients (54 feet) were diagnosed with MN using predetermined clinical criteria. These patients were subsequently referred for US, which was performed by a single, experienced musculoskeletal radiologist

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Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison

November 26, 2014

Hindfoot fusion is capable of correcting hindfoot deformities. Typically, this has been done through triple arthrodesis. Recently, there has been some discussion of a double arthrodesis, sparing the calcaneocuboid joint

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Functional and Clinical Assessment of Two Ankle Arthrodesis Techniques

November 26, 2014

Isolated tibiotalar fusion is the preferred choice for isolated end-stage arthritis, joint destruction after infection, talar avascular necrosis, Charcot neuroarthropathy, and joint replacement failure. Combined tibiotalar and subtalar joint fusion with an intramedullary nail can achieve better alignment and save patients from prolonged non-weightbearing. The purpose of the present study was to functionally assess using instrumental gait analysis and clinically assess the effect of these 2 surgical techniques.

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