Surgical Considerations for Massive Tarsal Coalitions in Multiple Synostosis Syndrome: A Case Report

March 22, 2015

Tarsal-carpal coalition syndrome is an autosomal dominant inherited condition characterized by fusion of the carpal and tarsal bones and foot deformity. Associated pain and/or gait disturbance are the main complaints.

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Assessing Diagnostic Tests I: You Can’t Be Too Sensitive

March 19, 2015

Clinicians and patients are always interested in less invasive, cheaper, and faster diagnostic tests. When introducing such a test, physicians must ensure that it is reliable in its diagnoses and does not commit errors

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Hemiarthroplasty for Hallux Rigidus: Mid-Term Results

March 4, 2015

Hallux rigidus is a progressive osteoarthritic condition affecting the first metatarsophalangeal joint that causes pain and stiffness, with a marked reduction in dorsiflexion. Joint arthrodesis has previously been the standard treatment of hallux rigidus; however, new surgical techniques have evolved and first metatarsophalangeal joint hemiarthroplasty is now a viable option. The present retrospective study reviewed the data from the 11 patients (12 feet) who had undergone first metatarsophalangeal joint hemiarthroplasty with the HemiCAP® prosthesis.

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Subtalar Joint Distraction Arthrodesis to Correct Calcaneal Valgus in Pediatric Patients with Tarsal Coalition: A Case Series

February 20, 2015

Subtalar joint middle facet coalitions commonly present in children who have a painful, rigid, pes planovalgus foot type. The middle facet coalition allows rearfoot forces to be distributed medially through the coalition, and this can result in arthritis or lateral tarsal wedging. The senior author has used a wedged bone graft distraction subtalar joint arthrodesis to correct calcaneal valgus and restore the talar height in these patients

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Influence of a Metatarsus Adductus Foot Type on Plantar Pressures During Walking in Adults Using a Pedobarograph

January 30, 2015

Metatarsus adductus is a relatively common congenital foot deformity that is often unrecognized at birth. Thus, the adult foot with metatarsus adductus is prone to pathologic entities that have been theorized to result from lateral column overload.

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Don’t Let Complacency And A Fear Of Change Affect Your Practice

January 27, 2015

Are you familiar with the age-old tale of the frog and the pot of boiling water?  According to the story, if you place a frog directly into a pot of boiling water, it will immediately jump out. Well, wouldn’t you ? However, if you put that frog in a pot of tepid water and gradually increase the heat while the frog is enjoying his soak, he will not notice the continual rise in temperature, become groggy to the point that he is unable to jump out and before he could say, “rbbbbt, plantar warts”… frog legs are on the menu

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Multiple Choice Answers: What to Do When You Have Too Many Questions

January 21, 2015

Carrying out too many statistical tests in a single study throws results into doubt, for reasons statistical and ethical. I discuss why this is the case and briefly mention ways to handle the problem.

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Rare Complication of Silicone Fluid Injection Presenting as Multiple Calcification and Skin Defect in Both Legs: A Case Report

January 6, 2015

In the past, many materials have been injected for soft tissue augmentation including paraffin (mineral oil) and other non–biocompatible products. Liquid silicone as one of these materials has a long and notorious history as an injectable material for soft tissue augmentation

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Whither Biomechanics

January 1, 2015

How often have you sat in the audience of a local, state, or national meeting and heard the speaker say, “Understanding biomechanics is essential for successful procedure selection”? The presentation continues with a description of the procedure or procedures, but no mention is ever made of the biomechanics

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