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Jones fractures are reportedly prone to nonunion and generally treated with a period of non-weightbearing or operative treatment. Extended non-weightbearing can have adverse effects, and operative treatment poses various risks
Several cases of avulsion fracture of the proximal phalanx of the big toe during the lateral capsular release procedure were observed. However, these fractures have not been reported as a complication of hallux valgus surgery. The purpose of the present study was to report the proximal phalanx base fracture as an unrecognized complication and to evaluate the clinical and radiographic consequences of this complication.
Hallux valgus is the most common forefoot problem in adults. Although it can cause considerable disability and affect the quality of life of those affected, many patients seek medical attention because of cosmetic concerns. Our aim was to objectively measure the perceived health burden of living with bilateral hallux valgus.
Although the efficacy of Akin proximal phalanx closing wedge osteotomy as a sole procedure for correction of hallux valgus deformity is questionable, when used in combination with other osseous corrective procedures, the procedure has been believed to be efficacious.
We undertook a comparison evaluation of outcomes after 2 different high-volume image-guided injection (HVIGI) procedures performed under direct ultrasound guidance in patients with chronic noninsertional Achilles tendinopathy. In group A, the HVIGI involved high-volume (10 mL of 1% lidocaine combined with 40 mL of saline) and no dry needling.
The interesting and significant case study by Wang et al (1) adds further evidence of the relation between exposure to metals and fever of unknown origin. They reported the remarkable results with titanium removal in a young patient—an 18-year-old male—with pyrexia of unknown origin, possibly associated with exposure to the titanium alloy, which had been recently inserted and successfully placed as an ostheosynthesis surgical device for hallux valgus surgery (1). The investigators are to be commended for their important and well-executed case report.
Necrolytic acral erythema (NAE) is a recently recognized dermatosis almost exclusively associated with hepatitis C virus (HCV) infection, and closely related to zinc deficiency. We present the case of a 60-year-old man with a history of psoriasis and chronic HCV infection, who developed new lesions of NAE extending from previous elephantine psoriatic plaques on bilateral lower legs
Photo courtesy of Brian and Sarah Haigler, in memory of Maddy Haigler. These children often have wider, more flexible, and more pronated feet than typically developing kids that don’t fit well into conventionally sized and shaped footwear. Ill-fitting shoes are linked to foot-specific disability and many other issues