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Category: Orthopedic Surgery

Pes Cavus ?>

Pes Cavus

Pes Cavus Introduction Pes cavus is a high arch of the foot that does not flatten with weight bearing. No specific radiographic definition of pes cavus exists. The deformity can be located in the forefoot, midfoot, hindfoot, or a combination of these sites.1

Peroneal Tendon Pathology ?>

Peroneal Tendon Pathology

Peroneal Tendon Pathology Introduction History of the Procedure Disorders of the peroneal tendons have been reported infrequently. Monteggia described peroneal tendon subluxation in 1803,1 and this entity seems to be more commonly encountered than are disruptions of the peroneus longus or brevis alone. Nonetheless, peroneus brevis disorders have been described more often in the literature, with peroneus longus problems gaining more recent attention. However, much of the literature regarding both tendons is in the form of case reports. Problem

Morton Neuroma ?>

Morton Neuroma

Morton Neuroma Introduction History of the Procedure In 1876, Thomas Morton first described interdigital nerve compression.1 Morton theorized that the nerve was being compressed between the metatarsal heads. Surgical procedures have historically been aimed either at directly dealing with the pathologic nerve or at altering the local biomechanical environment in which the nerve exists. The evolution of surgical care for Morton neuroma has resulted in some basic principles and goals, which are the foundation for the current surgical options. There…

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Lisfranc Fracture Dislocation ?>

Lisfranc Fracture Dislocation

Lisfranc Fracture Dislocation Introduction The Lisfranc joint, which represents the articulation between the midfoot and forefoot, is composed of the 5 tarsometatarsal (TMT) joints. The Lisfranc ligament is attached to the lateral margin of the medial cuneiform and medial and plantar surface of second metatarsal (MT) base. This is the only ligamentous support between first and second ray at midfoot level. Lisfranc joint injuries are rare, complex, and often misdiagnosed or inadequately treated. Lisfranc injuries can vary from simple ligament…

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Intractable Plantar Keratosis ?>

Intractable Plantar Keratosis

Intractable Plantar Keratosis Introduction Intractable plantar keratosis (IPK) is a discrete, focused callus, usually about 1 cm, on the plantar aspect of the forefoot. Typically, IPKs occur beneath one or more lateral metatarsal heads or under another area of pressure.1

Hallux Rigidus ?>

Hallux Rigidus

Hallux Rigidus Introduction Hallux rigidus literally means “stiff great toe”; however, limitation of big toe motion is only 1 element of the range of symptoms that constitute the diagnosis of hallux rigidus. Hallux rigidus encompasses mild to severe degenerative arthritis of the first metatarsophalangeal (MTP) joint of the foot. Symptoms can range from mild to disabling. The condition, which occurs in adolescents and adults, can be associated with a history of previous trauma, although many patients present without such a…

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Gait Analysis After Amputation ?>

Gait Analysis After Amputation

Gait Analysis After Amputation Introduction Amputation is one of the most emotionally upsetting and traumatic events that a patient can undergo. However, with a team approach by the medical staff, the negative effects can be minimized and the positive benefits emphasized. Equipping the patient with a prosthesis not only greatly improves the patient’s functional status but also helps his or her psyche.1,2,3

Freiberg Infraction ?>

Freiberg Infraction

Freiberg Infraction Introduction In 1914, Alfred H. Freiberg first described the painful collapse of the articular surface of the second metatarsal head. He described 6 cases of young women presenting with a painful limp and discomfort localized to the second metatarsal. All 6 patients had similar radiographic findings, which showed collapse of the articular surface of the second metatarsal head. In 3 patients, intra-articular loose bodies also were seen. Of the 6 women, 4 were younger than 18 years. Freiberg…

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Foot Infections ?>

Foot Infections

Foot Infections Introduction Foot infections can be difficult problems for physicians to treat because of the biomechanical complexities of the extremity and the underlying circumstances that cause the infections. Typically, they follow a traumatic event or tissue loss with contamination by foreign materials and/or colonization by bacteria. When a healthy patient or one without metabolic or peripheral vascular disease (PVD) presents with pedal infections, a traumatic process usually is involved. However, the more common presentation is that of a patient…

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Foot Drop ?>

Foot Drop

Foot Drop Introduction Foot drop is a deceptively simple name for a potentially complex problem. Foot drop can be associated with a variety of conditions such as dorsiflexor injuries, peripheral nerve injuries, stroke, neuropathies, drug toxicities, or diabetes. The causes of foot drop may be divided into 3 general categories: neurologic, muscular, and anatomic. These causes may overlap. Treatment is variable and is directed at the specific cause. History of the Procedure