196 results match your criteria Bones of the Foot


Learning anatomy of the foot and ankle using sagittal plastinates: A prospective randomized educational trial.

Foot (Edinb) 2018 Nov 28;38:34-38. Epub 2018 Nov 28.

University Hospital, Coventry and Warwickshire, Clifford Bridge Road, Coventry, Warwickshire, CV2 2DX, United Kingdom.

Background: Foot and ankle anatomy is highly complex and presents a considerable educational challenge for the medical student or junior doctor. The successful interpretation of cross-sectional radiological images requires a detailed knowledge of anatomy and spatial relationships. Plastic-impregnated cadaveric prosection slices, known as 'sagittal plastinated slices', or 'SPS', are becoming popular as an adjunct to traditional anatomical teaching methods. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592183013
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http://dx.doi.org/10.1016/j.foot.2018.11.004DOI Listing
November 2018
4 Reads

Case 34-2018: A 58-Year-Old Woman with Paresthesia and Weakness of the Left Foot and Abdominal Wall.

N Engl J Med 2018 11;379(19):1862-1868

From the Departments of Neurology (H.M.R., N.V.), Radiology (H.B.H.), and Pathology (J.A.B.), Massachusetts General Hospital, and the Departments of Neurology (H.M.R., N.V.), Radiology (H.B.H.), and Pathology (J.A.B.), Harvard Medical School - both in Boston.

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http://dx.doi.org/10.1056/NEJMcpc1810387DOI Listing
November 2018
3 Reads

Treatment for displaced sustentaculum tali fractures.

Foot (Edinb) 2018 Jun 28;35:70-74. Epub 2017 Dec 28.

Orthopedics and Traumatology Department, Benha Faculty of Medicine, Benha University, Qualubia, Benha, Egypt. Electronic address:

Background: Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1-2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis.

Objective: Is to delineate the importance of sustentacular tali fractures fixation mentioning operative technique and the post-operative outcome. Read More

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http://dx.doi.org/10.1016/j.foot.2017.12.002DOI Listing
June 2018
3 Reads

Measurement of temperature induced in bone during drilling in minimally invasive foot surgery.

Foot (Edinb) 2018 Jun 19;35:63-69. Epub 2018 Feb 19.

Department of Orthopaedics and Rheumatology, Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, United Kingdom. Electronic address:

Introduction: There has been growing interest in minimally invasive foot surgery due to the benefits it delivers in post-operative outcomes in comparison to conventional open methods of surgery. One of the major factors determining the protocol in minimally invasive surgery is to prevent iatrogenic thermal osteonecrosis. The aim of the study is to look at various drilling parameters in a minimally invasive surgery setting that would reduce the risk of iatrogenic thermal osteonecrosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592173014
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http://dx.doi.org/10.1016/j.foot.2018.02.002DOI Listing
June 2018
10 Reads

The use of low-intensity pulsed ultrasound in treating delayed union of fifth metatarsal fractures.

Foot (Edinb) 2018 Jun 31;35:52-55. Epub 2018 Jan 31.

Foot and Ankle Unit, Ysbyty Ystrad Fawr, Ystrad Fawr Way, Ystrad Mynach, Hengoed CF82 7EP, United Kingdom.

Background: There are no studies looking at the success rate of low-intensity pulsed ultrasound (LIPUS) in fifth metatarsal fracture delayed unions to our knowledge. The aim of this study is to investigate the use of LIPUS treatment for delayed union of fifth metatarsal fractures.

Methods: A retrospective review of patients who were treated with LIPUS following a delayed union of fifth metatarsal fracture was conducted over a three-year period. Read More

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http://dx.doi.org/10.1016/j.foot.2018.01.004DOI Listing
June 2018
10 Reads

Transforaminal Endoscopic Decompression for Foot Drop 12 Years After Lumbar Total Disk Replacement.

World Neurosurg 2018 Aug 19;116:136-139. Epub 2018 May 19.

Department of Neurosurgery, Rhode Island Hospital, and The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Lumbar total disk replacement is considered for the treatment of lumbar degenerative disk disease with the hope that by preserving motion, the long-term fusion complication of adjacent segment disease can be avoided. The complications of lumbar total disk replacement can be divided into approach-related and long-term complications. Little has been described about the complications and treatment for complications >10 years after the device has been implanted. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183104
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http://dx.doi.org/10.1016/j.wneu.2018.05.089DOI Listing
August 2018
16 Reads

The fibularis digiti quinti tendon: A cadaveric study with anthropological and clinical considerations.

Foot (Edinb) 2018 Mar 5;34:45-47. Epub 2017 Dec 5.

College of Podiatric Medicine, Kent State University, Independence, OH, United States.

In addition to the fibularis longus and brevis muscles, a number of anomalous muscles or tendons can arise from the lateral compartment of the leg. The authors describe a bilateral and robust fibularis digiti quinti (FDQ) tendon present in the foot of a 99-year-old female cadaver, present the incidence of this tendon in a cohort of 26 cadavers dissected by podiatric-medical students for a lower-extremity anatomy course, and discuss the anthropological and clinical significance of the findings. In these specimen, the FDQ tendon arose from the fibularis brevis tendon proximal to the lateral malleolus, but did not separate completely from the fibularis brevis tendon until passing through the inferior fibular retinaculum. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592173014
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http://dx.doi.org/10.1016/j.foot.2017.11.012DOI Listing
March 2018
3 Reads

Single stage treatment of diabetic calcaneal osteomyelitis with an absorbable gentamicin-loaded calcium sulphate/hydroxyapatite biocomposite: The Silo technique.

Foot (Edinb) 2018 Mar 23;34:40-44. Epub 2017 Nov 23.

Trauma and Orthopaedics Department, Wythenshawe Hospital, Manchester, United Kingdom. Electronic address:

Background: Chronic osteomyelitis necessities appropriate infected bone and soft tissue excision. The authors describe the Silo surgical technique for the treatment of calcaneal osteomyelitis using a new antibiotic-loaded absorbable calcium sulphate/hydroxyapatite biocomposite.

Methods: The Silo method involves debridement of the dead bone and local delivery of antibiotic in drilled tunnels using the biocomposite. Read More

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http://dx.doi.org/10.1016/j.foot.2017.11.011DOI Listing
March 2018
8 Reads

Tibio-calcaneal fusion by retrograde intramedullary nailing in charcot neuroarthropathy.

Foot (Edinb) 2018 Mar 7;34:6-10. Epub 2017 Nov 7.

Ain Shams Univ., Cairo, Egypt. Electronic address:

Introduction: Charcot's neuroarthropathy of ankle leads to instability, destruction of the joint with significant morbidity that may require an amputation. Aim of surgical treatment is to achieve painless stable plantigrade foot through arthrodesis. Achieving surgical arthrodesis in Charcot's neuroarthropathy has a high failure rate. Read More

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http://dx.doi.org/10.1016/j.foot.2017.11.003DOI Listing
March 2018
28 Reads

Medial forefoot fillet flap for primary closure of transmetatarsal amputation: A series of four cases.

Foot (Edinb) 2017 Dec 29;33:53-56. Epub 2017 Jun 29.

Department of Orthopedic Surgery, Rabin Medical Center, 39th Jabutinski St. Petach Tikva 49100, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel. Electronic address:

Amputation of the forefoot is a salvage procedure for several forefoot acute or chronic infection. A good, sensate and durable skin cover is important for quicker and better rehabilitation. The use of filleted flaps (or "spare parts technique") has been published in the past as a creative technique. Read More

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http://dx.doi.org/10.1016/j.foot.2017.06.003DOI Listing
December 2017
5 Reads

Biphasic bioresorbable scaffold (TruFit Plug) for the treatment of osteochondral lesions of talus: 6- to 8-year follow-up.

Foot (Edinb) 2017 Dec 3;33:48-52. Epub 2017 Jun 3.

Operative Unit of Orthopaedics and Traumatology, Israelite Hospital, Rome, Italy.

Background: The ideal treatment of osteochondral lesions of the talus (OLT) is debatable. The TruFit plug has been investigated as a potential treatment method for osteochondral defects. This is a biphasic scaffold designed to stimulate cartilage and subchondral bone formation. Read More

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http://dx.doi.org/10.1016/j.foot.2017.05.005DOI Listing
December 2017
3 Reads

Successful treatment of infected wound dehiscence after minimally invasive locking-plate osteosynthesis of tibial pilon and calcaneal fractures by plate preservation, surgical debridement and antibiotics.

Foot (Edinb) 2017 Dec 23;33:44-47. Epub 2017 Oct 23.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. Electronic address:

Objective: The aim is to present a case series that illustrates possible benefits from combining minimally invasive plate osteosynthesis (MIPO), plastic surgery and antibiotic therapy, in order to treat and eradicate infection in patients with tibial pilon or calcaneal fractures.

Methods: Eleven consecutive patients with dehiscence of the surgical wound in outcomes MIPO using a Locking Compression Plate (LCP) for tibial pilon, or calcaneus fractures. The patients had developed a documented infection of the surgical wound. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592173005
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http://dx.doi.org/10.1016/j.foot.2017.10.001DOI Listing
December 2017
21 Reads

Normative size of the osseous part of calcaneal bursa and its comparison with other calcaneal articular areas.

Foot (Edinb) 2017 Aug 7;32:49-52. Epub 2017 Sep 7.

Ohio Musculoskeletal and Neurological Institute, Department of Biological Sciences, Ohio University, Athens, OH, 45701, United States. Electronic address:

The retro-calcaneal bursa presents a synovial and a non-synovial osseous part of variable dimensions. Studies objectively measuring the variability of the size of this osseous bursal surface cannot be found in literature. The objective of this study was to investigate (i) the dimension variability of the bony part of the bursa and (ii) the relationship of this surface to other articulating areas of the calcaneus. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592173010
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http://dx.doi.org/10.1016/j.foot.2017.09.002DOI Listing
August 2017
32 Reads

Bone SPECT/CT Localizes Increased Bone Metabolism and Subsequent Bone Resorption in Reflex Sympathetic Dystrophy.

Clin Nucl Med 2017 Oct;42(10):784-786

From the *Department of Radiology, Saitama Municipal Hospital, Saitama; and †Department of Radiology, Keio University School of Medicine, Tokyo, Japan.

A 64-year-old man with lung cancer with a history of revascularization of the occluded right femoral artery underwent bone scintigraphy, which showed intense uptake in the distal side of the right leg. The additional SPECT/CT clarified that the uptake was predominantly increased in the epiphyses of the right ankle and foot with possible osteopenia. One month later, follow-up SPECT/CT showed the manifestation of periosteal resorption in the hypermetabolic sites with slight decrease in bone metabolism. Read More

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http://dx.doi.org/10.1097/RLU.0000000000001795DOI Listing
October 2017
27 Reads

Glabrous Flow-Through Flaps for Simultaneous Resurfacing, Revascularization, and Reinnervation of Digits.

Ann Plast Surg 2016 Nov;77(5):547-554

From the *Anatomical Institute of Minimally Invasive Surgery, Southern Medical University, Guangzhou; and †Hand and Foot Surgery Department, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.

Introduction: Composite injuries of the volar surfaces of fingers are frequently associated with digital vessel and nerve damage. Flow-through glabrous flaps can provide esthetic tissue coverage as well as revascularization, and using a neurovascular flap, allows primary reconstruction of the digital nerve.

Methods: Between June 2010 and August 2014, we prospectively studied the use of Microsurgical flow-through glabrous flaps to achieve simultaneously digital revascularization and soft tissue coverage in 13 fingers of 12 patients who experienced volar injuries, comprising 6 great toe fibular flaps, 3 medial plantar flaps, 1 pedis medialis flap, and 3 hypothenar flaps. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000889DOI Listing
November 2016
45 Reads

Optimizing patellar positioning during total knee arthroplasty: an anatomical and clinical study.

Int Orthop 2017 12 15;41(12):2509-2515. Epub 2017 Jul 15.

Department of Orthopaedic Surgery, Lebanese American University-Rizk Hospital, Beirut, Lebanon.

Introduction: Optimal positioning of the patellar component is crucial for the success of a total knee arthroplasty (TKA). Usually, the patellar component is placed empirically over the presumed centre of the patellar cut. Medialization of the prosthetic patella has been recommended; however, no evidence-based guidelines have been reported. Read More

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http://dx.doi.org/10.1007/s00264-017-3557-4DOI Listing
December 2017
8 Reads

Magnetic Resonance Imaging in Psoriatic Arthritis: A Descriptive Study of Indications, Features and Effect on Treatment Change.

J Clin Rheumatol 2017 Aug;23(5):243-245

From the *Centre for Prognosis Studies in the Rheumatic Diseases, University of Toronto Psoriatic Arthritis Clinic, Toronto Western Hospital; †Krembil Research Institute, University Health Network; Departments of ‡Medicine and §Laboratory Medicine and Pathobiology, Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Objective: The aims of this study were to describe the indications for, and features of, axial/peripheral joint magnetic resonance imaging (MRI) in psoriatic arthritis (PsA) and to examine the influence of MRI findings on clinical practice.

Methods: All axial and peripheral (hand and/or foot) MRI scans on patients attending the Toronto PsA clinic l between 2003 and 2014 were included. Scan details were garnered from the radiologist's official report. Read More

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http://dx.doi.org/10.1097/RHU.0000000000000558DOI Listing
August 2017
15 Reads

The Periosteal Medial Femoral Condyle Free Flap: A New Option for Soft Tissue Reconstruction of the Distal Lower Extremity.

Ann Plast Surg 2017 Oct;79(4):372-376

From the *University of Maryland Medical System, Baltimore, MD; †Department of Surgery, Drexel University College of Medicine, Philadelphia, PA; and ‡Rothman Institute of Orthopedics; and §The Plastic Surgery Center, The Institute for Advanced Reconstruction, Egg Harbor, NJ.

Background: Small (<30 cm) soft tissue defects of the distal leg, foot, and ankle pose a complicated issue with regard to wound healing. Multiple flaps have been proposed for reconstruction of these wounds with varying levels of success. The medial femoral condyle flap is a free bone flap supplied by the descending geniculate artery. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001104DOI Listing
October 2017
18 Reads

Management of Talar Component Subsidence.

Foot Ankle Clin 2017 Jun 31;22(2):361-389. Epub 2017 Mar 31.

The Foot and Ankle Association, Inc., 1209 Harbor Island Walk, Baltimore, MD 21230, USA.

Component subsidence has been found to be the top complication that leads to failure of the total ankle arthroplasty (TAA). The cause of subsidence formation is unclear, and is multifactorial. Talar subsidence is more frequently met than tibial subsidence, and the subsequent big bone loss is demanding to handle. Read More

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http://dx.doi.org/10.1016/j.fcl.2017.01.006DOI Listing
June 2017
22 Reads

Reattachment using the suture bridge augmentation for Achilles tendon avulsion fracture with osteoporotic bony fragment.

Foot (Edinb) 2017 Jun 15;31:35-39. Epub 2017 Apr 15.

Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea.

Although avulsion fractures of the calcaneal tuberosity are rare injuries, these can be a challenging problem with frequent complications, such as loss of reduction and soft tissue problem. Anatomical reduction and internal fixation are indicated to avoid these pitfalls and to restore function of the triceps surae. However, the best fixation device and operative technique are still controversial. Read More

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http://dx.doi.org/10.1016/j.foot.2017.04.002DOI Listing
June 2017
14 Reads

Outcome evaluation of minimally invasive surgery versus extensile lateral approach in management of displaced intra-articular calcaneal fractures: A randomised control trial.

Foot (Edinb) 2017 Jun 20;31:23-30. Epub 2017 Feb 20.

PGIMER, Chandigarh, India. Electronic address:

Background: Minimally invasive surgery has a significant and evolving role in the treatment of DIACFs, but there is limited literature on this topic.

Objectives: To compare the clinico-radiological outcomes of DIACFs fixed with MIS technique with ORIF.

Methods: This randomised control trial (RCT) included 21 closed Sanders type 2 and 3 DIACFs which were selected from 70 who presented. Read More

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http://dx.doi.org/10.1016/j.foot.2017.01.008DOI Listing
June 2017
22 Reads
6 Citations

Osteobastoma of the Talus: A case report and review of the literature.

Foot (Edinb) 2017 Mar 17;30:59-62. Epub 2017 Jan 17.

Trauma and Orthopedics, Tameside NHS Hospital, Ashton-Under-Lyne, UK.

Osteoblastoma is benign bone forming tumour with rare malignant transformation. The common locations include spine, proximal humerus and hip. It rarely affects the talus. Read More

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http://dx.doi.org/10.1016/j.foot.2017.01.004DOI Listing
March 2017
7 Reads

Results of suture button fixation with targeting device aid for displaced ligamentous Lisfranc injuries in the elite athlete.

Foot (Edinb) 2017 Mar 6;30:43-46. Epub 2017 Feb 6.

Foot and Ankle Unit, Wrightington Hospital, Wigan, WN6 9EP, UK.

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http://dx.doi.org/10.1016/j.foot.2017.01.003DOI Listing

The relationship between the distal metatarsal articular angle and intersesamoidal crista: An osteological study.

Foot (Edinb) 2017 Mar 17;30:5-12. Epub 2017 Jan 17.

Evolutionary Studies Institute, University of Witwatersrand, 1 Jan Smuts Avenue, Braamfontein, Johannesburg, 2000, South Africa; School of Geosciences, University of Witwatersrand, 1 Jan Smuts Avenue, Braamfontein, Johannesburg, 2000, South Africa. Electronic address:

Background: As hallux valgus (HV) progresses, the first metatarsal drifts medially and the subsequent lateral drift of the sesamoids results in intersesamoidal crista erosion. This study aimed to provide a novel method of assessing crista erosion and determine if there is a relationship between that erosion and an increase in the distal metatarsal articular angle (DMAA).

Methods: The DMAA and size of the intersesamoidal crista was measured on the first metatarsals of 120 adult modern human individuals. Read More

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http://dx.doi.org/10.1016/j.foot.2017.01.006DOI Listing
March 2017
4 Reads

Aesthetic Multiple-Toe Reconstruction With Combined Iliac Bone Graft and Wraparound Free Anterolateral Thigh Flap-A Case Report and Literature Review.

Ann Plast Surg 2017 Mar;78(3 Suppl 2):S37-S40

From the *Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan; †Faculty of Medicine, National Yang-Ming University and Department of Medical Education, Taipei Veterans General Hospital, Taipei; ‡Chang Gung Medical College and Chang Gung University; and §Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.

Compared with upper extremity injuries, toe amputations and their replantations are rare because of the difficulty of their relatively thinner soft tissue envelope. Consequently, fewer reconstructive options are available for toes and they are rarely reported in the literature. In this study, we reported a case of right third to fifth toe amputations and their subsequent reconstruction with iliac bone grafts and a free anterolateral thigh flap. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001003DOI Listing
March 2017
10 Reads

Novel reconstruction technique for an isolated plantar calcaneonavicular (SPRING) ligament tear: A 5 case series report.

Foot (Edinb) 2017 Mar 18;30:1-4. Epub 2016 Nov 18.

Orthopedics Department, Meir Medical Center-Kfar Saba Israel, Associated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: It is usually accepted that acquired flatfoot deformity after injury is usually due to partial or complete tear of the posterior tibial tendon (PTT), with secondary failure of the other structures which maintain the medial longitudinal arch, such as the plantar calcaneo-navicular (SPRING) ligament. It is unusual to find an isolated Spring Ligament (SL) tear, with an intact TP tendon.

Methods: The medial arch reconstruction technique of an isolated SL tear in 5 patients is presented discussed in this paper. Read More

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http://dx.doi.org/10.1016/j.foot.2016.10.004DOI Listing
March 2017
19 Reads

Shortening Scarf osteotomy for correction of severe hallux valgus. Does shortening affect the outcome?

Foot (Edinb) 2016 Dec 26;29:45-49. Epub 2016 Oct 26.

University Hospital of North Tees, Hardwick, Stockton on Tees TS19 8PE, UK.

Background: Translation and shortening of Scarf osteotomy allows correction of severe hallux valgus deformity. Shortening may result in transfer metatarsalgia.

Aim: To evaluate outcome of patients undergoing shortening Scarf osteotomy for severe hallux valgus deformities. Read More

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http://dx.doi.org/10.1016/j.foot.2016.10.003DOI Listing
December 2016
35 Reads

Outcomes in chevron osteotomy for Hallux Valgus in a large cohort.

Foot (Edinb) 2016 Dec 19;29:18-24. Epub 2016 Sep 19.

Orthopaedic Center Máxima, Máxima Medical Center, Postbus 90052, 5600 PD Eindhoven, The Netherlands; Department of Orthopaedic Surgery, Catharina Hospital Eindhoven, Postbus 1350, 5602 ZA Eindhoven, The Netherlands.

Clinical and radiological related outcomes have been reported for Chevron osteotomy as correction for mild to moderate hallux valgus, but only for relatively small patient series. Moreover, evaluation of the patient's point of view has mostly been conducted by means of more physician-based outcome measures. The goal of this study was to evaluate the effect of the Chevron osteotomy for hallux valgus on patients' daily lives using the Foot and Ankle Outcome Score (FAOS) as a validated and a hallux valgus specific patient reported outcome measure (PROM). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592163005
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http://dx.doi.org/10.1016/j.foot.2016.09.002DOI Listing
December 2016
8 Reads

Hallux varus following scarf osteotomy.

Foot (Edinb) 2016 Dec 19;29:1-5. Epub 2016 Sep 19.

Royal Gwent Hospital, Cardiff Road, Newport, NP20 2UB, United Kingdom.

Hallux varus is an uncommon condition and majority of the cases are iatrogenic. It can occur as a result of any type of hallux valgus correction surgery and in our cases scarf osteotomy is not an exception. Treatment of this complication can be challenging and it is important to understand the factors that cause this deformity before embarking on surgical correction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592163005
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http://dx.doi.org/10.1016/j.foot.2016.09.004DOI Listing
December 2016
8 Reads

Platelet-Rich Plasma and Concentrated Bone Marrow Aspirate in Surgical Treatment for Osteochondral Lesions of the Talus.

Foot Ankle Clin 2016 Dec;21(4):869-884

The Foot & Ankle Service, Hospital for Special Surgery, 523 East 72nd Street, Suite 507, New York, NY 10021, USA. Electronic address:

Platelet-rich plasma (PRP) and concentrated bone marrow aspirate (CBMA) have the potential to improve the quality of cartilage repair in osteochondral lesions of the talus (OLT). In this review, we describe the basic science and clinical evidence that has been published on the topic of PRP and CBMA on 2 commonly used surgical techniques for the treatment of OLT: bone marrow stimulation and osteochondral autograft transfer. Read More

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http://dx.doi.org/10.1016/j.fcl.2016.07.010DOI Listing
December 2016
8 Reads

Metastasis to the Medial Cuneiform Bone from Squamous Cell Carcinoma of the Lung Revealed by Bone Scintigraphy.

Clin Nucl Med 2016 Dec;41(12):946-947

From the Department of Nuclear Medicine, Cancer Center of Guangzhou Medical University, Guangzhou, China.

A 61-year-old man with a history of squamous cell carcinoma of the lung presented with a progressive left foot pain for 7 months. Bone scan was acquired to evaluate possible metastasis, which showed abnormal accumulation of Tc-MDP in the left foot, which was seen in the medial cuneiform bone on SPECT/CT images. Histopathological examination from biopsy specimen confirmed cuneiform bone metastasis from lung squamous carcinoma. Read More

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http://dx.doi.org/10.1097/RLU.0000000000001373DOI Listing
December 2016
25 Reads

PROMIS for Orthopaedic Outcomes Measurement.

J Am Acad Orthop Surg 2016 Nov;24(11):744-749

From the Department of Orthopaedic Surgery, University of California San Francisco School of Medicine, San Francisco, CA (Mr. Brodke), and the Department of Orthopaedics, University of Utah, Salt Lake City, UT (Dr. Saltzman and Dr. Brodke).

Patient-reported outcome measures have become important tools for assessing health status in a variety of patient populations. Many historically or commonly used patient-reported outcome measures in orthopaedics are narrow in scope and are limited by the burden associated with their administration, making them useful only for specific populations. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to overcome these limitations. Read More

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http://dx.doi.org/10.5435/JAAOS-D-15-00404DOI Listing
November 2016
14 Reads

Triple osteotomy for the correction of severe hallux valgus deformity: Patient reported outcomes and radiological evaluation.

Foot (Edinb) 2016 Aug 20;28:30-35. Epub 2016 Sep 20.

Department of Orthopaedics, University Hospital South Manchester, Southmoor Road, Manchester, M23 9LT, UK.

Background: Symptomatic Hallux valgus can be treated with metatarsal osteotomy combined with proximal phalangeal osteotomy, however this might not be sufficient to treat severe HV deformities.

Methods: Fifteen feet in eleven female patients treated with double first metatarsal and proximal phalanx osteotomies without lateral release were prospectively studied and outcome measures including radiological angles and validated patient reported outcome scores collected.

Results: Mean radiological follow up was 15 months and PROMs data 17 months. Read More

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http://dx.doi.org/10.1016/j.foot.2016.09.009DOI Listing
August 2016
18 Reads

Tuberculosis around the tarsal navicular: A rare entity.

Foot (Edinb) 2016 Aug 20;28:20-25. Epub 2016 Sep 20.

Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, 110076, India. Electronic address:

Osteoarticular TB around the tarsal navicular is a chronic, uncommon condition affecting the midfoot, which causes significant morbidity to the patient. Tuberculosis around the tarsal navicular is rarely described in the literature. A series of three cases - two involving the talo-navicular joint and one involving the naviculo-cuneiform joint is described. Read More

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http://dx.doi.org/10.1016/j.foot.2016.09.003DOI Listing
August 2016
8 Reads

Reoperation and Reamputation After Transmetatarsal Amputation: A Systematic Review and Meta-Analysis.

J Foot Ankle Surg 2016 Sep-Oct;55(5):1007-12. Epub 2016 Jul 27.

Associate Professor, Department of Surgery, Texas A&M University Health Science Center, College of Medicine, Round Rock, TX; Chief, Section of Podiatry, Department of Surgery, Central Texas Veterans Affairs Health Care System, Temple, TX; and Department of Surgery, Baylor Scott & White Health, Temple, TX.

Transmetatarsal amputations have generally been accepted as a relatively more definitive amputation compared with other lesser ray resections. However, many investigators have reported a high occurrence of more proximal amputation after transmetatarsal amputation. A systematic review was performed to evaluate the occurrence of reamputation and reoperation after transmetatarsal amputations. Read More

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http://dx.doi.org/10.1053/j.jfas.2016.05.011DOI Listing
August 2017
11 Reads

Guide wire placement for fifth metatarsal intra-medullary screw fixation: A technical tip.

Foot (Edinb) 2016 Aug 6;28:12-15. Epub 2016 Jun 6.

Fortius Clinic, 17 Fitzhardinge Street, London W1H 6EQ, United Kingdom; Imperial College London, Musculoskeletal Surgery Academic Department, South Kensington Campus, London SW72AZ, United Kingdom.

Treatment of fifth metatarsal fractures in elite athletes or delayed/non unions often requires operative fixation. However, this can cause technical difficulties and we present an operative tip to avoid complications is presented. Read More

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http://dx.doi.org/10.1016/j.foot.2016.05.002DOI Listing
August 2016
3 Reads

Clinical Results and Complications of Lower Limb Lengthening for Fibular Hemimelia: A Report of Eight Cases.

Medicine (Baltimore) 2016 May;95(21):e3787

From the Department of Orthopaedic Surgery (KM, HK, MM, YN, NI), Nagoya University Graduate School of Medicine, Nagoya; and Department of Orthopaedic Surgery (KI, TH), Aichi Children's Health and Medical Center, Obu, Aichi, Japan.

Fibular hemimelia is a rare but the most common congenital long bone deficiency, encompassing a broad range of anomalies from isolated fibular hypoplasia up to substantial femoral and tibial shortening with ankle deformity and foot deficiency. Most cases of fibular hemimelia manifest clinically significant leg length discrepancy (LLD) with time that requires adequate correction by bone lengthening for stable walking. Bone lengthening procedures, especially those for pathological bones, are sometimes associated with severe complications, such as delayed consolidation, fractures, and deformities of the lengthened bones, leading to prolonged healing time and residual LLD at skeletal maturity. Read More

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http://dx.doi.org/10.1097/MD.0000000000003787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902376PMC
May 2016
16 Reads

Putative Physiopathological Explanation for the "Sock Sign" in Bone Scans.

Clin Nucl Med 2016 Sep;41(9):e420-1

From the Nuclear Medicine Department, University Hospital of Bordeaux, Bordeaux, France.

Four patients were referred to our department to undergo a bone scan for suspected reflex sympathetic dystrophy in the upper limbs. After TC-HMDP injection in the foot, they developed a "sock sign," defined by highly increased uptake in the injected lower limb. The sock sign has been previously described in only 1 case in the literature and attributed to intra-arterial injection. Read More

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http://dx.doi.org/10.1097/RLU.0000000000001255DOI Listing
September 2016
17 Reads

Does the MUNIX Method Reflect Clinical Dysfunction in Amyotrophic Lateral Sclerosis: A Practical Experience.

Medicine (Baltimore) 2016 May;95(19):e3647

From the Department of Neurology (MG, MK-K); and Neurodegenerative Disease Research Group (MG, MK-K), Medical University of Warsaw, Poland.

The aim of our study was to assess the usefulness of the MUNIX method in reflecting the clinical dysfunction in patients with amyotrophic lateral sclerosis (ALS), as well as to assess an intra-rater reproducibility of MUNIX. The study group consisted of a total of 15 ALS patients. The mean age of symptoms onset was 55 years, and the mean disease duration was 10 months. Read More

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http://dx.doi.org/10.1097/MD.0000000000003647DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902529PMC
May 2016
11 Reads

Minimally invasive Akin osteotomy and lateral release: Anatomical structures at risk-A cadaveric study.

Foot (Edinb) 2016 Jun 19;27:32-5. Epub 2016 Mar 19.

Department of Orthopaedics and Traumatology, Austral University Hospital, Buenos Aires, Argentina.

Background: Among the many surgical techniques used for hallux valgus correction, different osteotomies may be performed in the proximal phalanx as well as lateral release as associated procedures. The aim of this study is to analyze the anatomical relationships and the risks for the soft tissue lessions when performing the dorsomedial minimally invasive surgery (MIS) portal for the Akin osteotomy, and the MIS dorsolateral portal for lateral release, in order to define a safety zone when conducting the procedure in order to avoid complications.

Materials And Methods: The procedures were carried out on 16 fresh-frozen cadaveric feet. Read More

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http://dx.doi.org/10.1016/j.foot.2016.03.003DOI Listing
June 2016
9 Reads

Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon: A Review of Pedicle Flap Options in 31 Motorcycle Spoke Trauma Patients.

Ann Plast Surg 2016 Dec;77(6):653-661

From the *Department of Orthopaedic Surgery, Kunming General Hospital of Chengdu Military Command, Kunming; †Graduate School, The Third Military Medical University, Chongqing, China.

Severe motorcycle spoke injuries of the heel lead to Achilles tendon defects, calcaneal tubercle exposure or loss, and overlying soft tissue defects, which are challenging to treat. Given the special physiological and developmental characteristics of children, severe spoke injuries of the heel in children are especially troublesome.We report details of 31 cases of severe motorcycle spoke injuries of the heel in children. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000820DOI Listing
December 2016
15 Reads

Tubercular osteomyelitis of the first metatarsal bone as a cause of forefoot pain.

Foot (Edinb) 2016 Jun 19;27:19-21. Epub 2016 Mar 19.

Department of Orthopaedics, PGIMER, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India.

The reporting of isolated metatarsal tuberculosis in the available literature is sparse, herein we report a case of 26-year-old female who presented with insidious onset pain and swelling in her forefoot. Radiograph showed osteolysis of the first metatarsal. Magnetic resonance imaging showed osseous erosion with marrow oedema. Read More

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http://dx.doi.org/10.1016/j.foot.2016.03.002DOI Listing
June 2016
9 Reads

Case 228: Mueller-Weiss Disease.

Radiology 2016 Apr;279(1):317-21

From the Department of Radiology, University of Washington, 1959 NE Pacific St, Seattle, WA 98195.

History A 53-year-old woman presented to the hospital for evaluation of progressive long-standing left dorsomedial foot pain, which was made worse with weight bearing. There was no history of trauma. Prior assessments were performed at another facility, and she did not to respond to conservative therapy. Read More

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http://dx.doi.org/10.1148/radiol.2016132280DOI Listing
April 2016
6 Reads

Fatigue Fracture of the Calcaneus: From Early Diagnosis to Treatment: A Case Report of a Triathlon Athlete.

Am J Phys Med Rehabil 2016 06;95(6):e79-83

From the Department of Physical Medicine and Rehabilitation, Coimbra Hospital and Universitary Centre, Coimbra, Portugal.

Stress fractures are frequently underdiagnosed and undertreated despite being common in sports. Early diagnosis is crucial; therefore, a high index of clinical suspicion is required. Complementary examinations are essential for diagnosis and follow-up. Read More

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http://dx.doi.org/10.1097/PHM.0000000000000457DOI Listing
June 2016
13 Reads

Tibiotalocalcaneal Fusion for Severe Deformity and Bone Loss.

J Am Acad Orthop Surg 2016 Mar;24(3):125-34

From the Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH (Dr. Asomugha), Black Hills Orthopedic & Spine Center, Rapid City, SD (Dr. Den Hartog), the Department of Orthopedics, Summa Health, Akron, OH (Dr. Junko), and the Department of Orthopaedic Surgery, Wexner Medical Center, Ohio State University, Columbus, OH (Dr. Alexander).

Tibiotalocalcaneal fusion is an effective salvage procedure for combined end-stage ankle and subtalar arthrosis and for the management of severe planar deformities of the ankle and hindfoot. Although the procedure results in a rigid ankle and hindfoot, it is often the only means of providing patients with a stable and painless foot and ankle for ambulation. Some patients who require the procedure have substantial bone loss that can be managed with a variety of autograft and allograft options. Read More

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http://dx.doi.org/10.5435/JAAOS-D-14-00102DOI Listing
March 2016
9 Reads

The coracoclavicular joint. A systematic review and meta-analysis.

Authors:
K Yammine C Assi

Homo 2016 Apr 30;67(2):150-62. Epub 2015 Dec 30.

Orthopedic Department, Lebanese American University Medical Center - Rizk Hospital, Beirut, Lebanon.

The coracoclavicular joint (CCJ) is considered as a rare articulation in humans. Though rarely it could be symptomatic, its presence should be acknowledged by physicians. The aim of this systematic review is to conduct an evidence synthesis on the prevalence of this condition in different ethnic populations. Read More

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http://dx.doi.org/10.1016/j.jchb.2015.12.003DOI Listing
April 2016
3 Reads

Metatarsal leiomyosarcoma masquerading as acute osteomyelitis - A diagnostic trap unveiled by vigilant clinical, radiologic and pathologic analysis.

Foot (Edinb) 2016 Jun 14;27:10-5. Epub 2015 Sep 14.

Department of Anatomical and Cellular Pathology, Prince of Wales Hospital, Hong Kong. Electronic address:

Due to overlapping clinical and radiological features, the differentiation between osteomyelitis and bone tumor can be challenging. A 48-year-old lady presented with intermittent left foot pain for a few months. Plain radiographs showed an osteolytic lesion affecting the proximal diaphysis of the left fourth metatarsal bone, with thinning and irregularities of the cortex and focal periosteal reaction. Read More

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http://dx.doi.org/10.1016/j.foot.2015.09.003DOI Listing
June 2016
4 Reads

Irreducible tongue-type calcaneal fracture due to interposition of flexor hallucis longus.

Foot (Edinb) 2016 Jun 1;27:1-3. Epub 2015 Oct 1.

Department of Trauma & Orthopaedics Altnagelvin Hospital, Glenshane Road, Londonderry BT47 6SB, Northern Ireland, UK.

We present a rare case of interposition of the flexor hallucis longus (FHL) tendon blocking percutaneous closed reduction of a displaced tongue-type calcaneal fracture, and necessitating open repositioning of the tendon and internal fixation through a single extensile lateral approach. Although not recognized until during surgery, with a high index of suspicion, preoperative diagnosis of this injury combination should be possible on high resolution CT, thus enabling better planning of the procedure. The presence of a small sustentacular fragment, especially if markedly displaced or rotated, should further alert the physician as to increased likelihood of such tendon entrapment within the fracture. Read More

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http://dx.doi.org/10.1016/j.foot.2015.09.005DOI Listing
June 2016
7 Reads

Three-Phase 99mTc MDP Bone Scintigraphy and SPECT-CT in Sinus Tarsi Syndrome.

Clin Nucl Med 2016 Apr;41(4):e208-10

From the Department of Nuclear Medicine, Kuwait Cancer Control Center, Khaitan Kuwait.

Sinus tarsi syndrome is a pain in the lateral side of the hind foot that is responsive to injection of local anesthetic agents. We report a case of a 42-year-old man who presented with pain over the lateral aspect of the right foot. Laboratory investigations and x-ray were normal. Read More

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http://dx.doi.org/10.1097/RLU.0000000000001093DOI Listing
April 2016
7 Reads

Inter and intra-observer reliability in assessment of the position of the lateral sesamoid in determining the severity of hallux valgus.

Foot (Edinb) 2016 Jun 22;27:59-61. Epub 2015 Oct 22.

Rochdale Infirmary, Whitehall Street, Rochdale OL12 0NB, Lancashire, United Kingdom. Electronic address:

Background: The position of the lateral sesamoid on standard dorso-plantar weight bearing radiographs, with respect to the lateral cortex of the first metatarsal, has been shown to correlate well with the degree of the hallux valgus angle. This study aimed to assess the inter- and intra-observer error of this new classification system.

Methods: Five orthopaedic consultants and five trainee orthopaedic surgeons were recruited to assess and document the degree of displacement of the lateral sesamoid on 144 weight-bearing dorso-plantar radiographs on two separate occasions. Read More

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http://dx.doi.org/10.1016/j.foot.2015.10.001DOI Listing
June 2016
4 Reads