966 results match your criteria Foot and Ankle Clinics [Journal]


Management of Avascular Necrosis in the Foot and Ankle.

Authors:
Kenneth J Hunt

Foot Ankle Clin 2019 Mar 20;24(1):xv-xvi. Epub 2018 Dec 20.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Avenue, Room 4508, Aurora, CO 80045, USA. Electronic address:

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http://dx.doi.org/10.1016/j.fcl.2018.12.001DOI Listing
March 2019
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Management of Müller-Weiss Disease.

Foot Ankle Clin 2019 Mar;24(1):89-105

Orthopaedic and Trauma Department, Complejo Hospitalario La Mancha Centro, Alcázar de San Juan, Avenida Constitucion 3, Ciudad Real 13600, Spain.

Müller-Weiss disease (MWD) is a dysplasia of the tarsal navicular. The shifting of the talar head laterally over the calcaneus drives the subtalar joint into varus. Failure to identify patients with paradoxic flatfoot varus may lead to the incorrect diagnosis and management. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.006DOI Listing
March 2019
1 Read

Köhler Disease: Avascular Necrosis in the Child.

Foot Ankle Clin 2019 Mar 10;24(1):83-88. Epub 2018 Dec 10.

Department of Orthopaedics, Stanford University, 300 Pasteur Drive, Edwards Building, R 105, Stanford, CA 94305-5341, USA. Electronic address:

Köhler disease is a childhood condition of pain and swelling of the medial midfoot with associated osteochondrosis or avascular necrosis of the tarsal navicular. The age at presentation is between 2 and 10 years, with boys more likely to be affected than girls. Radiographs show increased sclerosis and sometimes flattening and fragmentation of the navicular. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.005DOI Listing
March 2019
1 Read

Freiberg Disease and Avascular Necrosis of the Metatarsal Heads.

Foot Ankle Clin 2019 Mar;24(1):69-82

Department of Orthopedic Surgery, University of Colorado School of Medicine, 12631 E. 17th Avenue, Aurora, CO 80045, USA. Electronic address:

Freiberg disease is characterized as osteochondrosis of the second metatarsal head. It is the fourth most common form of primary osteochondrosis with a significant predilection to the adolescent athletic female population, although it has been seen over a wide age range. If treated early, osteochondroses such as Freiberg disease are essentially self-limiting, often resolving with nonoperative management. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.11.003DOI Listing
March 2019
2 Reads

Avascular Necrosis of the Sesamoids.

Foot Ankle Clin 2019 Mar;24(1):57-67

Department of Orthopaedic Surgery, Washington University School of Medicine, Campus Box 8233, 660 Euclid Avenue, St Louis, MO 63110, USA. Electronic address:

Avascular necrosis (AVN) of the sesamoid is pathology of the medial or lateral hallucal sesamoid resulting in pain under the first metatarsophalangeal joint often presenting in young female athletes. There is overlap of stress fracture, nonunion, and AVN that makes defining the diagnosis difficult but the treatment and outcomes are similar. The most reliable operative treatment used for AVN of the sesamoid is an accumulation of anatomic and mechanical factors with repetitive microtrauma. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.004DOI Listing
March 2019
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Prevention of Avascular Necrosis with Fractures of the Talar Neck.

Foot Ankle Clin 2019 Mar 9;24(1):47-56. Epub 2018 Nov 9.

The Institute for Foot and Ankle Reconstruction at Mercy, 301 St Paul Place, Baltimore, MD 21202, USA.

Displaced talar neck fractures no longer constitute a surgical emergency; timing of definitive surgery has no bearing on the risk of osteonecrosis. Amount of initial fracture displacement is best predictor of osteonecrosis. Grossly displaced fractures or fracture-dislocations should be provisionally reduced, with or without temporary external fixation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.003DOI Listing
March 2019
1 Read
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Natural History of Avascular Necrosis in the Talus: When to Operate.

Authors:
Andrew Haskell

Foot Ankle Clin 2019 Mar 15;24(1):35-45. Epub 2018 Nov 15.

Departments of Orthopedic Surgery and Sports Medicine, Palo Alto Medical Foundation, 301 Industrial Road, San Carlos, CA 94070, USA. Electronic address:

Avascular necrosis (AVN) of the talus bone is a progressive and debilitating consequence of trauma or exposure to a variety of risk factors. The Ficat classification describes current understanding of the natural history of AVN, including preclinical, preradiographic, precollapse, postcollapse, and arthritic stages. The size and location of the avascular region likely determines risk of progression; however, symptoms do not correlate with stage. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.002DOI Listing
March 2019
2 Reads

Imaging Features of Avascular Necrosis of the Foot and Ankle.

Foot Ankle Clin 2019 Mar 26;24(1):17-33. Epub 2018 Nov 26.

Radiology and (by courtesy) Orthopedics and Bioengineering, Department of Radiology, Stanford University, 1201 Welch Road, Room P-263, Stanford, CA 94305, USA. Electronic address:

Avascular necrosis of the foot and ankle is a rare but important cause of pain and functional abnormality. This process may occur in any bone in the foot and ankle; however, it presents most often in characteristic locations. Understanding of key radiographic findings is important in management of these lesions. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.10.002DOI Listing
March 2019
2 Reads

An Alumina Ceramic Total Talar Prosthesis for Avascular Necrosis of the Talus.

Foot Ankle Clin 2019 Mar 26;24(1):163-171. Epub 2018 Nov 26.

Department of Orthopaedic Surgery, Nara Medical University, 840 Shijyo-cho, Kashihara, Nara 631-8522, Japan.

Avascular necrosis tends to occur in the talus because of poor blood supply caused by the extended coverage to the articular cartilage on its surface. Treatment is conservative in the earlier stage of this disease; however, surgical treatment is usually indicated in the advanced stage. Nonunion, leg length discrepancy, or hindfoot instability may occur in patients treated with ankle or tibio-talo-calcaneal fusion. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.10.004DOI Listing
March 2019
7 Reads

Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis.

Foot Ankle Clin 2019 Mar;24(1):143-161

Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Durham, NC 27703, USA. Electronic address:

Severe talar avascular necrosis has many etiologies and can cause bone loss/hindfoot deformity. Tibiotalar calcaneal arthrodesis is a salvage procedure after severe talar avascular necrosis. Large bone voids can present significant challenges. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.11.002DOI Listing
March 2019
5 Reads

Ankle Arthrodesis for Talar Avascular Necrosis and Arthrodesis Nonunion.

Foot Ankle Clin 2019 Mar;24(1):131-142

Cornerstone Orthopaedics and Sports Medicine, 3 Superior Drive, Suite 225, Superior, CO 80027, USA.

This article reviews the surgical treatment of talar avascular necrosis. Specifically, arthrodesis for this complex entity and potential treatment of nonunions are discussed. The hallmarks of treatment are evolving and can range from nonoperative measures to amputations. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.11.004DOI Listing
March 2019
2 Reads

Vascularized Pedicle Graft for Talar Osteonecrosis.

Foot Ankle Clin 2019 Mar 5;24(1):121-129. Epub 2018 Dec 5.

Department of Orthopaedic Surgery, Duke University Medical Center, 40 Duke Medicine Circle, Durham, NC 27710, USA. Electronic address:

Vascularized bone grafting for talar avascular osteonecrosis is indicated for patients with modified Ficat and Arlet stage I to III disease with minimal subchondral collapse. Outcomes may be more durable than core decompression alone, especially in patients with more advanced disease. Our preferred method, described in this article, involves core decompression followed by use of a vascularized cuboid pedicle graft placed in the defect. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.11.001DOI Listing
March 2019
1 Read

Avascular Necrosis of the Tibial Plafond Following Rotational Ankle Fractures.

Foot Ankle Clin 2019 Mar 16;24(1):113-119. Epub 2018 Nov 16.

Foot and Ankle Surgery, UCLA Harbor Medical Center, 1000 W. Carson Street, Torrance, CA 90502, USA; Foot and Ankle Department, Congress Medical Associates, 800 South Raymond, 2nd Floor, Pasadena, CA 91105, USA.

Avascular necrosis (AVN) following rotational ankle fractures is most commonly described in the talus; however, it can also occur in the tibial plafond. These sequelae of ankle fractures are rarely described in the literature. Diagnosis of AVN is best confirmed with MRI of the involved extremity. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.10.003DOI Listing
March 2019
7 Reads

Core Decompression and Bone Grafting for Osteonecrosis of the Talus: A Critical Analysis of the Current Evidence.

Foot Ankle Clin 2019 Mar;24(1):107-112

Department of Orthopaedic Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA; Strategic Initiatives, Lenox Hill Hospital, 100 E 77th Street, New York, NY 10075, USA. Electronic address:

Several operative treatments have been explored to treat patients with progressive or symptomatic osteonecrosis of the talus, aiming to alleviate pain and restore mobility. Because most affected patients are typically younger and more active individuals, joint preservation techniques have received increasing attention. Core decompression, either through an open or percutaneous drilling approach has been used. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.11.005DOI Listing
March 2019
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Epidemiology, Cause, and Anatomy of Osteonecrosis of the Foot and Ankle.

Authors:
Daniel K Moon

Foot Ankle Clin 2019 Mar;24(1):1-16

Department of Orthopedic Surgery, University of Colorado, 12631 East 17th Avenue, Mail Stop B202, Room 4602, Aurora, CO 80045, USA. Electronic address:

Osteonecrosis arises throughout the foot and ankle in various forms and due to numerous causes, with a thousand US cases per year estimated for the ankle alone. Although research continues to elucidate specific mechanisms at work, the pathophysiology remains poorly understood. Nevertheless, the various osteonecrosis pathways converge on osteocyte death, and bony lesions follow a pattern of progression. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.10.001DOI Listing
March 2019
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Preface.

Authors:
Andrea Veljkovic

Foot Ankle Clin 2018 Dec;23(4):xv-xvi

Department of Orthopaedics, St. Paul's Hospital, The University of Brtish Columbia, UBC Foot and Ankle, UBC Orthopaedic Residency Program, Canadian Foot and Ankle Society, Footbridge Clinic, 221-181 Keefer Place, Vancouver, British Columbia V6B6C1, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.fcl.2018.09.001DOI Listing
December 2018

Plantar Plate Injury and Angular Toe Deformity.

Foot Ankle Clin 2018 Dec 25;23(4):703-713. Epub 2018 Sep 25.

Orthopaedic Surgery, Tri-State Specialist, LLC, Suite 300, 2730 Pierce Street, Sioux City, IA 51104, USA.

Lesser toe plantar plate injuries at the metatarsophalangeal (MTP) joint are a common source of metatarsalgia. The second MTP joint is the most commonly affected digit. The fibrocartilaginous plantar plate is the most important static stabilizer of the MTP joint; high loading with weight bearing can lead to attritional plantar plate injuries. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183006
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http://dx.doi.org/10.1016/j.fcl.2018.07.010DOI Listing
December 2018
15 Reads

Turf Toe Injury - Current Concepts and an Updated Review of Literature.

Foot Ankle Clin 2018 Dec 24;23(4):693-701. Epub 2018 Sep 24.

Department of Foot & Ankle Surgery, Wrightington Hospital, Hall Lane, Appley Bridge, Wrightington, Lancashire WN6 9EP, UK.

Turf toe injuries can be a disabling if not recognized and treated early. A high index of suspicion, based on the mechanism of injury and appropriate imaging, helps in the timely diagnosis. These injuries are frequently known to occur on artificial playing surfaces, because of the increased traction at the shoe-surface interface. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.009DOI Listing
December 2018
1 Read
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Low-Energy Lisfranc Injuries in an Athletic Population: A Comprehensive Review of the Literature and the Role of Minimally Invasive Techniques in Their Management.

Foot Ankle Clin 2018 Dec 24;23(4):679-692. Epub 2018 Sep 24.

Department of Orthopaedics, Division of Distal Extremities, University of British Columbia, Suite 221, 181 Keefer Street, Vancouver, BC V6B 6C1, Canada. Electronic address:

Tarsometatarsal (TMT) joint complex injuries can be caused by either direct or indirect injuries. The Lisfranc joint represents approximately 0.2% of all fractures. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.014DOI Listing
December 2018
4 Reads

Spring Ligament Instability.

Foot Ankle Clin 2018 Dec 22;23(4):659-678. Epub 2018 Sep 22.

Department of Orthopedic Surgery, Universidad de Chile, 1027 Independencia, Santiago 8380453, Chile; Department of Orthopedic Surgery, Hospital Clinico Universidad de Chile, Santos Dumont 999, Independencia, Santiago 8380456, Chile; Clinica Universidad de los Andes, Plaza 2501, Santiago 7620157, Chile.

The crucial role of the spring ligament complex within the pathologic process that leads to flatfoot deformity has evolved recently. There has been improvement in the anatomic knowledge of the spring ligament and understanding of its complex relationship to the deltoid complex and outstanding advances in biomechanics concepts related to the spring ligament. Optimization of flatfoot treatment strategies are focused on a renewed interest in the spring ligament and medial soft tissue reconstruction in concert with bony correction to obtain an adequate reduction of the talonavicular deformity and restoration of the medial longitudinal arch. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.012DOI Listing
December 2018
1 Read

Medial Ankle Instability: The Deltoid Dilemma.

Foot Ankle Clin 2018 Dec 25;23(4):639-657. Epub 2018 Sep 25.

Orthopaedic Department, Swiss Ortho Center, Swiss Medical Network, Schmerzklinik Basel, Hirschgässlein 15, Basel 4010, Switzerland. Electronic address:

Diagnosis and treatment of medial ankle instability (MAI) are still controversial and poorly discussed in literature. The purpose of this review is to highlight different clinical presentations of MAI and develop a guide for its management. The deltoid ligament complex is injured more commonly than expected, because deltoid ligament injuries may either be isolated or occur in combination with other lesions, such as lateral ankle ligament injury, posterior tibial tendon insufficiency, osteochondral lesion, and others. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.008DOI Listing
December 2018
12 Reads

Acute and Chronic Syndesmotic Injury: The Authors' Approach to Treatment.

Foot Ankle Clin 2018 Dec 24;23(4):625-637. Epub 2018 Sep 24.

Foot and Ankle Surgery, Weill Cornell Medical College, Downtown Orthopedic Associates, AO Foot and Ankle Expert Group, 170 William Street, New York, NY 10038, USA.

Ankle injuries are a common traumatic injury. Rupture to the syndesmosis may occur as a result of these injuries. Strategies for the treatment of both acute and chronic syndesmotic repair are reviewed in detail. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.007DOI Listing
December 2018
1 Read

Revision of Surgical Lateral Ankle Ligament Stabilization.

Foot Ankle Clin 2018 Dec 22;23(4):605-624. Epub 2018 Sep 22.

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA. Electronic address:

Ankle sprains continue to be among the most common musculoskeletal injuries, most of which never require surgical treatment. Surgical treatment has traditionally been successful for those patients whose symptoms do not improve with nonoperative care. However, recurrent instability, although rare, can occur early or late after a stabilization procedure, as the result of an acute traumatic event or chronic repetitive minor injury. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.006DOI Listing
December 2018
2 Reads

Malalignment and Lateral Ankle Instability: Causes of Failure from the Varus Tibia to the Cavovarus Foot.

Foot Ankle Clin 2018 Dec 22;23(4):593-603. Epub 2018 Sep 22.

Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Berne 3010, Switzerland.

A lower leg or hindfoot varus malalignment is a frequently encountered but underestimated cause of chronic ankle instability and ankle arthritis in the long term. When evaluating patients with ankle instability, a high index of clinical suspicion for tibia and hindfoot malalignment and subsequent biomechanics should be maintained. Management of lateral ankle instability in the presence of varus malalignment must comprise a generous indication for accurate hindfoot realignment. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.005DOI Listing
December 2018

Percutaneous Ankle Reconstruction of Lateral Ligaments.

Foot Ankle Clin 2018 Dec 28;23(4):581-592. Epub 2018 Sep 28.

Department of Orthopaedic Surgery, Teikyo Institute of Sports Science & Medicine, Tokyo, Japan; Department of Sport and Medical Science, Teikyo Institute of Sports Science & Medicine, Tokyo, Japan.

Chronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. Within the 3 ligaments of the lateral ligament complex, 80% of patients tear the anterior talofibular ligament (ATFL), whereas the other 20% of patients tear the ATFL and calcaneofibular ligament (CFL). Rarely, the posterior talofibular ligament is involved. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.013DOI Listing
December 2018
11 Reads
0.844 Impact Factor

Arthroscopic Treatment of Ankle Instability - Allograft/Autograft Reconstruction.

Foot Ankle Clin 2018 Dec;23(4):571-579

Clinique du Sport, 2 rue Negrevergne, Bordeuax-Mérignac 33700, France. Electronic address:

Inversion ankle sprains represent one of the most common traumatic injuries in the active sports population. Although most respond well to conservative treatment, some hide important lesions. Lateral ankle ligament injuries occur in more than 80% of all ankle sprains, with one-third of these developing chronic ankle instability (CAI). Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.004DOI Listing
December 2018
13 Reads

Arthroscopic Treatment of Ankle Instability: Brostrom.

Foot Ankle Clin 2018 Dec 25;23(4):555-570. Epub 2018 Sep 25.

Department of Orthopedics, Blue Ridge Division of Emergeortho, Foot and Ankle Center, 2585 Hendersonville Road, Arden, NC 28704, USA.

Over the last 10 years, significant advances have been made and successful techniques have now been developed that effectively treat ankle instability via the arthroscope.Currently arthroscopic lateral ligament repair techniques can be grouped into "arthroscopic-assisted techniques," "all-arthroscopic techniques," and "all-inside techniques." Recent studies have proven these arthroscopic techniques to be a simple, safe, and biomechanically equivalent, stable alternative to open Brostrom Gould lateral ligament reconstruction. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.003DOI Listing
December 2018
10 Reads
0.844 Impact Factor

Chronic Lateral Ankle Instability: Open Surgical Management.

Foot Ankle Clin 2018 Dec 27;23(4):539-554. Epub 2018 Sep 27.

Department of Orthopedics, IU Health University Hospital, 550 N. University Boulevard, Suite 6201, Indianapolis, IN, USA.

Open surgical reconstruction for chronic lateral ankle instability is a proven and effective means of providing renewed stability. Ankle arthroscopy is recommended before reconstruction to address intra-articular pathology. The open procedure discussed is well researched and proven to restore stability and the ability to return to sport and daily activity. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.002DOI Listing
December 2018

Acute Lateral Ankle Instability.

Authors:
Kim Slater

Foot Ankle Clin 2018 Dec 26;23(4):523-537. Epub 2018 Sep 26.

Mater Private Hospital, North Sydney, New South Wales, Australia. Electronic address:

Acute injuries to the lateral ankle complex remain common and account for 20% to 25% of musculoskeletal injuries. Initial assessment should use the Ottawa ankle rules, and grading should take into account degree of mechanical instability. Nonoperative measures are preferable for all grades of injury; however, mechanical instability is a predictor for resprains. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.001DOI Listing
December 2018
7 Reads

Imaging in Foot and Ankle Instability.

Foot Ankle Clin 2018 Dec;23(4):499-522.e28

Department of Radiology, St Paul's Hospital, University of British Columbia, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.

This article reviews the imaging aspects relevant to ligamentous instabilities of the foot and ankle with a focus on MRI and ultrasound imaging. A pictorial review of the anatomy of the medial and lateral ankle ligaments, syndesmosis, spring ligament, Lisfranc complex, hallux sesamoid complex, and lesser toe plantar plate as seen on MRI is presented. Selected cases of ligamentous pathology relevant to foot and ankle instability are presented. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.011DOI Listing
December 2018

The Subtalar Joint.

Authors:
Norman Espinosa

Foot Ankle Clin 2018 Sep;23(3):xi-xii

Institute for Foot and Ankle Reconstruction, Foot and Ankle Surgery, FussInstitut Zurich, Kappelistrasse 7, Zurich 8002, Switzerland. Electronic address:

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http://dx.doi.org/10.1016/j.fcl.2018.05.001DOI Listing
September 2018
1 Read

Subtalar Distraction Arthrodesis.

Foot Ankle Clin 2018 Sep;23(3):485-498

Institute for Foot and Ankle Reconstruction, Kappelistrasse 7, Zurich 8002, Switzerland.

The subtalar joint can be altered in its anatomy and biomechanical behavior. It is important to know how to assess the talar declination angle in order to assess the deformity at the subtalar joint. Consider a straight posterior approach to the subtalar joint and remain liberal in the use of z-shaped Achilles tendon lengthening. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.008DOI Listing
September 2018

Subtalar Arthroscopic Fusion.

Foot Ankle Clin 2018 Sep;23(3):475-483

Foot and Ankle Unit, Hospital Militar, Universidad de Los Andes, Av. Alcalde Fernando Castillo Velasco 9100, La Reina, Santiago, Chile.

Arthroscopic subtalar fusion is an excellent approach to subtalar pathologic condition where conservative treatment has failed and a fusion has been indicated. Formal contraindications include excessive malalignment and bone loss. The posterior arthroscopic approach is analyzed in this article, including indications, surgical technique, surgical tips, and complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183003
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http://dx.doi.org/10.1016/j.fcl.2018.04.007DOI Listing
September 2018
3 Reads

Open Technique for In Situ Subtalar Fusion.

Foot Ankle Clin 2018 Sep 3;23(3):461-474. Epub 2018 Jul 3.

Department of Orthopedics, Balgrist University Hospital, Forchstrasse 340, Zürich 8008, Switzerland.

The subtalar joint plays an important role for the hindfoot when accommodating during gait. Joint degeneration may be caused by posttraumatic, inflammatory, and pathologic biomechanical changes. Once conservative treatment has failed, subtalar fusion should be considered. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.003DOI Listing
September 2018
4 Reads

Medial Approach to the Subtalar Joint.

Foot Ankle Clin 2018 Sep;23(3):451-460

Trauma and Orthopaedic Department, Aintree University Hospital, Liverpool University, Liverpool, UK. Electronic address:

Surgical access to the subtalar joint is required in a plethora of pathologic conditions of the hindfoot. The conventional lateral approach can give excellent access to subtalar joint; however, in hindfoot valgus deformities, there can be unacceptable risks of wound problems and incomplete deformity corrections. The medial approach offers good access to the subtalar joint with an increasing evidence base for its use, especially with double fusions in pes planus deformities. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.006DOI Listing
September 2018
2 Reads

Coalitions of the Tarsal Bones.

Foot Ankle Clin 2018 Sep 28;23(3):435-449. Epub 2018 Jun 28.

Foot and Ankle Surgery, Department of Orthopaedic Surgery and Traumatology, Spitalstrasse 16, Kantonsspital Lucerne, Lucerne 6000, Switzerland.

Tarsal coalitions are the result of impaired mesenchymal separation of the tarsal bones. The most common types include calcaneonavicular or talocalcaneal coalitions. Subtalar stiffness results in pathologic kinematics with increased risk of ankle sprains, planovalgus foot deformity, and progressive joint degeneration. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.011DOI Listing
September 2018
4 Reads

Arthroereisis: What Have We Learned?

Foot Ankle Clin 2018 Sep 3;23(3):415-434. Epub 2018 Jul 3.

Foot and Ankle Department, Clinica Alemana, Universidad del Desarrollo, Avenida la Plaza 2501, Santiago 7620001, Chile.

One of the most common orthopedic problems in the authors' practice is flatfoot and, although it is most commonly treated conservatively, there is still lack of consensus about the type of surgical treatment that is best recommended in a specific patient. Keeping in mind that medial soft tissue reconstruction alone has not proved enough as an isolated procedure and that osteotomies and arthrodesis are considered more invasive surgery, arthroereisis is a quick, easy, and reproducible technique that seems to have good results without major complications in the correct patient. Indications, biomechanical principles, and technique are described in this article. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.010DOI Listing
September 2018
2 Reads

Update on Subtalar Joint Instability.

Foot Ankle Clin 2018 Sep;23(3):397-413

University Center for Orthopedics and Traumatology, University Hospital "Carl Gustav Carus", TU Dresden, Fetscherstr. 74, Dresden D-01307, Germany.

Subtalar joint stability is ensured by the osseous geometry of the talocalcaneal joint and the complex array of the ligaments at the medial and lateral aspect of the ankle joint, the sinus and canalis tarsi, and the talocalcaneonavicular joint, respectively. There is still a substantial lack of knowledge about the interaction of the ankle and subtalar joint complex. Subtalar joint instability appears to be more frequent than is generally assumed. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.005DOI Listing
September 2018
14 Reads

Fractures of the Lateral Process of the Talus.

Foot Ankle Clin 2018 Sep;23(3):375-395

Departement of Surgery, Kantonsspital Graubünden, Loëstrasse 170, Chur 7000, Switzerland. Electronic address:

Lateral talar process fractures (LTPF) are uncommon injuries but have become more relevant with snowboarding. Currently the fractures are classified according to McCrory-Bladin into 3 types, with advice for treatment that is not ideal anymore. This article proposes modifying the existing classification by differentiating the multifragmented type III into 3 subtypes: IIIa, articular multifragmented but metaphyseal simple; IIIb, articular and metaphyseal multifragmented but reconstructable; and type IIIc, comminuted and nonreconstructable. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.009DOI Listing
September 2018
2 Reads

Traumatic Injury to the Subtalar Joint.

Foot Ankle Clin 2018 Sep;23(3):353-374

Department of Orthopedic Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea.

Traumatic injury to the subtalar joint occurs during subtalar dislocations, talar and calcaneal fractures, and fracture-dislocations. After closed reduction of subtalar dislocations, peripheral talar or calcaneal fractures need to be ruled out by computed tomography scanning. In fractures and fracture-dislocations of the talus and calcaneus involving the subtalar joint, anatomic reconstruction of joint congruity is essential for functional rehabilitation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.004DOI Listing
September 2018
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Subtalar Joint Biomechanics: From Normal to Pathologic.

Foot Ankle Clin 2018 Sep 3;23(3):341-352. Epub 2018 Jul 3.

Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.

Subtalar joint biomechanics are primarily driven by the shape of the articulations with contributions from the surrounding soft tissues. The joint motion occurs about a single axis oriented medially and superiorly. Joint contact forces change during different stages of gait and are affected by hindfoot alignment and traumatic alterations to their normal anatomy. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.002DOI Listing
September 2018
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Anatomy of the Subtalar Joint.

Foot Ankle Clin 2018 Sep 4;23(3):315-340. Epub 2018 Jul 4.

Department of Anatomy, First Faculty of Medicine, Charles University Prague, U Nemocnice 3, Prague 2, 128 00, Czech Republic.

The subtalar joint is divided into the talocalcaneonavicular and the talocalcaneal joint, separated by a conical interosseous tunnel (canalis and sinus tarsi). The talocalcaneonavicular joint is a ball-and-socket articulation (coxa pedis). An important part of the coxa pedis is the spring ligament. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.001DOI Listing
September 2018
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Hallux Valgus: A Three-Dimensional Approach.

Authors:
Woo-Chun Lee

Foot Ankle Clin 2018 Jun;23(2):xiii-xiv

Seoul Foot and Ankle Center, Dubalo Orthopaedic Clinic, Dongjak-Daero 212, Seocho-Gu, Seoul 06554, Korea. Electronic address:

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http://dx.doi.org/10.1016/j.fcl.2018.03.001DOI Listing
June 2018
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Hallux Valgus/Medial Column Instability and Their Relationship with Posterior Tibial Tendon Dysfunction.

Foot Ankle Clin 2018 Jun;23(2):297-313

Spectrum Health - Michigan State University, 221 Michigan Street NE, Suite 402, Grand Rapids, MI 49503, USA.

Historically, bunions have focused on the coronal plane; however, there is tension and compression failure in the sagittal plane of the midfoot during arch collapse. Correction of all 3 planes of deformity, coronal, sagittal, and rotational, can be achieved in several ways. Taking a big picture of global foot mechanics by recognizing the common types of conditions associated with arch collapse, including hallux valgus deformities, can serve as a useful roadmap for navigating more complicated deformities where hallux valgus exists. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183001
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http://dx.doi.org/10.1016/j.fcl.2018.02.003DOI Listing
June 2018
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Hallux Valgus Deformity and Treatment: A Three-Dimensional Approach: Modified Technique for Lapidus Procedure.

Foot Ankle Clin 2018 Jun 9;23(2):281-295. Epub 2018 Mar 9.

Foot and Ankle Division, Moore Center for Orthopedics, Lexington, SC, USA.

In a hallux valgus deformity, the problem is deviation of the hallux at the metatarsophalangeal joint and of the first metatarsal at the tarsometatarsal joint. Although anterior-posterior radiograph findings have been prioritized, deviation in the other planes can substantially change visible cues. The modified technique for Lapidus procedure procedure, uses all 3 planes to evaluate and correct the deformity, making radiographic measurements less useful. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.02.001DOI Listing
June 2018
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Hallux Valgus Deformity and Treatment: A Three-Dimensional Approach.

Foot Ankle Clin 2018 Jun;23(2):271-280

UT Erlange Orthopaedics, University of Tennessee College of Medicine, Chattanooga, TN 37405, USA. Electronic address:

The cause and effect between hallux valgus and first ray hypermobility continues to be debated. Understanding the anatomic and radiographic examination of the first metatarsocuneiform (MTC) joint is critical to choosing an appropriate treatment algorithm for the surgical management of hallux valgus deformity. Some studies suggest hypermobility can be corrected without fusing the first MTC joint. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.01.007DOI Listing
June 2018
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Proximal Supination Osteotomy of the First Metatarsal for Hallux Valgus.

Authors:
Ryuzo Okuda

Foot Ankle Clin 2018 Jun 8;23(2):257-269. Epub 2018 Mar 8.

Department of Orthopaedic Surgery, Shimizu Hospital, 11-2 Yamadanakayoshimi-cho, Nishikyo-ku, Kyoto 615-8237, Japan. Electronic address:

Postoperative recurrence of hallux valgus is a relatively common complication and is associated with unsatisfactory surgical outcomes. Risk factors for postoperative recurrence include a round lateral edge of the first metatarsal head (a positive round sign) and incomplete reduction of the sesamoids. These risk factors may relate to residual pronation of the first metatarsal following surgery. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.01.006DOI Listing
June 2018
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Using the Center of Rotation of Angulation Concept in Hallux Valgus Correction: Why Do We Choose the Proximal Oblique Sliding Closing Wedge Osteotomy?

Foot Ankle Clin 2018 Jun 8;23(2):247-256. Epub 2018 Mar 8.

Foot and Ankle Unit, Orthopedic and Traumatology Department, Clinica Alemana - Universidad del Desarrollo, Avda Vitacura 5951, Santiago, Chile; Hospital Militar - Universidad de Los Andes, Avda Alcalde Fernando Castillo Velasco 9100, Santiago, Chile.

Many different surgeries have been proposed for hallux valgus treatment, osteotomies being the currently recommended ones. Because of high recurrence rates, distal, diaphyseal and proximal osteotomies have been used to improve alignment and sesamoid reduction. The center of rotation of angulation (CORA) concept applies to any deformity and helps to completely realign 2 bone segments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183001
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http://dx.doi.org/10.1016/j.fcl.2018.01.005DOI Listing
June 2018
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How Do I Use the Scarf Osteotomy to Rotate the Metatarsal and Correct the Deformity in Three Dimensions?

Foot Ankle Clin 2018 Jun;23(2):239-246

Consultant Orthopaedic Surgeon, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, Merseyside, UK; Honorary Clinical Senior Lecturer, Department of Musculoskeletal Biology, University of Liverpool, 6 West Derby Street, Liverpool L7 8TX, UK. Electronic address:

The scarf osteotomy has become the workhorse procedure for a large proportion of foot and ankle surgeons, especially in Europe, in the treatment of hallux valgus. Such a versatile procedure should not be underestimated, and planning and thought should precede any such procedure. The angle of bone cuts and magnitude of translation dictate the final position, and all movement axes should be given equal attention. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.01.008DOI Listing
June 2018
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How I Use a Three-Dimensional Approach to Correct Hallux Valgus with a Distal Metatarsal Osteotomy.

Foot Ankle Clin 2018 Jun 22;23(2):231-238. Epub 2018 Mar 22.

Trauma and Orthopaedic Department, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK. Electronic address:

The role of uniplanar osteotomy in correction of multiplanar deformity in hallux valgus is a developing and promising concept. Careful consideration should be given to the literature when considering the concept of preexisting pronation of the metatarsal. Recent weight-bearing computed tomography studies contradict the existing literature and state that there is little or no rotation of the metatarsal; therefore, a multiplanar osteotomy should aim to correct the rotation caused by soft tissue imbalance at the tarsometatarsal and metatarsophalangeal joints rather than in the metatarsal itself. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183001
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http://dx.doi.org/10.1016/j.fcl.2018.02.002DOI Listing
June 2018
7 Reads