Foot Injuries (Subscribe)  

The patient is positioned supine with the foot at the end of the operating table. The foot is prepared and draped as usual. Under image intensifier guidance, three 20-gauge needles are inserted, 2 cm apart, angled at 45° to the plantar surface of the foot so that the tips of...

* Ankle Injuries
* Calcaneal #
* Compartment Syndrome (Foot)
* Foot #
* LisFranc
* Pilon #
* Talus

A 54-year-old woman with insulin-dependent diabetes mellitus, diabetic neuropathy, neuropathic arthropathy of the feet and a plantar ulcer underwent plain radiography, which showed 2 clipped-off hypodermic needles, of which she had been unaware, in the soft tissue of one foot. This previously unreported complication is clinically instructive in that it...

CONCLUSIONS: Patients with an established infection 24-36 hours after a plantar puncture should be admitted to hospital for parenteral antibiotic therapy. Delayed presentation is a significant marker for deep-seated infection. Further infection or relapse after initial improvement suggests the presence of osteomyelitis or a retained foreign body. A bone scan...

Removing a needle from a foot can be a challenging surgical experience. To avoid prolonged frustration in attempting removal under local infiltration in accident and emergency, we routinely use general or regional anaesthesia in the operating theatre with image intensifier assistance.
As a surgical strategy, we use an artery forceps to approach the...

Walking barefoot is common in developing countries and the feet are therefore exposed to a variety of trivial injuries, some of which lead to cellulitis or abscess formation. If left untreated or improperly managed, osteomyelitis or septic arthritis, usually involving the heel or metatarsals, may follow. In countries with limited...