OWL: Orthopedic Topics/Regional Orthopaedics/Foot

AAOS 1999 Symposium M Updates on Common Problems of the Foot and Ankle

Not Available — 2002-01-31 23:51:23 GMT

Archive Copy - 1999 Annual Meeting Scientific Program. Updates on Common Problems of the Foot and Ankle

ACFAS Clinical Practice Guidelines

2005-07-22 23:51:23 GMT

American College of Foot and Ankle Surgeons (Podiatrists)Clinical Practice Guidelines

Chevron Osteotomy for Correction of Hallux Valgus

Not Available — 2002-04-19 23:51:23 GMT

Etiology: intrinsic and extrinsic factors Vascular and neurologic review Indications and contraindications Radiographic and clinical evaluation Technique of regional ankle block Indications, disadvantages of tourniquet Surgical technique with soft tissue release Postoperative management Potential complications

Chevron Osteotomy Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics
in this procedure, a "V" shaped osteotomy of the distal metatarsal is created, which allows the first MT head to be shifted laterally, correcting the abnormal shape from long standing valgus drift;

Claw Toes

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics

Club Foot Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics
Talipes Equinovarus/Clubfoot
congenital clubfoot is a structural foot deformity that is present at birth;
- there is in utero malalignment of the talocalcaneal, talonavicular and calcaneocuboid joints;
- articular malalignments are fixed by contracted joint capsules, ligaments, and contracted foot and ankle tendons;
- may be bilateral in up to 50%;
- occurs in about 1 out of 800 births;
- more common in males than females;

Diabetic Foot Ulcerations

Mulder et al — 2006-04-13 23:51:23 GMT

Standard, Appropriate, and Advanced Care and Medical-Legal Considerations: Part One -- Diabetic Foot Ulcerations from Wounds Posted 06/09/2003 Gerit Mulder, DPM, MS, David Armstrong, DPM, Susie Seaman, MSN, NP, CETN Abstract and Introduction Abstract Administration of prompt and appropriate care for diabetic foot ulcerations is necessary to reduce complications, which may lead to limb loss. An understanding of standard, appropriate, and advanced care may assist the physician in making the most optimal decision when treating diabetic foot ulcers. An overview of the diabetic foot, its associative problems, considerations when reviewing the diabetic patient, and approaches to treatment are presented in this article. Clinicians are encouraged to review each patient individually to determine their specific needs and to administer the most appropriate care. Contents - Abstract and Introduction Diabetic Ulcer Overview Patient Assessment Ulcer Assessment and Documentation Ulcer Treatment Ulcer Measurements and Examination Debridement Offloading Infection Control Dressings Advanced Care: New Technology Summary Figures References

East Lancashire Foot and Ankle Hyperbook

Jim Barrie — 2003-04-18 23:51:23 GMT

Background material on most foot and ankle problems along with current policy on their assessment and management

Foot Menu Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics

Freibergs Disease Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

- anterior metatarsalgia that involves head of second metatarsal; - occurs during the growth spurt at puberty - most are female; - caused by avascular necrosis of the metatarsal head; - from repetitive stress with microfractures at the junction of the metaphysis and the growth plate - these fractures deprive the epiphysis of adequate circulation; - disease is more common in pts whose 1st metatarsal is shorter than 2nd metatarsal, which increases wt on 2nd metatarsal head; - in adulthood, DJD may develop in MTP joint;

Giant Cell Tumor of the Tendon Sheath

James R Verheyden — 2006-11-14 23:51:23 GMT

Introduction Relevant Anatomy And Contraindications Workup Treatment Outcome And Prognosis Pictures Bibliography Introduction Giant cell tumors of the tendon sheath are the second most common tumors of the hand, with simple ganglion cysts being the most common. Chassaignac first described these benign soft-tissue masses in 1852, and he overstated their biologic potential in referring to them as cancers of the tendon sheath. Giant cell tumors of the soft tissue are classified into the common localized type and the rare diffuse type. The rare diffuse form is considered the soft tissue counterpart of diffuse pigmented villonodular synovitis (PVNS). The diffuse form typically affects the lower extremities. Its anatomic distribution parallels that of PVNS, with lesions most commonly found around the knee, followed by the ankle and foot. However, the diffuse form occasionally affects the hand. Typically, these lesions, like those of PVNS, occur in young patients; the condition is diagnosed in one half of the patients before they are aged 40 years. The diffuse form is often locally aggressive, and multiple recurrences after their excision are common. Because of the similarity in patients' ages, tumoral locations, clinical presentations, and symptoms in PVNS and the diffuse form of giant cell tumors of the tendon sheath, the diffuse form probably represents an extra-articular extension of a primary intra-articular PVNS process. Findings from flow cytometric DNA analysis suggest that PVNS and giant cell tumors of the tendon sheath are histopathologically similar but clinically distinct lesions. When the origin of these poorly confined soft-tissue masses is uncertain, Enzinger and Weiss classify these tumors as the diffuse type of giant cell tumors of the tendon sheath, whether or not they involve the adjacent joint. This article focuses on the common localized form of giant cell tumors, that is, the giant cell tumors of the tendon sheath that often are found in the hands and feet. Author: James R Verheyden, MD, Consulting Surgeon, Department of Orthopedic Surgery, The Orthopedic & Neurosurgical Center of the Cascades Coauthor(s): Timothy A Damron, MD, David G Murray Professor, Department of Orthopedic Surgery, Upstate Medical University; Professor, Orthopedic Oncology and Adult Reconstruction, Department of Orthopedics, State University of New York at Syracuse eMedicine 2002

Girdlestone Taylor Procedure Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics
this procedure allows long toe flexors to behave like intrinsic muscles producing active plantar flexion at MP joints & extension at IP joint; - indicated for flexible hammer toes and claw toes;

Hallux Rigidus and Cheilectomy Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics
hallux rigidus results from degenerative changes at the first MTP joint; - this may be more disabling than hallux valgus, because pt is unable to achieve relief even when not wearing shoes; - it is a frequent complaint of runners; - there is limitation of motion and pain at the MTP joint of the great toe secondary to repetitive trauma and DJD; - because the great toe has limited dorsiflexion, puff of during ambulation can be painful; - loss of motion is due to new growth of bone around dorsal articular surface of first metatarsal head

Hallux Valgus and Bunion Surgery Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics
Overview of options for the investigation and management of hallus valgus

Hammer Toes Wheeless

Wheeless — 2002-01-31 23:51:23 GMT

Wheeless' Textbook of Orthopaedics
term describes abnormal flexion posture of PIP joint of one of lesser 4 toes;
- the hammer toe deformity is similar to the curly toe deformity but is not malrotated;
- flexion deformity of PIP may be fixed or supple;
- w/ severe hammer toe deformity, MP joint may go into hyperextension (distal joint usually stays supple);