Clinics in podiatric medicine and surgery
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The Lisfranc joint encompasses 6 articulations, weak dorsal ligaments, and strong plantar ligaments. The Lisfranc ligament serves to secure the second metatarsal in the keystone of the midfoot. Traumatic ligament injury and fracture can result in deformity, instability, pain, and degenerative joint disease of the Lisfranc joint. ⋯ Open reduction with internal fixation (ORIF) demands accurate anatomic alignment to prevent the need for salvage arthrodesis. Early studies have shown that primary arthrodesis of the medial 3 rays has performed equally well or better than ORIF for the displaced primarily ligamentous and severe injuries. A paradigm shift may emerge as more studies favor primary arthrodesis.
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Clin Podiatr Med Surg · Jul 2010
ReviewPlantar fasciitis: current diagnostic modalities and treatments.
Plantar fasciitis is a common cause of heel pain. The diagnosis is made clinically and validated with different diagnostic modalities ranging from ultrasound to magnetic resonance imaging. Treatments vary from stretching exercises to different surgical options. No single treatment is guaranteed to alleviate the heel pain.
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Heel pain is a condition that is generally more common in the adult population. However, it is a condition that the foot and ankle specialist must be prepared to treat in pediatric patients. ⋯ The presenting signs and symptoms, as well as proper workup and treatment are discussed. Two case reports of unusual pediatric calcaneal fractures are also presented.
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Clin Podiatr Med Surg · Apr 2009
ReviewTibiotalocalcaneal arthrodesis for salvage of severe ankle degeneration.
Tibiotalocalcaneal arthrodesis is a successful and proven surgical procedure for patients who have significant arthritic changes, deformity, and failed previous operations. Surgical technique varies depending on the type of fixation. ⋯ Correction of the deformity with appropriate joint preparation and stable fixation is important for a good outcome. Other adjunctive materials, such as bone growth stimulators and orthobiologics, should be used appropriately to ensure adequate primary arthrodesis.