M. Jayaprakash, Vijaykumar Kulumbi, Ashok Sampagar, Chetan Umarani
{"title":"Lateral Subtalar Dislocation of the Foot: A case report","authors":"M. Jayaprakash, Vijaykumar Kulumbi, Ashok Sampagar, Chetan Umarani","doi":"10.3827/FAOJ.2011.0411.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0411.0001","url":null,"abstract":"","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116290197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Review of Adhesive Capsulitis of the Ankle: An introductory article and clinical review","authors":"B. Shamsi, J. Falk, Steven J. Pettineo, Sayed Ali","doi":"10.3827/FAOJ.2011.0410.0002","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0410.0002","url":null,"abstract":"Adhesive capsulitis is a well known ailment that most often affects the shoulder, but can occur in the hip, wrist, and the ankle. As it relates to the ankle joint, the condition is commonly referred to as ‘frozen ankle’ and presents as a challenge in both its diagnosis and treatment. Although there is much literature regarding the etiology, pathology, and treatment of ‘frozen shoulder’, there is little with regards to the ankle, with most being case reports. The purpose of this article is to provide a clinical review of the concept of adhesive capsulitis, its impact as it relates to the ankle, diagnostic criteria, and current treatment modalities.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122374923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Compartment Syndrome of the Foot associated with an Open Lisfranc Injury: A case report","authors":"Travis A. Motley, H. Cesar","doi":"10.3827/FAOJ.2011.0410.0003","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0410.0003","url":null,"abstract":"A high index of suspicion is required to recognize compartment syndrome in both closed and open fractures. 1 Compartment syndrome of the foot is well-described with cases secondary to closed trauma. We present an unusual case of an open Lisfranc fracture with compartment syndrome. Diagnostic modalities are discussed and early diagnosis appears to improve the success of treatment. ompartment syndrome is considered a surgical emergency. When not treated in a timely manner, compartment syndrome can lead to disastrous complications including muscle necrosis, Volkmann's contracture, neurological deficit, crush syndrome, and even death. 1 There are reported cases of associated compartment syndrome in open fractures of the lower leg, however not in the foot. 2 As classically described, compartment syndrome results from increased interstitial pressure in a closed osseofascial compartment, which leads to micro vascular compromise. 3 Typically, interstitial pressures in a closed osseofascial compartment are less than intravenous pressures. This pressure gradient allows the venous system to remain patent. When the interstitial pressure surpasses that of the intravenous pressure the veins collapse and capillary blood flow ceases. This results in swelling and increase compartment pressures. 4 Webber and Manoli identified nine compartments in the foot. Three compartments run the entire length of the foot, five compartments are contained within the forefoot, and a calcaneal compartment. 5 The consensus in the treatment of compartment syndrome is to reduce pressure in order to restore perfusion. Immediate fasciotomy is recommended to prevent long-term complications.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133861979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sutpal Singh, A. Kim, T. Dailey, L. Truong, M. Mejia
{"title":"Diabetic Limb Salvage in the Septic Ankle: Case Studies of Arthrodesis using the Ilizarov Methodology","authors":"Sutpal Singh, A. Kim, T. Dailey, L. Truong, M. Mejia","doi":"10.3827/FAOJ.2011.0410.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0410.0001","url":null,"abstract":"Diabetic patients usually have multiple comorbidities resulting in higher complication rates after ankle fractures. In many cases, the patient, through diabetic complications of peripheral neuropathy, may mistakenly ambulate resulting in dislocation or hardware failure if only internal fixation is utilized. Also, impaired wound healing, infection, non-union, mal-union and development of Charcot foot and ankle arthropathy may ensue. This article will present several cases in which open reduction and internal fixation in diabetic ankle fractures failed which then lead to osteomyelitis. This infection with the presence of diabetic neuropathy results in an increased risk for loss of limb. These cases were ultimately salvaged with septic ankle arthrodesis using the Ilizarov Method.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"243 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122871086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spring Ligament and Sustentaculum Tali Anatomical Variations: Anatomical Research Oriented to Acquired Flat Foot Study","authors":"Daniel Postan, G. Carabelli, L. Poitevin","doi":"10.3827/FAOJ.2011.0409.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0409.0001","url":null,"abstract":"Background: Acquired flat foot is generated by the fall of the medial arch of the foot. Spring Ligament (SL) lesions and posterior tibial insufficiency have been associated with fall of medial arch. In addition, some variations of sustentaculum tali have been associated with subtalar joint osteoarthritic changes and a high risk of acquired flat foot. Anatomical variations of spring ligament have been reported. Thus, some authors observed two fascicles that composed the ligament and some observed three fascicles. The purpose of this research is to study the anatomical variations of SL and its relations with the sustentaculum tali anatomical variations to establish which fascicles of spring ligament might coincide with a sustentaculum tali-risk factor for acquired flat foot. Materials and Methods: Fifteen feet in 10% formalin solution were reviewed. Anatomical dissections of subtalar joint were done, and the spring ligament fascicles and sustentaculum tali variations were studied. Results: A correlation was found between the type of sustentaculum tali and the numbers of fascicles that composed the ligament. Sustentaculum tali with two articular facets were related to spring ligaments with three fascicles, and sustentaculum tali with one articular surface were related to spring ligaments with two fascicles. The third fascicle of spring ligament was observed along with sustentaculum tali described as more stable and with less osteoarthritic changes. This observation might implicate a special role of the third fascicle in the stability of subtalar joint and the pathogenesis of acquired flat foot.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128531420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delayed Reconstruction of Post Traumatic Ankle Malunion: A case report","authors":"J. Robertson, K. Alexander","doi":"10.3827/FAOJ.2011.0409.0003","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0409.0003","url":null,"abstract":"Treatment of acute ankle fractures is clear in the approach; however, questions about delayed repair of chronic malunited ankle fractures still remain. Illustrated here is a case report of a 49 year old female that presented with a bimalleolar malunion, with severe lateral talar displacement and valgus position. She presented to our clinic 8 months following the initial injury. In the presence of mild to moderate degenerative changes at the tibio-talar articulation open reduction internal fixation (ORIF) was performed without complication. Proper anatomic alignment was established and stable fixation achieved.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134396877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Second Metatarsophalangeal Joint Pigmented Villonodular Synovitis: A case report","authors":"John A Rialson, Eric J. Heit","doi":"10.3827/FAOJ.2011.0409.0002","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0409.0002","url":null,"abstract":"Pigmented Villonodular Synovitis (PVNS) is an uncommon condition of the foot. PVS of the foot accounts for 2% of all cases. We present the case of a 26 year-old male who was found to have pigmented villonodular synovitis of the second metatarsophalangeal joint. Although a high incidence is reported in the literature, the patient underwent surgical excision with no known reoccurrence to date. Findings from magnetic resonance imaging, surgical presentation and literature review is presented.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114313945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Prospective Randomized Trial Using Four Treatment Modalities for the Treatment of Plantar Fasciitis","authors":"G. T. Kuwada","doi":"10.3827/FAOJ.2011.0408.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0408.0001","url":null,"abstract":"Introduction: A prospective randomized study was conducted to determine the efficacy of subjective pain reduction in patients with plantar fasciitis using four treatment modalities. Methods: One hundred patients (62 females and 38 males) were randomly assigned into four groups (n = 25) to receive arch supports, ultrasound treatments, injection or orthotics. Results: The ultrasound group had the highest average pain reduction of 3.97 after treatment and the highest number of patients who had pain relief after treatment at 81% or 21/25. Orthotics had the next highest average pain reduction followed by local Marcaine/Triamcinolone injection and arch supports. The orthotic group had more patients who had no pain after using the devices than any of the groups. Conclusions: No single treatment modality provided complete heel pain relief after treatment. Combining modalities will likely help improve plantar fasciitis than just one modality alone. This study also implies that some patients will require more than just one treatment modality to eliminate the symptoms of plantar fasciitis and that each modality usually decreased heel pain in most patients.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125735920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Tanaydin, H. Winters, W. Hogeboom, E. Zeegers, O. Zöphel
{"title":"Gunshot Wound: Reconstruction of an ankle defect in a five-year-old","authors":"V. Tanaydin, H. Winters, W. Hogeboom, E. Zeegers, O. Zöphel","doi":"10.3827/FAOJ.2011.0408.0002","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0408.0002","url":null,"abstract":"Reconstruction of a severe traumatic bone and soft tissue defect of the ankle region is a great challenge for the reconstructive surgeon. We report a case where we used a pedicled vascularized fibular transfer in combination with the transposition of a local fasciocutaneous flap to reconstruct a gunshot injury in a child. We achieved a successful repair without the use of free flaps. We believe that this approach provided a safe and relatively simple solution with minimal donor site morbidity.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121681636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Shogren, Sara Zelinskas, B. Hutchinson, Vineet Kamboj
{"title":"Distal Femoral Locking Plates for Tibiotalocalcaneal Fusions in the Charcot Ankle: A retrospective study","authors":"Sarah Shogren, Sara Zelinskas, B. Hutchinson, Vineet Kamboj","doi":"10.3827/FAOJ.2011.0408.0003","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0408.0003","url":null,"abstract":"This paper presents a retrospective case series with chart and radiographic review of four patients with Charcot neuroarthropathy and associated ankle valgus. All four patients underwent tibiotalocalcaneal (TTC) arthrodesis using a distal femoral locking plate combined with external ring fixation for rigid axial compression. A 12 month follow-up was obtained. All four TTC arthrodeses were performed by the same surgeon (BH) including preoperative and postoperative evaluation and care. Outcomes were deemed successful with evidence of radiographic consolidation across the fusion sites. Outcomes were considered failures in the presence of non-union or amputation. Three patients had satisfactory outcomes with only minor complications. One patient had failure of the procedure with development of osteomyelitis and ultimately had a below knee amputation. Although this was a small review, on average, osseous consolidation was appreciated in 77 days for those patients that had successful outcomes. Larger retrospective or even prospective studies are needed to confirm the use of tibiotalocalcaneal arthrodesis using a distal femoral locking plate and external ring fixation in Charcot arthropathy. This small case series shows promise to the efficacy of distal femoral locking plates for tibiotalocalcaneal fusions.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126202860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}