The foot and Ankle Online Journal最新文献

{"title":"Technique for Single-Graft Lateral Ankle Stabilization: A Cadaveric Biomechanical Study","authors":"C. Clifford, K. McCann","doi":"10.3827/FAOJ.2011.0407.0003","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0407.0003","url":null,"abstract":"Several surgical procedures have been described for treatment of lateral ankle instability with varying degrees of success and complications. The purpose of this study was to describe a modification to the Brostrom procedure that allows for repair when lateral soft tissues are insufficient for primary repair. Cadaveric specimens were tested in a Telos Stress Device with lateral ligaments intact, transected, and with a single-graft repair. Talar tilt angle and anterior displacement index were measured and compared between each phase of the study. There was no significant difference between talar tilt angle of specimens with ligaments intact and ligaments grafted (p = .2295). There was no significant difference between anterior displacement index of specimens with ligaments intact and ligaments grafted (p= .6482). A cadaveric model is used to demonstrate that lateral ankle ligaments can be repaired using a new single-graft technique, and is comparable to presectioned intact lateral ankle ligaments.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"94 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114004661","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":"Chronic Ankle Contracture Reduced: A case series","authors":"S. Curran, F. B. Willis","doi":"10.3827/FAOJ.2011.0407.0002","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0407.0002","url":null,"abstract":"Background: Contracture is molecular shortening of connective tissue that frequently occurs from arthrofibrosis following malleolar fractures, causing plantarflexion contracture. The purpose of this case series was to examine reduction of chronic contracture of ankle fracture patients with treatment of dynamic splinting which delivers prolonged durations of low-load stretching at end range (s) of motion. Method: Eighteen patients (mean age 46, range 29 – 65 years, 9 females, 9 males) with a prior history of medial malleolar fracture, surgical fixation and contracture of more than one year took part. Dynamic splinting was prescribed for wear each night, achieving 6 to 8 hours of passive end-range stretching. The tension of the Dynasplint  was changed twice a month to optimize the stretch at end range of motion. Results: The mean duration was 16 weeks (range 12-22 weeks) and the patients mean wear was 784 hours (range 660 – 960) in end-range therapy from dynamic splinting. Maximal dorsiflexion was measured at baseline (enrolment) andy at four months. The mean maximal change in dorsiflexion was 23.4o (SD=14.1). Discussion and Conclusion: Contracture reduction is thought to require comparable amounts of time equaling the duration of contracture development. Low force, prolonged, passive stretching is considered to have the most beneficial effect in contracture reduction due to its ability to facilitate permanent changes in connective tissue elongation. The 60% change in maximal dorsiflexion noted in this study can be directly related to the duration of treatment as home therapy. A larger controlled trial should be conducted to measure empirical efficacy of dynamic splinting for contracture reduction following malleolar fractures.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133388371","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":"Protected Weight Bearing During Treatment of Acute Charcot Neuroarthropathy: A case series","authors":"Jeremy J. Cook, Emily A. Cook","doi":"10.3827/FAOJ.2011.0407.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0407.0001","url":null,"abstract":"Standard of care in the treatment of acute Eichenholtz stage I Charcot neuroarthropathy includes complete non-weight bearing immobilized with total contact casting. This small case series of three patients focuses on patients with acute phase midfoot Charcot neuroarthropathy treated with non-casting immobilization therapy. All patients were male with a mean age of 48.7 (range 46-53) years. Patients were instructed to assume complete non-weight bearing during treatment. Due to financial restrictions, all patients reported fully weight bearing in the non-removable immobilization boot because of work related obligations. Immobilization therapy lasted a mean duration of 90.3 days (range 76 – 133 days) and was discontinued once there was clinical resolution of inflammation and osseous stability. Serial radiographs revealed absence of deformity progression and eventual consolidation in all cases. All patients remained ulcer and callus free during immobilization therapy, without progression of a rocker-bottom deformity, while fully weight bearing and maintaining full-time manual labor employment. This preliminary case series adds to the evidence base that it may be possible to allow protected weight bearing during acute phase Charcot neuroarthropathy with adequate immobilization of the foot at all times.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129151223","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":"Soft Tissue Aneurysmal Bone Cyst: A Case Report","authors":"K. McCann, C. Clifford, Heather L. Salton","doi":"10.3827/FAOJ.2011.0406.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0406.0001","url":null,"abstract":"The authors present an unusual case of a primary soft tissue tumor having histologic features identical to an intraosseous aneurismal bone cyst. A retrospective chart and radiographic review of a 44 year-old male was performed with a 17 month follow-up. Initially presenting as a painful, palpable nodule on the medial left ankle; a discreet, encapsulated mass was confirmed with ultrasound and magnetic resonance imaging. Surgical excision followed and pathologic analysis of the specimen diagnosed an aneurysmal bone cyst in soft tissue. Aneurysmal bone cysts usually appear in the metaphyses of long bones or in vertebral bodies. The primary soft tissue tumor is rare, with only 17 cases having been reported in the English literature. This is the first report of a primary soft tissue aneurysmal bone cyst in the distal lower extremity. In this case, as in the majority of reported cases, complete resolution was obtained with surgical excision. neurysmal bone cyst (ABC) is classically described as a benign lesion developing mostly in the metaphyses of long bones and in vertebral bodies. 1 They are characterized by blood-filled spaces separated by connective tissue septa containing fibroblasts, osteoclast-like giant cells, and reactive woven bone. 2 ABC is considered a non-neoplastic lesion, although some cytogenetic studies have found reproducible chromosomal abnormalities. 3,18 The majority of ABCs arise de novo (primary ABC), but some have been found associated with other bony lesions secondarily. Lesions usually appear on radiograph as lytic and expansile. Computed tomography (CT) or magnetic resonance imaging (MRI) modalities often show a heterogeneous lesion with fluid-filled cystic spaces surrounded by a thin rim of bone. 5 Standard treatment of ABCs with marginal, yet complete surgical excision has shown acceptable results. While traditionally classified as a more common benign tumor of bone, ABCs have rarely been described as being found in soft tissues. A search of the English literature found a total of 17 cases of soft tissue ABC, with no primary lesions previously described in the distal lower extremity.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128529803","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":"Peripheral Primitive Neuroectodermal Tumor of the Calcaneus: A case report","authors":"S. Hashemi, Negar Azapria, A. Vosoughi, M. Pourmokhtari","doi":"10.3827/FAOJ.2011.0406.0002","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0406.0002","url":null,"abstract":"Ewing's sarcoma family of tumors is the second most common primary aggressive bone tumor especially in the late teenage years. We presented a 21 year-old man with swelling and pain of left heel. Imagings were in favor of osteomyelitis but no periosteal reaction was identified. Open biopsy revealed primitive neuroectodermal tumors. Finally, he underwent below knee amputation. Therefore, biopsy of lesions in calcaneus, especially without periosteal reaction, is strongly recommended.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"329 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133763656","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":"Swivel-type Dislocation of the Talonavicular Joint: A case report","authors":"E. Powell, Matthew L Labella","doi":"10.3827/FAOJ.2011.0406.0003","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0406.0003","url":null,"abstract":"Dislocation of the talonavicular joint is a rare occurrence. The swivel subtype dislocation is reported throughout the literature. Most are the result of an abductory or adductory force applied to the forefoot. Most authors report good functional results after a myriad of treatment options. Presented is a case of a 46 year -old male who sustained a medial swivel type dislocation of the talonavicular joint with concomitant fractures of the navicular and cuboid after a low-energy axial load to the foot. The case discusses some of the common issues revolving around the care of this type of dislocation.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"R-24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126623066","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":"Postoperative Rehabilitation after Hallux Valgus Surgery: A literature review","authors":"M. Polastri","doi":"10.3827/FAOJ.2011.0406.0004","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0406.0004","url":null,"abstract":"Background: Hallux valgus deformity is a common condition and several surgical treatments are discussed in the literature. The main purpose of this study is to review the literature concerning rehabilitation treatment following hallux valgus surgery. Methods: The present literature review is performed by searching the following databases: PubMed and Embase using the Medical Subject Headings terms ‘hallux valgus’, ‘postoperative rehabilitation’, ‘surgical procedures’ matched by the Boolean operator AND; The Cochrane Library using ‘hallux valgus’, ‘postoperative rehabilitation’ matched by the Boolean operator AND; and PEDro using ‘hallux valgus’. Results: The initial search identified ninety-four citations, and of those, eighty-five were excluded because they were related to surgical techniques, including percutaneous access and/or different osteotomy modalities, to radiological evaluations before and after the correction to describe the deformity, to surgical complications or to anesthesia management. Study design, patients, outcome measures, and the main results were extracted. After the selection, nine documents related to rehabilitation were included. Discussion: The findings of this review indicated that areas peripheral to the surgery, such as the ankles and toes (second to fifth) should be included in the rehabilitation program. Treatment may include physical instruments as magnetic fields in order to manage pain and edema postoperatively. In the included studies, American Orthopedic Foot and Ankle Society (AOFAS) score, range of motion, and visual analogic scale were mainly used as tools for evaluating outcomes. Conclusion: Postoperative rehabilitation timeframe may vary depending on the surgical technique and can be performed in an outpatient setting. The use of appropriate footwear that allows safe walking and does not compromise the surgical result is important immediately after surgery. Postoperative rehabilitation is mainly oriented to encourage both plantar pressure on the first ray and joint mobility. It also represents an important component of recovery following the correction of hallux valgus deviation, where it helps to restore physiological gait and foot function.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125288196","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":"Hardware Related Pain and Hardware Removal after Open Reduction and Internal Fixation of Ankle Fractures","authors":"J. Pot, J. Olsman","doi":"10.3827/FAOJ.2011.0405.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0405.0001","url":null,"abstract":"Objectives: To assess the incidence of hardware related pain after open reduction and internal fixation (ORIF) after ankle fractures through functional outcomes scores in patients with or without hardware related pain. Design: Retrospective study. Setting: Regional trauma center. Patients: One hundred and seventy six patients undergoing ORIF of an ankle fracture with a minimal follow up of 18 months were sent questionnaires. In total, 80 responding patients were available for analysis. Main Outcome Measurements: Visual Analog Pain Score, Foot and Ankle Outcome Score (FAOS). Results: In seventeen patients (21%), the hardware was removed because of pain. In another seventeen patients (21%), the hardware was not removed, but pain was reported. Patients with hardware related pain had significantly worse functional outcome scores than patients without hardware related pain. After elective hardware removal, pain reduction was achieved in 71 % of the patients. Mean Visual Analog Score was 7.0 before and 3.9 after elective hardware removal for pain. Conclusions: Hardware related pain is a significant issue after ORIF of ankle fractures. Patients with hardware related pain have significantly worse functional outcome scores. Although pain reduction is achieved in 71% of the patients after elective hardware removal, a substantial number of patients have persistent complaints. Patients should be well informed about the expectations and risks of elective hardware removal.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132993381","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":"Percutaneous Radiofrequency Ablation through a Subtalar Approach in Osteoid Osteoma of the Calcaneus","authors":"Ramos-Pascua, Santos-Martín, Fernández-Hernández, Sántos-Sánchez, Sánchez-Herráez","doi":"10.3827/FAOJ.2011.0405.0002","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0405.0002","url":null,"abstract":"","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"15 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121691327","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":"Correction of Traumatic Ankle Valgus and Procurvatum using the Taylor Spatial Frame: A Case Report","authors":"E. Lilja","doi":"10.3827/FAOJ.2011.0405.0003","DOIUrl":"https://doi.org/10.3827/FAOJ.2011.0405.0003","url":null,"abstract":"Injuries about the ankle joint can have devastating consequences when left untreated or undertreated, and treatment is especially important in the pediatric population. Physeal injury may occur that can result in abnormal growth patterns. External fixation can be used to correct ankle and tibial deformities, and the Taylor Spatial Frame (TSF) can be used to more easily correct triplane deformities. A case study is presented to demonstrate the use of the TSF in correction of ankle valgus and tibial procurvatum.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127152618","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}