Paris Elio , De Marco Giacomo MD , Vazquez Oscar MD , Steiger Christina MD, PhD , Dayer Romain MD , Boudabbous Sana MD , Ceroni Dimitri MD
{"title":"An anomaly of the medial process of the cuboid mimicking pseudo-calcaneonavicular coalition: A case report","authors":"Paris Elio , De Marco Giacomo MD , Vazquez Oscar MD , Steiger Christina MD, PhD , Dayer Romain MD , Boudabbous Sana MD , Ceroni Dimitri MD","doi":"10.1016/j.fastrc.2025.100560","DOIUrl":"10.1016/j.fastrc.2025.100560","url":null,"abstract":"<div><div>Calcaneonavicular coalition is well recognised as a malformation that restricts movement of the midfoot, and it can be responsible for sinus tarsi pain and ankle instability. Local calcaneal morphology anomalies, such as a protrusive anterior process of the calcaneus or calcaneus secundarius, can also alter the hindfoot’s biomechanics and exhibit clinical effects similar to a calcaneonavicular coalition.</div><div>This case report examines a previously undescribed hypertrophic medial process of the cuboid, which can limit the range of motion of the subtalar joint, mimicking calcaneonavicular coalition. We also explain the clinical approach used to reach our diagnosis.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907975","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}
Emanoil Shafik DPM, MPH, MS, Max Sanginario DPM, Stephen Trimnell DPM, MS, Joseph D. Cuomo DPM, MS, Abdelhafid El Akri MD, DPM, Sagar Shah DPM, Henry Habib DPM, DABPM
{"title":"Right foot acute pediatric extensor hallucis longus end to end repair with semitendinosus graft application: A case report","authors":"Emanoil Shafik DPM, MPH, MS, Max Sanginario DPM, Stephen Trimnell DPM, MS, Joseph D. Cuomo DPM, MS, Abdelhafid El Akri MD, DPM, Sagar Shah DPM, Henry Habib DPM, DABPM","doi":"10.1016/j.fastrc.2025.100562","DOIUrl":"10.1016/j.fastrc.2025.100562","url":null,"abstract":"<div><div>A 11 year old female was referred to Podiatric Surgeon by Plastic Surgeon for right foot lacerations and lateral fibular fracture that had occurred one month prior. Patient had no known past medical history and states that she is a very active dancer. Patient states she was on vacation with her family on a Caribbean island where while rough housing with her sibling, she stepped on a broken glass bottle leading to inverting her ankle. Patient sustained multiple lacerations to her foot and ankle. A plastic surgeon on holiday at the same Caribbean resort was able to provide immediate medical attention to the patient. The right hallux upon physical examination was noted to be in fixed plantarflexion and lacked the ability to manually extend her right hallux upon command. Magnetic Resonance Imaging was done to evaluate the integrity of the long extensor tendon. Imaging of the right foot showing a 4 cm tear of the extensor hallucis longus tendon at the level of the proximal first metatarsal. Patient underwent a procedure for extensor hallucis longus repair with semitendinosus graft application.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100562"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049163","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":"Intramuscular corticosteroids combined with exercise for refractory midportion achilles tendinopathy: A case series","authors":"Jan MA Mens MD, PhD","doi":"10.1016/j.fastrc.2025.100573","DOIUrl":"10.1016/j.fastrc.2025.100573","url":null,"abstract":"<div><h3>Background</h3><div>Treatment of Achilles tendinopathy (AT) typically consists of progressive exercise, load management, and patient education. The use of paratendinous administration is controversial. Improvement with conventional measures is often insufficient, creating a need for alternative solutions.</div></div><div><h3>Purpose</h3><div>Purpose is to describe the outcomes of patients treated with intramuscular corticosteroid-injections in combination with exercises.</div></div><div><h3>Study design</h3><div>retrospective analysis of a case series.</div></div><div><h3>Methods</h3><div>Baseline data and short-term outcomes were collected from patient records treated in our clinic. Follow-up results were gathered by means of structured telephonic interviews. AT was defined as pain in the Achilles tendon during activities with at least two of the following criteria: pain on tiptoe standing, swelling and/or tenderness 2–7 cm above the insertion, ultrasound signs of tendinopathy.</div></div><div><h3>Results</h3><div>Ten patients were included. The median duration of symptoms was 12 months (IQR 23). Patients reported improvement after 5.6 days (SD 4.8).The treatment reached its maximum effect at 6.2 weeks (SD 3.4). At the end of the 2–12 week intervention, six patients felt completely recovered and four reported feeling much better. At follow-up (23 months, SD 17), seven patients felt completely recovered and three much better. The median NRS pain score changed from 8 at baseline to 0 (<em>p</em> = 0.002), and the mean VISA-A score from 37 to 95 (<em>p</em> < 0.0001). No major adverse events were observed.</div></div><div><h3>Conclusion</h3><div>one or two intramuscular corticosteroid injections combined with concentric–eccentric exercises may offer rapid and sustained relief for patients with midportion AT.</div></div><div><h3>Level of Clinical Evidence</h3><div>4</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100573"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158383","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}
Derek A. Swanson PMSIII , Robert Lee PMSIII , Annie Phan OMSIII, MA , Janna Kroleski DPM, MS
{"title":"Lipofibromatosis-like neural tumor of the foot: A case study","authors":"Derek A. Swanson PMSIII , Robert Lee PMSIII , Annie Phan OMSIII, MA , Janna Kroleski DPM, MS","doi":"10.1016/j.fastrc.2025.100568","DOIUrl":"10.1016/j.fastrc.2025.100568","url":null,"abstract":"<div><div>Lipofibromatosis-like neural tumors (LPF-NTs) are a rare form of mesenchymal tumors generally found in children and young adults<sup>1</sup>. LPF-NTs are a novel tumor type, only recently identified and named with the first case being <10 years ago<sup>2</sup>. These tumors tend to occur in the distal extremities, presenting as slow-growing benign non-metastatic masses. They display a lipofibromatosis-like structure with an immunophenotype positive for CD34/S100 and NTRK1 gene abnormalities<sup>2</sup>. Due to LPF-NTs rarity and a lack of pain until significant mass expansion, they are often challenging to diagnose making treatment options more challenging<sup>3</sup>. Conservative treatment will not stop tumor growth or pain long term, causing a need for surgical excision. LPF-NTs, if improperly excised, demonstrate a high rate of local recurrence<sup>2</sup>. The rarity and diagnostic difficulty of LPF-NTs complicate patient care and increase the risk of misdiagnosis. This case report details a successful surgical removal of an LPF-NT and reviews the literature to improve recognition, diagnosis, and treatment by explicitly focusing on key characteristics, common diagnostic failures, and optimal treatment approaches for an LPF-NT located in the foot.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100568"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096294","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}
Lauren Simon DPM , David Gelbmann DPM , Marsha A Apushkin MD
{"title":"Circumferential ankle leiomyoma with intratendinous involvement: A case report","authors":"Lauren Simon DPM , David Gelbmann DPM , Marsha A Apushkin MD","doi":"10.1016/j.fastrc.2025.100557","DOIUrl":"10.1016/j.fastrc.2025.100557","url":null,"abstract":"<div><div>Leiomyomas are mostly benign soft tissue neoplasms arising from smooth muscle. These neoplasms are infrequent in the lower extremity accounting for about 1.7 % of all benign soft tissue tumors. In the literature, rare case reports of the foot and ankle have presented the leiomyomas with average size of 2 cm. We present a case report of a leiomyoma of the ankle with the size exceeding the reported.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100557"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912608","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":"About the Journal","authors":"","doi":"10.1016/S2667-3967(25)00127-2","DOIUrl":"10.1016/S2667-3967(25)00127-2","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100592"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789900","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}
Benjamin Wehrli DPM, FACFAS , Jonathan Fisher DPM, FACFAS , G. Parker Peresko DPM, FACFAS
{"title":"Minimally invasive cheilectomy with first metatarsal plantarflexory osteotomy fixated via intramedullary plating device - A novel technique for the management of hallux limitus and concomitant metatarsus primus elevatus: A case report with 3-year follow-up and surgical technique guide","authors":"Benjamin Wehrli DPM, FACFAS , Jonathan Fisher DPM, FACFAS , G. Parker Peresko DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100588","DOIUrl":"10.1016/j.fastrc.2025.100588","url":null,"abstract":"<div><h3>Background</h3><div>Hallux Limitus/Rigidus is a well-described pathologic spectrum, although the surgical management, especially when observed with concomitant metatarsus primus elevatus, can present less-than-desirable outcomes. While there is an abundance of available literature on the surgical management of these pathologies, more recent findings potentiate a continued need for a more encompassing approach.</div></div><div><h3>Study Design</h3><div>Case Report with Technique Guide.</div></div><div><h3>Methods</h3><div>We report the case of a 79-year-old male with painful symptomatic late-stage hallux limitus. Conservative measures were attempted and failed. Upon electing surgical intervention, a minimally invasive cheilectomy and 1st metatarsal plantarflexory osteotomy was conducted to address the hallux limitus and elevatus components simultaneously.</div></div><div><h3>Results</h3><div>The implementation of this novel surgical technique improved clinical factors, allowed for restoration of 1st metatarsal positioning, satisfactory exposure to address periarticular osteophytosis secondary to hallux limitus, while allowing for a minimal degree of soft tissue dissection. Postoperative course was uneventful with marked improvement in 1st metatarsophalangeal joint motion and patient’s pain and symptom generators, even when compared at 3-year follow-up. No recurrence of the resected exostoses or metatarsal malalignment was noted.</div></div><div><h3>Conclusion</h3><div>Recent literature has suggested the need for a more comprehensive approach when surgically addressing hallux limitus with associated metatarsus primus elevatus. The novel technique described in the report today of a minimally invasive cheilectomy coupled with plantarflexory osteotomy fixated via intramedullary plating appears to be a safe and effective surgical option. The advantageous minimal incisional window allowed for increased soft tissue protection without detracting from the correction of the root pathologies intraoperatively.</div></div><div><h3>Level of Evidence</h3><div>IV. Case-Report</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623978","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":"Utilizing the spare parts technique to aid in complex wound reconstruction for a necrotizing soft tissue infection: A case report","authors":"Zoe Dolcimascolo DPM , Suhail Masadeh DPM , Michael Liette DPM","doi":"10.1016/j.fastrc.2025.100582","DOIUrl":"10.1016/j.fastrc.2025.100582","url":null,"abstract":"<div><div>Necrotizing fasciitis is a life threatening, rapidly progressive infection requiring emergent surgical debridement. As a result of the extensive debridement patients are often left with large soft tissue defects, which may have considerable implications on morbidity. As a means to reduce patient morbidity and more rapidly cover large defects, the “spare parts” technique may serve as a viable option for reconstruction. The goal of this surgical technique is to utilize repurposed tissue from non-salvageable areas as a tool to cover critical structures expeditiously. Presented here is a case of utilizing the spare parts technique for a patient after debridement due to necrotizing fasciitis. A hallux digital fillet flap was harvested as a full thickness skin graft and inset over a soft tissue defect of the anterior ankle. This was done in an attempt to decrease the amount of wound contracture across the joint and provide rapid soft tissue coverage of a critical area.</div></div><div><h3>Level of Clinical Evidence</h3><div>Level 4 Case Study</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100582"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415799","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}
Emanoil Shafik DPM, MPH, MS, Stephen Trimnell DPM, MS, Joseph D. Cuomo DPM, MS, Max Sanginario DPM, Abdelhafid El Akri MD, DPM, Sagar Shah DPM, Michael Piccarelli DPM, AACFAS
{"title":"Ipsilateral achilles tendon rupture and medial malleolar fracture in an elderly patient: A rare case report and review","authors":"Emanoil Shafik DPM, MPH, MS, Stephen Trimnell DPM, MS, Joseph D. Cuomo DPM, MS, Max Sanginario DPM, Abdelhafid El Akri MD, DPM, Sagar Shah DPM, Michael Piccarelli DPM, AACFAS","doi":"10.1016/j.fastrc.2025.100561","DOIUrl":"10.1016/j.fastrc.2025.100561","url":null,"abstract":"<div><div>A 77-year-old male presented with a left Achilles tendon rupture and an ipsilateral medial malleolus fracture sustained after a misstep. This combination of injuries is rare, with only eight cases previously reported in the literature. Magnetic resonance imaging (MRI) confirmed a complete rupture of the Achilles tendon approximately 7 cm proximal to its calcaneal insertion. Intraoperative evaluation using an Arthroscopy procedure demonstrated no intra-articular step-off of the medial malleolus fracture. A positive Thompson test further confirmed the tendon rupture. The medial malleolus was stabilized with two 4 × 40 mm Arthrex cannulated screws, and the Achilles tendon was repaired using the Percutaneous Achilles Repair System.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100561"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926567","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}