Foot & ankle surgery (New York, N.Y.)最新文献_第5页

A rare presentation of an abductor hallucis soft tissue mass: A case report 罕见的外展幻觉软组织肿块一例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-09-17 DOI: 10.1016/j.fastrc.2025.100570

Ksenja Llazar DPM , Nayab Khan DPM , Michael Loshigian DPM, FACFAS

{"title":"A rare presentation of an abductor hallucis soft tissue mass: A case report","authors":"Ksenja Llazar DPM , Nayab Khan DPM , Michael Loshigian DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100570","DOIUrl":"10.1016/j.fastrc.2025.100570","url":null,"abstract":"<div><div>Schwannomas can present as soft tissue masses in the foot and ankle that mimic other conditions. This report presents a rare case of schwannoma arising within the abductor hallucis muscle belly in a 53-year-old female with past medical history of rheumatoid arthritis. The patient presented with a year-long history of left foot pain and a slowly enlarging, palpable mass on the plantar medial aspect of the foot. Initial evaluation and imaging revealed a well-circumscribed soft tissue mass with internal vascularity. However, due to medical history and overlapping clinical and imaging features, the differential diagnosis, among others, included rheumatoid nodules. Surgical excision of the mass was performed, and histopathology confirmed the diagnosis of traditional schwannoma. This report underlines the diagnostic challenge of distinguishing schwannomas from rheumatoid nodules and other types of soft tissue masses, specifically in patients with autoimmune disease. We discuss the clinical, radiological, and pathological aspects of this rare tumor. Definitive diagnosis requires histological analysis, as imaging alone may be inconclusive.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100570"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158384","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}

引用次数: 0

Surgical correction of severe hallux abducto-valgus deformity with minimally invasive chevron akin osteotomy: A systematic review 微创切骨术矫正严重拇外展外翻畸形：系统回顾

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-09-27 DOI: 10.1016/j.fastrc.2025.100574

Levi Smith DPM , Hughes Ackom DPM , Rachel A Murphy MS , Andrew Elliott DPM, FACFAS

{"title":"Surgical correction of severe hallux abducto-valgus deformity with minimally invasive chevron akin osteotomy: A systematic review","authors":"Levi Smith DPM , Hughes Ackom DPM , Rachel A Murphy MS , Andrew Elliott DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100574","DOIUrl":"10.1016/j.fastrc.2025.100574","url":null,"abstract":"<div><h3>Background</h3><div>With the increasing use of minimally invasive surgical (MIS) techniques in the field of hallux abductovalgus (HAV) correction, foot and ankle surgeons are utilizing third-generation techniques, such as the minimally invasive chevron Akin (MICA) osteotomy, to repair bunions ranging in severity from mild to severe. Literature identifying the correction of severe HAV deformities with MIS techniques is sparse.</div></div><div><h3>Purpose</h3><div>A systematic review is presented of peer-reviewed sources to analyze complications, pre- and postoperative radiographic analysis, and patient-reported outcomes in correction of severe HAV deformity with the MICA surgical approach.</div></div><div><h3>Study Design/Methods</h3><div>After review of multiple databases, 4 articles were obtained matching our inclusion criteria, with 236 total feet.</div></div><div><h3>Results</h3><div>Complication rates ranged from 18.8 % to 24.2 %, while recurrence rates ranged from 3.8 % to 7.5 %. Average intermetatarsal angle improved from 17.81 degrees to 6.59 degrees, and hallux valgus angle improved from 42.18 degrees to 8.94 degrees. Improvements in the two radiographic angles were statistically significant. Improvement in patient-reported outcomes was appreciated among studies but unable to be analyzed statistically owing to low sample size and heterogeneity in reporting.</div></div><div><h3>Conclusion</h3><div>Thissystematic review revealed that the use of the MICA technique to correct severe HAV deformity showed significant improvement of radiographic angles, acceptable patient-reported outcomes, and complication and recurrence rates similar to those reporting on less severe deformity correction.</div></div><div><h3>Level of Evidence</h3><div>Level 4</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100574"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145266599","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}

引用次数: 0

Rare presentation of synovial sarcoma in the foot: A case study 罕见的足部滑膜肉瘤一例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-09-12 DOI: 10.1016/j.fastrc.2025.100566

Drishti Dhawan , Emily Pugh

{"title":"Rare presentation of synovial sarcoma in the foot: A case study","authors":"Drishti Dhawan , Emily Pugh","doi":"10.1016/j.fastrc.2025.100566","DOIUrl":"10.1016/j.fastrc.2025.100566","url":null,"abstract":"<div><div>Synovial sarcoma is a rare, high-grade soft tissue malignancy that most commonly affects the extremities of adolescents and young adults, with a predilection for the foot and ankle. We present the case of a 47-year-old male with a 12-month history of progressive left foot dorsal swelling and pain. Initial imaging suggested a soft tissue hemangioma; however, surgical excision and subsequent histopathologic and molecular analysis revealed a monophasic synovial sarcoma with SS18-SSX gene fusion. The patient underwent wide re-excision of the tumor bed in coordination with orthopedic oncology. Final pathology confirmed negative margins, and no metastatic disease was identified on PET or chest CT. Given the complete resection and absence of residual disease, adjuvant radiation therapy was deferred. The patient remains disease-free on surveillance imaging at follow-up. This case highlights the diagnostic challenges of synovial sarcoma in the foot and ankle and emphasizes the importance of early biopsy, multidisciplinary coordination, and adherence to oncologic principles for optimal outcomes. Malignancy should remain a consideration in the differential diagnosis of persistent soft tissue masses.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100566"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109402","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}

引用次数: 0

Erratum regarding missing “Declaration of Competing Interest” statements in previously published articles 关于先前发表的文章中缺少“竞争利益声明”声明的勘误表

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1016/j.fastrc.2025.100580

引用次数: 0

A combined intramedullary–extramedullary fixation strategy for distal central metatarsal fractures: Clinical outcomes in two cases 髓内-髓外联合固定治疗远端中央跖骨骨折：两例临床结果

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-11-07 DOI: 10.1016/j.fastrc.2025.100586

Neil L. Bernard DPM , Brianna Lach DPM , Eyad Rasoul DPM, MPH , James C. Connors DPM, FACFAS , Mark Hardy DPM, FACFAS , Dustin C. Huntsman DPM, AACFAS

{"title":"A combined intramedullary–extramedullary fixation strategy for distal central metatarsal fractures: Clinical outcomes in two cases","authors":"Neil L. Bernard DPM , Brianna Lach DPM , Eyad Rasoul DPM, MPH , James C. Connors DPM, FACFAS , Mark Hardy DPM, FACFAS , Dustin C. Huntsman DPM, AACFAS","doi":"10.1016/j.fastrc.2025.100586","DOIUrl":"10.1016/j.fastrc.2025.100586","url":null,"abstract":"<div><div>Central metatarsal fractures are common injuries encountered in foot and ankle trauma. Management depends on multiple factors, including fracture pattern, position, age, bone quality, and body mass index (BMI). While these injuries are often managed conservatively, outcomes vary according to individual risk factors. Operative treatment typically involves retrograde percutaneous pinning or small plate fixation. Oblique central metatarsal fractures may accommodate small-diameter screws; however, transverse fractures near the metatarsal neck remain challenging due to limited bone stock for secure hardware placement. Percutaneous Kirshner wire (K-wire) fixation offers temporary stabilization but may not adequately resist pistoning or rotational forces, particularly in distal metatarsal neck fractures. This report presents a novel technique employing extramedullary fixation to supplement intramedullary K-wire stabilization in two such cases. Both patients underwent open reduction and internal fixation using this hybrid method. At follow-up, both demonstrated complete radiographic union and a return to pre-injury activity without complications. These findings suggest that extramedullary fixation may serve as a low-profile and effective option for managing difficult distal metatarsal fractures when traditional fixation methods are limited.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100586"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578925","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}

引用次数: 0

Unexpected bony regrowth following partial hallux amputation in a diabetic neuropathic foot: A case report 糖尿病神经性足部部分拇截肢后意外骨再生1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-09-14 DOI: 10.1016/j.fastrc.2025.100569

Avvi Shabat DPM , Vinay Hosuru Siddappa MD , Sam Lai Huat Lo MD

引用次数: 0

The intramedullary anatomy of the distal fibula as it pertains to current fibular nail offerings: A CT scan analysis 腓骨远端髓内解剖与当前腓骨钉置入的关系：CT扫描分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-08-21 DOI: 10.1016/j.fastrc.2025.100559

Brian Burgess DPM FACFAS , Ross Groeschl DPM AACFAS

{"title":"The intramedullary anatomy of the distal fibula as it pertains to current fibular nail offerings: A CT scan analysis","authors":"Brian Burgess DPM FACFAS , Ross Groeschl DPM AACFAS","doi":"10.1016/j.fastrc.2025.100559","DOIUrl":"10.1016/j.fastrc.2025.100559","url":null,"abstract":"<div><div>There has been recent increased interest in intramedullary fibular nails for the treatment of fibular fractures. While most publications highlight the clinical outcomes and decreased complication rates associated with fibular nails in comparison to their plate and screw counterparts, no studies to date have discussed the intramedually anatomy of the distal fibula as it pertains to fibular nailing. We retrospectively reviewed 197 tibial/fibular CT scans. Measurements of the intramedullary canal were taken at set points (180 mm, 130 mm from the fibular tip, the isthmus, and the widest portion of the fibula) in both the coronal and sagittal planes. 43 CT scans met inclusion criteria. The average width of the isthmus was 4.21 ± 1.08 mm (range, 2.19–7.33 mm) in the coronal plane and 5.27 ± 1.40 mm (range, 1.7–7.91 mm) in the sagittal plane. The average width of the fibula at 130 mm from the distal tip of the fibula was 5.18 ± 1.15 mm (range, 2.46–8.31 mm) in the coronal plane and 6.41 ± 1.45 mm (range, 2.88–9.89 mm) in the sagittal plane. 180 mm from the distal tip of the fibula, the average diameter was 5.77 ± 1.49 mm (range, 3.02–10.2 mm) and 7.18 ± 1.66 mm (range, 2.42–10.42 mm), for the coronal and sagittal planes, respectively. This is the first study of its kind to provide important insight into the distal fibula’s intramedullary anatomy, specifically as it pertains to fibular nails.</div></div><div><h3>Level of Evidence</h3><div>3</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100559"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933384","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}

引用次数: 0

Erratum to “Open anterior Ankle cheilectomy as salvage procedure for anterior ankle impingement, a case report” [Foot & Ankle Surgery: Techniques, Reports & Cases 4 (2024) 100432] “开放式踝关节前骨切除术作为踝关节前撞击的抢救手术1例报告”的勘误[足踝外科：技术、报告与病例4 (2024)100432]

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1016/j.fastrc.2025.100581

Francisco Bouhon Chilao, Laurent Mustaki, Jean-François Fischer, Ceyran Hamoudi

引用次数: 0

Staple fixation for first metatarsophalangeal joint fusion: A case series with surgical and clinical outcomes 第一跖趾关节融合术的钉钉固定：一个手术和临床结果的病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-05-31 DOI: 10.1016/j.fastrc.2025.100515

Adam Ferguson DPM, Makenzie Kerns DPM, Matthew Gorski DPM, AACFAS

引用次数: 0

Surgical management of a deep arteriovenous malformation in the foot: Case report 足部深动静脉畸形的外科治疗：1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-05-27 DOI: 10.1016/j.fastrc.2025.100512

Mohammed A. Farhan DPM, AACFAS, DABPM , Callie Morlock DPM AACFAS , Saloni Buch DPM , Anna L. Hronek DPM, FACFAS, DABPM, CWSP

引用次数: 0