Foot & ankle surgery (New York, N.Y.)最新文献_第6页

Novel advanced imaging method to differentiate acute osteomyelitis from acute charcot neuroarthropathy in the presence of chronic ulcer: A case series 一种新的先进的影像学方法来区分急性骨髓炎和慢性溃疡的急性神经关节病：一个病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-07-14 DOI: 10.1016/j.fastrc.2025.100541

William Pacheco DPM , Carly Cook DPM , Woo Y. Chun DPM , April Wong DPM , Grace Hewett MD , Marianne Bonanno MD , Don Yoo MD , Douglas Glod DPM

{"title":"Novel advanced imaging method to differentiate acute osteomyelitis from acute charcot neuroarthropathy in the presence of chronic ulcer: A case series","authors":"William Pacheco DPM , Carly Cook DPM , Woo Y. Chun DPM , April Wong DPM , Grace Hewett MD , Marianne Bonanno MD , Don Yoo MD , Douglas Glod DPM","doi":"10.1016/j.fastrc.2025.100541","DOIUrl":"10.1016/j.fastrc.2025.100541","url":null,"abstract":"<div><div>Charcot neuroarthropathy presents a diagnostic challenge and is complicated by chronic ulceration, as radiographic and histological findings are similar to osteomyelitis. Traditional techniques for diagnosis, such as bone biopsy and magnetic resonance imaging, lack specificity when attempting to differentiate between these two entities. In our prior case report, it was found that utilizing a comprehensive nuclear medicine imaging protocol starting with a bone scan utilizing Technetium-99 m methyl diphosphonate with single photon emission computed tomography-computed tomography (SPECT/CT) followed by an additional nuclear medicine study utilizing indium-111 labeled white blood cells and Technetium-99 m sulfur colloid with single photon emission computed tomography-computed tomography allowed differentiation between these two entities. This case series utilized this protocol and found that it allows for differentiation between these two entities even after Charcot reconstructions with chronic ulcerations. This protocol allows for improved diagnostic specificity and surgical planning for complex limb salvage.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100541"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725112","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

Gutter impingement following total ankle arthroplasty: A systematic review of management and surgical approaches, 全踝关节置换术后沟撞击：治疗和手术方法的系统回顾

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-05-31 DOI: 10.1016/j.fastrc.2025.100508

Karissa Badillo , Julia Tolin , Jarrett D. Cain , Jeffrey Manway

{"title":"Gutter impingement following total ankle arthroplasty: A systematic review of management and surgical approaches,","authors":"Karissa Badillo , Julia Tolin , Jarrett D. Cain , Jeffrey Manway","doi":"10.1016/j.fastrc.2025.100508","DOIUrl":"10.1016/j.fastrc.2025.100508","url":null,"abstract":"<div><div>Total ankle arthroplasty (TAA) has become an increasingly common surgical option for patients with end stage ankle arthritis. Gutter impingement is a common yet largely underreported complication following total ankle arthroplasty (TAA). As the use of TAA exponentially increases, an understanding of how to both recognize and manage gutter impingement is vital to the optimization of post-operative care. Narrowing of the medial and lateral ankle gutters can arise from a variety of causes, including implant malalignment, scar tissue formation and hypertrophic bone formation, ultimately leading to residual pain following surgery. The incidence of this pathology and its respective management varies greatly within the available literature. The purpose of this study is to review the incidence, treatment approaches and outcomes of gutter impingement following TAA. Eight studies were analyzed which included 1456 patients, of which 130 were treated for gutter impingement at an average of 18 months following index TAA. The mean age of patients across all studies was 62.9 years, with an average follow up period of 40.6 ± 23.1 months. Open debridement was noted to be the most common surgical approach (50.8 %) followed by arthroscopic debridement (37.7 %). Conservative treatment was only used in 9.2 % of cases. This review demonstrates the underreporting of gutter impingement following total ankle arthroplasty and highlights the of lack of standardized treatment. Future prospective studies are warranted in efforts to optimize patient outcomes in the management of gutter impingement.</div></div><div><h3>Level of Evidence</h3><div>Level III Systematic Review</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100508"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860728","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

Unique finding of intravascular papillary endothelial hyperplasia in the foot: A case report 脚部血管内乳头状内皮增生的独特发现：1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-06-18 DOI: 10.1016/j.fastrc.2025.100530

Callie Morlock DPM, AACFAS, Amanda Khoury DPM, AACFAS, Saloni Buch DPM, BS, Anna Hronek DPM, FACFAS, DABM, CWSP

引用次数: 0

Medial brostrom repair to resolve anterior medial rotary laxity in Weber B ankle fracture: A case report 内侧brostrom修复Weber B型踝关节骨折前内侧旋转松弛1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-05-28 DOI: 10.1016/j.fastrc.2025.100509

Lauren Simon DPM , Michael Mancano DPM , Kendall O'Steen , Mitchell L. Goldflies MD , Edgardo Rodriguez-Collazo DPM

{"title":"Medial brostrom repair to resolve anterior medial rotary laxity in Weber B ankle fracture: A case report","authors":"Lauren Simon DPM , Michael Mancano DPM , Kendall O'Steen , Mitchell L. Goldflies MD , Edgardo Rodriguez-Collazo DPM","doi":"10.1016/j.fastrc.2025.100509","DOIUrl":"10.1016/j.fastrc.2025.100509","url":null,"abstract":"<div><div>The ankle is one of the most commonly injured joints in the lower extremity. In the United States, there are over 2 million ankle injuries annually (1). Historically, the treatment of bimalleolar equivalent fractures includes the fibular fracture, and use of a syndesmotic fixation if syndesmotic laxity and medial widening are observed. This article argues that deltoid ligament repair should be done concomitantly with anterior medial capsule repair in order to fully address rotary laxity. The centerpiece of deltoid injury with capsule injury diagnosis is the widening of the medial clear space >4 mm and/or >1 mm difference than the contralateral limb on AP radiographs (1–7). We suggest that anterior medial capsule repair must be done with the deltoid ligament repair. We present a case of a Weber B fracture with uncertain deltoid involvement on pre-operative radiographs, for which a deltoid rupture with capsule involvement was determined intraoperatively with appropriate stress radiographs taken under general anesthesia. Repair of the deltoid using a low cost, non-intraarticular implant with concomitant repair of the anterior-medial capsule of the ankle joint was utilized. This medial ankle repair, in addition to ORIF of the fibula resulted in a satisfactory clinical and radiographic outcome.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100509"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253425","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

The hook test for rupture of tibialis anterior tendon 胫骨前腱断裂的钩试验

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-06-25 DOI: 10.1016/j.fastrc.2025.100533

Om Lahoti

引用次数: 0

Corrigendum to “Incidence and impact of the presence of tarsometatarsal joint arthritis in patients with hallux rigidus: A retrospective radiographic study” [Foot & Ankle Surgery: Techniques, Reports & Cases 4 (2024) 100380] “拇硬直患者跗跖关节关节炎的发生率和影响：回顾性影像学研究”的更正[足踝外科：技术，报告和病例4 (2024)100380]

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-07-22 DOI: 10.1016/j.fastrc.2025.100548

Hayden L. Hoffler DPM, AACFAS , Nathaniel A. Ptak DPM , Bryanna D. Vesely DPM, MPH , Joni K. Evans MS , Trevor E. Black DPM, FACFAS

引用次数: 0

Gangrene of digits from phlegmasia cerulea dolens: A case report 黑斑痰性指端坏疽1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-07-28 DOI: 10.1016/j.fastrc.2025.100553

Lauren Simon DPM , Christopher Doty II BS , Mariana Ocegueda BS , Mitchell L. Goldflies MD., FAAOS

引用次数: 0

About the Journal 关于华尔街日报

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-09-15 DOI: 10.1016/S2667-3967(25)00098-9

引用次数: 0

First case of calcaneal Brodie's abscess caused by Fusobacterium nucleatum in an immunocompetent adult 免疫功能正常的成人中首例由核梭杆菌引起的跟骨布罗迪脓肿

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-07-08 DOI: 10.1016/j.fastrc.2025.100539

Jobin Jacob Job , Zain Al Abdeen Al Zuabi , Nisha De Souza , Alauldeen Al Hussein , Zhikai Li , Chandra Pasapula

{"title":"First case of calcaneal Brodie's abscess caused by Fusobacterium nucleatum in an immunocompetent adult","authors":"Jobin Jacob Job , Zain Al Abdeen Al Zuabi , Nisha De Souza , Alauldeen Al Hussein , Zhikai Li , Chandra Pasapula","doi":"10.1016/j.fastrc.2025.100539","DOIUrl":"10.1016/j.fastrc.2025.100539","url":null,"abstract":"<div><div>Subacute calcaneal osteomyelitis is a challenging condition with a high relapse rate. This case report presents the first documented instance of subacute osteomyelitis of the calcaneus caused by <em>Fusobacterium nucleatum</em>, manifesting as post-traumatic heel pain in a 24-year-old male. The patient presented with heel pain following a fall, with no history of penetrating injury or immunosuppression. Imaging (Radiograph/CT/MRI) revealed a growing lytic lesion with surrounding bone marrow edema in the calcaneum. Surgical drainage and debridement were performed, and intraoperative cultures identified <em>Fusobacterium nucleatum</em>. The patient was treated with parenteral tazocin and oral metronidazole, followed by six weeks of oral doxycycline and metronidazole. Inflammatory markers normalized over three weeks, and the patient showed satisfactory recovery with follow-up radiographs and clinical reviews. This case highlights the importance of considering <em>Fusobacterium nucleatum</em> in subacute calcaneal osteomyelitis and demonstrates the effectiveness of combined surgical and antibiotic treatment.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100539"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687425","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

Benign plexiform schwannoma of the superficial peroneal nerve: A case study 腓浅神经良性丛状神经鞘瘤一例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-05-27 DOI: 10.1016/j.fastrc.2025.100510

William Stallings DPM , Uzair Amjad DPM , Timothy P. Cheung DPM, PhD, CPT , Michael I. Gazes DPM, MPH , Fernando Pinero DPM

引用次数: 0