{"title":"Aneurysmal bone cyst of the second metatarsal.","authors":"D J Hatch, J M Buckholz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Aneurysmal bone cyst of the second metatarsal has infrequently been reported in the literature. Its characteristics can mimic various other bone tumors. While radiographic appearance usually typifies this lesion, microscopic evaluation is paramount for a definitive diagnosis. There are various treatment alternatives for this lesion depending on size, the patient's age and radiographic appearance. After evaluating the patient's age and size of lesion in their case study, the authors recommended total excision of the bone cyst with autogenous grafting. The need for rigid external fixation was emphasized. These factors combined to produce satisfactory results in this case study that involved over 2 years of postoperative evaluation.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"129-33"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811163","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":"Retrospective analysis of calcaneal spur removal and complete fascial release for the treatment of chronic heel pain.","authors":"J Gormley, G T Kuwada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Doctors Gormley and Kuwada investigate the pathology of chronic heel pain secondary to soft tissue and osseous inflammatory conditions. Pertinent literature review regarding success following fascial release as well as bone spur removal is provided. Ninety-four patients are reported having sustained spur removal with fascia resection according to the authors' technique. They report a 95% success rate postoperatively.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"166-9"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811164","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":"Myositis ossificans: pedal manifestations.","authors":"S L Kaminsky, D Corcoran, W F Chubb, R J Pulla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Myositis ossificans traumatica is a benign muscular lesion that is frequently reported in the orthopedic literature, but is not commonly found in the foot. This case report discusses myositis ossificans occurring in the foot. It is most likely subsequent to a heel spur injection received by the patient.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"173-81"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811126","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":"Modifications of the Regnauld osteochondral autogenous graft for correction of hallux limitus/valgus: a 2-year review.","authors":"J R Hanft, K B Kashuk, M Toney, J Schabler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study compares modifications of Regnauld's enclavement procedure, the in situ \"hat-shaped\" and in situ \"inverted\" osteochondral graft. A 2-year retrospective analysis consisted of patients' satisfaction, activity level, first metatarsophalangeal joint range of motion, and radiographic evaluations. The result of this study demonstrates that both the \"hat\" and \"inverted\" type grafts are highly successful and satisfactory procedures. However, the \"inverted\" technique is found to provide faster healing rates and a broader range of motion of the first metatarsophalangeal joint; it is more stable and technically easier to perform. Therefore, the \"inverted\" graft provides more consistent and predictable results for the treatment of hallux rigidus and hallux valgus.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"116-9"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811230","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":"Use of Cryo/Cuff for the control of postoperative pain and edema.","authors":"N M Scheffler, P L Sheitel, M N Lipton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Presented as a new modality, the Cryo/Cuff system incorporates a combination of hydrostatic pressure and cold to reduce post-traumatic pain and edema. It was hypothesized that this combination would also significantly reduce postoperative pain and edema. A sample population of 25 participants who were scheduled to have bilateral foot surgery was selected. Baseline circumference was determined preoperatively. Instruction and demonstration of the apparatus was given to the participants; an ice cap was used on the left foot as a control. The system is designed as a boot to be worn over the foot and ankle. Attached to the boot by a tube is a reservoir containing water and ice. Elevation of the reservoir may provide up to 40 mm. of mercury pressure. Study data gathered incorporated both evaluation by calculation of standard deviation above or below circumference mean as well as two subjective modes of patient assessment. Eighty percent of study participants experienced a reduction of pain and swelling at the first and subsequent postoperative visits. The Cryo/Cuff system appears to be an effective modality in the facilitation of the postoperative recovery process.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"141-8"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811161","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":"Cheilectomy: still a useful technique for grade I and grade II hallux limitus/rigidus.","authors":"J J Geldwert, G D Rock, M P McGrath, J E Mancuso","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cheilectomy, as applied to hallux limitus/rigidus, is described as resection of the dorsal osteophytes and lateral/medial margins of the first metatarsal, as well as the dorsal lip of the base of the proximal phalanx. Forty-seven patients underwent unilateral cheilectomy, with an average follow-up of 3.5 years, and an average patient age of 52 years. Dependent upon the progressive nature of the disease, the results varied with the most beneficial results in the early stages of hallux limitus/hallux rigidus, which include symptoms, re-operation, and range of motion. The indications for cheilectomy are hallux limitus/rigidus in grade I or grade II without sesamoid disease. Late grade II or grade III with sesamoid disease and degenerative joint disease are also described in terms of surgical treatment. The advantages of cheilectomy include early range of motion and rapid decrease in clinical symptoms; cheilectomy obviates the need for healing at an osteotomy site. The disadvantages include not addressing the underlying etiology, potential joint destruction, slippage, or pseudo-articulation at the joint's end range of dorsiflexion. It is not indicated in later stages of the disease.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"154-9"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811165","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":"Dermatofibrosarcoma protuberans: 4 years after local trauma.","authors":"M E Bashara, K T Jules, G K Potter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dermatofibrosarcoma protuberans (DFSP) is a low grade, fibrohistiocytic malignant soft tissue tumor that arises infrequently in the foot and ankle region. It most frequently demonstrates a \"storiform\" histologic pattern, and if incompletely excised, may be recurrent, more anaplastic and metastatic. Soft tissue plain film radiography, as well as magnetic resonance imaging (MRI) help outline the tumor and involved tissues, which is beneficial in staging, determining surgical approach and evaluation of therapy. Definitive diagnosis is made by biopsy. A dermatofibrosarcoma protuberans is reported in the foot of a 14-year-old female patient, 4 years after trauma to the site.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"160-5"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12527854","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":"The Green-Watermann procedure: geometric analysis and preoperative radiographic template technique.","authors":"K A Feldman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Green-Watermann procedure is indicated as surgical treatment of hallux limitus. The procedure requires five first metatarsal osteotomies, all of which interact to achieve the final surgical outcome. It is the unique interaction of each osteotomy that creates first metatarsal shortening, capital fragment plantar transposition, capital fragment lateral transposition, and proximal articular set angle (P.A.S.A.) correction. The geometry of the Green-Watermann procedure is reviewed. A preoperative radiographic templating technique is provided.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"182-5"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811128","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":"Osteonecrosis secondary to internal fixation.","authors":"D H Hake, D Holte, S A Thobe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Allergies to metals as a cause of failure of joint prostheses has historically been a controversial issue. Loosening of a prosthesis may be due to trauma, infection of the surrounding area, or a faulty implantation of the device. However, cases of loosening of the device do occur without any history of the above criteria. This leads one to consider other explanations for this phenomenon, such as sensitivity of the tissues to one of the metals in the implant. The following presentation demonstrates that metal allergies are a surgical concern when considering joint prostheses, or internal fixation.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"186-9"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811131","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":"Centrally located osteochondral fracture of the talus.","authors":"D S Chen, S J Wertheimer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteochondral lesions of the talus are common sequelae of ankle inversion injuries. Many often remain undiagnosed, which may lead to chronic pain and disability. Although attributed to other causes, most authors agree that trauma is the most common etiology. Because of this, transchondral or osteochondral fracture is a more appropriate term. Numerous cases have been documented in the literature with a preponderance for the anterolateral and posteromedial portions of the talar dome. Centrally located lesions are rare and should be treated with early surgical intervention due to the high level of compression transmitted through this area. The authors review osteochondral lesions of the talus and present a case report of a rare centrally located lesion.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 2","pages":"134-40"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12811162","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}