Foot & ankle最新文献_第4页

Acute compartment syndrome of the lower extremity secondary to noncontact injury. 继发于非接触性损伤的下肢急性筋膜室综合征。

Foot & ankle Pub Date : 1993-11-01 DOI: 10.1177/107110079301400909

R A Moyer, B P Boden, P A Marchetto, F Kleinbart, J D Kelly

引用次数: 38

Diastasis of bipartite sesamoids of the first metatarsophalangeal joint. 第一跖趾关节二节籽骨脱位。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400801

S A Rodeo, R F Warren, S J O'Brien, H Pavlov, R Barnes, G A Hanks

{"title":"Diastasis of bipartite sesamoids of the first metatarsophalangeal joint.","authors":"S A Rodeo, R F Warren, S J O'Brien, H Pavlov, R Barnes, G A Hanks","doi":"10.1177/107110079301400801","DOIUrl":"https://doi.org/10.1177/107110079301400801","url":null,"abstract":"Injury to the metatarsophalangeal (MP) joint of the great toe, often termed \"turf-toe\", is a common occurrence in football. We have identified four cases of first MP plantar capsular injury with diastasis of a bipartite sesamoid. In three cases, observation and protection resulted in progressive widening of the fragments associated with pain and disability. These players required resection of the distal sesamoid fragment and repair of the volar capsule. The fourth player underwent acute repair of the medial retinaculum and capsule. All players have had a full return to sports activity. Diastasis of components of a partite sesamoid provides objective evidence of disruption of the plantar capsular mechanism. Early recognition of this condition confirmed by stress radiographs is recommended. Treatment may include early protection followed by resection, if painful, or acute repair of the retinaculum. Previous descriptions of turf-toe have not included injuries to the sesamoid complex of the first MP joint. In our opinion, the term turf-toe should represent the consequences of a hyperextension injury to the first MP joint in which the volar capsule has been disrupted proximal to the sesamoid. A classification for first MP joint injuries is presented.","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 8","pages":"425-34"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19242374","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: 64

An anatomic and radiographic investigation of the tibiofibular clear space. 胫腓骨间隙的解剖学和影像学研究。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400805

M C Harper

引用次数: 82

Pigmented villonodular synovitis of the subtalar joint: a case report. 距下关节色素性绒毛结节性滑膜炎1例。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400808

V J Rollo, K L Wapner

{"title":"Pigmented villonodular synovitis of the subtalar joint: a case report.","authors":"V J Rollo, K L Wapner","doi":"10.1177/107110079301400808","DOIUrl":"https://doi.org/10.1177/107110079301400808","url":null,"abstract":"Pigmented villonodular synovitis (PVNS) is a slowly progressive, proliferative disorder of synovial tissue. It is a disease of uncertain etiology characterized by villus and/or nodular overgrowths in the synovium-lined joints, tendon sheaths, and bursae. As a joint problem, PVNS most frequently affects the large joints of the lower extremity with 80% of the cases involving the knee.’ Classically it has been described to present as a monoarticular arthritis that affects adults in the third or fourth PVNS has also been reported to occur in ~hi1drenl.l~ and in multiple joints of a single patient.13.14 Virtually any joint can be affected. Below the knee, PVNS is most frequently associated with the tibiotalar joint or the tendon sheaths surrounding the foot. Rare cases have also been identified in the calcaneocuboid and the first metatarsophalangeal j~int.~.’,~’ We report a case of PVNS of the subtalar joint. To the best of our knowledge, no case has been reported previously in the English literature. Seltzer et al.,” in an article describing the use of computed tomography (CT) to evaluate the hindfoot, mentions a lesion of the subtalar joint caused by PVNS. However, no description is given of the clinical presentation, operative findings, histological findings, or outcome.","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 8","pages":"471-5"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19242381","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: 9

Stress diagnostics of the sprained ankle: evaluation of the anterior drawer test with and without anesthesia. 扭伤踝关节的应力诊断:麻醉和不麻醉前抽屉试验的评价。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400806

H P Becker, A Komischke, B Danz, R Bensel, L Claes

引用次数: 26

The blood supply to the great toe sesamoids. 大脚趾籽状血管的血液供应。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400802

P D Chamberland, J W Smith, L L Fleming

{"title":"The blood supply to the great toe sesamoids.","authors":"P D Chamberland, J W Smith, L L Fleming","doi":"10.1177/107110079301400802","DOIUrl":"https://doi.org/10.1177/107110079301400802","url":null,"abstract":"The purpose of this study was to define the intraosseous and extraosseous blood supply of the hallucal sesamoids by studying a total of 10 fresh-frozen, below-knee specimens with no evidence of vascular disease. Most specimens were injected with high grade India ink, cleared using a standard Spalteholz technique, and processed to delineate the extraosseous and intraosseous blood supply to include soft tissue dissection and coronal sectioning. Two additional specimens were injected with blue Mercox acrylic solution to further define the extraosseous vasculature. The major extraosseous blood supply to the sesamoids is via the posterior tibial artery. This vessel then branches into the medial plantar artery which further divides upon entering the medial and lateral sesamoids in their proximal poles. Vessels in the peripheral soft tissues, although abundant, do not seem to penetrate the cortex of the sesamoids. The intraosseous blood supply to the sesamoids seems to be threefold. Mainly, sesamoid arteries enter the lateral and medial sesamoids from the proximal aspect via a single vessel. This proximal vessel proceeds distally with a network of branching. Plantar, nonarticular vessels enter the sesamoids, constituting a second source of vascularity. Finally, small vessels also enter the sesamoids through medial and lateral capsular attachments. Based on this study, a possible explanation for avascular necrosis and nonunion of sesamoids is proposed, and an optimal surgical approach is discussed.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 8","pages":"435-42"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400802","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19242375","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: 26

Foot and ankle manifestations of Charcot-Marie-Tooth disease. 腓骨肌痛病的足部和踝关节表现。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400809

J R Holmes, S T Hansen

{"title":"Foot and ankle manifestations of Charcot-Marie-Tooth disease.","authors":"J R Holmes, S T Hansen","doi":"10.1177/107110079301400809","DOIUrl":"https://doi.org/10.1177/107110079301400809","url":null,"abstract":"The term Charcot-Marie-Tooth disease represents a spectrum of neurological dysfunction more recently described as hereditary motor-sensory neuropathies. An abnormality of myelination is thought to be responsible for the clinical manifestations. While histological findings have been well described, the exact biochemical basis for this disorder remains unknown. Over one half of patients with Charcot-Marie-Tooth disease manifest foot and ankle problems, including pain, weakness, deformity, and, rarely, paresthesias. Characteristic patterns of neuromuscular weakness have been identified. Bilateral pes cavovarus is the most common pathologic foot deformity seen. The specific components include hindfoot varus, anterior or forefoot cavus, and, often clawtoes. The etiology of this abnormal foot posture usually results from tibialis posterior overpowering peroneus brevis coupled with peroneus longus overpowering tibialis anterior. Multiple treatment options have been described. Rationale for specific tendon transfers, soft tissue release, osteotomies, and arthrodesis is discussed. Results of surgical intervention are difficult to interpret and compare because of the wide spectrum of both neurological dysfunction and described operative procedures. In the presence of flexible deformity, early soft tissue release and tendon transfers may help prevent or delay more extensive bony procedures. The clinical results of triple arthrodesis in the Charcot-Marie-Tooth disease patient appear to deteriorate with time. Genetic transmission, progression of the neurological dysfunction, flexibility of the deformity, distribution of muscular weakness, and anticipated foot demands vary a great deal within this patient population. Treatment decisions, therefore, must be individualized and based upon a clear history, careful examination, and well-defined patient goals.","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 8","pages":"476-86"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400809","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19242382","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: 122

Repair of chronic Achilles tendon rupture with flexor hallucis longus tendon transfer. 拇长屈肌腱转移修复慢性跟腱断裂。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400803

K L Wapner, G S Pavlock, P J Hecht, F Naselli, R Walther

引用次数: 265

Ultrasound diagnosis of plantar fasciitis. 足底筋膜炎的超声诊断。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400807

J R Wall, M A Harkness, A Crawford

引用次数: 112

The treatment of rigid metatarsus adductovarus with the use of a new hinged adjustable shoe orthosis. 使用一种新型铰链式可调节鞋矫形器治疗硬跖内翻。

Foot & ankle Pub Date : 1993-10-01 DOI: 10.1177/107110079301400804

W D Allen, D S Weiner, P M Riley

引用次数: 10