Foot and Ankle Infections: Diagnosis and Management
J Am Acad Orthop Surg November 2012 ; 20 Oke A. Anakwenze Abstract Infections of the foot are a common source of morbidity, disability, and potential limb loss. A large proportion of lower extremity infections occurs in the setting of diabetic neuropathy, with or without circulatory compromise, and are potentially preventable with regular surveillance. Adequate […]
Management of Calcaneal Tuberosity Fractures
Rahul Banerjee J Am Acad Orthop Surg April 2012 Abstract Fractures of the calcaneal tuberosity are relatively uncommon and are seen most frequently in elderly and diabetic patients. These injuries are typically avulsion fractures caused by concentric contraction of the gastrocnemius-soleus muscle complex. Displacement of these fractures can compromise the skin over the posterior aspect […]
Management of Aseptic Tibial Nonunion
NULL David J. Hak. J Am Acad Orthop Surg September 2011 ; 19: Abstract Tibial nonunion remains a significant clinical challenge despite advances in surgical management. New techniques to help manage tibial nonunion include extracorporeal shock wave therapy and percutaneous application of bone marrow aspirate. Management strategies vary based on the type of nonunion: aseptic […]
The Role of Arthroscopy in the Management of Fractures About the Ankle
Davide E. Bonasia, MD, Roberto Rossi, MD, Charles L. Saltzman, MD and Annunziato Amendola, MD J Am Acad Orthop Surg 2011 19 Anatomic restoration of the joint is the goal of management in fractures about the ankle. Open reduction and internal fixation (ORIF) is the standard of care for unstable ankle fractures; however, arthroscopic management […]
Management of Calcaneal Malunion
Rahul Banerjee, MD, Charles Saltzman, MD, Robert B. Anderson, MD and Florian Nickisch, MD J Am Acad Orthop Surg, Vol 19, No 1, January 2011, The potential for disabling malunion following calcaneal fracture is high, regardless whether a patient is treated nonsurgically or surgically. Fracture displacement typically results in loss of hindfoot height, varus heel […]
Treatment of Lisfranc Joint Injury: Current Concepts
Troy S. Watson, MD, Paul S. Shurnas, MD and Jacques Denker J Am Acad Orthop Surg, Vol 18, No 12, December 2010 Injuries to the tarsometatarsal joint complex, also known as the Lisfranc joint, are relatively uncommon. However, the importance of an accurate diagnosis cannot be overstated. These injuries, especially when missed, may result in […]
Metatarsalgia
NULL Norman Espinosa, MD, James W. Brodsky, MD and Ernesto Maceira, MD J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Metatarsalgia (ie, metatarsal pain) is one of the most common reports in patients with foot problems. This pain is confined to the area across the plantar forefoot, including the second through fourth […]
Midfoot Arthritis
NULL Amar Patel, MD, Smita Rao, PT, PhD, Deborah Nawoczenski, PT, PhD, Adolf S. Flemister, MD, Benedict DiGiovanni, MD and Judith F. Baumhauer, MD, MPH J Am Acad Orthop Surg 2010 18: Midfoot arthritis is a common cause of significant pain and disability. Although the medial tarsometatarsal (TMT) joints provide
Evolving Techniques in Foot and Ankle Amputation
J Am Acad Orthop Surg, Vol 18, No 4, April 2010 Vincent Y. Ng, MD and Gregory C. Berlet, MD Multiple clinical pathways lead to lower extremity amputation, including trauma, dysvascular disease, congenital defects, and malignancy. However, the principles of successful amputationcareful preoperative planning, coordination of a multidisciplinary team, and good surgical techniqueremain the same. […]
Commonly Missed Peritalar Injuries
NULL Joseph X. Kou, MD and Paul T. Fortin, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Because of the effect on hindfoot kinematics, missed or delayed diagnosis of peritalar injuries often results in impairment. The seemingly innocuous nature of these injuries, subtle radiographic findings, and low incidence limit familiarity, thereby […]
