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 amputation—careful preoperative planning, coordination of a multidisciplinary team, and good surgical technique—remain 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 […]

Peroneal Tendon Injuries

Terrence M. Philbin, DO, Geoffrey S. Landis, DO and Bret Smith, DO J Am Acad Orthop Surg, Vol 17, No 5, May 2009 Peroneal tendon injuries are underdiagnosed and should be considered in every patient who presents with chronic lateral ankle pain. Ankle sprains are common, and up to 40% of affected individuals experience subsequent […]

Distal Fibula Malunions

Alice Chu, MD and Lon Weiner, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Anatomic reduction and fixation of unstable ankle fractures is necessary to prevent posttraumatic arthritis. Malunion of the distal fibula in unstable ankle fractures may lead to progressive talar instability. Ankle fracture malunions often present with concomitant syndesmotic […]

Surgical Treatment for Chronic Disease and Disorders of the Achilles Tendon

J Am Acad Orthop Surg, Vol 17, No 1, January 2009, 3-14. Sudheer S. Reddy, MD, David I. Pedowitz, MD, MS, Selene G. Parekh, MD, MBA, Imran M. Omar, MD and Keith L. Wapner, MD Chronic Achilles tendon disorders range from overuse syndromes to frank ruptures. Numerous forms of treatment have been used, depending on […]

Management of Acute and Chronic Ankle Instability

Journal of the American Academy of Orthopaedic Surgeons October 2008, Volume 16, Issue 10 Nicola Maffulli, MD, MS, PhD, FRCS and Nicholas A. Ferran, MBBS, MRCSEd Acute lateral ankle ligament injuries are common. If left untreated, they can result in chronic instability. Nonsurgical measures, including functional rehabilitation, are the management methods of choice for acute […]

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