A Simple But Effective Technique For First MPJ Fusion

William Fishco DPM FACFAS
10/25/11 | 2476 reads | 1 comments
I want to discuss a simplified technique for a first metatarsophalangeal joint (MPJ) fusion. I think we sometimes get caught up in the hype of plating systems and joint preparation devices. Sure, it is fun to use these and they do work. However, at times, I have found that using these devices can be counterproductive, making things more difficult than they should be. Read More.

What Is The Most Effective Treatment For Mucoid Cysts?

William Fishco DPM FACFAS
6/30/11 | 9621 reads | 0 comments
I am sure you have had your fair share of frustration with mucoid cysts in the past. We have all tried office-based treatments. Unfortunately, excision, cauterization, steroid injections and the like just do not work. It is unsettling for both you and your patient when the patient returns due to recurrence of the cyst. Read More.

Key Insights On Osteochondral Lesions Of The Talus

William Fishco DPM FACFAS
6/3/11 | 5955 reads | 0 comments
Osteochondral lesions of the talus can be a cause of chronic ankle pain, which does not respond to typical treatment regimens of rest, ice, anti-inflammatory medication, immobilization, bracing, physical therapy and/or orthotic use. Osteochondral lesions can occur in any joint. Read More.

Harnessing The Potential Of The Instep Plantar Fasciotomy

William Fishco DPM FACFAS
5/6/11 | 4781 reads | 2 comments
Day in and day out, there is one thing we can count on when we go to the office: we will be treating a patient with plantar fasciitis. Some days it seems like I treat plantar fasciitis all day long. Read More.

How Mini-Rail Fixators Can Be Beneficial For Jones Fractures

William Fishco DPM FACFAS
4/12/11 | 5481 reads | 3 comments
A Jones fracture is a fracture of the metaphyseal-diaphyseal junction of the fifth metatarsal base. Fractures in this area are known to have difficulty healing due to the tenuous blood supply to this area. To that end, one may treat these fractures with strict non-weightbearing for a minimum of six weeks or explore surgical options. Read More.

Pertinent Pearls On Treating Insertional Tibialis Posterior Tendinitis

William Fishco DPM FACFAS
3/22/11 | 4798 reads | 2 comments
Insertional tibialis posterior tendinitis is a common cause of medial arch pain in adults. We tend to think about this condition in pediatric patients with a large navicular tuberosity and/or an os tibiale externum associated with a flat foot (Kidner foot type). When you have an adult with navicular tuberosity pain who has a normal X-ray and no os tibiale externum, you probably ask yourself, “Now what I am going to do with that?” Read More.