Rethinking Salter–Harris Type I Ankle Fractures In Kids: Are They Really Fractures?

Saleena Niehaus DPM | 8,149 reads | 0 comments | 08/02/2016

In their landmark 1963 article, Salter and Harris described injuries to the epiphyseal plate, and noted that the growth plate is weaker in comparison to tendons and ligaments in growing children.1 Due to this inherent weakness, an injury that would normally cause a complete tear of a major ligament in an adult would instead lead to a separation of the epiphysis in a child. Thus, when a child’s ankle sustains an inversion injury, it is traditionally taught that the weaker physis will fail prior to the stronger ligamentous complex.2

When Is A Fibula Rod Procedure Indicated For Ankle Fractures?

Kevin Palmer, DPM | 5,844 reads | 0 comments | 05/31/2016

Current Insights On Using Bone Stimulators To Treat Sesamoid Fractures

Richard Blake DPM | 4,618 reads | 0 comments | 07/29/2016

A patient in his early 50s contacted me after getting a diagnosis of a right medial sesamoid fracture after an initial misdiagnosis of gout. The fracture, visible on X-ray, was likely from hard sprinting. Three days later, he stepped off a curb and felt a sharp pain in the ball of his foot. His treatment consisted of a low-dose cortisone injection, a Jones pad with a sesamoid cutout and activity modification. 

What Recent Studies Reveal About Proximal Fifth Metatarsal Fractures

Patrick DeHeer DPM FACFAS | 2,618 reads | 0 comments | 09/12/2016

If you enjoy sports, this time of year is about as good as it gets. Major league baseball will soon be starting the postseason (Go Cubs!). The National Football League and college football have both started (Go Colts and Hoosiers!) Soon both the National Basketball League and college basketball will begin their training camps and preseason practices (Go Pacers and Hoosiers!). Finally, fall is considered marathon season (Go runners!). Athletes of all levels are prone to proximal fifth metatarsal fractures.

Keys To Treating Proximal Fifth Metatarsal Fractures

Sean Grambart, DPM, FACFAS | 32,544 reads | 0 comments | 01/26/2016

Given the common nature of fractures to the proximal region of the fifth metatarsal in athletes as well as non-athletes, this author discusses emerging insights on diagnostic classifications, screw fixation, chronic fracture treatment and post-op recovery.

Treating Foot Compartment Syndrome Secondary To Metatarsal Fractures

Justin Hooker, DPM, and William Fishco, DPM, FACFAS | 9,223 reads | 0 comments | 05/28/2015

These authors detail the diagnosis and surgical treatment of foot compartment syndrome in a 31-year-old patient, who presented with multiple and comminuted metatarsal fractures after a motor vehicle accident.

A 31-year-old female with no significant past medical history reported to the Maricopa County Medical Center after incurring injuries as a restrained passenger in a motor vehicle accident with airbag deployment. She initially presented with loss of consciousness, upper cervical spine tenderness and right knee, ankle, and foot pain.

Key Insights On Managing Open Ankle Fractures

Vivek Patel, DPM, and Lawrence Fallat, DPM, FACFAS | 6,717 reads | 0 comments | 08/18/2015

Current Insights On Treating Fourth Metatarsal Fractures With Bone Stimulation

Richard Blake DPM | 6,727 reads | 0 comments | 10/22/2015

I recently received this email from a patient.

I used an Exogen (Bioventus) bone stimulator in 2012 for a diagnosis of a small fracture of the fourth metatarsal head, which was not improving over a significant amount of time (six months or more). My doctor said it also could have been avascular necrosis but that seems to have been ruled out since I have improved significantly since using the bone stimulation machine.

Managing The Recalcitrant Calcaneal Wound

Guy R. Pupp, DPM, FACFAS, and Anthony LaLama, DPM | 13,166 reads | 0 comments | 07/23/2014

Although calcaneal ulcers complicated by osteomyelitis can seem destined for amputation, judicious multidisciplinary management can save a limb. These authors review key risk factors and potential complications, assess treatment options including the subtotal calcanectomy, and emphasize the merits of multidisciplinary care with a compelling limb salvage case study.

Getting Athletes Back In The Game After Navicular Stress Fractures

Sean Grambart, DPM, FACFAS | 24,779 reads | 0 comments | 01/26/2015

A navicular stress fracture can be a devastating injury for the recreational and high-level athlete. The issues often derive from difficulty in diagnosing the injury and the fact that there is no consensus on the best treatment regimen for the injury. Several years ago, clinicians would initially provide conservative treatment with prolonged immobilization in a cast. However, surgical intervention does have the potential of leading to an earlier return to activity for the athletic population.