Achilles tendon rupture occurs frequently and if it is neglected, there may be significant long-term disability. Early diagnosis of an acute rupture and prompt initiation of treatment will generally lead to optimal results. Acute Achilles tendon ruptures may be misdiagnosed up to 25 percent of the time.1 In other cases, patients may not seek immediate medical care if they are able to ambulate and... Read More.
The Evans calcaneal osteotomy, first described in 1975, is a lateral column lengthening procedure that preserves the calcaneocuboid joint.1 This laterally based opening wedge osteotomy is historically known to provide transverse plane correction for pes planovalgus deformities.
In reality, the Evans calcaneal osteotomy provides multi-planal correction and foot and ankle... Read More.
The correction of a significantly subluxed or dislocated hammertoe in an elderly patient can be a challenge to any surgeon. Over the last 22 years, I have tried numerous ways to correct the problem, all with varying degrees of success. The use of the Weil osteotomy along with other procedures, including proximal interphalangeal joint fusion, flexor transfer and now plantar plate repair from a... Read More.
Keith D. Cook, DPM, FACFAS, and Irene Labib, DPM, MS
Both pediatric and adult-acquired flatfoot deformities, particularly posterior tibial tendon dysfunction (PTTD) stage II, remain difficult to treat and there is much controversy in regard to the optimal form of treatment. Patients usually present with increased pain and swelling along the medial aspect of the ankle or rearfoot. The foot generally maintains an abducted forefoot position and a... Read More.
Jason R. Miller, DPM, FACFAS, and Stanley Chen, DPM, AACFAS
Tendon and ligament pathologies are extremely common in the adult population. Eleven percent of runners experience Achilles tendinopathy with seven out of 100,000 people sustaining a rupture. There are 1 million ankle injuries per year, 85 percent of which are ankle sprains. The total cost of tendon and ligament treatment is approximately $30 billion per year in the United States alone.1 The... Read More.
The European approach to the bunion commonly involves the scarf bunionectomy, much more so than here in the United States. Of the many bunion approaches, why should we bother adding another to the list? Those who utilize the scarf approach understand the stability, power of correction and utilitarian nature of this bunionectomy choice. I use the scarf as one of my go-to procedures for correcting... Read More.
Fat pad augmentation or the use of grafting in the ball of the foot and the heel has gained popularity over the past decade. The goal is simply to add cushioning or padding to areas that demonstrate a loss or displacement of natural fat due to an increased peak pressure.
Patients typically present with pain and verbalize the discomfort they experience while walking barefoot or... Read More.
Lawrence Fallat, DPM, FACFAS, and Ruby Chahal, DPM
Fifth metatarsal fractures are the most common of all metatarsal fractures.1 Avulsion fractures, Jones fractures and proximal diaphyseal fractures occur most frequently, but diaphyseal, neck and head fractures also occur.2 Clinicians can treat most of these fractures conservatively if the fractures are not significantly displaced.
The Jones fracture is well known for poor... Read More.
The interdigital neuroma is a common source of forefoot pain that podiatric foot and ankle surgeons see in their practices every day. The characteristic symptoms have been well known since Morton first described them in 1876.1 Even though Morton believed the problem was located at the fourth metatarsophalangeal articulation, his name has been associated with the pathology for over a century.... Read More.
Subtalar joint arthrodesis and subtalar joint arthroereisis are widely used surgical procedures for eliminating motion or limiting excessive pronation at the subtalar joint.1-3
Although the indications for either procedure may be vastly different, the successful outcome of both relies on proper positioning of the subtalar joint. A poorly positioned fusion or arthroereisis may... Read More.
Hallux limitus is generally responsive to conservative care consisting of anything from changing foot gear, changing activity and exercises to orthoses, injections, anti-inflammatory medication and physical therapy.1 When these things fail, surgery is necessary.
It has long been believed that arthrodesis is the optimum procedure of choice to resolve any painful arthritic... Read More.
Ankle fractures are seemingly uncomplicated injuries. However, in the elderly and people with diabetes, this seemingly straightforward injury can have catastrophic outcomes.
Systemic illnesses such as diabetes with end-organ damage clearly affect the overall outcome of ankle fractures and complications may occur due to a failure to recognize the unique treatments necessary for... Read More.