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

Saleena Niehaus DPM | 10,428 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 A Patient Has Multiple Bilateral Metatarsal Fractures

Richard Blake DPM | 588 reads | 0 comments | 07/05/2017

A 54-year-old woman contacted me after breaking her fourth and fifth metatarsals on the left foot and the fourth metatarsal on her right foot. After some activity, swimming and stretching her toes a couple of times and touching her toes, she noted “it felt like my tendons were going to pop out of my feet.” 

Her feet were in controlled ankle motion (CAM) boots but says they squished her toes too much. The pain is right at the tendon attachment on both feet, right where the peroneus brevis tendon inserts into the fifth metatarsal bone on the outside of the foot.

Keys To Treating Proximal Fifth Metatarsal Fractures

Sean Grambart, DPM, FACFAS | 38,513 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.

Current Insights On Using Bone Stimulators To Treat Sesamoid Fractures

Richard Blake DPM | 5,914 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 | 2,917 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.

When Is A Fibula Rod Procedure Indicated For Ankle Fractures?

Kevin Palmer, DPM | 6,819 reads | 0 comments | 05/31/2016

Managing The Recalcitrant Calcaneal Wound

Guy R. Pupp, DPM, FACFAS, and Anthony LaLama, DPM | 14,041 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.

Current Insights On Treating Fourth Metatarsal Fractures With Bone Stimulation

Richard Blake DPM | 7,987 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.

Key Insights On Managing Open Ankle Fractures

Vivek Patel, DPM, and Lawrence Fallat, DPM, FACFAS | 7,238 reads | 0 comments | 08/18/2015

Facilitating A Return To Running After Metatarsal Stress Fractures

Nicholas A Campitelli DPM FACFAS | 52,826 reads | 0 comments | 11/13/2014

I tend to see a high percentage of runners despite having a surgical practice. The community of runners in Akron, Ohio stick together as most runners do and they tend to trust the advice of a physician who is also a runner.