Managing Stress Fractures In Athletes

Brian W. Fullem, DPM, FACFAS, FAAPSM | 69,542 reads | 0 comments | 12/21/2011

When getting athletes back on their feet following a stress fracture, one must balance the need to return to sport with the need for safe healing. Combining a thorough review of the literature with practical pearls from his clinical experience, this author offers salient diagnostic insights and perspectives on non-weightbearing, bone stimulation and other treatment measures.

How To Repair Calcaneal Step Deformities

By Richard Braver, DPM | 26,528 reads | 0 comments | 03/03/2002

Distal posterior heel pain is a deformity we see quite often. It masquerades as chronic Achilles tendinitis, when in fact a calcaneal step (aka retrocalcaneal exostoses) is present at the Achilles insertion. You must also clinically differentiate it from adjacent problems, such as Haglund’s deformity, retrocalcaneal bursitis and intra-Achilles tendon tear. Often, these problems may be concurrent, however, you must treat the calcaneal exostoses for complete cessation of pain. Keep in mind that retrocalcaneal exostoses are most symptomatic in active individuals over 30.

A Closer Look At The Percutaneous Calcaneal Displacement Osteotomy

By Lawrence DiDomenico, DPM | 27,338 reads | 0 comments | 05/03/2006

Podiatric surgeons commonly perform an extraarticular calcaneal osteotomy on hindfoot deformities of the foot and ankle.1 One would typically perform this powerful osteotomy in conjunction with other procedures.

Plantar Calcaneal Spurs: Is Surgery Necessary?

By Don Green, DPM and Peter S. Kim, DPM | 162,716 reads | 0 comments | 05/03/2006

The etiology of heel pain is quite varied. First described by Wood in 1812, the most common cause is thought to be plantar fasciitis. This is typically marked by focal tenderness to any component of the aponeurosis but most frequently at the proximal medial insertion of the plantar aponeurosis.1 Many symptomatic patients with plantar fasciitis demonstrate plantar heel spurs (traction enthesopathies) of the os calcis.

Treating A Calcaneal Avulsion Fracture In A Patient With Poor Bone Quality

Nicholas J. Bevilacqua, DPM, FACFAS | 21,776 reads | 0 comments | 06/26/2012

This author details the surgical treatment of a calcaneal avulsion fracture in a 59-year-old patient with poor bone quality, who later required revisional surgery consisting of excision of fracture fragment and reattachment of the Achilles tendon.

Essential Insights On The Evans Calcaneal Osteotomy

Kieran T. Mahan, DPM, and Rachel Tuer, DPM | 69,247 reads | 0 comments | 06/01/2009

The Evans calcaneal osteotomy has become a primary surgical treatment for both adults and children with pes plano valgus as it offers fewer complication rates in comparison to other procedures. These authors provide step-by-step surgical pearls as well as a guide to managing patients postoperatively.

   The flexible pes plano valgus deformity is a difficult problem to evaluate, classify and treat. There are a number of different approaches to the surgical evaluation of the pes valgus foot. One of the most straightforward approaches is to view the foot as two columns.

Keys To Diagnosing And Treating Calcaneal Apophysitis

Russell G. Volpe, DPM | 60,984 reads | 0 comments | 10/26/2009

Given that calcaneal apophysitis is a common cause of heel pain in children, this author reviews the literature and offers insights on the etiology of the condition, the diagnostic workup and pertinent treatment pearls.

A Novel Approach To Treating Lisfranc Fractures

Bradley P. Abicht, DPM, Elizabeth J. Plovanich, DPM, and Thomas S. Roukis, DPM, PhD, FACFAS | 45,014 reads | 0 comments | 12/21/2010

Given the potential for debilitating complications with Lisfranc fractures, the authors discuss the advantages of closed reduction with percutaneous screw fixation and offer a step-by-step guide to the procedure.

A Closer Look At Fixation For Fifth Metatarsal Fractures

Lawrence Fallat, DPM, FACFAS, and Ruby Chahal, DPM | 74,933 reads | 0 comments | 08/28/2012

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.

Understanding The Biomechanical Effects Of The Evans Calcaneal Osteotomy

Ron Raducanu, DPM, FACFAS | 16,053 reads | 0 comments | 01/25/2012

Reviewing the evolution of the Evans calcaneal osteotomy, this author discusses the impact on biomechanics, shares insights from the literature on osteotomy placement and bone graft size, and offers pearls on minimizing the risk of common complications.