Arthroscopy of the Ankle

May 27, 2017 by in ORTHOPEDIC Comments Off on Arthroscopy of the Ankle

   Arthroscopy of the ankle has become an invaluable tool for evaluating and treating pathology in the ankle joint.    Arthroscopy allows a minimally invasive approach to the structures of the ankle…

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Chronic Lateral Ankle Instability

May 27, 2017 by in ORTHOPEDIC Comments Off on Chronic Lateral Ankle Instability

   Lateral ligament injuries of the ankle are treated conservatively with good results in most cases. However, several factors may lead to chronic ankle instability with recurring ankle sprains:    Inadequate primary…

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Capsular Interpositional Arthroplasty

May 27, 2017 by in ORTHOPEDIC Comments Off on Capsular Interpositional Arthroplasty

   Hallux rigidus refers to degenerative arthritis of the first metatarsophalangeal (MTP) joint that is characterized by pain, decreased range of motion (ROM), and proliferative osteophyte formation. ANATOMY    The first MTP…

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Surgical Management of Freiberg’s Infraction

May 27, 2017 by in ORTHOPEDIC Comments Off on Surgical Management of Freiberg’s Infraction

   Freiberg infraction is an osteochondrosis of a lesser metatarsal head, most commonly involving the second metatarsal.    In 1913, Freiberg originally documented six cases and used the term infraction to indicate…

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Endoscopic Plantar Fasciotomy

May 27, 2017 by in ORTHOPEDIC Comments Off on Endoscopic Plantar Fasciotomy

   Plantar fasciitis is the most common cause of heel pain in adults.    The predominant symptom is pain in the plantar region of the foot when initiating walking.    The cause is…

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Spring Ligament Reconstruction

May 27, 2017 by in ORTHOPEDIC Comments Off on Spring Ligament Reconstruction

   Spring ligament failure consists of lengthening or disruption of the spring ligament complex resulting in subluxation at the talonavicular joint.    Spring ligament failure is commonly associated with considerable degeneration of…

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Ludloff Osteotomy

May 27, 2017 by in ORTHOPEDIC Comments Off on Ludloff Osteotomy

   Symptomatic hallux valgus associated with a first intermetatarsal angle greater than 15 degrees is typically corrected with a proximal first metatarsal osteotomy and distal soft tissue procedure when nonoperative treatment…

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Rheumatoid Forefoot Reconstruction

May 27, 2017 by in ORTHOPEDIC Comments Off on Rheumatoid Forefoot Reconstruction

   Rheumatoid arthritis is an inflammatory condition of synovial joints that usually presents as a symmetric polyarthropathy.    Ninety percent of patients with chronic rheumatoid arthritis have involvement of the foot; the…

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Distraction Arthroplasty for Ankle Arthritis

May 27, 2017 by in ORTHOPEDIC Comments Off on Distraction Arthroplasty for Ankle Arthritis

   Ankle distraction arthroplasty is a new technique for the treatment of ankle arthritis in younger patients who wish to defer ankle arthrodesis or ankle replacement.    Distraction arthroplasty is based on…

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