Tarsal Coalition

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Tarsal Coalition

Abstract Regardless of the type of tarsal coalition present, once the condition becomes symptomatic, it rarely resolves with nonoperative care. Traditional management has been with immobilization of the foot to…

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Disorders of the Achilles Tendon

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Disorders of the Achilles Tendon

Abstract Disorders of the Achilles include acute rupture, chronic neglected rupture, insertional tendinosis, and noninsertional tendinosis. The goals of surgery are to restore the function of the Achilles while minimizing…

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Rupture of the Anterior Tibial Tendon

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Rupture of the Anterior Tibial Tendon

Abstract Anterior tibial tendon (ATT) ruptures tend to occur in older persons as a consequence of degeneration and friction underneath the extensor retinaculum, although traumatic ruptures can occur and commonly…

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Ankle Instability and Impingement Syndromes

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Ankle Instability and Impingement Syndromes

Abstract In planning procedures for reconstruction of the lateral ankle ligament, considerations include the type of instability (whether in the ankle, the subtalar joint, or both), the presence of pain,…

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Peroneal Tendon Injury and Repair

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Peroneal Tendon Injury and Repair

Abstract Management of disorders of the peroneal tendons is not difficult, yet the results of treatment are not as predictable as expected. With peroneal tendon injury, prompt operative intervention seems…

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Correction of Flatfoot Deformity in the Adult

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Correction of Flatfoot Deformity in the Adult

Abstract Nothing in foot and ankle surgery elicits controversy as much as the “appropriate” correction of the adult flexible flatfoot deformity (AFFD). To some extent, this controversy has a lot…

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Correction of Flatfoot Deformity in the Child

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Correction of Flatfoot Deformity in the Child

Abstract Pes planus is a common problem, and although the condition is predominantly idiopathic, in children it may be associated with neuromuscular disease and other disorders including tarsal coalition and…

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Reconstruction of Malunited Ankle Fractures

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Reconstruction of Malunited Ankle Fractures

Abstract The premise for reconstruction of a malunited ankle fracture is joint preservation. Frequently, the joint may appear to be irreparable, with articular wear and erosive changes on the medial…

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Complications of Treatment of Flatfoot

Apr 18, 2019 by in RHEUMATOLOGY Comments Off on Complications of Treatment of Flatfoot

Abstract Errors in management of flatfoot fall into two broad categories: errors of decision making and technical errors related to surgery. Complications resulting from such errors can often be effectively…

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