ABSTRACT
Tophaceous deposits are frequently noted within articular cartilage, synovium, tendons, tendon sheaths, pinnae and the soft tissue on the extensor surface of the forearms, feet, and bursae in patients with a history of chronic gout. The authors describe an unusual case of severe chronic tophaceous gout without prior diagnostic history or presence of acute attacks. They describe the procedure for the excision of these masses as well as the radiographic and pathological findings.
Subject(s)
Foot Diseases/diagnosis , Gout/diagnosis , Aged , Chronic Disease , Female , Foot Diseases/complications , Foot Diseases/surgery , Foot Diseases/urine , Gout/complications , Gout/surgery , Gout/urine , Humans , Kidney Diseases/complications , Kidney Diseases/urine , Uric Acid/urineABSTRACT
Lipomas are usually found in adipose tissue; however, on rare occasions, they are found in the hands or feet. The authors describe a lipoma in the lateral plantar aspect of the left heel of one of their patients. They describe the procedure used in surgical excision of lipomas and the possible complications.
Subject(s)
Foot Diseases/surgery , Lipoma/surgery , Adult , Female , Foot/pathology , Foot Deformities, Acquired/surgery , Foot Diseases/pathology , Humans , Lipoma/pathologyABSTRACT
A literature review of the use of prophylactic antibiosis , and the protocol for its specific usage in conjunction with podiatric surgery is presented. Attention is raised to the many manifestations that require prophylactic antibiosis in foot and ankle surgery. With proper understanding of prophylactic antibiosis in podiatric surgery, the surgeon has an excellent skill to add to his armamentarium.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Bacterial Infections/prevention & control , Foot/surgery , Postoperative Complications/prevention & control , Administration, Topical , Age Factors , Anti-Bacterial Agents/administration & dosage , Disease , Humans , Prostheses and Implants , Risk , Staphylococcal Infections/prevention & control , Surgical Wound Infection/prevention & control , Time FactorsABSTRACT
A large number of chemical and surgical procedures have been described for the management and correction of onychocryptosis (1-15). Many of these procedures share the problem of prolonged postoperative drainage, which may continue from 4 to 6 weeks. This extended time period can cause the patient inconvenience and discomfort, and continuous follow-up care by the physician is necessary. Electrodesiccation combined with surgical excision of the nail matrix to correct an ingrowing nail border permanently is simple, fast, has a low incidence of infection, and will usually have a dry bed of granulation tissue within 10 days after surgery.
Subject(s)
Desiccation/methods , Electric Stimulation Therapy/methods , Nails, Ingrown/surgery , Desiccation/adverse effects , Electric Stimulation Therapy/adverse effects , Humans , Pseudomonas Infections/drug therapy , Recurrence , Staphylococcal Infections/drug therapy , Surgical Wound Infection/drug therapySubject(s)
Foot , Foreign Bodies , Adult , Female , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Humans , Needles , RadiographyABSTRACT
A case of pigmented villonodular tenosynovitis is described. The characteristics and clinical course are discussed and compared as to natural history, histopathology, pathophysiology, etiology, differential diagnosis, and treatment. The etiological factors of this entity are generally uncertain; however, this case may well be associated with a specific incident of trauma, eg., a puncture wound sustained from stepping on a nail.