ABSTRACT
The clinical, radiological, and pathological features of six cases of osteochondritis of the metatarsal sesamoids are presented. This condition seems to affect primarily young females. Bone scans are a useful tool in assessing disease in the hallux sesamoid bones. Stress fracture and subsequent repair are postulated as the etiology of osteochondritis of the hallux sesamoid bones. Many of these cases do not respond to conservative management and the affected sesamoid must be surgically removed.
Subject(s)
Hallux/pathology , Osteochondritis/pathology , Sesamoid Bones/pathology , Adult , Athletic Injuries , Dancing , Female , Hallux/diagnostic imaging , Hallux/surgery , Humans , Jogging , Osteochondritis/diagnostic imaging , Osteochondritis/surgery , Postoperative Period , Radionuclide Imaging , Sesamoid Bones/diagnostic imaging , Sesamoid Bones/surgeryABSTRACT
This report documents the treatment of 33 foot and ankle ganglia. The average patient age was 39 years (versus 25 years for patients with ganglia about the wrist joint). Twenty-one ganglia were treated operatively and nine recurred. Three patients suffered cutaneous nerve injury. The other 12 ganglia were treated by aspiration and steroid injection. There were four recurrences, one of which was cured by a second injection. Two of the four recurrences were small and asymptomatic and required no treatment. There were no complications with aspiration and injection. In view of the high recurrence rates and inconvenience of ganglionectomy in the foot, aspiration and steroid injection is a more safe, simple, and effective treatment. We feel that surgery should generally be reserved for failures of nonoperative treatment.
Subject(s)
Ankle , Foot , Synovial Cyst/therapy , Adult , Female , Humans , Injections , Male , Recurrence , Steroids/therapeutic use , Suction , Synovial Cyst/surgeryABSTRACT
The authors present a case of a parosteal osteosarcoma of the fourth metatarsal in a 19-year-old male. This location has never been previously reported. The periosteal new bone formation without bone destruction must be differentiated from foreign body reaction and stress fractures. En bloc resection of the fourth and fifth rays was done. There has been no evidence of recurrence to date, 1 year and 10 months following the surgery. There has been an excellent functional result.
