RESUMO
The pathologic condition pes planus has been noted in orthopedic and podiatric literature for a number of years. The many scientific and technical terms assigned to the condition have become synonymous, emerging in the vernacular as the common term "flatfoot." In the broadest sense, flatfoot refers to the weight-bearing or nonweight-bearing foot that exhibits collapse of the medial column. A discussion of the history and attitudes toward flatfoot is presented.
Assuntos
Pé Chato , Pé Chato/etiologia , Pé Chato/fisiopatologia , HumanosRESUMO
A review of five distinct medial column stabilization procedures sets forth criteria specific to certain presentations of pes planus deformity. The importance of considering the manifestation of the condition and its implications with regard to the overall health of the particular patient cannot be overemphasized. The collective goal of all such corrective procedures is identical; it is the variable factors particular to a specific presentation that dictate the preferred corrective action. The course selected by a physician with respect to surgical correction of flexible pes planus must be determined by taking both the procedure and the presentation of the condition under advisement.
Assuntos
Pé Chato/cirurgia , Tendão do Calcâneo/cirurgia , Artrodese , Humanos , Métodos , Articulações Tarsianas/cirurgiaRESUMO
The STA Peg procedure was developed to correct flexible flatfoot in young children prior to the age when secondary deformities are likely to develop. The procedure involves the implantation of a peg fashioned from ultra-high molecular weight polyethylene into the dorsal surface of the calcaneus, anterior to the posterior facet of the subtalar joint and fixed with polymethylmethacrylate. Smith has reported excellent overall results in the great majority of patients. The primary importance of the procedure is its rate of success, coupled with a relatively easy postoperative period, virtually no immobilization, its application for very young patients (beginning at 3 years of age), and its accommodation for the continued growth of the child.
Assuntos
Pé Chato/cirurgia , Próteses e Implantes , Articulação Talocalcânea/cirurgia , Artrodese/métodos , Criança , Humanos , Prótese ArticularRESUMO
Mucinous cysts are rare neural lesions. There has been no documentation of this lesion affecting the sural nerve. The lesion is referred to by a number of confusing names. The authors present a case history, and propose a new name based on consistent histologic characteristics.
Assuntos
Cistos/patologia , Nervos Espinhais , Nervo Sural , Cistos/metabolismo , Cistos/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Muco/metabolismoAssuntos
Traumatismos em Atletas/complicações , Calcinose , Doenças do Pé , Traumatismos dos Tendões/complicações , Tendões , Adulto , Calcinose/complicações , Calcinose/etiologia , Doenças do Pé/complicações , Doenças do Pé/etiologia , Humanos , Masculino , Síndromes de Compressão Nervosa/etiologia , Nervo SuralRESUMO
C-arm fluoroscopy is a valuable diagnostic adjunct in podiatric surgery. It decreases operative time by allowing immediate visualization of the operative site without compromising operating room sterility.
Assuntos
Hallux Valgus/diagnóstico por imagem , Articulação Metatarsofalângica/diagnóstico por imagem , Metatarso/diagnóstico por imagem , Articulação do Dedo do Pé/diagnóstico por imagem , Feminino , Fluoroscopia/instrumentação , Fluoroscopia/métodos , Traumatismos do Pé , Corpos Estranhos/cirurgia , Fraturas Ósseas/cirurgia , Hallux Valgus/cirurgia , Humanos , Cuidados Intraoperatórios , Pessoa de Meia-IdadeRESUMO
The authors have reviewed the literature on computerized tomography and it diagnostic potentials, and they are reporting on an applicable case affecting the foot. The case described is of an athletic 15-year-old female with unilateral hypertrophy of the abductor hallucis muscle. With the use of the C-T scanning device, additional information was acquired, as compared to the conventional roentgen diagnostic methods. This resulted in an accurate diagnosis that averted the necessity for exploratory surgical intervention.
Assuntos
Doenças do Pé/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adolescente , Feminino , Doenças do Pé/terapia , Humanos , Hipertrofia , Músculos/diagnóstico por imagem , Músculos/patologia , Cintilografia , Corrida , SapatosRESUMO
Polydactyly, one of the most common congenital deformities, is inherited and often several members of a family are affected. The condition may range from a small amount of additional soft tissue without osseous structure to a complete, fully developed extra digit or digits. The primary treatment is surgical removal. In this paper, the authors review and discuss the genetic basis, classification, and surgical correction of the conditions.
Assuntos
Metatarso/anormalidades , Dedos do Pé/anormalidades , Adulto , Anormalidades Congênitas/classificação , Anormalidades Congênitas/genética , Anormalidades Congênitas/cirurgia , Feminino , Humanos , Metatarso/cirurgia , Pessoa de Meia-Idade , Dedos do Pé/cirurgiaRESUMO
The authors discuss a rare case of heterotopic bone formation in the ankle of an athletic, 20-year-old Caucasian male. After conservative treatment provided minimal relief of symptoms, resection of the talar neck exostosis and inferior, anterior tibial exostosis was performed by an anterior medial approach. Two months postoperatively, after physical therapy, the patient had no pain or limitation of ankle dorsiflexion. He resumed jogging 1 mile per day and performing strenuous exercises.
