RESUMO
Closed-ankle fractures presenting to the podiatric service between 1978 and 1991 are reviewed. Patients able to return for follow-up were tested through Cybex isokinetic testing, proprioception, and radiographic studies. All patients reviewed had equal or greater strength and endurance on the involved side when compared to the uninvolved side. Proprioceptive deficits were noted in all patients with lateral malleolar involvement regardless of time of follow-up.
Assuntos
Traumatismos do Tornozelo/cirurgia , Fraturas Fechadas/cirurgia , Traumatismos do Tornozelo/fisiopatologia , Fraturas Fechadas/fisiopatologia , Marcha , Humanos , Músculo Esquelético/fisiopatologia , Propriocepção , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Acute ruptures of the Achilles tendon are common. Treatment for such ruptures is well documented. Treatment for chronic ruptures with a significant defect poses a surgical dilemma. The authors present the use of a tendon allograft to replace an Achilles tendon defect with a 2.5-year clinical follow-up inclusive of isokinetic testing.
Assuntos
Tendão do Calcâneo/lesões , Tendão do Calcâneo/transplante , Tendão do Calcâneo/cirurgia , Adolescente , Adulto , Seguimentos , Humanos , Masculino , Ruptura , Transplante HomólogoRESUMO
Surgical treatment of hematogenous osteomyelitis is uncommon in the literature. Indications for surgical decompression, along with a review of the literature, is presented. A case history of a 7-year-old male with hematogenous osteomyelitis of the first metatarsal treated by surgical decompression and 12-month follow-up is discussed.
Assuntos
Ossos do Metatarso/cirurgia , Osteomielite/cirurgia , Sepse/cirurgia , Infecções Estafilocócicas/cirurgia , Criança , Diagnóstico por Imagem , Humanos , Masculino , Ossos do Metatarso/patologia , Osteomielite/diagnóstico , Sepse/diagnóstico , Infecções Estafilocócicas/diagnósticoRESUMO
Reconstruction of malunited or an incongruous talocrural articulation is relatively unrecognized within the literature and few procedures have been described. This article reviews a case of a 36-year-old male who presented with chronic ankle pain, secondary to a malunion of the ankle joint. The case presentation, including surgical treatment and follow-up care, is presented. A review of the literature is also provided.
Assuntos
Traumatismos do Tornozelo/cirurgia , Artrodese/métodos , Fíbula/cirurgia , Fraturas Mal-Unidas/cirurgia , Tíbia/cirurgia , Adulto , Traumatismos do Tornozelo/diagnóstico por imagem , Transplante Ósseo/métodos , Fíbula/diagnóstico por imagem , Fraturas Mal-Unidas/diagnóstico por imagem , Humanos , Masculino , Osteotomia/métodos , Radiografia , Amplitude de Movimento Articular/fisiologia , Tíbia/diagnóstico por imagemRESUMO
Some foot and ankle pathologic conditions can be treated by an endoscopic approach. Its effectiveness has been reported in the treatment of plantar fasciitis. The authors have used an endoscopic approach in the treatment of posterior tibial tenosynovitis resistant to nonsurgical treatment. A review of the pathology, terminology and the diagnosis of tenosynovitis is provided. The case report demonstrates a technique using an endoscope to incise the posterior tibial tendon sheath.
Assuntos
Articulação do Tornozelo/cirurgia , Artroscópios , Tenossinovite/cirurgia , Adulto , Doença Crônica , Feminino , Seguimentos , HumanosRESUMO
Ankle sprains are among the most commonly treated injuries that present to the emergency room, and often most inadequately diagnosed and treated. When diagnosed properly, the appropriate treatment is easily determined. When indications point to surgical repair of the lateral collateral ligaments of the ankle, the following technique, utilizing the Mini-Statak device, offers a simplified and timesaving alternative.
