Assuntos
Analgésicos/administração & dosagem , Buprenorfina/administração & dosagem , Clonidina/administração & dosagem , Dexametasona/administração & dosagem , Midazolam/administração & dosagem , Bloqueio Nervoso/métodos , Dor Pós-Operatória/tratamento farmacológico , Benchmarking , Quimioterapia Combinada , HumanosRESUMO
A wide range of techniques has been described to achieve subtalar (talocalcaneal) arthrodesis using interfragmental screw fixation. In this technical report, we describe a method that enables us to accurately position 2 screws across the subtalar joint in order to achieve arthrodesis between the talus and calcaneus. Careful attention to the tips described in this report should minimize the risk of aberrant placement of the screws while expediting the process of osteosynthesis.
Assuntos
Artrodese/instrumentação , Parafusos Ósseos , Fixação Interna de Fraturas/instrumentação , Articulação Talocalcânea/cirurgia , Artrodese/métodos , Calcâneo/cirurgia , Feminino , Fixação Interna de Fraturas/métodos , Consolidação da Fratura/fisiologia , Humanos , Masculino , Prognóstico , Medição de Risco , Tálus/cirurgia , Resultado do TratamentoRESUMO
Heel pain is one of the most common presenting complaints to the foot and ankle specialist. There are many causes for subcalcaneal heel pain, including biomechanical, traumatic, those related to several types of arthritides and tumors, and anatomic causes. This article describes pathologic conditions of the heel, concentrating on tumors and arthritides.
Assuntos
Artrite/complicações , Neoplasias Ósseas/complicações , Calcanhar , Osteoma Osteoide/complicações , Dor/etiologia , Artrite/diagnóstico , Artrite Reumatoide/complicações , Artrite Reumatoide/diagnóstico , Neoplasias Ósseas/diagnóstico , Neoplasias Ósseas/cirurgia , Cistos/complicações , Cistos/diagnóstico , Doenças do Pé/complicações , Doenças do Pé/diagnóstico , Humanos , Osteoma Osteoide/diagnóstico , Osteoma Osteoide/cirurgiaRESUMO
Peroneal tendon pathology is a common cause of lateral ankle pain. Because of the difficulty of distinguishing peroneal tendon injuries from lateral ligament injuries in the setting of ankle trauma, early diagnosis is often missed. Failure to recognize and adequately treat these injuries can result in significant long-term disability. Focused history and physical examination are critical, as is a thorough understanding of the local anatomy and biomechanics involved. Acute injuries may be successfully treated conservatively; however, chronic injuries have demonstrated unsatisfactory response to conservative measures. When considering surgical management of peroneal tendon injuries, as much information as possible must be gathered through history, clinical exam, and diagnostic studies. The level of injury in correspondence with the myriad of possible etiologic factors dictates the ideal procedure to be performed. Surgery is highly individualized according to the pathology encountered, and to the skill and experience of the surgeon.
