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Foot and Ankle Clinics

journal
https://www.readbyqxmd.com/read/30414663/preface
#1
EDITORIAL
Andrea Veljkovic
No abstract text is available yet for this article.
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414662/plantar-plate-injury-and-angular-toe-deformity
#2
REVIEW
Craig C Akoh, Phinit Phisitkul
Lesser toe plantar plate injuries at the metatarsophalangeal (MTP) joint are a common source of metatarsalgia. The second MTP joint is the most commonly affected digit. The fibrocartilaginous plantar plate is the most important static stabilizer of the MTP joint; high loading with weight bearing can lead to attritional plantar plate injuries. Chronic pain with weight bearing is the common presentation of lesser toe instability. Untreated plantar plate instability can lead to hammer toe and mallet toe deformities...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414661/turf-toe-injury-current-concepts-and-an-updated-review-of-literature
#3
REVIEW
Tim M Clough, Haroon Majeed
Turf toe injuries can be a disabling if not recognized and treated early. A high index of suspicion, based on the mechanism of injury and appropriate imaging, helps in the timely diagnosis. These injuries are frequently known to occur on artificial playing surfaces, because of the increased traction at the shoe-surface interface. Stress and instability testing are key components to assess the need for surgical intervention. Accurate timely diagnosis and treatment can allow full return to physical activities for most athletes, back to their pre-injury level...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414660/low-energy-lisfranc-injuries-in-an-athletic-population-a-comprehensive-review-of-the-literature-and-the-role-of-minimally-invasive-techniques-in-their-management
#4
REVIEW
Mario I Escudero, Michael Symes, Andrea Veljkovic, Alastair S E Younger
Tarsometatarsal (TMT) joint complex injuries can be caused by either direct or indirect injuries. The Lisfranc joint represents approximately 0.2% of all fractures. Up to 20% of these injuries are misdiagnosed or missed on initial radiographic assessment; therefore, a high index of suspicion is needed to accurately diagnose TMT joint injuries and avoid the late sequelae of substantial midfoot arthrosis, pain, decreased function, and loss of quality of life. This review discusses the anatomy, diagnosis, and management of athletic Lisfranc injuries, including a description of the preferred minimally invasive surgical techniques used by the senior author of this article...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414659/spring-ligament-instability
#5
REVIEW
Gonzalo F Bastias, Miki Dalmau-Pastor, Claudia Astudillo, Manuel J Pellegrini
The crucial role of the spring ligament complex within the pathologic process that leads to flatfoot deformity has evolved recently. There has been improvement in the anatomic knowledge of the spring ligament and understanding of its complex relationship to the deltoid complex and outstanding advances in biomechanics concepts related to the spring ligament. Optimization of flatfoot treatment strategies are focused on a renewed interest in the spring ligament and medial soft tissue reconstruction in concert with bony correction to obtain an adequate reduction of the talonavicular deformity and restoration of the medial longitudinal arch...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414658/medial-ankle-instability-the-deltoid-dilemma
#6
REVIEW
Saud Alshalawi, Ahmed E Galhoum, Yousef Alrashidi, Martin Wiewiorski, Mario Herrera, Alexej Barg, Victor Valderrabano
Diagnosis and treatment of medial ankle instability (MAI) are still controversial and poorly discussed in literature. The purpose of this review is to highlight different clinical presentations of MAI and develop a guide for its management. The deltoid ligament complex is injured more commonly than expected, because deltoid ligament injuries may either be isolated or occur in combination with other lesions, such as lateral ankle ligament injury, posterior tibial tendon insufficiency, osteochondral lesion, and others...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414657/acute-and-chronic-syndesmotic-injury-the-authors-approach-to-treatment
#7
REVIEW
Michael Swords, Jean Brilhault, Andrew Sands
Ankle injuries are a common traumatic injury. Rupture to the syndesmosis may occur as a result of these injuries. Strategies for the treatment of both acute and chronic syndesmotic repair are reviewed in detail. Significance of Chaput, Wagstaffe, and posterior malleolus fractures on syndesmotic stability are reviewed. Treatment considerations for total ankle arthroplasty are discussed, and correction of coronal plane deformity as a result of late syndesmotic injury at the time of ankle arthroplasty is outlined...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414656/revision-of-surgical-lateral-ankle-ligament-stabilization
#8
REVIEW
Joseph T O'Neil, Gregory P Guyton
Ankle sprains continue to be among the most common musculoskeletal injuries, most of which never require surgical treatment. Surgical treatment has traditionally been successful for those patients whose symptoms do not improve with nonoperative care. However, recurrent instability, although rare, can occur early or late after a stabilization procedure, as the result of an acute traumatic event or chronic repetitive minor injury. A complete workup of patients with recurrent ankle instability should be completed before revision surgery and should include evaluation for generalized joint hypermobility as well as anatomic variations, such as hindfoot varus, first ray plantarflexion, and midfoot cavus...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414655/malalignment-and-lateral-ankle-instability-causes-of-failure-from-the-varus-tibia-to-the-cavovarus-foot
#9
REVIEW
Fabian Krause, Angela Seidel
A lower leg or hindfoot varus malalignment is a frequently encountered but underestimated cause of chronic ankle instability and ankle arthritis in the long term. When evaluating patients with ankle instability, a high index of clinical suspicion for tibia and hindfoot malalignment and subsequent biomechanics should be maintained. Management of lateral ankle instability in the presence of varus malalignment must comprise a generous indication for accurate hindfoot realignment. In young and active patients, realignment should be combined with formal lateral ligamentous repair...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414654/percutaneous-ankle-reconstruction-of-lateral-ligaments
#10
REVIEW
Mark Glazebrook, Mohammad Eid, Meshal Alhadhoud, James Stone, Kentaro Matsui, Masato Takao
Chronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. Within the 3 ligaments of the lateral ligament complex, 80% of patients tear the anterior talofibular ligament (ATFL), whereas the other 20% of patients tear the ATFL and calcaneofibular ligament (CFL). Rarely, the posterior talofibular ligament is involved. An incidence of 10% to 30% of patients will fail conservative treatment and result in chronic ankle instability that may require surgical treatment...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414653/arthroscopic-treatment-of-ankle-instability-allograft-autograft-reconstruction
#11
REVIEW
João Teixeira, Stephane Guillo
Inversion ankle sprains represent one of the most common traumatic injuries in the active sports population. Although most respond well to conservative treatment, some hide important lesions. Lateral ankle ligament injuries occur in more than 80% of all ankle sprains, with one-third of these developing chronic ankle instability (CAI). Lateral ankle ligament repair or reconstruction procedures aim to restore normal ankle anatomy and function in patients with CAI. Arthroscopic reconstruction techniques allow the surgeon to reach surgery objectives with minimal soft tissue injury...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414652/arthroscopic-treatment-of-ankle-instability-brostrom
#12
REVIEW
Jorge I Acevedo, Robert C Palmer, Peter G Mangone
Over the last 10 years, significant advances have been made and successful techniques have now been developed that effectively treat ankle instability via the arthroscope.Currently arthroscopic lateral ligament repair techniques can be grouped into "arthroscopic-assisted techniques," "all-arthroscopic techniques," and "all-inside techniques." Recent studies have proven these arthroscopic techniques to be a simple, safe, and biomechanically equivalent, stable alternative to open Brostrom Gould lateral ligament reconstruction...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414651/chronic-lateral-ankle-instability-open-surgical-management
#13
REVIEW
David A Porter, Kreigh A Kamman
Open surgical reconstruction for chronic lateral ankle instability is a proven and effective means of providing renewed stability. Ankle arthroscopy is recommended before reconstruction to address intra-articular pathology. The open procedure discussed is well researched and proven to restore stability and the ability to return to sport and daily activity. Anatomic shortening with reattachment into a bony trough allows return to full motion, reliable stability, and return to an active lifestyle without sacrificing any tendons or requiring a tenodesis...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414650/acute-lateral-ankle-instability
#14
REVIEW
Kim Slater
Acute injuries to the lateral ankle complex remain common and account for 20% to 25% of musculoskeletal injuries. Initial assessment should use the Ottawa ankle rules, and grading should take into account degree of mechanical instability. Nonoperative measures are preferable for all grades of injury; however, mechanical instability is a predictor for resprains. Functional treatment after a short period of relative immobilization gives satisfactory results, and residual chronic ankle instability can be managed by repair or reconstruction...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30414649/imaging-in-foot-and-ankle-instability
#15
REVIEW
Peter Salat, Vu Le, Andrea Veljkovic, Mark E Cresswell
This article reviews the imaging aspects relevant to ligamentous instabilities of the foot and ankle with a focus on MRI and ultrasound imaging. A pictorial review of the anatomy of the medial and lateral ankle ligaments, syndesmosis, spring ligament, Lisfranc complex, hallux sesamoid complex, and lesser toe plantar plate as seen on MRI is presented. Selected cases of ligamentous pathology relevant to foot and ankle instability are presented. The value of imaging in the assessment of foot and ankle instability is reviewed...
December 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30097088/the-subtalar-joint
#16
EDITORIAL
Norman Espinosa
No abstract text is available yet for this article.
September 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30097087/subtalar-distraction-arthrodesis
#17
REVIEW
Norman Espinosa, Elena Vacas
The subtalar joint can be altered in its anatomy and biomechanical behavior. It is important to know how to assess the talar declination angle in order to assess the deformity at the subtalar joint. Consider a straight posterior approach to the subtalar joint and remain liberal in the use of z-shaped Achilles tendon lengthening. A structural bone graft should be used to elevate the talus. Positioning screws should be used to lock the construct.
September 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30097086/subtalar-arthroscopic-fusion
#18
REVIEW
Emilio Wagner, Rodrigo Melo
Arthroscopic subtalar fusion is an excellent approach to subtalar pathologic condition where conservative treatment has failed and a fusion has been indicated. Formal contraindications include excessive malalignment and bone loss. The posterior arthroscopic approach is analyzed in this article, including indications, surgical technique, surgical tips, and complications. Excellent results can be expected, including a shorter time to fusion, and faster rehabilitation, including activities of daily living and sports...
September 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30097085/open-technique-for-in-situ-subtalar-fusion
#19
REVIEW
Stephan H Wirth, Stefan M Zimmermann, Arnd F Viehöfer
The subtalar joint plays an important role for the hindfoot when accommodating during gait. Joint degeneration may be caused by posttraumatic, inflammatory, and pathologic biomechanical changes. Once conservative treatment has failed, subtalar fusion should be considered. The indication for surgery is based on thorough clinical and radiographic evaluation. Several techniques for subtalar fusion are published in literature. This article aims to describe a technique for in situ arthrodesis of the subtalar joint, paying special attention to biomechanical aspects as well as preoperative clinical and radiological work-up...
September 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/30097084/medial-approach-to-the-subtalar-joint
#20
REVIEW
James Widnall, Lyndon Mason, Andrew Molloy
Surgical access to the subtalar joint is required in a plethora of pathologic conditions of the hindfoot. The conventional lateral approach can give excellent access to subtalar joint; however, in hindfoot valgus deformities, there can be unacceptable risks of wound problems and incomplete deformity corrections. The medial approach offers good access to the subtalar joint with an increasing evidence base for its use, especially with double fusions in pes planus deformities. The authors review the current evidence in the use of the medial approach for the subtalar joint...
September 2018: Foot and Ankle Clinics
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