lisfrank

Regional migrating osteoporosis (RMO) was observed in young man with episodes of bone pain in bearing joints, which migrated from hip to leg and subsequently to knee on the unilateral side. Dynamic scintigraphy (SPECT) carried out during relapse of pain demonstrated increased accumulation of radioizotope in Lisfrank joint, distal epiphysis of femur and proximal epiphysis of tibia on the unilateral side due to hyperperfusion and high metabolic turnover in these regions of the skeleton. Dia-gnosis of RMO was confirmed by magnetic resonance (MRI), which showed bone marrow edema of corresponding regions...

The authors evaluate their results of corrective surgery of the foot in conditions after injury. In 1965 - 1985 they used classical resection "sub talo" in 22 patients with 14 good, 4 satisfactory and 4 poor results. Poor results were recorded where arthritis of the talocrural joint, necrosis of the talus, pseudoarthrosis, residual deformity or instability developed. The authors evaluate also 5 patients treated by a new technique (so-called dowel graft technique). In all patients satisfactory results were achieved...

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