The Hip - book

Hallux Valgus: Mau Osteotomy

Discussion:     – oblique diaphyseal osteotomy that is directed proximal-plantar to distal-dorsal;     – long dorsal shelf of bone supports the distal fragment, making dorsal displacement of the osteotomy unlikely;     – type of intrinsically stable metatarsal osteotomy (weightbearing on the foot compresses the osteotomy)            – other types of intrinsically stable osteotomies include the proximal … Read more

Is the Hallux Valgus Congruent or Incongruent?

– Congruent Joint:     – if there is no lateral subluxation, then the joint is congruent;     – hallux valgus may be the result of lateral deviation of articular surface rather than subluxation of proximal phalanx on metatarsal head;     – if joint is congruent, proximal phalanx can’t be rolled around on … Read more

Infections of the Foot

– Diabetic Foot Infection – Deep Puncture Wound:     – puncture wounds most often result in staph aureus infections (most common organism), or pseudomonas infection (most common gram negative organism);            – staph aureus is the most common organism in soft tissue infections, where as pseudomonas is the most common cause … Read more

Hallux Claw Toe: intrinsic imbalanced hallux

– See: claw toes  – Discussion:  – in claw toe MP joint is hyperextended and the IP joint is flexed w/ or w/o a fixed contracture of either joint;  – etiology: bilateral sesmoidectomy or lateral sesamoidectomy;  – in hallux claw toe, there is inability of pt to apply pulp of great toe to sole of … Read more

Hallux Rigidus and Cheilectomy

– Discussion: – hallux rigidus results from degenerative changes at the first MTP joint; – this may be more disabling than hallux valgus, because pt is unable to achieve relief even when not wearing shoes; – it is a frequent complaint of runners; – there is limitation of motion and pain at the MTP joint … Read more

Hallux Valgus and Bunion Surgery

– See: – adolescent bunion – bunionette – Discussion: – pathophysiology – blood supply of MCP joint – windlass mechanism – diff dx: – gout – hallux rigidus (cheilectomy); – references: – Anatomic variations in the first ray: Part I. Anatomic aspects related to bunion surgery. – Muscle in hallux valgus. – Kinematics of the … Read more

Handbook of Lower Extremity Infections, 3rd EditionHandbook of Lower Extremity Infections, 3rd Edition

div class=”mh-row clearfix”> h1>Handbook of Lower Extremity Infections, 3rd Editionh1 style=”margin: 0in 0in 0pt” align=”center”>font color=”#993300″>Handbook of Lower Extremity Infections, 3rd Edition/font>/h1>/h1> div class=”bodycopy”>div style=”margin: 0in 0in 0pt”>a href=””>img height=”263″ width=”160″ align=”left” border=”1″ alt=”” src=””/>/a>Data Trace Publishing Company is pleased to announce the publication of em>Handbook of Lower Extremity Infections, 3sup>rd/sup>/em> em>Edition/em>. Warren S. Joseph, author … Read more

Forefoot and Toe Deformities

– See: Claw Toes – Discussion:     – in pts who have a rigid cock-up deformity of toe that is present at skeletal maturity, we perform arthrodeses of the proximal and DIP joints, removing wedges of articular cartilage and adjacent bone based dorsally to correct the deformity, shorten the toe, and allow for apposition of osseous surfaces … Read more

Foot and Ankle Amputation

– Diabetic Foot – Treatment Considerations – Syme’s Amputation       – Ankle-level amputation. – Chopart Amputations:        – The Modified Chopart’s Amputation.        – Resurrection of the amputations of Lisfranc and Chopart for diabetic gangrene.        – Congenital Chopart amputation. A functional assessment. – Pirogoff:       – Pirogoff Amputation for Foot Trauma: An Unusual Amputation Level A … Read more

Foot Inclusion for External Fixators

– Indications:     – temporary fixation of foot to eliminate ankle & soft tissue motion at frx site may be needed w/ open frx treated w/ external fixators;     – patient w/ concurrent head injury or severe soft tissue wounds involving muscles that control ankle or foot motion;     – foot inclusion … Read more