Pub Date : 2018-08-06DOI: 10.1177/1938640018790057
M. Symes, M. Escudero, I. Abdulla, A. Veljkovic, Scott L Paquette, A. Younger
This case report is the first documented case of a serious motor vehicle accident caused by a patient driving in a controlled ankle motion (CAM) walker boot. The real-life nature and severity of injury in this case supplements the existing experimental studies on the dangers of driving while immobilized in a CAM boot and is likely to resonate strongly with both patients and surgeons. With CAM boots used so commonly after lower limb surgery, this case not only has the potential to change practice as an educational tool for patients but also raises important medicolegal implications for orthopaedic surgeons. Levels of Evidence: Level V
{"title":"Boots Are Not Made for Driving: A Cautionary Case Report About the Dangers of Driving in a CAM Walker Boot and Literature Review","authors":"M. Symes, M. Escudero, I. Abdulla, A. Veljkovic, Scott L Paquette, A. Younger","doi":"10.1177/1938640018790057","DOIUrl":"https://doi.org/10.1177/1938640018790057","url":null,"abstract":"This case report is the first documented case of a serious motor vehicle accident caused by a patient driving in a controlled ankle motion (CAM) walker boot. The real-life nature and severity of injury in this case supplements the existing experimental studies on the dangers of driving while immobilized in a CAM boot and is likely to resonate strongly with both patients and surgeons. With CAM boots used so commonly after lower limb surgery, this case not only has the potential to change practice as an educational tool for patients but also raises important medicolegal implications for orthopaedic surgeons. Levels of Evidence: Level V","PeriodicalId":39271,"journal":{"name":"Foot and Ankle Specialist","volume":"11 1","pages":"559 - 562"},"PeriodicalIF":0.0,"publicationDate":"2018-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1938640018790057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42815497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.1177/1938640018756415
A. Agarwal, Nargesh Agrawal, J. Ahmad, A. Aiyer, A. A. Khudairy, A. Alattar, Buğra Alpan, Robert S. Anderson, Dariusch Arbab, T. Badam, Joseph Baker, B. Baravarian, Bradley Beasley, A. Beischer, Andrew Bernhard, Nicholas J Bevilacqua, J. Blair, Ivan Boha, Ek, A. Boszczyk, Michael Bowen, P. Bull, Jarrett D. Cain, Y. Çamurcu, P. Carroll, P. Carvalho, D. Cashley, F. Castagnini, F. Catena, Byung-Ki Cho, T. Choi, R. Clements, M. Cooper, Matthew P Cotchett, E. C. Romero, Matthew Crill, Daniel J. Cuttica, K. Davis, U. Debnath, William Decarbo, Louis V. DeFazio, S. DeFroda, Samuel G. Dellenbaugh, L. Dennis, S. Desai, Lisa Dever, F. Caprio, P. Diebold, K. Dunn, E. Ebramzadeh, S. El
{"title":"2017 Reviewer Thank You","authors":"A. Agarwal, Nargesh Agrawal, J. Ahmad, A. Aiyer, A. A. Khudairy, A. Alattar, Buğra Alpan, Robert S. Anderson, Dariusch Arbab, T. Badam, Joseph Baker, B. Baravarian, Bradley Beasley, A. Beischer, Andrew Bernhard, Nicholas J Bevilacqua, J. Blair, Ivan Boha, Ek, A. Boszczyk, Michael Bowen, P. Bull, Jarrett D. Cain, Y. Çamurcu, P. Carroll, P. Carvalho, D. Cashley, F. Castagnini, F. Catena, Byung-Ki Cho, T. Choi, R. Clements, M. Cooper, Matthew P Cotchett, E. C. Romero, Matthew Crill, Daniel J. Cuttica, K. Davis, U. Debnath, William Decarbo, Louis V. DeFazio, S. DeFroda, Samuel G. Dellenbaugh, L. Dennis, S. Desai, Lisa Dever, F. Caprio, P. Diebold, K. Dunn, E. Ebramzadeh, S. El","doi":"10.1177/1938640018756415","DOIUrl":"https://doi.org/10.1177/1938640018756415","url":null,"abstract":"","PeriodicalId":39271,"journal":{"name":"Foot and Ankle Specialist","volume":"11 1","pages":"183 - 184"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1938640018756415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65810157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.1177/1938640016685151
R. Mallina, K. Al-Dadah, K. Patel, P. Ramesh
Background. Interdigital neuroma (IN), otherwise known as Morton’s neuroma, is a common cause of metatarsalgia presenting to the elective foot and ankle clinic. Surgical excision of the IN in patients who fail to respond to nonoperative measures is considered to be the gold standard of care in many centers. The Royal College of Pathologists UK recommend that all excised interdigital Morton’s neuromas are sent for formal histopathological analysis. We present a study correlating clinical and radiological diagnosis with histopathologic appearances of IN following surgical excision, and question if routine histopathological analysis is warranted. Methods. A retrospective study was carried out in a single center. Ninety-six operative records were reviewed to identify all the cases of IN surgically resected between January 2007 and July 2016. The histopathology result of the resected IN specimen, that had a clinical and radiological diagnosis of IN, was analyzed. Results. A total of 85 patients met the inclusion criteria and were included in the final analysis. We found that 100% of patients with a clinical, radiographic, and intraoperative diagnosis of a Morton’s neuroma had a histopathological report confirming a Morton’s interdigital neuroma. Conclusion. In our single-surgeon series, histopathologic diagnosis is in complete agreement with clinical and radiological diagnosis. We therefore recommend that routine histopathological analysis of IN is not necessary, saving resources and providing a cost benefit. Histopathologic examination should be reserved only in cases where intraoperative findings do not concur with clinical and radiological features. Levels of Evidence: Level IV: Case series
{"title":"Is Histopathological Analysis of Interdigital Morton’s Neuroma Necessary?","authors":"R. Mallina, K. Al-Dadah, K. Patel, P. Ramesh","doi":"10.1177/1938640016685151","DOIUrl":"https://doi.org/10.1177/1938640016685151","url":null,"abstract":"Background. Interdigital neuroma (IN), otherwise known as Morton’s neuroma, is a common cause of metatarsalgia presenting to the elective foot and ankle clinic. Surgical excision of the IN in patients who fail to respond to nonoperative measures is considered to be the gold standard of care in many centers. The Royal College of Pathologists UK recommend that all excised interdigital Morton’s neuromas are sent for formal histopathological analysis. We present a study correlating clinical and radiological diagnosis with histopathologic appearances of IN following surgical excision, and question if routine histopathological analysis is warranted. Methods. A retrospective study was carried out in a single center. Ninety-six operative records were reviewed to identify all the cases of IN surgically resected between January 2007 and July 2016. The histopathology result of the resected IN specimen, that had a clinical and radiological diagnosis of IN, was analyzed. Results. A total of 85 patients met the inclusion criteria and were included in the final analysis. We found that 100% of patients with a clinical, radiographic, and intraoperative diagnosis of a Morton’s neuroma had a histopathological report confirming a Morton’s interdigital neuroma. Conclusion. In our single-surgeon series, histopathologic diagnosis is in complete agreement with clinical and radiological diagnosis. We therefore recommend that routine histopathological analysis of IN is not necessary, saving resources and providing a cost benefit. Histopathologic examination should be reserved only in cases where intraoperative findings do not concur with clinical and radiological features. Levels of Evidence: Level IV: Case series","PeriodicalId":39271,"journal":{"name":"Foot and Ankle Specialist","volume":"10 1","pages":"520 - 523"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1938640016685151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42519569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.1177/1938640016685149
R. Shukla, R. Jain, S. Patidar, Nikhil Jain, P. Mahajan
Introduction. Ankle fracture is the most common intra-articular fracture of a weight-bearing joint and accounts for 9% of all fractures. Ankle fractures are classified into 3 subgroups: unimalleolar, bimalleolar, and trimalleolar fractures. Accurate reduction and stable internal fixation is necessary in bimalleolar fractures; otherwise, it may lead to posttraumatic painful restriction of movements or osteoarthritis. The purpose of this study is to assess the functional outcome and results of treatment of neglected bimalleolar fracture. Materials and Methods. Seventeen neglected bimalleolar fracture patients were treated with open reduction and internal fixation. Patients were followed-up at 1, 2, and 5 years and functional ability was assessed by using the modified Weber Rating Scale. Results. The mean age of patients was 41.4 ± 13.28 years. After 2 year of surgery, 13 out of 17 patients showed excellent results and 4 patients had fair results. Conclusion. Good to excellent functional results were observed after long-term follow-up in neglected bimalleolar fracture treated with open reduction and internal fixation, and we advise surgical intervention in all such patients. Levels of Evidence: Therapeutic, Level III: Retrospective Cohort study
{"title":"Cross-Sectional Study to Assess the Functional Outcome of Neglected Bimalleolar Fracture","authors":"R. Shukla, R. Jain, S. Patidar, Nikhil Jain, P. Mahajan","doi":"10.1177/1938640016685149","DOIUrl":"https://doi.org/10.1177/1938640016685149","url":null,"abstract":"Introduction. Ankle fracture is the most common intra-articular fracture of a weight-bearing joint and accounts for 9% of all fractures. Ankle fractures are classified into 3 subgroups: unimalleolar, bimalleolar, and trimalleolar fractures. Accurate reduction and stable internal fixation is necessary in bimalleolar fractures; otherwise, it may lead to posttraumatic painful restriction of movements or osteoarthritis. The purpose of this study is to assess the functional outcome and results of treatment of neglected bimalleolar fracture. Materials and Methods. Seventeen neglected bimalleolar fracture patients were treated with open reduction and internal fixation. Patients were followed-up at 1, 2, and 5 years and functional ability was assessed by using the modified Weber Rating Scale. Results. The mean age of patients was 41.4 ± 13.28 years. After 2 year of surgery, 13 out of 17 patients showed excellent results and 4 patients had fair results. Conclusion. Good to excellent functional results were observed after long-term follow-up in neglected bimalleolar fracture treated with open reduction and internal fixation, and we advise surgical intervention in all such patients. Levels of Evidence: Therapeutic, Level III: Retrospective Cohort study","PeriodicalId":39271,"journal":{"name":"Foot and Ankle Specialist","volume":"10 1","pages":"509 - 512"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1938640016685149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45541441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.1177/1938640016685150
Preetha Ramachandra, Pratap Kumar, A. Kamath, A. Maiya
Background. The foot of a pregnant woman undergoes morphological changes with the advancement of pregnancy. It is important to understand the structural changes of the foot during pregnancy and postpartum because any such change may alter the plantar pressure pattern and the entire foot biomechanics. Method. Primigravidae with a gestational age of 12 weeks or less, aged between 18 and 35 years were included in the study. They were prospectively studied across 5 time periods during pregnancy and postpartum. The measures recorded were length, width, navicular height, truncated foot length and normalized navicular height, truncated ratio of the foot, and the static plantar pressure pattern. Repeated-measures ANOVA was done to analyze the changes across various time periods. Results. All the foot parameters, except foot length and truncated foot length, showed significant differences across various time periods of pregnancy and postpartum (P < .001). It was found that the static plantar pressures also varied significantly (P ≤ .001).The maximum pressure was recorded at the hindfoot of the dominant leg. Conclusion. The feet of pregnant women tend to get pronated as pregnancy advances but do not reach baseline values even at 6 weeks postpartum. Pregnant women tend to bear more weight on the dominant foot with an increased static hindfoot pressure as pregnancy progresses. Levels of Evidence: Prognostic study, Level I: Prospective
{"title":"Do Structural Changes of the Foot Influence Plantar Pressure Patterns During Various Stages of Pregnancy and Postpartum?","authors":"Preetha Ramachandra, Pratap Kumar, A. Kamath, A. Maiya","doi":"10.1177/1938640016685150","DOIUrl":"https://doi.org/10.1177/1938640016685150","url":null,"abstract":"Background. The foot of a pregnant woman undergoes morphological changes with the advancement of pregnancy. It is important to understand the structural changes of the foot during pregnancy and postpartum because any such change may alter the plantar pressure pattern and the entire foot biomechanics. Method. Primigravidae with a gestational age of 12 weeks or less, aged between 18 and 35 years were included in the study. They were prospectively studied across 5 time periods during pregnancy and postpartum. The measures recorded were length, width, navicular height, truncated foot length and normalized navicular height, truncated ratio of the foot, and the static plantar pressure pattern. Repeated-measures ANOVA was done to analyze the changes across various time periods. Results. All the foot parameters, except foot length and truncated foot length, showed significant differences across various time periods of pregnancy and postpartum (P < .001). It was found that the static plantar pressures also varied significantly (P ≤ .001).The maximum pressure was recorded at the hindfoot of the dominant leg. Conclusion. The feet of pregnant women tend to get pronated as pregnancy advances but do not reach baseline values even at 6 weeks postpartum. Pregnant women tend to bear more weight on the dominant foot with an increased static hindfoot pressure as pregnancy progresses. Levels of Evidence: Prognostic study, Level I: Prospective","PeriodicalId":39271,"journal":{"name":"Foot and Ankle Specialist","volume":"10 1","pages":"513 - 519"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1938640016685150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45265412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-01DOI: 10.1177/1938640016679703
D. Bohl, N. Ondeck, A. Samuel, Pablo J. Diaz-Collado, Stephen J. Nelson, B. Basques, M. Leslie, J. Grauer
Background. This study uses the American College of Surgeons National Trauma Data Bank (NTDB) to update the field on the demographics, injury mechanisms, and concurrent injuries among a national sample of patients admitted to the hospital department with calcaneus fractures. Methods. Patients with calcaneus fractures in the NTDB during 2011-2012 were identified and assessed. Results. A total of 14 516 patients with calcaneus fractures were included. The most common comorbidity was hypertension (18%), and more than 90% of fractures occurred via traffic accident (49%) or fall (43%). A total of 11 137 patients had concurrent injuries. Associated lower extremity fractures had the highest incidence and occurred in 61% of patients (of which the most common were other foot and ankle fractures). Concurrent spine fractures occurred in 23% of patients (of which the most common were lumbar spine fractures). Concurrent nonorthopaedic injuries included head injuries in 18% of patients and thoracic organ injuries in 15% of patients. Conclusion. This national sample indicates that associated injuries occur in more than three quarters calcaneus fracture patients. The most common associated fractures are in close proximity to the calcaneus. Although the well-defined association of calcaneus fractures with lumbar spine fractures was identified, the data presented highlight additional strong associations of calcaneus fractures with other orthopaedic and nonorthopaedic injuries. Levels of Evidence: Prognostic, Level III: Retrospective review of a prospectively collected cohort
{"title":"Demographics, Mechanisms of Injury, and Concurrent Injuries Associated With Calcaneus Fractures: A Study of 14 516 Patients in the American College of Surgeons National Trauma Data Bank","authors":"D. Bohl, N. Ondeck, A. Samuel, Pablo J. Diaz-Collado, Stephen J. Nelson, B. Basques, M. Leslie, J. Grauer","doi":"10.1177/1938640016679703","DOIUrl":"https://doi.org/10.1177/1938640016679703","url":null,"abstract":"Background. This study uses the American College of Surgeons National Trauma Data Bank (NTDB) to update the field on the demographics, injury mechanisms, and concurrent injuries among a national sample of patients admitted to the hospital department with calcaneus fractures. Methods. Patients with calcaneus fractures in the NTDB during 2011-2012 were identified and assessed. Results. A total of 14 516 patients with calcaneus fractures were included. The most common comorbidity was hypertension (18%), and more than 90% of fractures occurred via traffic accident (49%) or fall (43%). A total of 11 137 patients had concurrent injuries. Associated lower extremity fractures had the highest incidence and occurred in 61% of patients (of which the most common were other foot and ankle fractures). Concurrent spine fractures occurred in 23% of patients (of which the most common were lumbar spine fractures). Concurrent nonorthopaedic injuries included head injuries in 18% of patients and thoracic organ injuries in 15% of patients. Conclusion. This national sample indicates that associated injuries occur in more than three quarters calcaneus fracture patients. The most common associated fractures are in close proximity to the calcaneus. Although the well-defined association of calcaneus fractures with lumbar spine fractures was identified, the data presented highlight additional strong associations of calcaneus fractures with other orthopaedic and nonorthopaedic injuries. Levels of Evidence: Prognostic, Level III: Retrospective review of a prospectively collected cohort","PeriodicalId":39271,"journal":{"name":"Foot and Ankle Specialist","volume":"10 1","pages":"402 - 410"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1938640016679703","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44990664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：