Category Archives: Foot and Ankle
Jones Metatarsal Fracture
The Jones fracture (named after a famous English physician) is a fracture of the shaft of the fifth metatarsal. The metatarsals are the long bones connecting the toes with the mid foot and the fifth metatarsal is the bone on … Continue reading
Filed under Foot and Ankle, Fractures
more on bone grafts: allografts
Allograft bone is bone taken from cadaver, cleaned and sterilized.. It can come fresh, with intact cartilage, but more commonly it is dried. The dried allograft can come as crushed cancellus bone or as structural bone using the cortex. Obviously, … Continue reading
Filed under Foot and Ankle, Spine
Achilles Tendon Ruptures Redux
A recent article in the Journal of Bone and Joint Surgery (our main academic journal) recently confirmed our discussion about non operative treatment of Achilles tendon ruptures. That is, many if not all ruptures of the Achilles tendon can be treated without … Continue reading
Filed under Foot and Ankle
Tendonitis/Tendonosis
Every one has had pain in a tendon at one time or another, either spontaneously or from an injury. Occasionally this pain becomes chronic and severe, and we will discuss this today with an emphasis on the achilles tendon. The … Continue reading
Filed under Foot and Ankle, Sports Injuries
surgical treatment of Achilles tendon ruptures
Surgical treatment of Achilles tendon ruptures has been the main stay of treatment for many years. Years ago the tendon was approached through a long posterior incision, repair was made with large sutures and a long leg cast applied. More … Continue reading
Filed under Foot and Ankle
Mid foot Arthritis
The foot can be divided into three anatomic sections: the hindfoot containing the calcaneus and talus and the related joints, the midfoot comprised of the cuboid navicular cuneiforms and proximal metatarsals and their joints and finally the forefoot, the distal metatarsals toes and the … Continue reading
Filed under Arthritis and Joint Replacement, Foot and Ankle
Ankle Fusion
Ankle fusion is a well-known and historically tested treatment for ankle arthritis. An ankle fusion involves roughening the surfaces of the talus (the ankle bone) and the distal tibia and then fixing them together with screws or external fixators until the … Continue reading
Filed under Arthritis and Joint Replacement, Foot and Ankle
Bunions II Osteotomy
The overall goal of bunion surgery is to achieve a pain-free foot with normal bony and soft tissue alignment. As we discussed in the previous section on bunions a simple soft tissue correction is often enough to achieve this goal. However … Continue reading
Filed under Foot and Ankle
Bunions Soft tissue vs bone
As we discussed on an earlier post, bunions are usually a result of pressure by shoewear on a vulnerable foot. In other words the bony anatomy of the foot (usually metatarsus primus varus with a wide forefoot) causes the great toe to … Continue reading
Filed under Foot and Ankle
ankle sprains
Ankle sprains are a common affliction affecting all ages, sexes and body types. The ankle joint is a mortise and tenon joint, with the tibia and fibula perched on the talus, and is held together with ligaments on the inside … Continue reading
Filed under Foot and Ankle
