Proximal Phalanx Structural Integrity in Flexor to Extensor Tendon Transfer: A Biomechanical Study
|
|
- Wesley Johns
- 6 years ago
- Views:
Transcription
1 Proximal Phalanx Structural Integrity in Flexor to Extensor Tendon Transfer: A Biomechanical Study Matthew S Ross, MD, Greg Gould, BS, Katie Flower, BS, Richard T Laughlin, MD Wright State Orthopaedics
2 Disclosures Senior Author Dr Richard T. Laughlin - Speakers Bureau / Paid Presentations: Synthes, World Arthrosis Organization - Paid Consultant: South Surgery Center, LLC - Unpaid Consultant: Community Tissue Bank - Royalties from publisher: Taylor and Francis publishing Company - Research Support: AOFAS, OTA, Wright State University, Ohio Third Frontier No other Authors with any disclosures.
3 Introduction The flexor to extensor transfer of the flexor digitorum longus (FDL) tendon Common operative procedure for the treatment of : - flexible hammer toe deformity - chronic metatarsophalangeal (MTP) dislocation A rare complication of the flexor to extensor transfer is iatrogenic fracture through the drill hole site FDL tendon being passed through the drill hole in the proximal phalanx Arthrex.com 2007
4 Purpose To understand the force necessary to create a fracture through the average drilled proximal phalanx Correlate that force to the amount of bone remaining after the drilling process.
5 Materials and Methods The 2nd, 3rd, and 4th toes of 14 fresh frozen cadavers were dissected and the proximal phalanx was removed One half of the 2 nd, 3 rd, and 4 th digit proximal phalanxes of fourteen cadaver feet were drilled with a 3.5mm drill bit as is often done in a tendon transfer procedure The other matched non-drilled proximal phalanxes were used as matched controls for the drilled bones
6 Radiographs of the bones were taken The dimensions of the proximal phalanx were measured at the drill hole site or where the drill hole would be placed Measurements were made to calculate the area and volume of bone, volume of the drill hole, and the percentage of bone remaining with the drilled hole The bones (both drilled and undrilled) were tested for load to failure using a biomechanical testing apparatus (Enduratec SmartTest Pnuematic Machine)
7 Results The diameter of the bone averaged 8.1mm in the 2 nd toe, 7.2mm in the 3 rd toe, and 6.26mm in the 4 th toe The drill hole resected approximately 20% bone volume in the 2 nd toe, 25% in the 3 rd toe, and 30% in the 4 th toe of the bone drill hole area 50% of the bones fractured with forces between 100 and 200 N, 25% with forces less than 100 N, and 25 % with forces greater than 200 N 83% of the bones with diameters less than 6 mm fractured with less than 100 N of force 86% of the bones that were drilled fractured at the drill hole site, the remaining bones fractured at locations distal to the drill site
8 The average decrease in load to failure of the second toe after drilling was 89.8 percent of the non-drilled control The third toe was 75.8 percent vs. control The fourth toe was 63.3 percent vs. control. % load to failure vs control 100 % load to failure Series nd, 3rd, 4th toes
9 Conclusions Bone diameter was the main determinant of the strength of the structure Iatrogenic fracture may occur in tendon transfer procedures with proximal phalanges with a diameter of less than 6 mm In pre-operative planning for a flexor tendon transfer a radiograph of the digit should allow the surgeon to analyze the dimensions of the digit and decide if the proximal phalanx is capable of withstanding a drill hole with sufficient size for the tendon to pass through.
10 References 1) Ed. Roger W. Harms, Kenneth G. Berge, Phillip T. Hagen, Scott C. Litin, and Sheldon G. Sheps, "Hammertoe and Mallet toe.". May Clinic, 21 Aug Web. 12 Mar < 2) Schrier, Joost, Cees Verheyen, and Jan Louwerens. "Definitions of Hammer Toe and Claw Toe." American Podiatric Medical Association May (2009): Web. 12 Mar < 3) STOKES, I. A. F., W. C. HUTTON, AND J. R. R. STOTT, Forces acting on the metatarsals during normal walking. J. Anat. (1979), 129, 3, pp Nuffield Orthopaedic Centre, University of Oxford, Headington, Oxford OX3 7LD and The Polytechnic of Central London, London WJM 8JS. 4) Fishco WD, Roth BJ. Digital fracture after a flexor tendon transfer for hammertoe repair: a case report. J Foot Ankle Surg Mar-Apr; 49 (2): Epub 2009 Dec 3. The Podiatry Institute, Decatur, GA, USA. 5) Couppe, C, M Kongsgaard, P Aagaard, P Hansen, and J Bojsen-Moller. "Habitual Loading Results in Tendon Hypertrophy and Increased Stiffness in the Human Patellar Tendon." Journal of Applied Physiology Sept. (2008): Web. 12 Mar < 6) Rodeo, SA, SP Arnoczky, PA Torzilli, C Hidaka, and RF Warren. "Tendon-healing in a bone tunnel. Biomechanical and histological study in the dog." The Journal of Bone and Joint Surgery (1993): Web. 13 Mar < 7) Uusi-Rasi, Kirsti, Pekka Kannus, Matti Pasanen, and Harri Sievanen. "Is Childhood Obesity Associated with Bone Density and Strength in Adulthood?" Journal of Osteoperosis Apr. (2010): 1-7. Web. 12 Mar < 8) Arch City Foot & Ankle, 521 North Virginia Ave, Eureka, MO 63025, < 9) Arthrex.com 2007, <
Sizing of the Lesser Toe Flexor Digitorum Longus Tendon and the Proximal Phalanx for Hammertoe Correction
Sizing of the Lesser Toe Flexor Digitorum Longus Tendon and the Proximal Phalanx for Hammertoe Correction Matthew S. Ross, MD, Ronald J. Markert, PhD, Zachary DiPaolo, BA, Lorrie Kiger, BS, Richard T.
More informationUniversity of Groningen. Forefoot disorders Schrier, Joost
University of Groningen Forefoot disorders Schrier, Joost IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version
More informationLesser MTP joints Arthroscopy: Anatomical Description and Comparative Dissection
Lesser MTP joints Arthroscopy: Anatomical Description and Comparative Dissection Caio Nery, MD Michael Coughlin, MD Daniel Baumfeld, MD Fernando Raduan, MD Carla Chertman, MD Disclosure Caio Nery, M.D.
More informationWeil osteotomy and flexor to extensor transfer for irreparable plantar plate tear: prospective study
Weil osteotomy and flexor to extensor transfer for irreparable plantar plate tear: prospective study Daniel Baumfeld, MD Fernando Raduan, MD Fernanda Catena, MD Tania Mann, MD Caio Nery, MD Disclosure
More informationDigital Surgery Complications
Annual Surgical Conference 2018 Digital Surgery Complications Zeeshan S. Husain, DPM, FACFAS, FASPS Great Lakes Foot and Ankle Institute September 21, 2018 None Disclosures Presentation Outline Differentials
More informationInterphalangeal Arthrodesis of the Toe with a New Radiolucent Intramedullary Implant
Interphalangeal Arthrodesis of the Toe with a New Radiolucent Intramedullary Implant DIEBOLD P.-F., ROCHER H.,, DETERME P., CERMOLACCE C., GUILLO S., AVEROUS C., LEIBER WACKENHEIN F. Interphalangeal Arthrodesis
More informationImplantable K-wire SURGIC A L T ECHNIQUE
Implantable K-wire SURGIC A L T ECHNIQUE Contents Chapter 1 4 Product Information 4 Device Description 4 Indications 4 Contraindications Chapter 2 5 Surgical Technique 5 Hammertoe Correction 6 MTP Joint
More informationUniversity of Groningen. Forefoot disorders Schrier, Joost
University of Groningen Forefoot disorders Schrier, Joost IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version
More informationReview of Manual Muscle Strength Testing. Content 10/6/2014. ChiroCredit.com Presents. Manual Muscle Testing 206. Digits of the Lower Limb
ChiroCredit.com Presents Manual Muscle Testing 206 Digits of the Lower Limb Instructor: Dr. John M. Wallman, DC 1 Content Review of Manual Muscle Strength Testing (MMST) Purposes, General Procedures, Grading
More informationChamnanni Rungprai, M.D.
Comparison pre- and post-operative alignment correction in patients with stage II flatfoot deformities treated with bony realignment procedure Co-authors 1,2 Chamnanni Rungprai, M.D. 1 Tyler G. Slayman,
More informationRETROSPECTIVE ANALYSIS OF END-TO-END DIGITAL ARTHRODESIS
C H A P T E R 1 7 RETROSPECTIVE ANALYSIS OF END-TO-END DIGITAL ARTHRODESIS Michelle L. Butterworth, DPM Michael S. Downey, DPM Digital deformities are one of the most common entities we face as foot and
More informationA Patient s Guide to Claw Toes and Hammertoes
A Patient s Guide to Claw Toes and Hammertoes Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 DISCLAIMER: The information
More informationHEMI IMPLANT ARTHROPLASTY FOR THE SECOND METATARSOPHALANGEAL JOINT
C H A P T E R 1 5 HEMI IMPLANT ARTHROPLASTY FOR THE SECOND METATARSOPHALANGEAL JOINT Joe T. Southerland, DPM Mickey D. Stapp, DPM INTRODUCTION Hemi-implant arthroplasty of the first metatarsophalangeal
More informationForefoot Procedures to Heal and Prevent Recurrence. Watermark. Diabetic Foot Update 2015 San Antonio, Texas
Forefoot Procedures to Heal and Prevent Recurrence Diabetic Foot Update 2015 San Antonio, Texas J. Randolph Clements, DPM Assistant Professor of Orthopaedics Virginia Tech- Carilion School of Medicine
More informationClinical and Radiographic Examinations Do Not Correlate with MRI Determined Plantar plate or Collateral Ligament Tears of the Second MTP joint
Clinical and Radiographic Examinations Do Not Correlate with MRI Determined Plantar plate or Collateral Ligament Tears of the Second MTP joint Brad D. Blankenhorn, MD Xan F. Courville, MD Julia Crimm,
More informationA Patient s Guide to Claw Toes and Hammertoes
A Patient s Guide to Claw Toes and Hammertoes 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet
More informationJoint Preserving Surgery in Severe Forefoot Disorders
Joint Preserving Surgery in Severe Forefoot Disorders J ORTHOP TRAUMA SURG REL RES 4 (12) 2008 Review article LOUIS S. BAROUK*, PIERRE BAROUK** * 39, Chemin de la Roche, 33370, Yvrac, France ** Clinique
More informationThe Foot. Dr. Wegdan Moh.Mustafa Medicine Faculty Assistant Professor Mob:
The Foot Dr. Wegdan Moh.Mustafa Medicine Faculty Assistant Professor Mob: 0127155717 The skeleton of the foot Cutaneous innervations Sole of foot layers of muscles First layer -Abductor hallucis -Flexor
More informationAn Anatomical Cadaveric Study Comparing Medial vs. Plantar Approach for FDL or FHL Tendon Harvest for PTTD Reconstruction
An Anatomical Cadaveric Study Comparing Medial vs. Plantar Approach for FDL or FHL Tendon Harvest for PTTD Reconstruction Mena Abdelmalak, BS, MBF Umur Aydogan, MD Penn State Hershey Medical Center Penn
More informationEssential Insights On Tendon Transfers For Digital Dysfunction
Essential Insights On Tendon Transfers For Digital Dysfunction VOLUME: 23 PUBLICATION DATE: Apr 01 2010 Issue Number: 4 April 2010 Author(s): Lawrence DiDomenico, DPM, FACFAS While tendon transfers have
More informationHammer Digit Syndrome: An Evidence Based Approach. By Patrick A. DeHeer, DPM FASPS, FACFAS, FACFAP, FFPM RCPS (Glasg)
Hammer Digit Syndrome: An Evidence Based Approach By Patrick A. DeHeer, DPM FASPS, FACFAS, FACFAP, FFPM RCPS (Glasg) 00 Disclosures - None 01 Trepel et al. JFAS 1999 Preferred Practice Guideline: Hammer
More informationRISK FACTORS FOR SUBOPTIMAL OUTCOMES IN HAMMERTOE SURGERY JACOB RANDICH BS
RISK FACTORS FOR SUBOPTIMAL OUTCOMES IN HAMMERTOE SURGERY JACOB RANDICH BS RACHEL ALBRIGHT DPM, MOIZ HASSAN MS, ROBERT O KEEFE DPM, ERIN E. KLEIN DPM, MS, LOWELL WEIL JR. DPM, MBA, LOWELL WEIL SR. DPM,
More informationSafe Zone for the Plantar Portal: A Cadaveric Study
Safe Zone for the Plantar Portal: A Cadaveric Study Shingo Maeda, Takaaki Hirano, Yui Akiyama, Hiroyuki Mitsui, Wataru Endo,Hisateru Niki Department of Orthopaedic Surgery, St. Marianna University School
More informationEarly Diagnosis. Instability of the lesser MTP joints (Crossover 2 nd toe deformity) -my 25 year journey- Progressive MTP joint subluxation
Instability of the lesser MTP joints (Crossover 2 nd toe deformity) -my 25 year journey- Conflicts of interest Arthrex- consultant Arthrex- royalties Elsevier-book royalties Michael J Coughlin, M.D. Early
More informationFoot and Ankle Technique Guide Metatarsophalangeal (MTP) Unilateral Joint Repair
Surgical Technique Foot and Ankle Technique Guide Metatarsophalangeal (MTP) Unilateral Joint Repair Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University
More informationClinical Policy Title: Hammer toe surgery
Clinical Policy Title: Hammer toe surgery Clinical Policy Number: 18.03.04 Effective Date: July 1, 2016 Initial Review Date: July 15, 2016 Most Recent Review Date: June 22, 2017 Next Review Date: June
More informationCOMPARING KIRSCHNER WIRE FIXATION TO A NEW DEVICE USED FOR PROXIMAL INTERPHALANGEAL FUSION
C H A P T E R 3 0 COMPARING KIRSCHNER WIRE FIXATION TO A NEW DEVICE USED FOR PROXIMAL INTERPHALANGEAL FUSION Scott R. Roman, DPM INTRODUCTION The most common fixation for proximal interphalangeal fusion
More informationIntermediate outcome of interpositional arthroplasty for the treatment of hallux rigidus. Anand Vora, MD
Intermediate outcome of interpositional arthroplasty for the treatment of hallux rigidus Anand Vora, MD CONFLICT TO DISCLOSE Intermediate outcome of interpositional arthroplasty for the treatment of hallux
More informationFoot and Ankle Technique Guide Metatarsal Shortening Osteotomy
Surgical Technique Foot and Ankle Technique Guide Metatarsal Shortening Osteotomy Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University of Iowa Iowa
More informationClinical Policy Title: Hammer toe surgery
Clinical Policy Title: Hammer toe surgery Clinical Policy Number: 18.03.04 Effective Date: July 1, 2016 Initial Review Date: July 15, 2016 Most Recent Review Date: May 1, 2018 Next Review Date: May 2019
More informationRadiographic Evaluation of Plantar Plate Injury: An In Vitro Biomechanical Study
AOFAS Meeting 2012 San Diego, CA Radiographic Evaluation of Plantar Plate Injury: An In Vitro Biomechanical Study Norman E. Waldrop, III, MD Chris Zirker, MS Coen A. Wijdicks, PhD Robert A. Laprade, MD,
More informationFracture and Dislocation of Metacarpal Bones, Metacarpophalangeal Joints, Phalanges, and Interphalangeal Joints ( 1-Jan-1985 )
In: Textbook of Small Animal Orthopaedics, C. D. Newton and D. M. Nunamaker (Eds.) Publisher: International Veterinary Information Service (www.ivis.org), Ithaca, New York, USA. Fracture and Dislocation
More informationHammer, Claw, or Mallet Toe: Should I Have Surgery?
To print: Use your web browser's print feature. Close this window after printing. Hammer, Claw, or Mallet Toe: Should I Have Surgery? Here's a record of your answers. You can use it to talk with your doctor
More informationThe Relationship between Medial Longitudinal Arch and Peroneal Tubercle
The Relationship between Medial Longitudinal Arch and Peroneal Tubercle -Anatomical Study- Department of Orthopaedic Surgery Kangwon National University Hospital Chuncheon, Republic of Korea Chang Hyun
More informationThe Leg. Prof. Oluwadiya KS
The Leg Prof. Oluwadiya KS www.oluwadiya.sitesled.com Compartments of the leg 4 Four Compartments: 1. Anterior compartment Deep fibular nerve Dorsiflexes the foot and toes 2. Lateral Compartment Superficial
More informationPHALANGEAL BASE AUTOGRAFT FOR THE CORRECTION OF THE SUBLUXED HAMMERTOE
C H A P T E R 5 PHALANGEAL BASE AUTOGRAFT FOR THE CORRECTION OF THE SUBLUXED HAMMERTOE Raymond G. Cavaliere, DPM INTRODUCTION Hammertoes can be classified as simple, moderate, and severe. The deformities
More informationCrossTIE. PIP Arthrodesis Implant. surgical technique ordering information PEEK IMPLANTS PEEK IMPLANTS ALLOGRAFT IMPLANTS CROSSTIE INSERTER
ordering information x x 0o 1443-3301 1444-3300 x x 10o 1443-3311 1444-3310 2.5mm x 2.5mm x 0o 1443-2501 1444-2500 2.5mm x 2.5mm x 10o 1443-2511 1444-2510 ALLOGRAFT IMPLANTS * Sterile Packaged in Saline,
More informationA Closer Look At Tendon Transfers For. Crossover Hammertoe
A Closer Look At Tendon Transfers For Crossover Hammertoe Given the tricky nature of second digit metatarsophalangeal joint instability/crossover hammertoe, surgeons need an effective remedy. Accordingly,
More informationCLINICAL EXAM PREDICTORS OF PLANTAR PLATE TEARS
CLINICAL EXAM PREDICTORS OF PLANTAR PLATE TEARS Erin E. Klein, DPM, MS Lowell Weil, Jr., DPM, MBA Lowell Scott Weil, Sr., DPM Jessica Knight, DPM Weil Foot & Ankle Institute Des Plaines, Illinois CLINICAL
More informationPipTree. Arthrodesis of the PIP joint
Arthrodesis of the PIP joint Table of Contents Introduction PipTree 2 System Characteristics 2 Indication 2 Surgical Technique Access 3 Osteotomy 3 Preparation of the proximal phalanx 3 Preparation of
More informationDuaFit. Proximal Interphal angeal Impl ant
DuaFit Proximal Interphal angeal Impl ant DUAFIT - TABLE OF CONTENTS PRODUCT DESCRIPTION 3 INDICATIONS 6 SURGICAL TECHNIQUE #1 7 Without guide wire (DuaFit 0 10 17 ) SURGICAL TECHNIQUE #2 14 With guide
More informationFoot & Ankle. Smart Toe II. Intramedullary Implant. Operative Technique. Foot & Ankle
Foot & Ankle Smart Toe II Intramedullary Implant Operative Technique Foot & Ankle Smart Toe This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments.
More informationCase 57 What is the diagnosis? Insidious onset forefoot pain in a 50 year old female for last 3 months.
Case 57 What is the diagnosis? Insidious onset forefoot pain in a 50 year old female for last 3 months. Diagnosis: II MTP instability Demographics of MT instability Lesser MTP joint instability occurs
More informationHammerFUZE HAMMERTOE COMPRESSION SYSTEM SURGICAL TECHNIQUE
HammerFUZE HAMMERTOE COMPRESSION SYSTEM SURGICAL TECHNIQUE HammerFUZE HAMMERTOE COMPRESSION SYSTEM SURGICAL TECHNIQUE Design Rationale The HammerFUZE Hammertoe Compression System was designed to simplify
More informationTendon split lengthening technique for flexor hallucis longus tendon rupture
Park et al. Journal of Orthopaedic Surgery and Research (2017) 12:165 DOI 10.1186/s13018-017-0668-y RESEARCH ARTICLE Open Access Tendon split lengthening technique for flexor hallucis longus tendon rupture
More informationA Decade of Limb Salvage Surgery. learning lessons afterwards
A Decade of Limb Salvage Surgery. learning lessons afterwards PROF. DR. JOSÉ LUIS LÁZARO-MARTÍNEZ DIABETIC FOOT UNIT UNIVERSIDAD COMPLUTENSE DE MADRID (SPAIN) 7 Minutes Surgery in Diabetic Foot Recognized
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 4,000 116,000 120M Open access books available International authors and editors Downloads Our
More informationMetatarsal Lengthening By Callus Distraction For Brachymetatarsia. Case Report and Review of the Literature
The Internet Journal of Third World Medicine TM ISSN: 1539-4646 Home Current Issue Archives Instructions for Authors Disclaimer Printable Version Metatarsal Lengthening By Callus Distraction For Brachymetatarsia:
More informationPHALINX. Hammertoe Fixation SURGICAL TECHNIQUE
PHALINX Hammertoe Fixation SURGICAL TECHNIQUE Contents Chapter 1 4 Product Information 4 Device Description Chapter 2 5 Intended Use 5 Indications 5 Contraindications Chapter 3 6 Surgical Technique 6
More informationMedincenter GlavUpDK by the Ministry of Foreign Affairs of Russia, Moscow.
Medincenter GlavUpDK by the Ministry of Foreign Affairs of Russia, Moscow. Berezhnoy Sergey. Percutaneous First Metatarsocuneiform Joint Arthrodesis in a Treatment of Metatarsus Primus Varus: a Prospective
More informationFoot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion
Surgical Technique Foot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University of Iowa
More informationResection Arthroplasty for Rheumatoid Forefoot Deformity
Resection Arthroplasty for Rheumatoid Forefoot Deformity Jun-ichi Fukushi, M.D. Yasuharu Nakashima, M.D. Yukihide Iwamoto, M.D. Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu
More informationFoot and Ankle Technique Guide Metatarsophalangeal (MTP) Bilateral Joint Repair
Surgical Technique Foot and Ankle Technique Guide Metatarsophalangeal (MTP) Bilateral Joint Repair Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University
More informationORTHOFLEX. Silicone Hammertoe Implant SURGICAL TECHNIQUE
ORTHOFLEX Silicone Hammertoe Implant SURGICAL TECHNIQUE Contents Chapter 1 4 Product Information 4 Device Description Chapter 2 4 Intended Use 5 Indications 5 Contraindications Chapter 3 6 Surgical Technique
More informationMetatarsal Lengthening By Callus Distraction For Brachymetatarsia: Case Report and Review of the Literature
ISPUB.COM The Internet Journal of Third World Medicine Volume 1 Number 2 Metatarsal Lengthening By Callus Distraction For Brachymetatarsia: Case Report and Review of the R Rose Citation R Rose. Metatarsal
More informationWhat Happens to the Paediatric Flat Foot? Peter J Briggs Freeman Hospital Newcastle upon Tyne
What Happens to the Paediatric Flat Foot? Peter J Briggs Freeman Hospital Newcastle upon Tyne We don t know!! Population Studies 2300 children aged 4-13 years Shoe wearers Flat foot 8.6% Non-shoe wearers
More informationThe myofascial compartments of the foot
The myofascial compartments of the foot A CADAVER STUDY Z. X. Ling, V. P. Kumar From the National University of Singapore, Republic of Singapore Compartment syndrome of the foot requires urgent surgical
More informationOpen Reduction Internal Fixation of Posterior Malleolus Fractures and Iatrogenic Injuries: A Cadaveric Study
Open Reduction Internal Fixation of Posterior Malleolus Fractures and Iatrogenic Injuries: A Cadaveric Study JOHN KARBASSI, MD, MPH ANDREW BRAZIEL, MD MICHAEL HEFFERNAN, MD ABHAY PATEL, MD UNIVERSITY OF
More informationAetiology: Pressure of Distal intermetatarsal ligament against common digital nerve. Lumbar radiculopathy Instability MTPJ joint or inflammatory MPJ
MORTON S NEUROMA 80% III web space (next common is II). Never occurs in III or IV Common in females in fifties Aetiology: Pressure of Distal intermetatarsal ligament against common digital nerve Rule out
More informationBiomechanical Head-to-Head Comparison of 2 Sutures and the Giftbox vs Bunnell Techniques for Midsubstance Achilles Tendon Ruptures
Biomechanical Head-to-Head Comparison of 2 Sutures and the Giftbox vs Bunnell Techniques for Midsubstance Achilles Tendon Ruptures Rufus Van Dyke MD, Roman Trimba MD, Greg Gould BS, Sejul Chaudary BS,
More informationProximal metatarsal osteotomy and distal soft tissue reconstruction as treatment for hallux valgus deformity
REVIEW Proximal metatarsal osteotomy and distal soft tissue reconstruction as treatment for hallux valgus deformity Michael J. Coughlin and J. Speight Grimes Boise, Idaho, USA (Received for publication
More informationINTERNAL FIXATION OF THE METACARPALS AND PHALANGES P. BURGE
Riv Chir Mano - Vol. 43 (3) 2006 INTERNL FIXTION OF THE METCRPLS ND PHLNGES P. URGE Nuffield Orthopaedic Centre, Oxford, UK SUMMRY Techniques and instrumentation for open reduction and internal fixation
More informationCavus Foot: Subtle and Not-So-Subtle AOFAS Resident Review Course September 28, 2013
Cavus Foot: Subtle and Not-So-Subtle Course September 28, 2013 Matthew M. Roberts, MD Associate Professor of Clinical Orthopaedic Surgery Co-Chief, Foot and Ankle Service Hospital for Special Surgery Disclosure
More informationThe Lower Limb VI: The Leg. Anatomy RHS 241 Lecture 6 Dr. Einas Al-Eisa
The Lower Limb VI: The Leg Anatomy RHS 241 Lecture 6 Dr. Einas Al-Eisa Muscles of the leg Posterior compartment (superficial & deep): primary plantar flexors of the foot flexors of the toes Anterior compartment:
More informationSPECIAL ARTICLE. Missed tendon injuries INTRODUCTION
Archives of Emergency Medicine, 1991, 8, 87-91 SPECIAL ARTICLE Missed tendon injuries H. R. GULY Consultant in A & E, Derriford Hospital, Plymouth INTRODUCTION The timing of the repair of divided tendons
More informationCallus formation during healing of the repaired tendon-bone junction
Callus formation during healing of the repaired tendon-bone junction A RAT EXPERIMENTAL MODEL N. Hibino, Y. Hamada, K. Sairyo, K. Yukata, T. Sano, N. Yasui From University of Tokushima Graduate School,
More informationClinical Orthopaedic Rehabilitation Volume 1 and 2
Clinical Orthopaedic Rehabilitation Volume 1 and 2 COURSE DESCRIPTION This program is a practical, clinical guide that provides guidance on the evaluation, differential diagnosis, treatment, and rehabilitation
More informationFoot and Ankle Surgeon (To the poor and ignomious)
Foot and Ankle Surgeon (To the poor and ignomious) www.orthosports.com.au 47 49 Burwood Road, Concord 29 31 Dora Street, Hurstville 160 Belmore Road, Randwick Plantar plate repair A game changer John P.
More informationBLUE SKY SCHOOL OF PROFESSIONAL MASSAGE AND THERAPEUTIC BODYWORK Musculoskeletal Anatomy & Kinesiology KNEE & ANKLE MUSCLES
BLUE SKY SCHOOL OF PROFESSIONAL MASSAGE AND THERAPEUTIC BODYWORK Musculoskeletal Anatomy & Kinesiology KNEE & ANKLE MUSCLES MSAK201-I Session 3 1) REVIEW a) THIGH, LEG, ANKLE & FOOT i) Tibia Medial Malleolus
More informationHigh Rate of Recurrent Hallux Valgus Following Proximal Medial Opening Wedge Osteotomy for Correction of Moderate to Severe Deformity
High Rate of Recurrent Hallux Valgus Following Proximal Medial Opening Wedge Osteotomy for Correction of Moderate to Severe Deformity Sravisht Iyer, MD 1 Constantine Demetracopoulos, MD Jeanne Yu, BS Sriniwasan
More informationCLAD Error Key. Error Levels: Definite, Possible. Error Procedure Scope. Validation Scope. Location Scope. Violation/Information Text
CLAD Key s: Definite, Possible Procedure 1 2 3 4 5 6 7 8 9 10 Two or more category 1 procedures Digit Definite 1.6 plus one or more of the following: 2.1.3, 2.1.7, 2.2.2, 2.2.6, and 2.3.4 Side Definite
More informationLESSER MTPJ INSTABILITY- SURGICAL OPTIONS REFERENCES
LESSER MTPJ INSTABILITY- SURGICAL OPTIONS REFERENCES Prepared by: Richard T. Bouché, DPM Seattle, WA FDL TENDON TRANSFER -Iglesias MEL, Vallejo RB, Jules KT, et al.: Meta-analysis of flexor tendon transfer
More informationPATIENT INFORMATION THE DIFFERENCE IS MOVING.
PATIENT INFORMATION THE DIFFERENCE IS MOVING. THIS BROCHURE IS WRITTEN TO HELP YOU MAKE AN INFORMED DECISION ABOUT YOUR SURGERY. Please read this entire brochure carefully. Keep this brochure. You may
More informationVariations in the insertion of the extensor hallucis longus muscle
CASE REPORT Folia Morphol. Vol. 62, No. 2, pp. 1 9 Copyright 2003 Via Medica ISSN 0015 5659 www.fm.viamedica.pl Variations in the insertion of the extensor hallucis longus muscle Samar Al-saggaf Department
More informationComparison of Postoperative Outcomes between Modified Mann Procedure and Modified Lapidus Procedure for Hallux Valgus
Comparison of Postoperative Outcomes between Modified Mann Procedure and Modified Lapidus Procedure for Hallux Valgus Yui Akiyama, Takaaki Hirano, Hiroyuki Mitsui Shingo Maeda, Hisateru Niki Department
More informationUniversity of Groningen. Forefoot disorders Schrier, Joost
University of Groningen Forefoot disorders Schrier, Joost IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version
More informationAlberta Health Care Insurance Plan. Schedule Of Anaesthetic Rates Applicable To Podiatry. Procedure List. As Of. 01 April Government of Alberta
Alberta Health Care Insurance Plan Procedure List As Of 01 April 2017 Alberta Health Care Insurance Plan Page i Generated 2017/03/14 TABLE OF CONTENTS As of 2017/04/01 II. OPERATIONS ON THE NERVOUS SYSTEM.......................
More informationLocalized collection of pus in a cavity
Localized collection of pus in a cavity Loss of feeling or sensation induced to permit surgery Common example: Injection given to numb up the toe prior to performing an ingrown toenail procedure Mechanical
More informationMANAGEMENT OF NON-REDUCIBLE LESSER-TOE INTERPHALANGEAL DISLOCATION: AN UNUSUAL INJURY
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 MANAGEMENT OF NON-REDUCIBLE LESSER-TOE INTERPHALANGEAL DISLOCATION: AN UNUSUAL INJURY Interphalangeal joint (IPJ) dislocations
More informationIndex. Clin Podiatr Med Surg 22 (2005) Note: Page numbers of article titles are in boldface type.
Clin Podiatr Med Surg 22 (2005) 309 314 Index Note: Page numbers of article titles are in boldface type. A Abductor digiti minimi muscle, myectomy of, for tailor s bunionette, 243 Achilles tendon, lengthening
More informationGRAVITY Plantar Plate Repair System SURGIC AL TECHNIQUE
GRAVITY Plantar Plate Repair System SURGIC AL TECHNIQUE Contents PREFACE Preface 4 4 5 5 Chapter 1 6 6 7 8 9 11 12 13 13 Appendix 14 Introduction Positioning Indications Contraindications Surgical Technique
More informationThe Management of Ankle Fractures in Diabetics: Do Surgeon Preferences in Regard to Treatment Correlate with Clinical Recommendations?
The Management of Ankle Fractures in Diabetics: Do Surgeon Preferences in Regard to Treatment Correlate with Clinical Recommendations? Andrew Rosenbaum, MD Samuel Dellenbaugh, MD Michael Rozell, BS John
More informationFINGER INJURIES. Chapter 24, pgs ,
FINGER INJURIES Chapter 24, pgs 727 730, 741 743 1. Demonstrate mastery of anatomical references to the hand and fingers. 2. Compare and contrast Mallet Finger, Swan Neck Deformity and Boutonnière Deformity.
More informationColumbia/NYOH FOOT and ANKLE ROTATION-SPECIFIC OBJECTIVES
Updated 2/8/10 Columbia/NYOH FOOT and ANKLE ROTATION-SPECIFIC OBJECTIVES INTERPERSONAL AND COMMUNICATION SKILLS Resident will at all times demonstrate behavior that is beyond reproach. Residents must be
More informationIntegra. Silicone Toe System SURGICAL TECHNIQUE
Silicone Toe System SURGICAL TECHNIQUE Silicone Toe System Table of Contents Indications...2 Contraindications...2 Warnings...2 Precautions...2 Adverse Events...2 Flexible Great Toe (FGT)...3 Surgical
More informationCARTIVA. Synthetic Cartilage Implant SURGICAL IMPLANTATION TECHNIQUE. First Metatarsal Phalangeal Joint THE DIFFERENCE IS MOVING.
CARTIVA Synthetic Cartilage Implant SURGICAL IMPLANTATION TECHNIQUE First Metatarsal Phalangeal Joint THE DIFFERENCE IS MOVING. CARTIVA SYNTHETIC CARTILAGE IMPLANT TABLE OF CONTENTS Introduction... 3 Cartiva
More information~, /' ~::'~ EXTENSOR HALLUCIS LONGUS. Leg-anterolateral :.:~ / ~\,
TIBIALIS ANTERIOR Lateral condyle of tibia, upper half of lateral surface of tibia, interosseous membrane Medial side and plantar surface of medial cuneiform bone, and base of first metatarsal bone Dorsiflexes
More informationA Patient s Guide to Posterior Tibial Tendon Problems
A Patient s Guide to Posterior Tibial Tendon Problems Iain is a specialist in musculoskeletal imaging and the diagnosis of musculoskeletal pain. This information is provided with the hope that you can
More informationGrand Valley State University, Allendale, Michigan B.S. Biomedical Sciences Dean s List
1111 Leffingwell NE EDUCATIONAL DATA Undergraduate: Lansing Community College, Lansing, Michigan 1990-1992 A.S. General Sciences Studies Academic Honors Scholarship 1990-1992 Honors College Class Representative
More informationLesser toe deformities
PATIENT INFORMATION Lesser toe deformities What are lesser toe deformities? Lesser toe deformities are caused by changes in normal anatomy that create an imbalance between the foot s muscle groups (intrinsic
More informationLesser MPJ Hemi Implant
Lesser MPJ Hemi Implant Surgical Technique Contents Product The BioPro Lesser MPJ Hemi Implant is a simple, durable, metallic hemiarthroplasty resurfacing prosthesis for the treatment of arthritis, Freiberg
More informationDr Nabil khouri MD. MSc. Ph.D
Dr Nabil khouri MD. MSc. Ph.D Foot Anatomy The foot consists of 26 bones: 14 phalangeal, 5 metatarsal, and 7 tarsal. Toes are used to balance the body. Metatarsal Bones gives elasticity to the foot in
More informationProper Logging of Surgical Procedures (Effective July 1, 2018)
Proper Logging of Surgical Procedures (Effective July 1, 2018) GENERAL GUIDELINES: 1) For the procedure codes listed below, the program director must review each entry to determine proper usage. The following
More informationPosterior Tibial Tendon Problems
A Patient s Guide to Posterior Tibial Tendon Problems 2659 Professional Circle Suite 1110 Naples, FL 34119 Phone: 239-596-0100 Fax: 239-596-6737 DISCLAIMER: The information in this booklet is compiled
More informationHemi Phalangeal Implant SURGICAL TECHNIQUE
SURGICAL TECHNIQUE SIZING AND ORDERING HEAD WIDTH A HEAD HEIGHT B HPI-0001 1 16.9 12 HPI-0002 2 19.5 13.8 HPI-0003 3 22.4 15.9 PART NO. A B SIZE DIMENSIONS ARE IN MILLIMETERS. The HPI stemmed prosthesis,
More informationEfficacy of a Kirschner-Wire Guide in Distal Linear Metatarsal Osteotomy for Correction of Hallux Valgus
Efficacy of a Kirschner-Wire Guide in Distal Linear Metatarsal Osteotomy for Correction of Hallux Valgus Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University Takefumi Nishino MD,
More informationMallet Baseball Finger
Mallet Baseball Finger Introduction When you think about how much we use our hands, it's not hard to understand why injuries to the fingers are common. Most of these injuries heal without significant problems.
More informationPosterior Tibial Tendon Problems
A Patient s Guide to Posterior Tibial Tendon Problems 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 DISCLAIMER: The information in this booklet is compiled from a
More informationRe+Line Bunion Correction System for Correction of Hallux Abducto Valgus Deformity
Re+Line Bunion Correction System for Correction of Hallux Abducto Valgus Deformity Amber M. Shane, DPM, FACFAS 1, Christopher L. Reeves, DPM, FACFAS 1 1. Orlando Foot & Ankle Clinic, Orlando, FL Abstract
More information