Open Access DOI:10.23937/2643-3885/1710088
Septic Arthritis of the First MTP: A Case Report
Susana Donadeu Sánchez, MD, Laura Serrano Mateo, MD, Maria Gaudiosa Puerto, MD, PhD, Jose Luis Tomé, MD and Jose Enrique Galeote, MD
Article Type: Case Report | First Published: 2024/02/29
24-year-old male with an initial diagnosis of first metatarsophalangeal (MTP) arthritis, on imaging tests the only abnormal findings were a bipartite medial sesamoid versus medial sesamoid fracture. During follow-up, patient developed fistulization of the first MTP with a positive culture for methicillin-sensitive Staphylococcus aureus (MSSA) and was diagnosed with septic arthritis (SA) of the first MTP joint. He was treated with surgical debridement and targeted antibiotic therapy, res...
Open Access DOI:10.23937/2643-3885/1710087
Outcomes and Complications Associated with Lateral Column Lengthening Using Porous Titanium Wedges for Flexible Flatfoot Deformity Correction: A Systematic Review
Zachary P Hill, DPM, Joseph R Brown, DPM, Ross T Groeschl, DPM, Alex Bischoff, DPM AACFAS, Alexa T Bykowski, DPM and Robert W Mendicino, DPM, FACFAS
Article Type: Systematic Review | First Published: 2024/02/25
Numerous graft materials have been utilized and described to achieve deformity correction in lateral column lengthening procedures (LCL) including autograft, allograft, xenograft, and porous titanium wedges (PTW). PTWs offer a potentially advantageous substitute for traditional grafts. Evidence regarding outcomes and complications of these grafts remains limited. This systematic review aims to describe functional outcomes and complications associated with LCL using PTWs. A standard methodology f...
Open Access DOI:10.23937/2643-3885/1710082
Three-Dimensional Patient-Specific Cut Guides for Correction of Charcot Midfoot Deformities
Amar R Gulati, DPM, Lance Johnson, DPM and Peter D Highlander, MS, DPM
Article Type: Technique Guide | First Published: April 05, 2023
Charcot arthropathy of the foot and ankle is a challenging pathology that can require intensive surgical reconstruction. Most often the pathology involves breakdown of the midfoot. Osteotomies of the midfoot to resect and correct the deformity can be unpredictable and time-consuming. With the advent of 3D printing, we propose a new technique utilizing custom cut-guides for midfoot osteotomies in Charcot reconstruction. This provides a reproducible, accurate and pre-planned direction for reconstr...
Open Access DOI:10.23937/2643-3885/1710081
Angioleiomyoma: Challenging Diagnosis of an Ankle Tumor
Gargouri A, Moalla S, Laamarti D, Ghorbel I and Ennouri KH
Article Type: Case Report | First Published: February 16, 2023
Angioleiomyomas are benign soft-tissue tumors that are relatively rare and often occur in the extremities. This tumor has a predilection for middle-aged females. The true etiology is still largerly unkown. Clinical and radiological examinations are frequently nonspecific and ambiguous, as a result, they are rarely diagnosed preoperatively....
Open Access DOI:10.23937/2643-3885/1710080
Charcot-Marie-Tooth Disease: Updates in Diagnosis and Treatment Guidelines Pertaining to the Lower Extremity and Case Study
Jonathan Furmanek, DPM, HTL, Amar Gulati, DPM, Anissa Hashemi Awwal, DPM, Fahd M Moeez, DPM, MBBS, Prakash Panchani, DPM, Caitlin Zarick, DPM, Eugene Batelli, DPM and Paul Carroll, DPM
Article Type: Literature Review, Surgical Tips, and Case Presentation | First Published: January 29, 2023
Diagnosis and treatment of Charcot-Marie-Tooth (CMT) can present as a challenging issue. Several published studies have demonstrated the complexity of diagnosis and treatment with an increasing role of genetics in diagnosis. The goal of this review is to contribute an updated and concise overview to the limited body of literature. This review elaborates on the published data with regard to discussing the presence of CMT disease and manifestation of various foot and lower extremity deformities in...
Open Access DOI:10.23937/2643-3885/1710077
Efficacy of Platelet Rich Plasma in Athletes with Sesamoid Fractures: A Case Series
Zainab Shirazi, MD and Kristina Quirolgico, MD
Article Type: Case Series | First Published: January 06, 2023
Sesamoid fractures result in significant pain and poor biomechanics, which can ultimately hinder athletic performance and delay return to sport. Current literature describes the utility of platelet rich plasma (PRP) in treating various musculoskeletal injuries, but there is minimal data regarding its application in sesamoid pathology. Methods: We present three cases of sesamoid fracture in young adult athletes who were treated with PRP, administered via an ultrasound-guided dorsal injection appr...
Open Access DOI:10.23937/2643-3885/1710076
Recurrent Synovial Chondromatosis managed with Subtalar Fusion
Ramanathan RM Palaniappan, Robert Cooper and Michael Hunter, MBBS, FRACS(Orth)
Article Type: Case Report | First Published: December 11, 2022
Synovial chondromatosis is a rare benign condition which involves synovial metaplasia and proliferation resulting in formation of multiple cartilaginous nodules in the synovium of the joints. Primary synovial chondromatosis is of unknown origin and presents between the age of 40 and 50 while secondary synovial chondromatosis is a result of degenerative change in the joint and presents later. Synovial chondromatosis usually presents in larger joints such as hips and knees. Presentation in smaller...
Open Access DOI:10.23937/2643-3885/1710073
Synovial Chondromatosis with Concerning Features on Histopathology
Ramanathan RM Palaniappan and Michael Hunter
Article Type: Case Report | First Published: November 11, 2022
Synovial chondromatosis (SC) is a rare benign condition which involves synovial metaplasia and proliferation resulting in formation of multiple cartilaginous nodules in the synovium of the joints. It most commonly involves large joints such as hips and knee and is less frequently present in smaller joints. While it is a benign condition, primary synovial chondromatosis (PSC) can undergo malignant transformation into synovial chondrosarcoma. Their clinical and radiological features are very simil...
Open Access DOI:10.23937/2643-3885/1710072
Aggressive Necrotizing Fasciitis in a 12-Year-Old Girl of Unknown Etiology: Diagnosis, Therapy, and Prognosis
Saad Madi, MD, Bernd Hillrichs, MD and Jorg Gleißner, MD
Article Type: Case Report | First Published: October 16, 2022
Necrotizing fasciitis (NF) is a severe, life-threatening soft tissue infection characterized by rapidly spreading necrosis of fascia and subcutaneous tissue with fulminant course and rapid fatal evolution. We present the case of a 12-year-old girl who presented with edema and redness of the left feet without any traumatic event. 48-hours later, her symptoms worsened, and sepsis developed. After a diagnosis of NF was established, surgery was immediately performed followed by plastic reconstructio...
Open Access DOI:10.23937/2643-3885/1710070
The Impact of the Plantar Calcaneal Cortex on Ankle Charcot Reconstruction
Alissa Mayer, Jonathan Furmanek, Kelly McKeon, Eshetu Tefera, Caitlin S Zarick, Paul J Kim, Christopher E Attinger, John S Steinberg, Jacob Wynes and Nicole K Cates
Article Type: Retrospective Case Series | First Published: August 11, 2022
The primary aim of this study is to evaluate preoperative risk factors and postoperative outcomes in patients that underwent Charcot neuroarthropathy realignment arthrodesis, specifically in those with a fractured plantar calcaneal cortex compared to those with intact plantar calcaneal cortex, at the time of reconstructive surgery....
Open Access DOI:10.23937/2643-3885/1710068
Ainhum (Spontaenous Dactylolysis) in a 50-year-old Haitian Man: A Case Report
Steven Shader and Julio Ortiz
Article Type: Case Report | First Published: July 30, 2022
Ainhum is a rare idiopathic condition that occurs in those with African heritage usually affecting the 5th toe. We present a case report of 50 year old Haitian male presented with a painful 5th right toe with constricting band encircled the 5th toe at the base with loss of voluntary motion, a bulbus appearing distal toe, and external rotation of the nail plate. The pain and groove progressed over 6 months, starting as a crease appearing at the medial digitaltoplantar fold....
Open Access DOI:10.23937/2643-3885/1710067
Functional Anatomic Support Taping (FAST): A Novel Method for Plantar Fascia Taping Using Kinesiology Tape
Levi Berry, DPM, Dustin Bruening, PhD, Keith Murdock, DPM, Luek Frame, BS, Stephen Facer, BS
Article Type: Review Article | First Published: April 30, 2022
Plantar fascia taping is a common conservative treatment method used to treat plantar fasciitis, or plantar heel pain. Clinical taping methods (e.g., Low-Dye and calcaneal) have been shown to be effective in reducing plantar heel pain, but their application is laborious and generally not self-applied. The growth of retail home-based kinesiology tape products has created an opportunity to improve the use of taping in the clinical and home settings. The purpose of this study was to evaluate the ef...
Open Access DOI:10.23937/2643-3885/1710066
Mueller Weiss Syndrome: A Missed Cause of Mid Foot Pain
Saad Madi, MD and Harald Kuhn, MD
Article Type: Case Report | First Published: April 22, 2022
Mueller-Weiss syndrome, or spontaneous osteonecrosis of the tarsal navicular bone in adults, is an idiopathic foot condition that causes chronic mid- and hind-foot pain with progressive deformity of the midfoot in adults. In this report, we describe the radiographic and magnetic resonance imaging of a rare case of Mueller-Weiss syndrome associated with spontaneous osteonecrosis of tarsal navicular bone resembling a cystic lesion in a 62-year-old female. The Mueller-Weiss Syndrome (MWS), which wa...
Open Access DOI:10.23937/2643-3885/1710065
Expedited Diagnosis and Surgical Repair of Isolated Acute Anterior Tibial Tendon Rupture: A Case Report
Shilpa Sharma DPM, Josh B Moosikasuwan MD and Jalukumar Patel, DPM, FACFAS
Article Type: Case Report | First Published: March 25, 2022
Isolated acute anterior tibial (AT) tendon rupture is rare and can be missed, resulting in significant functional deformity of the affected limb. Early surgical treatment can improve functional patient outcomes, familiarity with patient presentation, including a history of ankle pain and swelling after hyper-plantar flexion and signs of a palpable dell and weak dorsiflexory strength at the ankle, and prompt confirmation with MRI are crucial. Here we report a patient who had an isolated acute AT ...