Orthotic Intervention on Flexible Flat Feet and Lower Extremity Exertional Pain during Normal Overland Walking
Bruce N Elliott, PT, EdD, DPT, MS, COMT and Juan C Garbalosa, PhD, PT
Article Type: Rese arc h art icle | First Published: December 04, 2019
A biomechanical foot orthosis is commonly used for the management of lower extremity injuries that are related to flexible flat feet. The purpose of this study was to document the effect of a maximal arch supination stabilization (MASS) orthosis on foot motion in individuals with flexible flat feet who experience lower extremity exertional pain. 30 subjects with flexible flat feet and lower extremity exertional pain received a pair of custom orthoses. Intersegmental foot kinematics were recorded...
Surgical Management of Foot Macrodystrophia Lipomatosa in Adults: Case Report of Surgical Technique
Reema Alhussein and Mohammed Alshouli
Article Type: Case Report | First Published: October 02, 2019
Macrodystrophia lipomatosa is a rare congenital anomaly causing localized or generalized gigantism. Characterized by an abnormal excessive growth of mesenchymal elements in particularly fibro-adipose tissue, bone, tendon, nerves and vessels. We report our experience in surgical management of a case with Macrodystrophia lipomatosa involving the second toe of the left foot. A through clinical and radiological assessment followed by surgical second ray amputation and soft tissue debulking of the le...
A Novel Approach to Post-Traumatic Foot and Ankle Pains using Percutaneous Ultrasound Guided Cryoneurolysis: A Case Report
David H Sherwood, DO, Jason-Flor V Sisante, PhD and Neil A Segal, MD, MS
Article Type: Case Report | First Published: September 20, 2019
Cryoneurolysis is a minimally invasive, low side effect profile, evidence-supported intervention currently with FDA approval to produce lesions in peripheral nervous tissue, including for relief of pain associated with knee osteoarthritis. The mechanism of action on a peripheral nerve is temporary axonal signal disruption via Wallerian degeneration. While the axon and myelin sheath degenerate, the endoneurium, perineurium and epineurium are unaffected. Schwann cells and macrophages clear debris,...
Extreme Thrombocytosis Resulting from Minimally Invasive Foot Surgery with Forefoot Necrosis: A Rare Case Report
Cuervas-Mons Manuel, Alvarez Baena Lucia, Garcia Ruano Angela and Arnal Burro Javier
Article Type: Case Report | First Published: September 19, 2019
Essential thrombocythemia is a chronic myeloproliferative syndrome characterised by excessive proliferation of platelets and megakaryocytes, with a relatively favourable course. We present a case of extreme thrombocytosis resulting from minimally invasive foot surgery with forefoot necrosis. A 72-year-old female patient presented with hallux valgus and metatarsalgia. A platelet count of 560,000/ µL was detected as an unexpected finding. Minimally invasive surgery was performed, and in the first...
Plantar Fasciitis Rupture - Who is the Culprit?
Article Type: Case Report | First Published: August 26, 2019
The plantar fascia is an important structure in the foot, which helps, stabilizes the arch of the foot during motion and provides shock absorption when the foot hits the ground. Inflammation of the plantar fascia has been high in incidence, with multiple factors attributed to it. However, occurrence of the plantar fascia rupturing is not common. Corticosteroid injection to the plantar fascia has long been advocated as the major cause of this. Nonetheless, in recent literatures, corticosteroid in...
Freiberg's Infraction in a Geriatric Patient - A Case Report
Daniel Pollack, DPM, FACFAS
Article Type: Case Report | First Published: August 17, 2019
Foot pain is debilitating and common, especially in the geriatric population. It causes difficulty, or an inability, to ambulate which may lead to further issues such as weight gain, reliance on others for assistance, and imbalance which can lead to falls. It is important to consider Freiberg's infraction as a cause of foot pain in the elderly, even if it normally occurs in younger patients. Freiberg's infraction (also known as Freiberg's disease) is premature bone death, or osteonecrosis, of mo...
Surgical Repair of an Unstable Third Metatarsophalangeal Joint Dislocation via Direct Plantar Plate Repair: A Simple and Effective Technique
Christopher W Kinter, MD, Kevin J Kinter, MS and Christopher W Hodgkins, MD
Article Type: Case Report | First Published: August 12, 2019
Traumatic dislocation of a lesser metatarsophalangeal (MTP) joint is a rare case for a foot and ankle surgeon to encounter. These dislocations can be difficult to reduce due to the surrounding connective tissues that may be interposed in the joint space. These include the plantar plate, deep transverse metatarsal ligament, flexor tendons, and lumbricals. When the clinician is unable to reduce the phalanx, surgery is required to prevent sequelae such as further swelling, ecchymosis, joint damage,...