Archive for February 2007
Volume 2, No. 2
February 2007 (Volume 2, No. 2)
1. Divergent Lisfranc’s Dislocation and Fracture in the Charcot Foot: A case report J. Terrence Jose Jerome, MBBS, DNB (Ortho), MNAMS (Ortho)
Abstract: A case report discusses the presentation, diagnosis and treatment of a 45 year old diabetic man with a divergent, Lisfranc’s dislocation of the first metatarsal in a Charcot foot. The patient also presents with associated laterally subluxed lesser metatarsals and multiple fractures. Conservative treatments such as TTC or total contact casting, prefabricated pneumatic walking brace (PPWB), patellar-tendon brace and CROW custom orthosis are discussed.
2. Congenital Hyperkeratosis of the Hand and Foot: Variances discovered in the clinical presentation of palmoplantar keratosis (PPK) Al Kline DPM
Abstract: Case presentations describing a congenital variation of palmoplantar keratosis (PPK) are presented. The majority of these conditions are autosomal dominant with associated nail dystrophy. A variant condition is described with little palmar keratosis; however, finger nail and toe nail dystrophy is the most common identifying feature. Gene identification and treatment protocol are presented. Fortunately, these conditions are rare. A good knowledge of these conditions will help in proper diagnosis and treatment.
3. Spontaneous Fracture of the Tibial Sesamoid: A case report Al Kline DPM
Abstract: A tibial sesamoid fracture is described. A female, while walking in an airport, experiences discomfort and pain under the first metatarsal head while wearing a high-heel shoe. Clinical investigation reveals a spontaneous fracture of the tibial sesamoid. The patient also has associated hallux valgus. Conservative treatment and surgical options are presented and discussed. The patient, after failed conservative treatment, had the sesamoid removed and a simple bunionectomy performed. It appears that a centrally placed tibial sesamoid with associated hallux valgus can cause a spontaneous fracture of the tibial sesamoid under the right circumstances.
4. Subungual Osteochondroma or Exostosis Cartilaginea of the Hallux: A Case Report of Recurrent Bone Tumor One Year after Removal Al Kline DPM [HTML] [PDF]
Abstract: Osteochondroma is the most common benign bone tumor of the foot. A case is presented of a teenage girl who returns after one year excision with recurrent bone tumor. We discuss etiology of this tumor and the diagnosis and treatment options. After initial excision, a revisional surgery was performed one year later that included more aggressive curettage of the recurrent osteochondroma with allogenic bone grafting using InterGro® DBM Plus.
5. Tuberculosis of the Foot: A case report J. Terrence Jose Jerome, MBBS, DNB (Ortho), MNAMS (Ortho), Mathew Varghese, M.S., Balu Sankaran, FRCS,FAMS [HTML] [PDF]
Abstract: A case report discusses the presentation, diagnosis and treatment of a 22 year old male who presents with extra-pulmonary tuberculosis of the foot. Extra-pulmonary tuberculosis is extremely rare and accounts for less than 10% of osteoarticular tuberculosis. Radiographic and MRI correlations are introduced.
