Archive for April 2007
Volume 2, No.4
1. Chondroblastic Osteosarcoma of the Lower Tibia: A case report J. Terrence Jose Jerome, MBBS, DNB (Ortho), MNAMS (Ortho), Mathew Varghese, M.S., Balu Sankaran, FRCS,FAMS
Abstract: Osteosarcoma is the third most common cancer in adolescence, occurring less frequently than only lymphomas and brain tumors. It is thought to arise from a primitive mesenchymal bone-forming cell and is characterized by production of osteoid. The most common form of treatment is removal of the lesion. Limb-sparing procedures can often be used to preserve function. Chemotherapy is also required to treat micrometastatic disease, which is present, but not detectable in most patients at diagnosis. We present a chondroblastic osteosarcoma of the lower tibia in a 13 year old boy. Diagnosis was confirmed by MRI and histopathology. Neo-adjuvant chemotherapy, en bloc resection of the tumor with ankle arthrodesis, fibular grafting and post-operative chemotherapy was performed. The patient made a full clinical and symptomatic recovery after 2 years of follow-up.
2. Idiopathic Transient Osteoporosis of the Feet: A case report J. Terrence Jose Jerome, MBBS, DNB (Ortho), MNAMS (Ortho), Mathew Varghese, M.S., Balu Sankaran, FRCS,FAMS
Abstract: Idiopathic transient osteoporosis is a self limiting, reversible and uncommon condition. There is usually an overlap between various clinical syndromes, which include reflex sympathetic dystrophy, and infectious etiology. We report a case of idiopathic transient osteoporosis involving both feet. The diagnosis was confirmed by proper clinical examination supported by biochemistry, blood investigations and radiographs. A 45 year old man was treated conservatively with bed rest, Non-steroidal anti- inflammatory drugs, protected weight bearing and physiotherapy. This patient made a full clinical and radiographic recovery.
3. Opening Base Wedge Osteotomy of the First Metatarsal Using the Arthrex Low Profile Plate and Screw System™ Mark A. Hardy, DPM, FACFAS, Jason R. Grove, DPM
Abstract: Numerous procedures have been described for the high-end hallux valgus deformity. The authors describe a modification of the proximal opening wedge osteotomy utilizing the Arthrex Low Profile Plate and Screw System™. The system allows for stable fixation of the osteotomy without the need of a bone graft to maintain position. Our hope is that this article will generate a renewed interest in this highly effective procedure.
4. Plantar Fascial Rupture: A case report Al Kline, DPM
Abstract: Plantar fascial rupture is rarely presented in the literature. Spontaneous rupture of the plantar fascia is commonly preceded by plantar fasciitis. A 60 year old male presents following an acute injury of his foot while playing softball. He presents with acute pain and ecchymosis to the plantar arch of the foot. Plantar fascial rupture was diagnosed clinically and confirmed on MRI. This case discusses the clinical evaluation, MRI results and treatment of acute, spontaneous rupture of the plantar fascia. We also describe the MRI differences of plantar fasciitis and plantar fascial rupture.
