Case Presentations in Podiatric Medicine & Surgery

Archive for October 2007

Volume 2, No.10

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October 2007 (Volume 2, No.10)

1. Complex Talonavicular Fracture Dislocation: A case report    J. Terrence Jose Jerome, MBBS, DNB (Ortho), MNAMS (Ortho), Mathew Varghese, M.S. (Ortho), Balu Sankaran, FRCS (C), FAMS [HTML]

Abstract:

Isolated talonavicular dislocation is rare because of the strong plantar ligamentous structures that support the joint. It appears that plantarflexion and inversion of the foot is the mechanism of injury. Very often, the strong spring ligament or plantar calcaneonavicular ligament is injured. Surgical repair is often the desired treatment in case of ligamentous injury. In this case, closed reduction with percutaneous pinning is presented as an alternative to open surgery. Early anatomical reduction is the key to preventing long term complications such as midtarsal joint arthritis and faulty foot mechanics.


2. Stingray Envenomation of the Foot: A case report Al Kline, DPM [HTML] 

Abstract: Stingrays are docile marine animals that only strike their victim when provoked or startled. Lower extremity and foot envenomation is common when fishing in shallow waters off the beach. The stingray tail has a sharp, serrated barb along the proximal third of the tail that is usually hidden and encased in an integumentary sheath and can deliver painful enzymes causing tissue necrosis. Immediate treatment including rapid cleansing and heat submersion of the foot is recommended after injury. If treatment is delayed, infection from marine bacteria often requires hospitalization including intravenous antibiotics and surgical treatment.

Written by Moderator

October 31, 2007 at 9:39 pm

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