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A retrospective analysis of arthrodesis of the first metatarsophalangeal joint was done to determine the procedure's long-term subjective and objective results. The authors reviewed the long-term results of arthrodesis in 25 patients with 32 operated feet. The average age was 54.8 years (range 22 to 72 years), and the average length of follow-up was 31.9… (More)
In 1977, Davidson et al wrote an article entitled "Heel Neuroma." Since that time there has been a strong debate on whether the heel neuroma actually exists. The authors present a study of 14 patients presenting with recalcitrant heel pain. Each patient underwent surgical excision of a plantar heel mass. Two patients had bilateral procedures. Preoperative… (More)
Puncture wounds present a clinical dilemma when considering the amount of intervention. Through a logical and thorough history and physical examination a wound score is reached. This scoring system allows for a more objective approach to treatment. Although by no means perfect, wound score will help the clinician in decision making for this difficult… (More)
The authors present a case of seronegative rheumatoid arthritis and symptomatic Morton's neuroma. The thought process of the differential diagnosis is explored extensively with substantial support and review of existing literature.
The authors present two cases of resultant hallux hammer toe secondary to the definitive treatment of hallux sesamoidal osteomyelitis. Pseudomonas osteomyelitis developed in both cases following puncture wounds to the first metatarsophalangeal joint complex. The authors also review the literature on pseudomonas osteomyelitis secondary to puncture wounds and… (More)
All patients should be considered seropositive, and protective measures always should be taken. The mainstays of universal precautions are the use of barrier techniques and protection from inadvertent sharps exposure. Various studies show that emergency room or trauma patients have a higher HIV prevalence than the population as a whole. Several studies of… (More)
The results of the cadaver dissection show the importance of identifying the proper digital nerve at the time of surgery. In all 20 cadaver dissections, the nerve crossed the first cuneometatarsal joint. Identification of this nerve, along with meticulous dissection may help prevent the formation of postoperative neuroma.
The authors discuss a commonly encountered, but poorly documented, condition of the lesser digits. Unlike the clawtoe deformity, which normally occurs in the cavus-foot type, the combined hammer toe-mallet toe (double corn) deformity is perhaps most frequently associated with the pronated foot type undergoing flexor stabilization. This article reviews 20… (More)