Susan D. Couture

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1 Chair, Gadsden, AL; 2 Everett, WA; 3 Richboro, PA; 4 San Francisco, CA; 5 Board Liaison, Birmingham, AL; 6 Des Plaines, IL; 7 Camp Hill, PA; and 8 Park Ridge, IL. Address correspondence to: John V. Vanore, DPM, Gadsden Foot Clinic, 306 South 4th St, Gadsden, AL 35901; e-mail: Copyright © 2003 by the American College of Foot and Ankle(More)
Patients presenting with a hallux varus deformity usually have a history of previous first MTP joint or bunion surgery (1–6). The abnormal position of the toe makes wearing shoes difficult and painful. This often is a progressive deformity and may lead to a severe, disfiguring, and complex condition. Many patients present because of the cosmetic(More)
If clinical examination and radiographs allow for definitive diagnosis, treatment should be directed accordingly. Nondisplaced or mildly displaced fractures, symptomatic partitions, and avascular necrosis may be initially treated with immobilization and offloading techniques. If these measures fail, or if a markedly displaced fracture is encountered,(More)
Mechanical heel pain is one of the most frequent conditions presented to foot and ankle specialists. Plantar heel pain is responsible for the majority of mechanical heel pain cases. Plantar heel pain is defined as insertional heel pain of the plantar fascia with or without a heel spur (Fig. 1). The most common cause cited for plantar heel pain is(More)
Hyperflexion/extension or stubbing-type injuries are the most common causes of first MTP joint trauma (6,14–16). In some instances, the patient may not recall a specific episode of trauma. Crush injuries are a less common cause but they do occur particularly in industrial accidents. Patients may present immediately after acute trauma or sometime later(More)
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