- [Involvement of the foot in metabolic diseases]. [Review]
- PPraxis (Bern 1994) 2007 Aug 22; 96(34):1251-6
- In the acute stage of gout, the hallux is most commonly involved followed by the mediotarsal joints and the Achilles tendons. Diagnosis of gout is established when typical monosodium urate crystals c…
In the acute stage of gout, the hallux is most commonly involved followed by the mediotarsal joints and the Achilles tendons. Diagnosis of gout is established when typical monosodium urate crystals can be identified. Apart from NSAIDs, colchicine can be used when there is no renal impairment. Hypouricemic agents (allopurinol or uricosuric drugs) must be initiated one or two weeks after the acute attack of gout because there are risks of exacerbation. Losartan as well as fenofibrate have uricosuric properties. Chondrocalcinosis of the foot can be observed in hemochromatosis. Diffuse idiopathic skeletal hyperostosis (DISH) can cause severe talagia. Hypercholesterolemia can induce xanthomas of the Achilles tendons. Apatite rheumatism can be observed in chronic dialysis patients.
- [Long-term behavior of ankle fusion: assessment of the same series at 7 and 23 year (19-36 years) follow-up]. [Journal Article]
- RCRev Chir Orthop Reparatrice Appar Mot 2006; 92(7):701-7
- CONCLUSIONS: This long-term follow-up with two successive assessments using the same evaluation criteria did not demonstrated the late degradation of function expected after ankle fusion. It did show however the presence of undeniable radiographic degradation of the subtalar joint but with little or no severe clinical expression at a minimal follow-up of 19 years. There was no need for complementary fusion between 4 and 23 years follow-up.
- [Osteoid osteoma of the tarsal navicular bone: an uncommon localization]. [Case Reports]
- RCRev Chir Orthop Reparatrice Appar Mot 2003; 89(5):461-4
- We report a case of subchondral osteoid osteoma of the tarsal navicular bone. Osteoid osteomas are often located in the foot, mainly in the talus. This is the first report in the literature of a tars…
We report a case of subchondral osteoid osteoma of the tarsal navicular bone. Osteoid osteomas are often located in the foot, mainly in the talus. This is the first report in the literature of a tarsal navicular bone localization. Diagnosis was difficult and established late due to misleading clinical presentation simulating mediotarsal arthritis.
- [Tibio-talar arthrodesis: long term influence on the foot]. [Journal Article]
- RCRev Chir Orthop Reparatrice Appar Mot 2001; 87(7):677-84
- CONCLUSIONS: Our results are similar to those reported in the literature. We had 4 cases of nonunion in patients with risk factors previously discussed in the literature.Arthrodesis remains a useful method for treating talocrural osteoarthritis, providing good long-term results. The position of the fixation should be 90 degrees in the sagittal plane and 0 degrees to 5 degrees valgus in the frontal plane.
- [Stretching the triceps surae muscle after 40 degrees C warming in patients with cerebral palsy]. [Journal Article]
- RCRev Chir Orthop Reparatrice Appar Mot 2000; 86(7):712-7
- CONCLUSIONS: Our findings demonstrate that when the conditions allowing prolonged stretching of the triceps surae are present, prior warming at 40 degrees C for 10 minutes leads to an improvement in muscle lengthening in all patients, even in those for whom prior treatment had been unsuccessful without warming. This observation would indicate that the mechanisms allowing greater lengthening are present in all patients with cerebral palsy but that they cannot be triggered due to abnormal muscle viscosity related to distal vasomotor disorders frequently observed in this condition. Further research is needed to detail this point.
- [Synostosis and tarsal coalitions in children. A study of 68 cases in 47 patients]. [Journal Article]
- RCRev Chir Orthop Reparatrice Appar Mot 1994; 80(3):252-60
- CONCLUSIONS: The authors believe that tarsal coalitions have to be recognized based on a history of repeated ankle sprains or subtalar pain. Pain radiographs are diagnostic in most cases. CT scans and MRI are useful when radiographs are negative, especially in young children, or for talocalcaneal coalitions. The authors believe that the "the too long anterior process'' of the calcaneum in calcaneonavicular coalition has the same embryologic origin. Operative treatment is suitable, when tarsal coalitions are symptomatic or after failure of conservative treatment. Resection gives good results with calcaneonavicular coalitions and selected talocalcaneal coalitions. The mediotarsal and subtalar arthrodesis is suitable in spastic flat foot, or when the bony-bridge is too big, or when the involved joint presents degenerative changes in these cases, the MRI is very useful to select patient for resection or for arthrodesis.Evocative history and plain radiographs are diagnostic of most tarsal-coalitions. Modern imagery is useful for difficult diagnostics, for young children, or for evaluation of a joint before resection or arthrodesis. Resection is a good treatment for calcaneonavicular coalitions and gives good results for talocalcaneal coalitions in selected patients.
- [Dislocation fractures of the Chopart and Lisfranc joint]. [Case Reports]
- UUnfallchirurg 1989; 92(3):130-9
- Dislocation fractures of Chopart's and Lisfranc's (mediotarsal) articulation result from the effects of impact and, because there are many possible complications, require a high level of experience o…
Dislocation fractures of Chopart's and Lisfranc's (mediotarsal) articulation result from the effects of impact and, because there are many possible complications, require a high level of experience on the part of the treating traumatologist. To avoid residual joint incongruities and intra-articular osteochondral fragments with subsequent early arthrosis and the corresponding complaints, the indications for open reduction and functionally stable osteosynthesis should be broad. The osteosynthesis can be achieved by transfixation with adjustable screws and 3.5 or 2.7 mm screws suitable for small fragments. This permits postoperative treatment to be carried out with a walking cast rather than a full plaster cast. In emergency patients with multiple injuries, dislocation fractures in the tarsal region require immediate and definitive treatment in order to avoid grave consequences and pain severe enough to influence the quality of life.
- [The resection-arthrodesis operation on the mediotarsal and subastragalic joints]. [Journal Article]
- COChir Organi Mov 1975; 62(2):123-39
- [Long-term results of sub-astragal and mediotarsal arthrodesis]. [Journal Article]
- RCRev Chir Orthop Reparatrice Appar Mot 1975; 61 Suppl 2:301-6
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- [2 cases of mediotarsal dislocation]. [Case Reports]
- LCLyon Chir 1972 Mar-Apr; 68(2):113-4