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We present the case of a 49-year-old woman of short stature who presented with a 2-year history of worsening bilateral foot pain with planovalgus deformity. Her history and examination did not suggest any bone dysplasia and clinical examination showed intact tibialis posterior tendons bilaterally but subsequent imaging revealed multiple ankle and calcaneal cysts. There are no previously reported cases...
Diagnostic ultrasound has been found useful in measurements on 242 patients (304 feet) referred with symptoms consistent with a diagnosis of Morton's neuroma. Plantar foot pressure measurements showed that this factor was not associated with the condition. Nearly all neuromata occurred in the second or third web spaces with almost equal incidence and the inter-metatarsal spacing was significantly...
Commonest cause for spasmodic peroneal flatfoot is tarsal coalition with others being juvenile chronic arthritis, infections of the subtalar joint, trauma, osteoid osteoma and fibrosarcoma. We present a rare cause of synovial cell sarcoma of the sinus tarsi. This case report highlights the unusual clinical presentation, difficulties in its diagnosis and the resultant delay in diagnosis. We recommend...
Computed tomography (CT) of triplane fractures provides useful information not available on conventional radiographs. Knowledge of the size and position of displaced fragments, the location of the intra-articular fracture and any associated articular incongruency is useful when undertaking pre-operative planning.A postal survey of surgeons revealed only 38% always requested CT scans before undertaking...
A series of 28 knees in 27 patients were evaluated at an average of 36 months following surgical treatment for patella dislocation, patello-femoral pain, or a combination of both. All cases were treated by the modified Elmslie-Trillat procedure, which involves a lateral retinacular release and medialisation of the tibial tubercle on a distal pedicle. The evaluation included subjective, objective (Fulkerson...
Aggressive digital papillary adenoma is extremely rare. 1,2 Local recurrence is common, and the tumour occupies one end of a histological and behavioural spectrum running from aggressive digital papillary adenoma to aggressive digital papillary adenocarcinoma. The uncertain nature of this tumour makes a team approach to treatment advisable.
An ankle sprain is the most common injury encountered in athletes. Ten to twenty per cent develop chronic lateral ankle instability despite adequate non-operative treatment. An accurate diagnosis can usually be established by a detailed history, thorough physical examination and stress radiographs. Conservative treatment has a limited role in the management of chronic lateral instability. In the surgical...
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