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The problem of ingrown toenails is worldwide, affecting all age groups. The aim of this study was to review the different surgical modalities for ingrown toenails in the paediatric age group in a hospital.We reviewed case series of 66 children with 89 affected toes, under 16 years of age. The patients were followed up for up to 18 months. The treatment methods practised were: (1) nail avulsion with...
Closed subcutaneous rupture of the extensor digitorum longus tendon (EDL) has been rarely documented. We present a case report of a patient with closed subcutaneous rupture of EDL. To identify the site of tendon rupture, three-dimensional computed tomography (3D-CT) was performed. The 3D-CT (volume rendering) images indicated tendon rupture of EDL on the dorsal region of the left foot. To identify...
The aim of this study was to investigate the type and prevalence of foot surgery being conducted by fellows of the Australian College of Podiatric Surgeons.A clinical audit of 786 patient files was undertaken, all of whom had been operated on by 10 podiatric surgeons during a 12-month period. A coding framework was used whereby all files audited had each foot condition classified according to the...
A number of complications have been associated with Keller resection arthroplasty and arthrodesis of the first metatarsophalangeal joint for hallux rigidus. Salvage may be by arthrodesis (conversion to or revision). However, the optimal alignment is technically difficult to achieve and even if the fusion is successful, the procedure may still result in transfer metatarsalgia.To assess the viability...
Sever's disease, is a musculoskeletal condition occurring in adolescence that symptomatically manifests as posterior heel pain during ambulation. Often participation in physical activity is severely limited resulting in frustration for children and parents alike. Conservative treatment options have included rest, abstinence from athletic activity, heel lifts, foot orthotic devices, ice, and calf-stretching...
Pathologies of the metatarsal bones in contemporary humans are common yet it remains unclear from an evolutionary perspective to what extent, if any, footwear and other environmental factors such as modern substrates have contributed to the emergence of common metatarsal pathological changes.To investigate the frequency of metatarsal bone pathologies in contemporary and habitually unshod pre-historic...
Non-anatomic stabilisation of an unstable ankle using Peroneous brevis graft has been well reported. We describe the use of an interference screw to fix the Peroneous brevis graft to the fibula. The use of a bioabsorbable interference screw enhances stability and allows tensioning of the graft.
We report an unusual osteochondral fracture of the fibular in a 13-year-old girl. Ankle arthroscopy allowed accurate characterisation of the fracture, and arthroscopic fixation. The pattern of associated talar articular surface damage allows us to postulate a mechanism of injury.
BioFoot ® is an in-shoe system to measure plantar pressures at the interface between the shoe and the sole of the foot. Since reliability and good repeatability are necessary to ensure the consistency of measurements on which clinical judgements are based, the aim of the study was to assess the reliability and repeatability of the BioFoot ® system and identify normal values for healthy...
In the literature controversy exists as to whether operative or non-operative treatment is better for intra-articular fractures of the calcaneum.To assess if there was any difference in outcome between surgical and non-surgical intervention in displaced intra-articular fractures of the calcaneum.From 2000 to 2005, 40 patients, with displaced calcaneal fractures were identified. After exclusion for...
Custom-made foot orthoses whilst effective can be expensive and time-consuming to manufacture making ready made devices an attractive option. This study, with follow up after 12 months provides longitudinal data not frequently available.Longitudinal evaluation of the efficacy of a slim, ready made, 3/4th length semi-rigid foot orthosis.Data was collected from 21 participants at baseline, at 4 weeks...
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