The Foot
Many discrepancies and conflicting data have been published on the anatomical identification, location, incidence and size of the peroneal tubercle. All such studies have been performed on freeze-dried bone, and no studies have measured the size of the peroneal tubercle in cadavers. Using 35 cadaver specimens, we found that the incidence of a peroneal tubercle was 94%, which is greater than previously...
We reviewed 128 consecutive magnetic resonance image (MRI) examinations of the ankle and hindfoot, performed at the Bristol MRI Centre. By case note review we determined the indication for MRI, previous investigation and subsequent treatment including operative findings.The commonest indications were to investigate suspected flexor tendon dysfunction (30), recurrent ankle instability (28) and Achilles...
A case of a periosteal chondroma occuring in the great toe is reported. A 17-year-old man presented with a nail deformity progressing over a 3-year period. Plain radiographs showed only cortical irregularity of the phalanx. The diagnosis was aided by computerized tomography and magnetic resonance imaging which revealed a juxtacortical mass measuring 10 x 10 mm without intramedullary extension.
Two cases of Apert syndrome with asymmetrical anomalies of the feet are reported. A review of the literature failed to find any previous reports of this anomaly.
We report a case of malignant chondroid syringoma, a rare sweat-gland tumour with a propensity to occur on the extremities. These tumours must be distinguished histologically from their benign counterpart and from other malignancies with mixed epithelial and mesenchymal components. The malignant chondroid syringoma arises in the dermis or superficial subcutis and consists of eccrine or apocrine glandular...
Foot health needs were assessed for one National Health Service Trust by a survey of the past problems and priorities perceived by 14- to 15-year-olds in three schools. The schools were selected using socially related criteria. Significant differences were found in each school. Seventy-eight per cent reported some foot problem during their lives. Pain was the main reason for expressing concern but...
Twenty patients with a subtalar dislocation of the foot are reported in this series. Thirteen cases had medial subtalar dislocation, 4 lateral, 2 posterior and 1 anterior. Open dislocation occurred in 2 cases. Manual reduction was successful in 16 cases and surgical reduction was necessary in 4. A short leg cast was applied for 3-6 weeks. There were no cases of aseptic necrosis of the talus. Excellent...
Thirteen patients with isolated fractures of the lateral process of the talus were reviewed. Two fracture types were seen: an intra-articular type in seven cases and an avulsion type in six cases. The former occurs at the base of the process as a result of blows to the calcaneus. The latter occurs at the tip as a result of traction by ligaments. Open reduction and internal fixation were performed...
Tarsal coalition is a rare congenital deformity. The most common coalitions involve the calcaneonavicular joint and the medial facet of the talocalcaneal joint. The posterior facet is rarely involved. We report a case of a patient with a posterior talocalcaneal bar who presented with painful limitation of subtalar motion without the classical appearance of spastic flat foot. Resection of the bar with...
Triggering of the hallux is an uncommon finding and has only previously been reported in physically active, young sportsmen and sportswomen. We report a case in a 40-year-old man that arose as a complication of a calcaneal fracture and eventually led to a rupture of the flexor hallucis longus tendon. We emphasize the need for surgical exploration of the tendon sheath in suspected cases of this kind.
We report a case of bilateral trigger toes. The clinical presentation is similar to that experienced by patients with trigger finger. A history of painful and at times audible clicking of the toes should alert the clinician to the diagnosis. Conventional radiography, ultrasonography and magnetic resonance imaging were unhelpful in establishing a diagnosis. Surgical release of the flexor tendon sheath...