Pigmented Villonodular Synovitis

Pigmented villonodular synovitis (PVS) is a benign tumor found primarily in the knee, and less commonly in the ankle, hip and elbow.  PVS, also called a giant cell tumor, has an unknown etiology.  PVS proliferates within the synovial lining of joints and tendon sheaths.  The distinctive color of PVS is due to hemosiderin deposits.  Hemosiderin is [...]

Cuboid Syndrome – research study announcement.

Cuboid syndrome is poorly documented in the medical literature.  Most of the literature regarding cuboid syndrome is anecdotal and published in non-peer reviewed journals.  Cuboid syndrome is described as a subluxation of the calcaneo-cuboid joint.  Subluxation indicates that the calcaneo-cuboid joint is moving, but this movement associated with cuboid syndrome has never been quantified.  Knowing these facts, we have [...]

Recalcitrant mononeuritis and selective neurectomy – when is it indicated?

Mononeuropathy (mononeuritis) is the term used to describe pain that is limited to one specific nerve.  We usually associate mononeuritis with trauma.  Another more common term for mononeuritis is CRPS (type 2) or complex regional pain syndrome.
In cases of mononeuritis that have failed to respond to conservative care, selective transection of the nerve may be indicated.  Transection [...]

Is foot and ankle surgery device driven?

I attended a CME course over the weekend and one of the lecturers had some interesting comments regarding the medical device industry.  He stated that he thought that many trends within the field of foot and ankle surgery were actually drive by medical device manufacturers.  That’s a pretty bold statement.  But you know, I think [...]

Can onychomycosis be effectively treated?

Onychomycosis is the formal term used in medicine to describe a fungal infection of the nail.  The classic term, distal subungual onychomycosis describes the typical onset and progression of the infection.  The infection starts in the distal nail and moves progressively proximal in the nail.  The nail becomes thick and discolored as the nail becomes increasingly [...]

Cam Walkers – pros and cons

Cam walkers.  I’m sure you’ve seen them.  Cam walkers are the removable casts that are used as a step down cast following foot and ankle surgery.  The real beauty of a cam walker is two fold.  First, the rocker sole on the cam walker really does a great job in off-loading the forefoot.  And I [...]

Differential Diagnosis of Lateral Mid-foot Pain

When we talk about the lateral column of the foot, we’re referring to the bones of the outside, or lateral aspect of the foot.  Inherent in any discussion of the lateral column is the concept of load bearing.  The lateral column is the Rodney Dangerfield of the foot, it just gets no respect.  The reason I [...]

Hoffman-Clayton Procedure for Forefoot Arthritis and Fat Pad Atrophy

As a young doctor, the Hoffman, or what some doctors call a Hoffman-Clayton procedure seem so darned aggressive.  I was often reluctant to recommend a Hoffman procedure due based upon the assumption that the procedure was a joint destructive procedure.  Over the course of my career though, I’ve seen the Hoffman procedure make a significant [...]

Cold weather injuries of the foot.

We’re finishing up a long winter here in Ohio.  And that means that a lot of the patients I’m seeing have had cold weather exposure as a result of wrestling with mother nature.  Patients have been spending time outside shoveling and trying to clear out driveways and work areas.  Subsequently, we’re seeing a number of different [...]

 


 
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