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  • Achilles Tendon Rupture

    The only complaint of the patient was the feeling of that the size of the left foot is smaller than the right side.[ncbi.nlm.nih.gov] PURPOSE: To determine which of the three surgical techniques for acute unilateral complete rupture of Achilles tendons in use at the University Clinical Centre Maribor gives[ncbi.nlm.nih.gov] Subcutaneous hemorrhage at the lateral aspect of the heel and a small bone fragment under the lateral malleolus on an anteroposterior plain radiograph indicated a fracture[ncbi.nlm.nih.gov] BACKGROUND: The purpose of this study was to compare the functional and clinical results of Achilles tendon repairs with an Achilles tendon suture-guiding device using nonabsorbable[ncbi.nlm.nih.gov] CONCLUSIONS: A mean hypertrophy of 52% of the FHL muscle was found after FHLT transfer for the chronic ATR.[ncbi.nlm.nih.gov] Range of motion and muscle strength will be evaluated and compared to the uninjured foot and ankle.[foothealthfacts.org] Abstract Soft tissue and tendon reconstruction after Achilles tendon rupture:Adipofascial sural turnover flap associated with cryopreserved gracilis tendon allograft for complicated[ncbi.nlm.nih.gov] Abstract Clinical Scenario: There are 2 approaches available for surgical repair of the Achilles tendon: open or percutaneous.[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov] For final wound closure, a split-thickness skin graft was performed. The skin graft healing process was also supported by VAC therapy during the first 5 days.[ncbi.nlm.nih.gov]

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  • Compartment Syndrome

    Abstract An 89-year-old woman presented after blunt injury to the left orbit from a fall.[ncbi.nlm.nih.gov] The aim of this sudy was to determine the prevalence and factors associated with development of IAH/ACS among critically ill surgical patients.[ncbi.nlm.nih.gov] First of all, the release of the skin and subcutaneous tissues allows to decompress the compartments under direct control.[josr-online.biomedcentral.com] Zero the device by holding the device perpendicular to the entry point and pressing the blue zero button. “00” will appear on LED screen 10.[epmonthly.com] Although uncommon, lateral compartment syndrome of the leg after an ankle inversion leading to peroneus longus muscle rupture has been previously documented.[ncbi.nlm.nih.gov] Aims: Identifying predictors of compartment syndrome in the foot after a fracture of the calcaneus may lead to earlier diagnosis and treatment.[ncbi.nlm.nih.gov] This worsening cycle can eventually lead to a lack of sufficient oxygen in the soft tissues (tissue ischemia) and tissue death (necrosis).[en.wikipedia.org] Abstract A 64-year-old man who underwent percutaneous coronary intervention via right radial artery access reported right-hand pain and swelling 2 hours after the procedure[ncbi.nlm.nih.gov] He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov]

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  • Tendon Rupture

    The clinical diagnosis was rupture of the left extensor pollicis longus tendon.[ncbi.nlm.nih.gov] OBJECTIVE: There is discordance in the results from meta-analyses on surgical versus non-surgical treatment for acute Achilles tendon rupture.[ncbi.nlm.nih.gov] Subcutaneous Peroneus Longus Tendon Rupture Associated with Os Peroneum Fracture.[medical-dictionary.thefreedictionary.com] He was able to ambulate without assistive devices at the 5-week follow-up examination.[ncbi.nlm.nih.gov] It is the site of attachment of the calf muscle (gastrocnemius muscle) to the heel of the foot (the calcaneus bone).[emedicinehealth.com] Foot pain and swelling Possible audible pop when the foot is injured, particularly the Achilles tendon.[twinboro.com] […] of repair of hypometabolic soft tissue injuries, such as Achilles tendon ruptures.[ncbi.nlm.nih.gov] Abstract Clinical Scenario: There are 2 approaches available for surgical repair of the Achilles tendon: open or percutaneous.[ncbi.nlm.nih.gov] Palmaris longus grafting (118, 37%) and tendon transfer (114, 36%) were the most often reported treatments following this complication.[ncbi.nlm.nih.gov] We performed an exploratory analysis on the association of new bisphosphonate use and incident tendon rupture in patients with or without oral glucocorticoid co-medication[ncbi.nlm.nih.gov]

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  • Necrotizing Fasciitis

    Clinical examination of the patient after admission indicated NF that spread quickly to the entire left upper limb, left armpit, and the left side of the chest and abdomen[ncbi.nlm.nih.gov] The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy.[ncbi.nlm.nih.gov] […] the overlying skin and subcutaneous tissues.[infectiousdiseaseadvisor.com] […] shocks leading to multiple organ failure successfully treated with a combination of extracorporeal life support, continuous renal replacement therapy, and a hemoadsorption device[ncbi.nlm.nih.gov] Necrotizing fasciitis (NF) is a severe and rapidly progressive infectious disease that attacks superficial an as well as deep fascia, subcutaneous fat tissue, and muscle.[ncbi.nlm.nih.gov] Abstract Patients with diabetes are at a higher risk of having diabetic foot ulcers (DFUs) or necrotizing fasciitis (NF).[ncbi.nlm.nih.gov] Free tissue transfer (FTT) is an option for reconstruction in difficult cases.[ncbi.nlm.nih.gov] After treating with percutaneous drainage and third cephalosporin intravenously, the patient recovered and discharged on the 50th day after admission.[ncbi.nlm.nih.gov] Necrotizing fasciitis, which literally translated means "inflammation of the fascia (connective tissue) causing cell death," is the proper medical term for what is colloquially[acsh.org] CONCLUSION: This surgical management restricts skin excision to the area of definite skin necrosis, limiting skin excision to one-tenth of excised fascia, with long-term favorable[ncbi.nlm.nih.gov]

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  • Tarsal Tunnel Syndrome

    […] posterior tibial neuropathy Left tarsal tunnel syndrome Left tarsal tunnel syndrome (ankle condition) Neuropathy (nerve damage), posterior tibial nerve Posterior tibial neuropathy[icd9data.com] MATERIAL AND METHODS: Surgical decompression were performed on 31 patients. All patients had EMG and anesthetic test confirmation.[ncbi.nlm.nih.gov] A subcutaneous drain was then placed, and subcutaneous and skin closures were performed by layer leaving the resected retinaculum open.[jnnp.bmj.com] I may also recommend Orthotic devices, braces or immobilization casts.[osc-ortho.com] An accessory flexor digitorum longus muscle was present in six patients, and an accessory soleus muscle was in one patient (both feet).[ncbi.nlm.nih.gov] This foot and toe position helps position the foot in a more advantageous position to promote strengthening; as muscles of the foot and lower leg strengthen, the foot arches[nwfootankle.com] When the tibial nerves are not aligned, the scarring tissue may impinge it again and cause a relapse in symptomatology; thus requiring a scar tissue or fascial stripping operation[symptoma.com] Minimally Invasive Tarsal Tunnel Syndrome Correction The technique used in minimally invasive or minimal incision percutaneous surgery involves a much smaller incision on[cdafootankle.com] Once the compression is removed from the nerve, it can transfer information properly and the symptoms will subside over time.[footanklespecialtygroup.com] In the medical journal Foot and ankle clinics ,( 5 ) John S.[caringmedical.com]

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  • Psoas Abscess

    CASE PRESENTATION: A 45-year-old male with no significant past medical history presented with pain in the left thigh, and limitation of movement at the left hip and knee joint[ncbi.nlm.nih.gov] In this case the more invasive surgical procedure was preferred because the origin of abscess was not clear.[tmj.ro] During hospitalization for the psoas muscle abscess the patient developed cellulitis with subcutaneous nodules of his right leg.[ncbi.nlm.nih.gov] The catheter was placed external gravity drainage and secured at the skin with an adhesive device. Sterile dressings were applied. Patient tolerated the procedure well.[aapc.com] The infection can spread into the psoas muscle sheath. [1] Treatment may involve drainage and antibiotics. [2] Additional images [ edit ] Paraspinal abscess in the psoas muscle[en.wikipedia.org] J Foot Ankle Surg. 2016 Mar-Apr;55(2):267-71. doi: 10.1053/j.jfas.2014.06.022. Epub 2014 Aug 13.[ncbi.nlm.nih.gov] Diabetic patients are not only susceptible to soft tissue infection but also primary psoas abscess caused by Streptococcus agalactiae.[ncbi.nlm.nih.gov] BACKGROUND: Reports on CT-guided percutaneous drainage within the intervertebral space for pyogenic spondylodiscitis with a secondary psoas abscess are limited.[ncbi.nlm.nih.gov] CASE PRESENTATION: A 34-year-old man was transferred to our hospital due to progressive muscle weakness, sensory deficits and severe hypotension.[ncbi.nlm.nih.gov] He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of Lifeinthefastlane.com, the RAGE podcast, the Resuscitology course,[lifeinthefastlane.com]

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  • Plantar Fasciitis

    A 45-year-old man presented with pain, erythemia, edema, and increased warmth to his left foot after 2 cortisone injections into his left heel over a 2-month period for plantar[ncbi.nlm.nih.gov] When nonoperative therapy fails, surgical intervention is warranted. Various surgical procedures are available for the treatment of recalcitrant plantar fasciitis.[ncbi.nlm.nih.gov] Sagittal T1-weighted (450/25) (a) and STIR (2,421/20/160) (b) MR images show an ill-defined subcutaneous lesion lying just superficial to the plantar fascia (arrows).[pubs.rsna.org] This device was designed to provide minimal structural support for the foot.[archinte.jamanetwork.com] ), Foot and Hip Exercise Group (FHEG - abductor and lateral rotator muscles) and Stretching Alone Exercise Group (SAEG).[ncbi.nlm.nih.gov] The patient history focused on determining which tissues were being excessively stressed, and the physical examination was used to apply controlled stresses to these tissues[ncbi.nlm.nih.gov] All patients with plantar fasciitis who had undergone percutaneous latticed plantar fasciotomy at 3 clinical sites from March 2008 to March 2009 were included in the present[ncbi.nlm.nih.gov] Firm Arch: Supports the plantar fascia and transfers pressure off painful heel. Gel Heel Insert: Absorbs shock and provides added heel protection.[walgreens.com] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov] Two complications occurred: precordial pain and a superficial skin infection after regional anaesthesia.[ncbi.nlm.nih.gov]

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  • Metatarsalgia

    A total of 76 completed the study, 68 women and eight men, with a total of 93 operated feet, 52 right and 41 left ( 17 bilateral).[ncbi.nlm.nih.gov] It provides exact localization prior to surgical resection and detects unsuspected additional lesions.[ncbi.nlm.nih.gov] Regnauld classified metatarsalgia as diffuse, localized, subcutaneous soft tissue and cutaneous tissue. 3 When it comes to metatarsalgia, it is often a process of elimination[podiatrytoday.com] These devices are necessary to distribute force away from the site of injury.[webmd.com] One specific cause, mechanical metatarsalgia, occurs because of gastrocnemius muscle contracture, which overloads the forefoot.[ncbi.nlm.nih.gov] Metatarsalgia is a general term used to refer to a painful foot condition in the metatarsal region of the foot (the area between the arch and toes, or ball of the foot).[cdafootankle.com] Abstract A soft-tissue cause should always be considered when evaluating metatarsalgia.[ncbi.nlm.nih.gov] KEYWORDS: Distal metatarsal metaphyseal osteotomies (DMMO); Hammertoe; Metatarsalgia; Minimally invasive surgery; Percutaneous[ncbi.nlm.nih.gov] Transfer metatarsalgia after failed hallux valgus surgery is troublesome and more prevalent than would be expected.[ncbi.nlm.nih.gov] Facebook: West Medical[westmedical.com]

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  • Achilles Tendinitis

    Ultrasonography revealed left Achilles tendinitis. Fluid aspirated from the left retrocalcaneal bursa was sterile.[ncbi.nlm.nih.gov] The surgical procedure depended on the lesion.[ncbi.nlm.nih.gov] Current concepts in the management of subcutaneous tears of the Achilles tendon . Bull Hosp Jt Dis. 1998 ;57: 152 - 158 .[doi.org] Support devices may include a splint, orthotic, or brace. These devices will decrease pressure on your Achilles tendon and help relieve pain.[drugs.com] We prospectively studied calf muscle strength on the injured and noninjured sides preoperatively and at 16, 26, and 52 weeks postoperatively.[ncbi.nlm.nih.gov] If there is a specific foot abnormality such as flat or high-arched foot, a prefabricated or, rarely, custom arch support may be helpful.[wholefoot.com] All infected necrotic Achilles tendon with proximal muscle tissue was excised.[ncbi.nlm.nih.gov] Minimally invasive operative treatments include tendon stripping or percutaneous tenotomy. [ 16 ] Prognosis Recovery usually takes weeks to months. 85% of patients who have[patient.info] . - FHL Transfer: - FHL transfer/augmentation is a reasonable option for treatment of chronic Achilles tendinosis and rupture; - in the report by Wilcox et al , 20 patients[wheelessonline.com] Department of Orthopaedic Surgery, Boston University Medical School, Boston, Massachusetts[doi.org]

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  • Hammer Toe

    Approximate Synonyms Acquired bilat hammer toes Acquired bilateral hammer toe Acquired bilateral hammer toes Acquired hammer toe Acquired hammer toe, other than great toe Acquired left[icd9data.com] If treatment is needed, surgical correction of the deformity has the greatest level of success.[ahni.com] Each branch then extends along the medial and lateral aspects of the toe deep to the subcutaneous tissue.[emedicine.medscape.com] In all cases, the failure mode was bending of the implant, with no devices fracturing.[ncbi.nlm.nih.gov] Toe muscle strength was measured using a dynamometer and the ratio of toe extensor muscle strength to flexor muscle strength was calculated.[ncbi.nlm.nih.gov] Hammer toes are often related to faulty foot mechanics, especially foot flattening. Wear custom orthotics prescribed by your podiatrist.[apma.org] Abstract Between March 1995 and January 2000 we reviewed retrospectively 84 patients with hammer-toe deformity (99 feet; 179 toes) who had undergone metatarsophalangeal soft-tissue[ncbi.nlm.nih.gov] Ankle Division, Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. [email protected] Abstract Flexor to extensor transfer[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] Surgical correction included Z-plasties for the skin, extensor tendon resection, and bone grafts.[ncbi.nlm.nih.gov]

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