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-energy injury mechanisms. A possible reason for the relatively increased involvement of the lateral tibial plateau ( Fig. 3 ) may be its decreased bone mineral density in comparison to the medial plateau. 7 Fig. 3 Most partial tibial head fractures
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indicates degenerative changes. The mobility of the first TMT joint is evaluated with the tip of one thumb beneath the second metatarsal head and the tip of the other thumb beneath the plantar aspect of the first. Dorsally directed force on the first
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valgus was 23% in adults aged 18–65 years (male: 8.5%, female: 26.3%) and 35.7% in adults aged over 65 years (male: 16%, female: 36%). The earliest reports of surgical hallux valgus correction with resection of the metatarsal head date back to the 19th
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Introduction The talus is an incredible bone; despite its small size, it transmits considerable force during the normal gait cycle and even more significant force during impact activities. The talus is shaped like a truncated cone and is wider
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the terminology would imply), but a neuropathic pain in the forefoot that is associated with the interdigital nerve (most commonly the one between the third and fourth metatarsal heads), and to educate their patients accordingly. Furthermore, we have
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main concerns identified with these implants: limited plantarflexion compromising normal propulsion during gait cycle (30%), painful plantar keratosis under the metatarsal heads (69%) and periarticular osteophytes formation (53%). 21 Despite
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Screw, Surgebright GmbH, Lichtenberg bei Linz, Austria) from the bioresorbable fixation materials described above. The cortical screw is to be used in different sizes, depending on the indication and localization. It is not self-drilling and not self
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digitorum longus tendon transfer may help to restore tibialis posterior tendon function, while a spring ligament plication aims to reinforce the medial position of the talar head. 24 , 40 In more advanced forms, a peroneal tendon transfer is indicated
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symptoms, renal and retinal function, and co-morbitities. 18 - 25 Physical examination should determine the size, depth, colour and position of the DFU, neuropathy, ischaemia or neuro-ischaemia of the foot, bone exposed, necrosis, infection, and the
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-existing calcaneal spur and PF. According to a recent study, neither the shape nor size of the spur has a correlation with function or pain before or after treatment. 11 Nerve entrapment : Neuritis or nerve entrapments, especially Baxter’s nerve, may be
