Schwannomas are rare, benign tumors originating in the Schwann cells of peripheral nervous system. They most commonly found head, neck, and upper extremities, which involve spinal nerves brachial plexus. However, schwannomas lower extremities extremely uncommon, few studies have reported a schwannoma from posterior tibial nerve. We report on case 71-year old male who presented to our clinic because left foot ankle neuritic pain. A nerve tumor was found; subsequently, surgically excised along...

Background Intra-articular injections have diagnostic and therapeutic roles in foot ankle pathologies due to complex anatomy, small size, diverse bones, joints with proximity this region. Conventionally, these are carried out using anatomical landmark technique and/or fluoroscopic guidance. The joint space needle size make the injection challenging. Fluoroscopy is not readily available clinical setting; ultrasound-guidance for therefore increasingly being used. We compared accuracy of...

Background: As the foot and ankle subspecialty continues to grow in orthopaedics, trends published literature provide valuable insights help understand strengthen field. The current study evaluates changes characteristics of articles Journal Bone & Joint Surgery (American Volume) (JBJS-A) from 2004 2018. Methods: Foot ankle-related JBJS-A 2018 were identified categorized by type study, level evidence, number authors, academic degree(s) first last male female authorship, citations,...

The worldwide shortage of healthcare staff means that necessary treatments are often not delivered. Lay people, without full medical training, stepping up to meet local needs, as <b>Vijaya Bhatt</b> and <b>Aaradhana Jha</b> explain

Objective: Childhood obesity is a growing public health concern in the United States. Obesity has been shown to lead increased complications with regards orthopaedic injuries, such as more severe fracture patterns, notably observed injuries like lateral condyle fractures of humerus. However, there currently gap literature regarding relationship between and healing potential these fractures. This study aims determine whether associated surgical time, wound/pin site infections, delayed...

Category: Basic Sciences/Biologics, Midfoot/Forefoot Introduction/Purpose: First tarsometatarsal (TMT) joint fusion is indicated for several underlying causes of first ray dysfunction and pain, including arthritis, traumatic injury, recurrent hallux valgus. Preparation the surface by denuding articular cartilage a key step arthrodesis, as inadequate preparation may result in poor fixation non-union. However, excessive removal bone shortening ray. Despite importance on outcomes fusion,...

Category: Ankle, Basic Sciences/Biologics Introduction/Purpose: Until recently, many regional anesthetic blocks were performed without the assistance of ultrasound, relying on methods such as anatomical landmarks and nerve stimulation. The use ultrasound for peripheral has proven extremely useful improving efficacy techniques. There remain a few which have lagged in employing consistently, one is ankle block. This block commonly utilized either surgical anesthesia or post-operative analgesia...

Category: Midfoot/Forefoot Introduction/Purpose: Although the first metatarsophalangeal joint sesamoids have biomechanical value in foot, pathologic conditions of these are a source disabling pain for patients, particularly during toe-off. Underlying causes include acute fracture, separation bipartite sesamoids, sesamoiditis caused by repetitive trauma, infection, chondromalacia, osteochondritis dissecans, and osteoarthritis. Nonoperative treatment is initial standard care has satisfactory...

OBJECTIVES Studies have shown that patients enrolled in Medicaid difficulty obtaining access to care compared with private insurance. Whether variables such as geographic location, state expansion versus nonexpansion, and academic affiliation affect among foot ankle surgery has not been previously established. The purpose of this study was assess the differences between who are privately insured those need consultation. Secondary objectives include assessment whether for differs acute...

Metatarsal stress fractures are common injuries of the foot and can be a source chronic pain without appropriate management. Conservative management is first line, but surgery may indicated in athletes, cases nonunion, fifth metatarsal. We report case 34-year-old female who presented to clinic for intractable left secondary fracture second metatarsal, which had been previously treated with injectable acrylic bone cement. Calcium sulfate hydroxyapatite cement has multitude applications...

Category: Foot &amp; Ankle Surgery Introduction/Purpose: Prescription opioids are commonly used to control postoperative pain in foot and ankle surgery, but present potentially detrimental side effects including sedation, respiratory depression, addiction. In is a common cause of delayed hospital discharge decreased willingness move, thereby slowing recovery. Gabapentin acts by decreasing lesion-induced hyperexcitability posterior horn neurons central sensitization, has been explored as...

Category: Ankle, Arthroscopy, Basic Sciences/Biologics, Sports Introduction/Purpose: The Broström Gould procedure is the gold standard for repair of lateral ankle ligament injury and instability. This has demonstrated excellent short- long-term outcomes in orthopaedic literature. Arthroscopic techniques have become increasingly popular among some foot surgeons. Typically, this technique requires medial portals along with an accessory working portal. exact location portal variable within...

Category: Ankle, Trauma Introduction/Purpose: Ankle fractures are urgent, and often emergent injuries which require immediate evaluation treatment. Delayed access to care may subject the patient increased risk of complications, particularly if surgical management is warranted. Medicaid a state federal insurance program in place for those with low income, has previously been associated delayed among patients ACL tears total hip arthroplasties. Studies have also shown ankle fracture patients;...

Category: Sports Introduction/Purpose: Surgical repair of the Achilles tendon is a commonly-performed procedure in cases acute rupture. Open surgery with traditional extensile approach most often performed patient prone position, but this can interfere airway access, put increased pressure on abdomen, and subject to increase perioperative period comorbidities. Mini-open supine may potentially avoid risks safety utility have not been established. The purpose study compare outcomes between...

Category: Ankle, Trauma Introduction/Purpose: Ankle fractures are among the most common orthopedic injuries. While open reduction and internal fixation (ORIF) is standard treatment for displaced ankle in younger patients, there controversy regarding optimal management of these injuries geriatric patients due to high prevalence comorbidities. Closed manipulation leads poor long-term functional outcomes, with rates malunion non-union all populations as well higher mortality over 65 years age....

Category: Ankle, Trauma Introduction/Purpose: Ankle fractures are commonly-seen orthopaedic injuries across all age groups, and often warrant operative management. Postoperative complications particularly common among elderly patients, can lead to a progressive culmination of negative outcomes. Although several studies have focused on the risk factors for prevention such in paucity literature exists addressing postoperative younger patient populations. The purpose this study was compare...

Category: Midfoot/Forefoot, Trauma Introduction/Purpose: Several controversies persist regarding fracture treatment of the fifth metatarsal base. Due to its low blood supply, Jones has an inherent difficulty consolidation, and may devolop complications such as delayed union, non- union refracture. Usually is done with extended period non-weightbearing either nonoperative or operative treatment. The surgery indicated particularly in athletes setting nonunion displacement. purpose present...

Category: Ankle, Arthroscopy, Basic Sciences/Biologics Introduction/Purpose: Subtalar fusion is the treatment of choice for subtalar arthritis when conservative management fails. can be done through open approach or arthroscopic technique. Arthroscopic technique associated with rapid recovery; however, it requires adequate training and skill. lateral posterior portals. Sometimes may necessary to use accessory portal distract joint preparation. Use result in injury neurovascular structure....