Nonsurgical and surgical management of metacarpo/metatarsophalangeal joint dorsal chip fracture in the Thoroughbred racehorse

2019 ◽  
Vol 52 (3) ◽  
pp. 399-403 ◽  
Author(s):  
P. H. L. Ramzan ◽  
C. E. Wylie
Keyword(s):  
Surgical Management ◽  
Metatarsophalangeal Joint ◽  
Chip Fracture

scholarly journals Surgical management of a severe congenital deformity of the hind limb in a Shetland pony foal – a case report

2021 ◽  
Vol 90 (4) ◽  
pp. 391-397
Author(s):  
Cristian Crecan ◽  
Iancu Morar ◽  
Mirela Rus ◽  
Cosmin Pestean
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Hind Limb ◽  
Metatarsophalangeal Joint ◽  
Extensor Tendon ◽  
Congenital Deformity ◽  
Metatarsal Osteotomy ◽  
Medial Side ◽  
Tarsal Bones ◽  
The Right

This case report describes the surgical management of a severe congenital deformity in a Shetland pony. A two-week-old foal was presented with the right hind limb showing a 90-degree torsion of the tarsal region towards the medial side and the metatarsophalangeal joint forced in a 90-degree extension behind the right tarsus. As assessed through radiography, the tibial malleoli and the trochlea of the talus were poorly developed, the flexor tendons inserted topographically correctly on the phalanges but due to articular torsion, the tenaculum of long and lateral digital extensor tendons were projected laterally and the common digital extensor tendon on the medioplantar aspect. At the age of one month, a corrective ostectomy of the tibial malleoli, trochlear ridge, and talus was performed to reposition the adjacent bones. The tarsal bones were repositioned through an arthrotomy and subsequently the tarsal region fused by means of two cortex screws inserted in a lag fashion. Complete correction of the torsion was achieved through metatarsal osteotomy. A 20-hole 3.5-mm reconstruction plate was used for stabilization of the tibia and metatarsus, resulting in a pantarsal arthrodesis. Partial tibia shortening was performed to improve angulation of the tarsal region. At nine months after surgery, the pony was keeping the right limb hoof sole on the ground.

scholarly journals Surgical Management of Monoarticular Rheumatoid Arthritis of the Fifth Metatarsophalangeal Joint

2020 ◽  
Vol 12 (6) ◽  
pp. 1597-1604
Author(s):  
Hamood H G Zaid ◽  
Wu Di ◽  
Rufei Yang ◽  
Di Wu ◽  
Maowei Yang
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Management ◽  
Metatarsophalangeal Joint

Surgical Management for Intractable Metatarsalgia

1995 ◽  
Vol 16 (6) ◽  
pp. 322-327 ◽  
Author(s):  
Roger A. Mann ◽  
Loretta B. Chou
Keyword(s):  
Surgical Management ◽  
Excellent Result ◽  
Metatarsophalangeal Joint ◽  
Fusion Rate ◽  
Salvage Procedure ◽  
First Metatarsophalangeal Joint ◽  
Forefoot Surgery ◽  
And Function ◽  
Metatarsophalangeal Joints

We reviewed the results of arthrodesis of the first metatarsophalangeal joint and excisional arthroplasty of the lesser metatarsophalangeal joints performed on patients who presented intractable metatarsalgia and forefoot deformities. The study included 18 feet (15 patients) in 12 women and 3 men. The follow-up averaged 5.2 years. A good to excellent result was achieved in 15 (83%) feet; pain, which had been moderate to severe before surgery, was reduced to none to mild, and function, which had been severely limited before surgery, was improved to virtually unlimited. The fusion rate of the first metatarsophalangeal joint was 94% (17 of 18 feet). Thirteen of the 15 patients (87%) stated they would have the procedure again. This repair has been demonstrated to be a useful salvage procedure in nonrheumatoid patients with severe metatarsalgia secondary to failed forefoot surgery.

Surgical management of chronic tophaceous gout. A case report

1992 ◽  
Vol 82 (10) ◽  
pp. 514-519 ◽  
Author(s):  
TC Ford
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Metatarsophalangeal Joint ◽  
Joint Involvement ◽  
Tophaceous Gout ◽  
Classic Case

Severe chronic tophaceous gout can be a surgical challenge. A classic case of marked first and fifth metatarsophalangeal joint involvement is presented.

Surgical Management of Patients With 22q11.2 Deletion Syndrome

2019 ◽  
Vol 4 (5) ◽  
pp. 857-869
Author(s):  
Oksana A. Jackson ◽  
Alison E. Kaye
Keyword(s):  
Surgical Management ◽  
Preoperative Evaluation ◽  
Preoperative Assessment ◽  
22Q11.2 Deletion Syndrome ◽  
Deletion Syndrome ◽  
22Q11.2 Deletion ◽  
Surgical Decision ◽  
Obstructive Sleep ◽  
Spine Abnormalities ◽  
Speech Assessment

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.

Surgical management of unknown primary tumors metastatic to the spine

2012 ◽  
Vol 2012 ◽  
pp. 294-295
Author(s):  
B.T. Ragel ◽  
A.M. Raslan
Keyword(s):  
Surgical Management ◽  
Unknown Primary ◽  
Primary Tumors ◽  
Unknown Primary Tumors

Evidence of wide variation in the surgical management of severe acute pancreatitis: Final results of a pan-European survey

2001 ◽  
Vol 120 (5) ◽  
pp. A94-A95
Author(s):  
G BEATTIE ◽  
R SAHARIA ◽  
I VIRLOS ◽  
K SIRIWARDENA
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Management ◽  
Severe Acute Pancreatitis ◽  
European Survey
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