scholarly journals Accessory medial cuneiform bone in a child: unreported site and review of literature

2021 ◽  
Vol 7 (5) ◽  
pp. 1032
Author(s):  
Waleed Saqer ◽  
Atul Bandi ◽  
Salman Hasan ◽  
Maged Mostafa ◽  
Ahmed Refaat Khamis
Keyword(s):  
Daily Activities ◽  
Radiological Evaluation ◽  
Review Of Literature ◽  
Orthopedic Surgeons ◽  
Dorsal Aspect ◽  
Medial Cuneiform ◽  
Cuneiform Bone ◽  
Distal Surface ◽  
Anatomical Localization ◽  
Accessory Ossicle

<p>Accessory ossicles of the foot are not uncommon finding in foot radiographs which has confused radiologists and orthopedic surgeons from time immemorial. Occasionally these bones are symptomatic, hindering daily activities of patients. We present a case report of an eleven years old girl with a symptomatic accessory medial cuneiform on the dorsal aspect of left foot. The child was evaluated radiologically and after a trial of failed conservative treatment, she was operated upon. Intraoperatively a superficial nerve on dorsum of this accessory ossicle was found, and the extra bone was excised. This accessory bone was found to be related to medial cuneiform bone at its dorsal and distal surface making to suggest its name as "Os cuneo-I metatarsale-I dorsale". Detailed radiological evaluation is mandatory for identification and exact anatomical localization of the extra bone before proceeding to excision, when non operative treatment fails to relieve the symptoms.</p><p><strong> </strong></p>

Foramina parietalia permagna: familial and radiological evaluation of two cases and review of literature

2016 ◽  
Vol 33 (5) ◽  
pp. 853-857
Author(s):  
Larissa Gabor ◽  
Huseyin Canaz ◽  
Gokhan Canaz ◽  
Nursu Kara ◽  
Elif Yilmaz Gulec ◽  
...  
Keyword(s):  
Radiological Evaluation ◽  
Review Of Literature

Organizational Ambidexterity: Exploration and Exploitation

2019 ◽  
Vol 16 (05) ◽  
pp. 1950033
Author(s):  
Olga-Velez Bernal ◽  
Iván-Darío Toro-Jaramilo
Keyword(s):  
Systematic Review ◽  
Daily Activities ◽  
Organizational Ambidexterity ◽  
Review Of Literature ◽  
Exploration And Exploitation ◽  
Scientific Database

Systematic Review of Literature is done by this research with the purpose that it could be possible to analyze the existent interaction between exploration and exploitation that leads organizations to become ambidextrous ones. That is to say, that they have the faculty to look for opportunities at the same time they work to obtain a good performance in their daily activities. The methodology was based on a documentary review, through a chronological reading. The investigation was made using articles that deal with the issue of ambidextrous organizations, based on the Scopus scientific database, published between 2006 and 2016.

scholarly journals Lisfranc ligament anatomical reconstruction surgery is beneficial for chronic Lisfranc injuries

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0024
Author(s):  
Takaaki Hirano ◽  
Akiyama Yui ◽  
Hisateru Niki
Keyword(s):  
Burr Hole ◽  
Anatomical Reconstruction ◽  
Joint Function ◽  
Lisfranc Joint ◽  
Reconstruction Surgery ◽  
Joint Injuries ◽  
Medial Cuneiform ◽  
Cuneiform Bone ◽  
Lisfranc Ligament ◽  
Lisfranc Injuries

Category: Midfoot/Forefoot Introduction/Purpose: Chronic Lisfranc fracture dislocation had been commonly treated with arthrodesis, but were these treatments suitable? The Lisfranc joint has sagittal motion with articular cartilage and functioning as a shock absorber. We reported the middle-term outcomes after performing Lisfranc ligament anatomical reconstruction surgery (LARS), using an optimal route of reconstruction based on anatomical measurements of and biomechanical experiments with cadavers. The purpose of this study is to determine the usefulness of LARS for chronic Lisfranc injuries to preserve the joint function. Methods: We underwent LARS for 8 cases of Chronic Lisfranc injuries (6 males, 2 females) from May 2012 to June 2017. Average age at surgery 26.1 years (18-38), average follow-up period is 28 months (2-46). The reconstruction route was via a burr hole created at a position 6 mm distal to the tarsometatarsal joint on the 2nd metatarsal, and at a depth of 10 mm. A burr hole was then created from the medial cuneiform bone to the 2nd metatarsal bone in a plantar and horizontal direction. The graft tendon was guided through the burr hole from the medial cuneiform bone to the 2nd metatarsal (double-layered side), was looped, and was guided back around the dorsum of the medial cuneiform(single layer) to reconstruct the dorsal ligament. We examined Myerson classification, Kaar evaluation and the postoperative clinical evaluation using Japanese Society for Surgery of Foot (JSSF) midfoot scale. Results: In Myerson classification, Type B2 6 cases and Type C1 2 cases. In Kaar evaluation, transverse instability (TI) 6 cases, longitudinal instability (LI) 2 cases. The average time from injury to surgery is 156 days on average (37-404). JSSF scores averaged 95 points (90-100). X - ray evaluations were almost good, but in 2 cases with weight bearing, a slight diastasis between the base of the first cuneiform and second metatarsal was observed. But there were no clinical symptoms such as pain. In the surgical procedure, scar is mediated in chronic cases. Therefore, we had to take time to obtain the reduction. Conclusion: Arthrodesis is gold standard for chronic Lisfranc joint injuries, but decline in foot flexibility is inevitable. LARS is beneficial for maintaining anatomical reduction, preserving the joint function, and shortening the post-therapy period. LARS gave stable results against Chronic Lisfranc joint injuries. LARS for chronic Lisfranc joint injuries is a useful procedure.

scholarly journals Microlaparoscopy in gynecology: analysis of 16 cases and review of literature

2001 ◽  
Vol 56 (4) ◽  
pp. 115-118 ◽  
Author(s):  
Fabio Ikeda ◽  
Maurício Simões Abrão ◽  
Sérgio Podgaec ◽  
Alexandre Pupo Nogueira ◽  
Rosa Maria Neme ◽  
...  
Keyword(s):  
Hospital Costs ◽  
Postoperative Recovery ◽  
The Other ◽  
Daily Activities ◽  
New Technique ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Minimally Invasive Surgical Procedure ◽  
Minimally Invasive Surgical ◽  
Aesthetic Results

Microlaparoscopy represents the development of endoscopic surgery towards a minimally invasive surgical procedure. The advantages include fewer surgical complications, faster return to daily activities, more comfortable postoperative recovery, and satisfactory aesthetic results. The possibility of performing surgery under sedation may result in shorter hospitalization, lower hospital costs, and easier anesthetic procedures. The authors report their preliminary experience with the use of microlaparoscopy, using optics and 2mm instruments, as well as a review of the literature since the introduction of this new technique. The report of these 16 cases demonstrates that microlaparoscopy is a feasible technique with satisfactory results. On the other hand, this new technique requires precise indications and a training period for the development of the skills necessary for performing these surgeries.

scholarly journals Isolated Fracture-Dislocation of the Medial Cuneiform Bone. A Case Report.

1992 ◽  
Vol 41 (1) ◽  
pp. 265-267
Author(s):  
Shin-ichiro Takasugi ◽  
Ken Urabe ◽  
Toshihumi Shimoda ◽  
Naohisa Tayama ◽  
Itaru Yuge ◽  
...  
Keyword(s):  
Case Report ◽  
Fracture Dislocation ◽  
Medial Cuneiform ◽  
Isolated Fracture ◽  
Cuneiform Bone

scholarly journals Categorization of single cuneiform fractures and investigation of related injuries: A 10-year retrospective study

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901986639
Author(s):  
Jun Young Choi ◽  
Dong Joo Lee ◽  
Reuben Ngissah ◽  
Bum Joon Nam ◽  
Jin Soo Suh
Keyword(s):  
Bone Fractures ◽  
High Energy ◽  
Single Institution ◽  
Foot Injuries ◽  
Level Of Evidence ◽  
Avulsion Fractures ◽  
Lisfranc Injury ◽  
Joint Dislocation ◽  
Medial Cuneiform ◽  
Cuneiform Bone

Purpose: The purpose of this study was to define the fracture type and investigate the injuries related to single medial, intermediate, or lateral cuneiform fracture. Methods: From January 2008 to December 2018, 30 consecutive patients (30 cases) who were treated in the single institution for the single cuneiform fractures were reviewed retrospectively. Each fracture was categorized by location and type (intra- or extra-articular avulsion, axial compression, and direct blow). We also investigated the related foot bone fractures or dislocations on the affected side. Results: Twenty-one, one, and eight cases with single medial, intermediate, and lateral cuneiform bone fractures, respectively, were identified. More than two-thirds of the single cuneiform fractures were observed in the medial cuneiform bone. The single medial cuneiform fracture was associated with various types of foot injuries including Lisfranc injury, naviculo-cuneiform joint dislocation, or calcaneo-cuboidal dislocation. Single lateral cuneiform fractures were more frequently observed than single intermediate cuneiform fractures. Conclusion: More than two-thirds of the single cuneiform fractures were observed in the medial cuneiform bone. Most intra-articular avulsion fractures were associated with high-energy trauma. Level of Evidence: 4

scholarly journals Postoperative Medial Cuneiform Position is Correlated with Patient-Reported Outcomes Following Cotton Osteotomy for Reconstruction of the Stage II Adult Acquired Flatfoot Deformity

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0015
Author(s):  
Matthew S. Conti ◽  
Jonathan H. Garfinkel ◽  
Grace C. Kunas ◽  
Jonathan T. Deland ◽  
Scott J. Ellis
Keyword(s):  
Patient Reported Outcomes ◽  
Valgus Deformity ◽  
Stage Ii ◽  
Daily Activities ◽  
Opening Wedge ◽  
First Metatarsal ◽  
Medial Cuneiform ◽  
Patient Reported ◽  
Adult Acquired Flatfoot Deformity ◽  
Sports Activities

Category: Hindfoot, Midfoot/Forefoot Introduction/Purpose: During reconstruction of the stage II adult acquired flatfoot deformity (AAFD), residual supination of the midfoot is often addressed with an opening wedge medial cuneiform (Cotton) osteotomy after adequate correction of the hindfoot valgus deformity. The purpose of this study was to determine if there was a correlation between postoperative alignment of the medial cuneiform using the previously described cuneiform articular angle (CAA) on lateral radiographs and postoperative patient-reported outcomes using the Foot and Ankle Outcome Score (FAOS). Methods: Sixty-three feet in 61 patients with stage II AAFD who underwent a Cotton osteotomy as part of a flatfoot reconstruction were included the study. The CAA, medial arch sag angle (MASA), and lateral talo-first metatarsal (Meary’s) angles were measured on postoperative weightbearing lateral radiographs at a minimum of 40 weeks postoperatively. Pearson’s correlation analysis was used to determine if there was an association between postoperative radiographic angles and FAOS at a minimum of 24 months postoperatively. Patients were also divided into mild plantarflexion (CAA> or =-2 degrees) and moderate plantarflexion (CAA<-2 degrees) groups, and Wilcoxon rank-sum tests were used to identify whether there were differences in clinical outcomes between the two medial cuneiform positions. A postoperative CAA of -2 degrees was chosen because it is two standard deviations from the average postoperative CAA following a flatfoot reconstruction (Castaneda et al. FAI 2012). Results: Postoperative CAA was significantly positively correlated with the postoperative FAOS symptoms (r=.27, P=.03), daily activities (r=.29, P=.02), sports activities (r=.26, P=.048), and quality of life (r=.28, P=.02) subscales. A positive correlation indicates that higher postoperative FAOS scores are associated with a decreased amount of plantarflexion of the medial cuneiform (i.e. a more positive CAA). Patients in the mild plantarflexion group had statistically and clinically better outcomes compared with the moderate plantarflexion group in the FAOS symptoms (P=.04), daily activities (P =.04), and sports activities (P=.01) subscales (Figure 1). Graft size was correlated with postoperative CAA (r =-.30, P = .02) but not correlated with any postoperative FAOS subscale (all P values > .40). Conclusion: Our study suggests that the surgeon should avoid excessive plantarflexion of the medial cuneiform and use the Cotton osteotomy judiciously as part of a flatfoot reconstruction for stage II AAFD.

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