scholarly journals Treatment of Cleft Foot Deformity using Fish Mouth Incision and Suture-Button in Paediatric Foot

2021 ◽  
Author(s):  
Amit Narang ◽  
Ayanjit Chattopadhyay ◽  
Amit Sharma ◽  
Sumit Gupta
Keyword(s):  
Foot Deformity ◽  
Suture Button ◽  
Metatarsal Bones ◽  
Satisfactory Outcome ◽  
Tarsal Bones ◽  
Median Cleft ◽  
Cleft Closure ◽  
One Year ◽  
Shoe Wear ◽  
Cleft Foot

Cleft foot is a congenital anomaly characterized by absence of the metatarsal bones and phalanges. It is commonly seen in children with Ectrodactyly-ectrodermal dysplasia and clefting syndrome (EEC) ranging from a median cleft up to the mid metatarsals to a deep cleft up to the tarsal bones. Surgical treatment in the form of cleft closure, excision of the rudimentary metatarsal bone and cross K-wire fixation of metatarsal bones have been tried for the management of such cases. Here, we report a case of one year old child with Type III cleft foot having four metatarsals, who was treated with suture-endobutton system using three transverse tunnels in the 2nd and 3rd metatarsal bones in order to bring them closer. We were able to achieve a satisfactory outcome with a normal fitting shoe wear. Keywords: Cleft foot; suture-button; fish mouth incision.

Treatment of Cleft Foot Deformity With a Suture-Button Construct in the Pediatric Foot

2013 ◽  
Vol 34 (9) ◽  
pp. 1299-1304 ◽  
Author(s):  
Paul G. Talusan ◽  
Connor Telles ◽  
Joshua L. Perez ◽  
John S. Reach
Keyword(s):  
Foot Deformity ◽  
Suture Button ◽  
Pediatric Foot ◽  
Cleft Foot

Early Surgical Correction of Unilateral Cleft Foot Deformity

Orthopedics ◽  
1990 ◽  
Vol 13 (3) ◽  
pp. 347-350
Author(s):  
Evan Kovalsky ◽  
Gad G Guttmann
Keyword(s):  
Surgical Correction ◽  
Foot Deformity ◽  
Cleft Foot

scholarly journals Anatomy of the Hind Limb Skeleton of the Chinchilla (Chinchilla lanigera)

2007 ◽  
Vol 76 (4) ◽  
pp. 501-507 ◽  
Author(s):  
A. Çevik-Demirkan ◽  
V. Özdemir ◽  
İ. Türkmenoğlu ◽  
İ. Demirkan
Keyword(s):  
Hind Limb ◽  
Average Distance ◽  
Proximal Phalanx ◽  
Ischial Tuberosity ◽  
Appendicular Skeleton ◽  
Obturator Foramen ◽  
Metatarsal Bones ◽  
Tarsal Bones ◽  
Males And Females ◽  
Small Bone

This study aimed to document the detailed features of the hind limb bones in chinchillas (Chinchilla lanigera). Twenty chinchillas (10 females and 10 males) were used. Animals were euthanized and X-ray of appendicular skeleton of pelvis was taken immediately. Then the bones were macerated. The iliac wing was considerably long and the gluteal line formed a distinct crista. The sacropelvic surface (facies sacropelvina) was not observed, however, the iliac tuberosity (tuberositas iliaca) was evident. While the average distance between the midacetabulum and the tuber coxae (ventral iliac spine) was 33.58 mm in males and 31.34 mm in females, the average distance between the midacetabulum and the ischial tuberosity was 15.09 mm in males and 17.18 mm in females (statistically non-significant). The caput ossis femoris was bent to medial at an average of 60 degrees angle. The differences in both the width and length of the obturator foramen between males and females were statistically significant (p < 0.05). The third trochanter (trochanter tertius) and the supracondyloid fossa were absent. The tibia and the fibula formed a joint on the proximal and distal parts. The comparative size of the distal tarsal bones were IV > III > I > II (from the largest to the smallest) and the fifth metatarsal bone shaped a small bone. The comparative lengths of the other metatarsal bones were II > III > I > IV (from the longest to the shortest). Three phalanges bones were notable. The proximal phalanx was the biggest of all.

scholarly journals Pseudoaneurysm of the Common Carotid Artery in an Infant due to Swallowed Fish Bone

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Moulion Tapouh Jean Roger ◽  
Fokou Marcus ◽  
Fongang Emmanuel ◽  
Moifo Boniface ◽  
Juimo Alain Georges
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Rare Condition ◽  
Paediatric Population ◽  
Fish Bone ◽  
Transverse Diameter ◽  
Severe Respiratory Distress ◽  
Artery Pseudoaneurysm ◽  
Satisfactory Outcome ◽  
One Year

Carotid artery pseudoaneurysm is a rare condition, particularly in the paediatric population. Only about 30 cases of carotid artery aneurysms in infants have been published until now. This paper reports the case of a giant pseudoaneurysm of the left common carotid artery due to swallowed fish bone by an 8-year-old boy. This pseudoaneurysm was 5.5 cm transverse-diameter and resulted in severe respiratory distress. It was treated by resection and end-to-end anastomosis with satisfactory outcome after one-year follow-up. To the best of our knowledge, this is the largest carotid artery pseudoaneurysm ever described in children.

Cervical myelopathy caused by invagination of anomalous lamina of the axis

2013 ◽  
Vol 19 (6) ◽  
pp. 694-696 ◽  
Author(s):  
Hironobu Sakaura ◽  
Yukihiko Yasui ◽  
Toshitada Miwa ◽  
Tomoya Yamashita ◽  
Kenji Ohzono ◽  
...  
Keyword(s):  
Cervical Myelopathy ◽  
Spinous Process ◽  
Ossification Center ◽  
Surgical Removal ◽  
Sensory Disturbance ◽  
Satisfactory Outcome ◽  
History Of ◽  
One Year ◽  
The Right ◽  
Underlying Pathogenesis

The authors report a case of cervical myelopathy caused by invagination of the bilaterally separated lamina of the axis. They also present a literature review. The patient was a previously healthy 68-year-old man with a 1-year history of slowly progressive gait disturbance, right-hand clumsiness, and right dominant sensory disturbance in his trunk and extremities. Both MRI and CT showed that the spinal cord was markedly compressed at the C2–3 level, on the right side, by a deeply invaginated anomalous lamina of the axis. A bilaterally separated lamina was also visible. The patient underwent removal of the anomalous invaginated fragment of the separated lamina and the spinous process of the axis. One year after surgery, his myelopathic symptoms had almost completely resolved. Here, the authors present the case of a patient with an extremely rare anomaly of the lamina of the axis. The underlying pathogenesis of this anomaly could be the failure of the 2 chondrification centers on either side to fuse into a single ossification center. Surgical removal of the anomalous invaginated lamina produced a satisfactory outcome.

Stress fractures of the lateral metatarsal bones in metatarsus adductus foot deformity: a previously unrecognized association

1999 ◽  
Vol 28 (12) ◽  
pp. 679-684 ◽  
Author(s):  
Daphne J. Theodorou ◽  
Stavroula J. Theodorou ◽  
Robert D. Boutin ◽  
Christine Chung ◽  
Evelyne Fliszar ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Foot Deformity ◽  
Metatarsal Bones ◽  
Metatarsus Adductus

Congenital cleft foot deformity (split foot or lobster claw)

1991 ◽  
Vol 81 (11) ◽  
pp. 575-579 ◽  
Author(s):  
WH Mason
Keyword(s):  
Surgical Correction ◽  
Foot Deformity ◽  
Review Of The Literature ◽  
Congenital Cleft ◽  
Cleft Foot

A case of congenital cleft foot deformity, also known as lobster claw or split foot, is presented. The condition is rare. A review of the literature reveals that this deformity will often coexist as part of a constellation of congenital and familial abnormalities. Surgical correction of the cleft foot is difficult and often deferred.

Heredofamilial cleft foot deformity

1947 ◽  
Vol 74 (6) ◽  
pp. 889-892 ◽  
Author(s):  
Henry W. Meyerding ◽  
Jackson E. Upshaw
Keyword(s):  
Foot Deformity ◽  
Cleft Foot

scholarly journals The pathological changes in the hind limb of a horse from the Roman Period

2010 ◽  
Vol 55 (No. 7) ◽  
pp. 331-335 ◽  
Author(s):  
M. Janeczek ◽  
A. Chroszcz ◽  
Z. Miklikova ◽  
M. Fabis
Keyword(s):  
Hind Limb ◽  
Roman Period ◽  
Pathological Changes ◽  
Archaeological Excavation ◽  
Articular Surfaces ◽  
Metatarsal Bones ◽  
Animal Bone ◽  
Tarsal Bones ◽  
Septic Inflammation ◽  
Bone Remains

During the archaeological excavation of a multicultural settlement at the Nitra-Chrenova site (south-western Slovakia) an assemblage of animal bone remains was revealed. In one of the settlement features dated to the Roman period a complete horse skeleton was discovered. An investigation was carried out in the hind limb of the horse's skeleton involving macroscopic and radiographic analysis. Exostoses were observed on the tibia, talus, calcaneus, tarsal and metatarsal bones. The articular surfaces were destroyed. The anatomical structure of the talus, calcaneus and tarsal bones was not visible due to new bone formation. Additionally, osteomyelitis was observed in the talus, calcaneus and tarsal bones. It is suggested that the pathological changes developed during the septic inflammation process as a consequence of the complicated wound of the tarsal region or the tarsal joint perforating trauma. &nbsp;

AB0200 SHORT AND MID-TERM OUTCOME OF FOREFOOT SURGERY FOR PATIENTS WITH RHEUMATOID ARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1400.1-1400
Author(s):  
R. Kurose
Keyword(s):  
Rheumatoid Arthritis ◽  
Patient Satisfaction ◽  
Hallux Valgus ◽  
Term Outcome ◽  
Non Union ◽  
Forefoot Surgery ◽  
Metatarsal Bones ◽  
Final Observation ◽  
Swanson Implant ◽  
One Year

Background:Patients with rheumatoid arthritis (RA) have frequently painful foot deformities. These deformities including hallux valgus, dorsal dislocation of the metatarsophalangeal (MTP) joints and hammer toe deformity of the lesser toes are associated with disability in daily activities.Objectives:The aim of this study is to investigate short and mid-term outcome of forefoot surgery for patients with RA.Methods:We investigated 28 patients with 39 foots who underwent forefoot surgery between January 2010 and December 2018 and followed for more than one year after surgery. Swanson implant arthroplasty or metatarsal osteotomy was performed for big toe, and shortening oblique osteotomy (SOO) was performed for the II-V toes. Examination items were as follows; plain X-ray changes in the angle of hallux valgus (HVA), the angle between the first and second metatarsal bones (M1/2), and the angle between the first and fifth metatarsal bones (M1/5) after surgery. The progress of painful hyperkeratosis and bunion, Japanese Society for Surgery of the foot standard rating system (JSSF scale), the recurrence of deformity and bone fusion, complications, and patient satisfaction were also examined.Results:The patients followed were 24 women with 34 feet and 4 men with 5 feet, and average age at the time of surgery was 66.1 years. HVA improved from average of 39.7 degrees to 20.2 degrees one month after surgery, but increased slightly to 23.5 degrees one year after surgery. Painful hyperkeratosis and bunion tended to disappear one month after surgery, and JSSF scale significantly improved at the final observation. One year after surgery, the bone fusion rate of big toe was 100%, but 7.8% of the metatarsal bone underwent SOO had non-union. The complications after surgery were one infection at the surgical site, one necrosis at the tip of the toe, and one infection of Swanson implant. Patient satisfaction at the final observation was highConclusion:Forefoot surgery for RA has problems such as recurrence, non-union, and infections, but it is considered to be a useful treatment because that pain by hyperkeratosis and bunion disappears and ADL improves.References:[1]Sung IH, Sung YK, Huh DR, Kim SJ. A comparative study on the results of the modified Ludloff osteotomy for hallux valgus deformities with minimal erosion of the metatarsophalangeal joints in rheumatoid patients versus non-rheumatoid patients.. Mod Rheumatol 2015; 25(5): 694-700.Disclosure of Interests:None declared

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