Computer assisted planning and custom-made surgical guide for malunited pronation deformity after first metatarsophalangeal joint arthrodesis in rheumatoid arthritis: A case report

Forefoot surgical outcomes were evaluated in 26 patients with rheumatoid arthritis. A total of 45 procedures were reviewed with emphasis on first ray intervention. Disease duration and aggressiveness of preceding medical therapy were combined to establish a disease severity index. Patients operated were predominantly in the midrange of disease severity. Subjective data on the relief of pain, callus, and deformity were favorable but this benefit was not long lasting inasmuch as patients were most satisfied in the period immediately following surgery and less so as time elapsed from intervention. Fusion of the first metatarsophalangeal joint seemed better than resection alone, indicating that stability should be the primary goal for surgical intervention of the rheumatoid forefoot.

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The double-stemmed silicone-rubber implant for rheumatoid arthritis of the first metatarsophalangeal joint. Long-term results.

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-199274040-00012 ◽

1992 ◽

Vol 74 (4) ◽

pp. 564-570 ◽

Cited By ~ 57

Author(s):

B H Moeckel ◽

T P Sculco ◽

M M Alexiades ◽

P H Dossick ◽

A E Inglis ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Silicone Rubber ◽

Metatarsophalangeal Joint ◽

Long Term Results ◽

First Metatarsophalangeal Joint

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A neglected plantar dislocation of first metatarsophalangeal joint: a case report

Foot and Ankle Surgery ◽

10.1016/j.fas.2004.09.001 ◽

2004 ◽

Vol 10 (4) ◽

pp. 227-230 ◽

Cited By ~ 5

Author(s):

Sezgin Sarban ◽

Orhan Erol ◽

Mithat Yazar ◽

Ugur E. Isikan

Keyword(s):

Case Report ◽

Metatarsophalangeal Joint ◽

First Metatarsophalangeal Joint ◽

Plantar Dislocation

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Bizarre Parosteal Osteochondromatous Proliferation (Nora's Lesion) of the Sesamoid: a Case Report

Foot & Ankle International ◽

10.1177/107110070002100509 ◽

2000 ◽

Vol 21 (5) ◽

pp. 408-412 ◽

Cited By ~ 24

Author(s):

J.A. Harty ◽

P. Kelly ◽

D. Niall ◽

J.C. O'Keane ◽

M.M. Stephens

Keyword(s):

Case Report ◽

Magnetic Resonance ◽

Metatarsophalangeal Joint ◽

Magnetic Resonance Images ◽

Parosteal Osteosarcoma ◽

Bizarre Parosteal Osteochondromatous Proliferation ◽

First Metatarsophalangeal Joint ◽

Histological Features ◽

Nora’S Lesion ◽

Plantar Aspect

We report the a case of Nora's lesion (Bizarre Parosteal Osteochondromatous Proliferation) of the sesamoid. A 32-year-old woman presented with a painless, enlarging mass of two years duration on the plantar aspect of the first metatarsophalangeal joint of the left foot. Radiographs, Computerized Tomographs and Magnetic Resonance images, initially suggested a parosteal osteosarcoma arising from the tibial sesamoid. The mass was excised, and a histological diagnosis of Bizarre Parosteal Osteochondromatous Proliferation of bone (Nora's lesion) was made. The aggressive growth of this lesion may suggest a neoplasm clinically. Histological features, however, are those of a reactive lesion.

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