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Biomedical subjects

S D Schulhofer

Publications and source records attributed to S D Schulhofer.

5 recordsLinked to original sources
PubMed1996

Sesamoid complex disorders.

Disorders of the hallux sesamoids and associated soft-tissue structures are commonly seen. With a differential diagnosis consisting of no fewer than 30 conditions, establishing an accurate diagnosis can be challenging but is important to appropriate treatment implementation. An understanding of first metatarsophalangeal joint anatomy, function, and current diagnostic technology aids the practitioner in the diagnosis and successful treatment of these often overlooked and anecdotally managed disorders.

Diagnosis, Differential↗
PubMedDate not supplied

Arthroscopy of the calcaneocuboid and talonavicular joints.

The authors describe the anatomy, portal placement, technique, indications, and preliminary results of seven cases of calcaneocuboid or talonavicular joint pathology that underwent elective investigational diagnostic or therapeutic arthroscopy with a follow up of 3-14 months. All patients had failed available conservative therapy. Results of treatment were five excellent and two good cases. Two patients required arthrotomy. There were no complications associated with portal placement, arthroscopic technique, or instrumentation. Arthroscopy of the calcaneocuboid and talonavicular joints has proven to be a relatively safe and valuable diagnostic and therapeutic tool. It is hoped that advances in small joint arthroscopy application will encourage further technological evolution in arthroscopic instrumentation and establish a foundation for further arthroscopic exploration of the small joints of the foot.

Arthroscopy↗
PubMedDate not supplied

Iliac crest donor site morbidity in foot and ankle surgery.

The authors retrospectively reviewed anterior iliac crest donor site morbidity in 40 consecutive patients (42 donor sites) who underwent graft harvesting for reconstructive foot or ankle surgery. The mean time to follow-up was 22 months (range, 1 to 48 months). The overall complication rate was 2.4%, with one early minor complication and no major complications. The authors conclude that anterior iliac crest-harvesting techniques that rely on minimal soft tissue dissection and the removal of small-to-moderate volumes of bone have reduced frequencies of minor and major donor site complications.

Adult↗
PubMedDate not supplied

Flexor hallucis longus dysfunction.

Nineteen consecutive cases of flexor hallucis longus stenosing tenosynovitis that underwent operative tenolysis from September 1994 to December 1996 were retrospectively reviewed. This is classically a disorder of ballet dancers, and to a much lesser extent, running athletes. The patients were primarily nonathletic, male, and middle-aged. The mean symptom duration was 20 months, multiple physicians had been encountered, and misdiagnosis was common. Patients presented with overlapping signs and symptoms of flexor hallucis longus tendinitis, plantar fasciitis, and tarsal tunnel syndrome. A cross-reference of patients with posteromedial ankle pain, medial arch pain, and/or a positive Tinel's sign revealed that 14 (74%) and 6 (32%) feet had two of three, or all three signs, respectively. Magnetic resonance imaging and tenography proved valuable in establishing the correct primary diagnosis. Nonoperative protocols were unsuccessful. Flexor hallucis longus tenolysis was successful in each case with a mean return to regular activity at 9 weeks. Flexor hallucis longus stenosing tenosynovitis may be more prevalent than reported and should be a diagnosis of inclusion among all patient populations who present with posterior ankle, medial arch, and/or tarsal tunnel symptoms.

Adolescent↗