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At least 523 records · Page 29Linked to original sources
PubMed2001

[Hyperextension instability of the thumb metacarpophalangeal joint treated by sesamoid arthrodesis].

Summary. Inadequate treatment of hyperextension trauma of the metacarpophalangeal joint of the thumb can cause chronic instability with pain and weakness of pinch. Between January 1995 and December 1998, nine patients (seven posttraumatic and two associated with CMC joint arthrosis) were treated with an arthrodesis of the radial sesamoid. The bones were fused in seven cases by intraosseous sutures and in two cases with small screws. Kirschner wire temporary fixation of the MP joint and cast immobilization for six weeks was our standard procedure. The follow-up time ranged from six to forty-seven months (average 26 months). One patient had screw loosening after a second injury. Another one had pain because of posttraumatic arthrosis in the MP joint. The remaining seven patients reported a significant improvement in their condition, they were satisfied and free of pain. Palmar stability was restored. A little flexion restriction in the MP joint was found. An arthrodesis of the radial sesamoid of the MP joint of the thumb is a simple technique to treat palmar instabilities. This operation should not be performed if additional collateral ligament injury or arthrosis exist.

Adolescent↗
PubMed2005

Disorders of the hallucal interphalangeal joint.

Most clinical presentations of the hallux concern the metatarsophalangeal joint; however, interphalangeal joint (IPJ) pathology also may be clinically significant. This article reviews conditions that commonly affect the hallucal IPJ and the appropriate treatment.

Arthritis, Rheumatoid↗
PubMed1989

[On the occurrence of blood vessels in the superficial layers of articular cartilage in bovine fetuses].

The occurrence of vascular networks in the superficial layers of articular cartilage of 51 bovine fetuses (10-93 cm CRL) and 3 calves was studied grossly and histologically. The networks were found regularly on the incisura trochlearis of the ulna, on the trochlea of the radius and talus, on the plantar articular surface of the head of the talus, on the proximal articular surface of the fused central and 4th tarsal bones, and less regularly on the articular surfaces of the distal phalanx and distal sesamoid (navicular) bone and on the cochlea of the tibia. The vessels coursed in the superficial stratum of the articular cartilage and were encountered in those places where synovial fossae or villi are found later. The vessels were not present in the calves.

Animals↗
PubMed1994

Painful os peroneum syndrome: a spectrum of conditions responsible for plantar lateral foot pain.

Plantar lateral foot pain may be caused by various entities and the painful os peroneum syndrome (a term coined by the authors) should be included in the differential diagnosis. Painful os peroneum syndrome results from a spectrum of conditions that includes one or more of the following: (1) an acute os peroneum fracture or a diastasis of a multipartite os peroneum, either of which may result in a discontinuity of the peroneus longus tendon; (2) chronic (healing or healed) os peroneum fracture or diastasis of a multipartite os peroneum with callus formation, either of which results in a stenosing peroneus longus tenosynovitis; (3) attrition or partial rupture of the peroneus longus tendon, proximal or distal to the os peroneum; (4) frank rupture of the peroneus longus tendon with discontinuity proximal or distal to the os peroneum; and/or (5) the presence of a gigantic peroneal tubercle on the lateral aspect of the calcaneus which entraps the peroneus longus tendon and/or the os peroneum during tendon excursion. Familiarity with the various clinical and radiographic findings and the spectrum of conditions represented by the painful os peroneum syndrome can prevent prolonged undiagnosed plantar lateral foot pain. Clinical diagnosis of the painful os peroneum syndrome can be facilitated by the single stance heel rise and varus inversion stress test as well as by resisted plantarflexion of the first ray, which can localize tenderness along the distal course of the peroneus longus tendon at the cuboid tunnel.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1998

A waveguide-based acoustic microscope.

A new instrument is presented which is capable of high resolution acoustic imaging at relatively low frequencies. This approach results in increased complexity of the signal processing required and reduced throughput of the instrument. However, these disadvantages are amply compensated by the ability to create velocity scan images of materials with either high attenuation or low material velocities. These measurements are not possible using traditional/acoustic microscopes. The initial performance of the new instrument is demonstrated using thin samples of shim materials to show that acceptable spatial resolution and highly accurate time delay measurements are possible. An application is then shown using the instrument to evaluate subchondral sclerosis in horse bones. It has been hypothesized that changes in the elastic modulus may be associated with fatigue-induced microdamage. The modulus change may further represent bone damage which precedes the development of microcracking. Thin samples are used to allow complementary microradiography to be performed on the bone slices. Because of the low material velocity, surface wave interference methods (so called V(z) curves) are not well suited for use in some bone samples. The thickness of the samples eliminates the potential for the samples to be evaluated using pulse-echo time delay measurements. The new instrument is thus unique in its ability to create velocity scans of these samples.

Animals↗
PubMedDate not supplied

Magnetic resonance imaging in the evaluation of sports injuries of the foot and ankle: a pictorial essay.

Magnetic resonance imaging is playing an increasingly important role in evaluation of the injured athlete's foot and ankle. Magnetic resonance imaging allows accurate detection of bony abnormalities, such as stress fractures, and soft-tissue abnormalities, including ligament tears, tendon tears, and tendinopathy. The interpreter of magnetic resonance images should systematically review the images, noting normal structures and accounting for changes in soft-tissue and bony signal.

Ankle Injuries↗
PubMed2001

Radiographic interpretation of normal skeletal variations and pseudolesions in the equine foot.

Effective radiographic interpretation requires a veterinarian who is knowledgeable of equine limb anatomy and the various principles that affect the resulting image. The normal and its variations must be recognized and understood before the abnormal can be confidently identified as pathologic. Proper patient positioning and sound radiographic technique are mandatory if reliable diagnostic radiographs are to be produced. This review emphasizes equine foot radiographic variations of normal and pseudolesions that occur with commonly used radiographic views performed in equine practice.

Animals↗