Synovial Sarcoma in the Foot of a 5-Year-Old ChildA Case Report.

The purpose of this case report is to present a rare finding of synovial sarcoma in a 5-year-old child. Most soft-tissue masses of the foot are too often presumed to be small and benign; therefore, compared with soft-tissue sarcomas, they are difficult to clinically differentiate and treat. A 5-year-old girl presented with a painful lesion that was diagnosed as synovial sarcoma after an excisional biopsy was performed.

Reconstruction of a neglected achilles tendon rupture with an achilles tendon allograft: A case report.

Multiple surgical techniques for repair of neglected Achilles tendon ruptures have been described in the literature. The authors present a case using a freeze-dried Achilles tendon allograft for repair of a neglected rupture of the Achilles tendon with a defect of 10 cm. At 1-year follow-up, the patient achieved pre-injury functional use of the affected limb.

A modified subtalar arthroereisis implant for the correction of flexible flatfoot in children. The STA Peg procedure.

The STA Peg procedure was developed to correct flexible flatfoot in young children prior to the age when secondary deformities are likely to develop. The procedure involves the implantation of a peg fashioned from ultra-high molecular weight polyethylene into the dorsal surface of the calcaneus, anterior to the posterior facet of the subtalar joint and fixed with polymethylmethacrylate. Smith has reported excellent overall results in the great majority of patients.

Correction of flexible pes planus deformity: medial column stabilization procedure.

A review of five distinct medial column stabilization procedures sets forth criteria specific to certain presentations of pes planus deformity. The importance of considering the manifestation of the condition and its implications with regard to the overall health of the particular patient cannot be overemphasized. The collective goal of all such corrective procedures is identical; it is the variable factors particular to a specific presentation that dictate the preferred corrective action.

Flatfoot overview.

The pathologic condition pes planus has been noted in orthopedic and podiatric literature for a number of years. The many scientific and technical terms assigned to the condition have become synonymous, emerging in the vernacular as the common term "flatfoot." In the broadest sense, flatfoot refers to the weight-bearing or nonweight-bearing foot that exhibits collapse of the medial column.

Mucinous cyst of the sural nerve.

Mucinous cysts are rare neural lesions. There has been no documentation of this lesion affecting the sural nerve. The lesion is referred to by a number of confusing names.

The use of C-arm fluoroscopy and its application to podiatric surgery.

C-arm fluoroscopy is a valuable diagnostic adjunct in podiatric surgery. It decreases operative time by allowing immediate visualization of the operative site without compromising operating room sterility.

The use of computerized tomography in the foot.

The authors have reviewed the literature on computerized tomography and it diagnostic potentials, and they are reporting on an applicable case affecting the foot. The case described is of an athletic 15-year-old female with unilateral hypertrophy of the abductor hallucis muscle. With the use of the C-T scanning device, additional information was acquired, as compared to the conventional roentgen diagnostic methods.

Congenital polydactyly and polymetatarsalia: classification, genetics, and surgical correction.

Polydactyly, one of the most common congenital deformities, is inherited and often several members of a family are affected. The condition may range from a small amount of additional soft tissue without osseous structure to a complete, fully developed extra digit or digits. The primary treatment is surgical removal.

Heterotopic bone formation: a case report.

The authors discuss a rare case of heterotopic bone formation in the ankle of an athletic, 20-year-old Caucasian male. After conservative treatment provided minimal relief of symptoms, resection of the talar neck exostosis and inferior, anterior tibial exostosis was performed by an anterior medial approach. Two months postoperatively, after physical therapy, the patient had no pain or limitation of ankle dorsiflexion.