Green Bone: Minocycline-Induced Discoloration of Bone Rarely Reported in Foot and Ankle.

The tetracycline antibiotics incorporate into bone similar to bisphosphonates. Tetracycline stains bone a fluorescent yellow and minocycline, more commonly used for chronic acne, stains bone dark green. Owing to its frequent use, the occurrence of green bone discoloration due to antibiotics in the tetracycline class is well understood.

A Suture-Button Technique for Stabilization of the Plantar Plate and Lesser Metatarsophalangeal Joint.

We retrospectively evaluated the use of a suture-button technique to stabilize the plantar plate and lesser metatarsophalangeal joint (MTPJ) to alleviate pain and dysfunction due to failed digital surgery with lesser MTPJ dysfunction. Eight consecutive patients (8 feet, 13 rays) were studied, including 2 males (25%) and 6 females (75%). Their median age was 56.

A technique of lateral process blockade for subtalar joint fusion: an easy, economical, and effective method to prevent rotation.

One of the most common debates in discussing the technique of isolated subtalar joint arthrodesis is whether a single point of fixation is adequate to achieve joint fusion. The single screw technique places a fixation device in line with the subtalar joint axis of motion. Regardless of whether the screw is run up from the plantar calcaneus or down from the talar neck, rotational movement can occur about this axis.

Infection and neuroarthropathy: the utility of C-reactive protein as a screening tool in the Charcot foot.

Background: C-reactive protein is an acute-phase reactant used for the detection of inflammatory changes associated with infection and tissue necrosis. It may be helpful in determining the presence or absence of infection associated with Charcot's neuroarthropathy.

Methods: In this study, C-reactive protein concentration was measured in seven patients with clinical features suggestive of an active Charcot joint.

Follow-up of the isolated medial approach to hallux abducto valgus correction without interspace release.

A retrospective radiographic review was performed of 29 patients (37 feet) who underwent an isolated medial approach for correction of hallux abducto valgus deformity from March 1993 to November 1998. Only those patients who had a traditional Austin-type osteotomy with a reducible first metatarsophalangeal joint and flexible first ray were included in the study. The average follow-up period for the entire study group was 18.

Predislocation syndrome. Progressive subluxation/dislocation of the lesser metatarsophalangeal joint.

Progressive subluxation/dislocation of the lesser toes resulting from idiopathic inflammation about one or more of the lesser metatarsophalangeal joints is a common cause of metatarsalgia that is frequently unrecognized or misdiagnosed. The disorder results from a failure of the plantar plate and collateral ligaments that stabilize the metatarsophalangeal joints and is typically associated with abnormal forefoot loading patterns. The authors refer to this condition as predislocation syndrome and have devised a clinical staging system that is based on the clinical signs and symptoms present during examination.