Endosseous Fixation Device for Lapidus Arthrodesis: Technique, Early Experience, and Comparison With Crossed Screw Fixation.

First metatarsal cuneiform joint arthrodesis has been commonly used since the early 1900s for definitive treatment of a variety of conditions involving the medial column of the foot. Early applications of this procedure resulted in a relatively high rate of complications, including malunion and nonunion. We retrospectively examined a novel method of fixation involving an endosseous implant with a nonporous, rough exterior surface and compared it with the traditional crossed screw fixation, considered the standard of care for the procedure.

Posterior tibial artery pseudoaneurysm identified subsequent to surgical wound dehiscence.

Unlabelled: The development of a pseudoaneurysm of the posterior tibial artery is a rare event. In this article, we describe the case of a 63-year-old female with rheumatoid arthritis, who initially presented with a symptomatic subcutaneous nodule localized to the medial aspect of the right ankle. After excision of the subcutaneous nodule, she failed to heal the surgical wound and, eventually, the pseudoaneurysm of the posterior tibial artery was identified.

The modified Mau-Reverdin double osteotomy for correction of hallux valgus: a retrospective study.

Unlabelled: The deformity of hallux valgus is multifactorial, albeit primarily in the transverse plane. In order to achieve an anatomic correction, a surgical technique must be able to address the deformity with consistent outcomes. The purpose of the present study was to evaluate a technique designed to reposition the first metatarsal bone, metatarsophalangeal joint, and sesamoid apparatus in an anatomic and biomechanical corrected position for correction of hallux valgus deformity.

Minimally invasive Morton's intermetatarsal neuroma decompression.

Background: We present the results of an alternative technique for decompression of a Morton intermetatarsal neuroma that is minimally invasive and does not require endoscopic instrumentation.

Methods: Seventeen nerve decompressions were performed in 14 patients using an instrument designed to release the transverse carpal ligament for carpal tunnel syndrome. Nine women and five men (3 bilateral) had the procedure performed.

Talar dome fracture repaired using bioabsorbable fixation.

We describe a man with an acute osteochondral defect in the lateral talar dome associated with a supination-adduction-type ankle fracture. The osteochondral defect was readily visible on plain film radiographs, and magnetic resonance imaging was ordered to determine the full extent of soft-tissue and articular injury. It was discovered that the patient had a stage IV lesion of the talar dome, with complete inversion of the fragment, and rupture of the anterior talofibular and calcaneofibular lateral ankle ligaments.

Osteochondral autograft transfer of the first metatarsal head: a case report.

A case of an osteochondral autograft transfer performed at the head of the first metatarsal for an acute incidence of traumatic osteochondritis dissecans was presented. The donor site for the osteochondral graft was from the medial and plantar aspect of the talar head, which was found to be composed entirely of articular hyaline cartilage, yet was not part of the functional talonavicular articulation. Six months postoperatively, the graft was well seated at the head of the first metatarsal, as confirmed by magnetic resonance imaging, and the graft donor site was asymptomatic.

The Target Symptom Rating: a brief clinical measure of acute psychiatric symptoms in children and adolescents.

Describes the development and psychometric properties of the Target Symptom Rating (TSR), a brief, multi-informant measure of commonly observed symptoms in child and adolescent clinical work. In a large sample of children and adolescents in inpatient and residential treatment, the 13 TSR items fell into 2 subscales: Emotional Problems and Behavior Problems, which were associated in expected ways with the Internalizing and Externalizing factors of the Achenbach scales and the Child and Adolescent Functional Assessment Scale (CAFAS). The measure was sensitive to change in brief and extended treatment, as rated by parents, patients, primary clinicians, and family therapists, and shows promise as a tool for outcome research in applied settings.

Effectiveness of intensive short-term residential treatment with severely disturbed adolescents.

Analysis of follow-up data on 123 adolescents treated over a four-year period indicates that intensive short-term residential treatment that includes emphasis on work with families, involvement in community activities, and discharge planning can be an effective means of helping youngsters with severe psychiatric disorders who have not responded to briefer or less intensive forms of psychiatric treatment.

Short-term stability of aggression, peer rejection, and depressive symptoms in middle childhood.

This study investigated the short-term stability of teacher-rated aggression, peer-rated rejection, and peer-rated depressive symptoms in 478 elementary school children from 25 classrooms (first to third grades) in two geographical areas. Children who presented specific combinations of aggression, rejection, and depressive symptoms were tracked to determine the stability of these combinations from the beginning (Time 1) to the end (Time 2) of the school year. In addition, aggression, rejection, and depressive symptoms were treated as risk factors, and children were classified as displaying zero, one, two, or three risk factors at Times 1 and 2.

Triplane fracture of the distal tibia: unusual case presentation and literature review.

The triplane ankle fracture is a rare pedal condition that presents in adolescent males and females during the ossification of the distal tibial epiphysis. The degree of epiphyseal plate ossification, as well as the deforming forces present during injury, will determine the fracture's configuration. The authors present a triplane fracture with an atypical configuration and postulate upon its mechanism of injury.

Mau osteotomy: an alternative procedure to the closing abductory base wedge osteotomy.

The authors analyzed the postoperative results of the closing abductory wedge osteotomy and the Mau osteotomy for the reduction of metatarsus primus adductus deformity in terms of radiographic position of the first metatarsal. A review of 21 Mau osteotomies was performed. Data were collected on preoperative and long-term postoperative x-rays to evaluate first metatarsal shortening and elevation.