Arthroplasty for fifth toe deformity.

Fifth toe positional problems typically cause irritation with various forms of footgear. The position of the toe causes irritation against the toe box of the shoe. This article discusses the physical examination of various fifth toe deformities along with the different approaches of arthroplasty that are used to correct the deformity and the management of complications that arise from the correction procedures.

Extracorporeal shockwave therapy for plantar fasciitis and other musculoskeletal conditions utilizing the Ossatron--an update.

Extracorporeal shockwave therapy for treatment of plantar fasciitis and other areas of the body has been well documented since the early 1990s. A high level of efficacy and patient satisfaction after undergoing electrohydraulic shock wave treatments has been reported not only for plantar fasciopathy but other musculoskeletal indications. Electrohydraulic devices have a bimodal response: early suppression of nocioceptor reactivity followed by subsequent target tissue remodeling and healing through neovascularization and recruitment of new tissue target specific cells.

Revision of malaligned triple arthrodesis: a case report.

Malalignment of a triple arthrodesis can pose significant challenges to the foot and ankle surgeon. Lack of a plantigrade foot will not be well tolerated by the patient and will often require revision of the original surgery. This article presents a review of the treatment algorithm used to address this unique problem.

Radiographic assessment of the hindfoot and ankle.

This article is an introduction to a complex topic on radiographic views as they relate to alignment of the ankle and hindfoot to the lower leg. Patient positioning as it relates to obtaining full-length lower extremity radiograph views are discussed along with contralateral radiographs, which are useful and important for comparative purposes.

Extracorporeal shockwave therapy for chronic proximal plantar fasciitis.

Although much enthusiasm surrounds applying extracorporeal shock wave therapy for various musculoskeletal conditions, its effects are not well understood and warrant continued study. Certain body tissues or organs may be damaged either acutely or chronically by ESWT; however, it is unequivocal that lung tissue may be damaged. It is theorized that neovascularization is responsible for improvement in symptoms of plantar fasciitis.