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Short-Term Outcomes of Arthroscopic Treatment of Freiberg Disease.
J Am Podiatr Med Assoc
July 2024
‡Department of Orthopedic Surgery, Jeonbuk National University Medical School, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, South Korea.
Background: Surgical treatment for Freiberg disease (also known as avascular necrosis of the metatarsal head) has not been completely defined. This retrospective study evaluated short-term outcomes after arthroscopic treatment of Freiberg disease.
Methods: From 2015 to 2019, 13 patients (15 feet) diagnosed as having Freiberg disease were enrolled for arthroscopic surgery.
Prenatal and neonatal phenotype of Larsen of La Réunion Island syndrome (B4GALT7-linkeropathy).
Eur J Med Genet
June 2024
Centre Pluridisciplinaire de Diagnostic Prénatal, Centre Hospitalier Universitaire de La Réunion, La Réunion, France.
Larsen of La Réunion Island syndrome (LRS) is an autosomal recessive condition associated with multiple large joint dislocations, clubfeet, severe dwarfism, and distinctive facial features. LRS is caused by a recurrent homozygous variant in B4GALT7 gene with a founder effect in La Réunion population. Proteoglycans (PG) that are a major component of the extracellular matrix, are composed of a core protein connected to a glycosaminoglycans side chain via a tetrasaccharide linker region.
View Article and Find Full Text PDFArticle Synopsis
- Metatarsus adductus (MA) is the most common congenital foot deformity, characterized by the forefoot being angled inward while the hindfoot remains properly aligned.
- Early diagnosis and treatment are crucial, particularly before 9 months of age, with mild to moderate cases often managed conservatively, while severe cases typically require specialist intervention.
- Recent advancements in orthotic devices show promise in effectively treating severe MA, potentially allowing primary care physicians to manage cases without needing referrals to specialists.
Metatarsal lengthening by distraction osteogenesis for brachymetatarsia in paediatric patients: is it safe and effective?
Eur J Orthop Surg Traumatol
May 2024
Alder Hey Children's Hospital, Liverpool, UK.
Purpose: The primary aim is to assess the efficacy of the surgical callus distraction technique of the metatarsus in paediatric patients. Secondary objectives are to assess complications and treatment duration. We have also described the details of our surgical technique.
View Article and Find Full Text PDFSuccessful treatment of advanced Freiberg's disease with a modified Weil osteotomy, 5-year follow up: A Pilot case series with a review of the literature.
Foot (Edinb)
December 2023
Division of Orthopaedic Surgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Article Synopsis
- Treatment for Freiberg's disease is mainly conservative, but a modified Weil osteotomy was evaluated for advanced cases in a study of 12 patients over 5 years.
- The study found significant improvement in patient outcomes as measured by the AOFAS scoring system, with a mean score increase of 40.8 and 92% satisfaction rate among patients.
- The surgery demonstrated effective results with all patients achieving radiological union and only one instance of a mild infection, indicating it’s a promising option for treatment.
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