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Peroneal tendon injuries – diagnosis and treatment in elite cross country athletes

What a cross country training regimen can tell you about peroneal tendinitis, peroneal tendon tears and peroneal tendon subluxationJogging

When you meet with your doctor, there’s an unwritten script that your doc is using to guide his/her decision making.  Past medical history, social history, family hist...

Os Trigonum vs Gouty Arthritis

Gout as a differential diagnosis for os trigonum syndrome in adolescent patientsMRI - Os trigonum

Posterior ankle pain in the adolescent patient population is a relatively uncommon complaint.  What is the differential diagnosis for posterior ankle pain in the adolescent population?  Most clinicians would not consid...

Posterior Ankle Pain – Differential Diagnosis

What are the causes of posterior ankle pain?Nerves of the lower extremity

One of my peers came to me the other day at the hospital and asked me about a pain she was having in the back of the ankle.  She stated that she had had plain films taken that were unremarkable.  She also had an MRI that failed to show any bone edema, ar...

Tarsal Tunnel Syndrome and the Tinel’s Sign

Is the Tinel’s sign a reliable diagnostic test?Testing for Tinel's sign of the posterior tibial nerve

Tarsal tunnel syndrome describes an entrapment of the posterior tibial nerve at the medial aspect of the ankle.  The posterior tibial nerve descends the leg and splits into three branches.

  • First branch – supplies sensation to the plantar heel.  Als...
External Fixation for Charcot Joint Reconstruction

Patient choice – are there weight limits when using ex-fix?Charcot reconstruction

External fixation (ex-fix) is often used as an adjunct to internal fixation when correcting rocker bottom flat foot due to Charcot arthropathy.  The reason that ex-fix is used is that the frame, or ex-fix device, can be used to carry weigh...