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Blog posts of '2017' 'November'

Calcaneal Fracture – Plantar Medial Tubercle

A unique fracture of the calcaneus not found within any fracture classification.Unique fracture of the calcaneus

I saw a unique fracture of the heel bone (calcaneus) this week that in 32 years of practice, I don’t believe I have ever seen before.  This fracture is not described in the most common fracture classifications, includi...

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...
Pemphigus Vulgaris of the Foot

How does the skin blister and why does it happen?

The formation of a blister is a localized deposition of fluid, most commonly deep to the epidermis, the most superficial layer of skin.  Blistering can occur due to a direct insult to the skin such as friction, an acute temperature injury to the ski...

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...