The Experts below are selected from a list of 573 Experts worldwide ranked by ideXlab platform
M Yamada - One of the best experts on this subject based on the ideXlab platform.
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avulsion fracture of peroneus longus at the first metatarsal insertion a case report
British Journal of Sports Medicine, 2004Co-Authors: T Murakami, K Okamura, S Harada, M Setojima, Y Ikushiba, Y Miyamoto, S Li, M YamadaAbstract:Reports of isolated avulsion fracture at the planter lateral base of the first metatarsal without injury of the Tarsometatarsal Joint are very rare. A 24 year old man sustained an avulsion fracture at the plantar lateral base of the first metatarsal. Normal alignment of metatarsal bones and Tarsometatarsal Joint was maintained. In this paper, we describe internal fixation of the displaced fragment using x ray and minimally invasive surgery with good results.
Donald R Bohay - One of the best experts on this subject based on the ideXlab platform.
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management of Tarsometatarsal Joint injuries
Journal of The American Academy of Orthopaedic Surgeons, 2017Co-Authors: Brian M Weatherford, J G Anderson, Donald R BohayAbstract:Joint disruptions to the Tarsometatarsal (TMT) Joint complex, also known as the Lisfranc Joint, represent a broad spectrum of pathology from subtle athletic sprains to severe crush injuries. Although injuries to the TMT Joint complex are uncommon, when missed, they may lead to pain and dysfunction secondary to posttraumatic arthritis and arch collapse. An understanding of the appropriate anatomy, mechanism, physical examination, and imaging techniques is necessary to diagnose and treat injuries of the TMT Joints. Nonsurgical management is indicated in select patients who maintain reduction of the TMT Joints under physiologic stress. Successful surgical management of these injuries is predicated on anatomic reduction and stable fixation. Open reduction and internal fixation remains the standard treatment, although primary arthrodesis has emerged as a viable option for certain types of TMT Joint injuries.
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open reduction internal fixation versus primary arthrodesis for lisfranc injuries a prospective randomized study
Foot & Ankle International, 2009Co-Authors: Jeffrey A Henning, Clifford B Jones, Debra L Sietsema, Donald R Bohay, John G AndersonAbstract:Background:Dislocations and fracture-dislocations involving the Tarsometatarsal Joint are a relatively common injury. These injuries are associated with long-term disability from subsequent painful...
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fusion rate of first Tarsometatarsal arthrodesis in the modified lapidus procedure and flatfoot reconstruction
Foot & Ankle International, 2005Co-Authors: Ian Thompson, Donald R Bohay, John G AndersonAbstract:Background: The purpose of this study was to determine the overall first Tarsometatarsal Joint (TMTJ) union rate in patients after they had a modified Lapidus procedure or a TMTJ arthrodesis as par...
Frank W M Faber - One of the best experts on this subject based on the ideXlab platform.
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quantification of first Tarsometatarsal Joint stiffness in hallux valgus patients
Clinical Biomechanics, 2001Co-Authors: Frank W M Faber, P E Zollinger, G J Kleinrensink, L Damen, Paul G H Mulder, C J Snijders, Jan A N VerhaarAbstract:Abstract Objective . Comparison of the clinical mobility test of the first Tarsometatarsal Joint with Doppler Imaging of Vibrations measurement of the stiffness of this Joint in hallux valgus patients. Design . Clinical testing of first Tarsometatarsal Joint mobility was related to independent Doppler Imaging of Vibrations measurement of first Tarsometatarsal Joint stiffness. Background . Hypermobility of the first Tarsometatarsal Joint has consequences for the surgical treatment of hallux valgus deformity. However, the clinical test is subjective. Doppler Imaging of Vibrations could be helpful in quantification of the stiffness of this Joint. Methods . Clinical examination of the mobility of 32 first Tarsometatarsal Joints in 20 hallux valgus patients was compared with Doppler Imaging of Vibrations stiffness measurements performed by an independent observer. Results . There was a statistically significant relation between the clinical test and the stiffness measurement by Doppler Imaging of Vibrations. Conclusion . Doppler Imaging of Vibrations proves to be a method to quantify first Tarsometatarsal Joint stiffness and could contribute to a rational policy for the surgical treatment of hallux valgus deformity. Relevance The clinical test to establish hypermobility of the first Tarsometatarsal Joint is subjective. Doppler Imaging of Vibrations offers objective criteria and quantification of first Tarsometatarsal Joint stiffness. This provides additional information for the choice of the surgical procedure to correct hallux valgus deformity.
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doppler imaging of vibrations as a tool for quantifying first Tarsometatarsal Joint stiffness
Clinical Biomechanics, 2000Co-Authors: Frank W M Faber, G J Kleinrensink, Paul G H Mulder, C J Snijders, H M Buyruk, Henk J Stam, Rob StoeckartAbstract:Abstract Objective . To assess whether first Tarsometatarsal Joint stiffness can be measured by Doppler imaging of vibrations and if so, to assess reference values. Design . Repeated in vivo Doppler imaging of vibrations measurements at the first Tarsometatarsal Joint in healthy persons. Background . Clinical hypermobility of the first Tarsometatarsal Joint is an important factor in a hallux valgus deformity. No objective and non-invasive test is available to quantify first Tarsometatarsal Joint mobility. Doppler imaging of vibrations, a technique recently developed to measure Joint stiffness, might be an effective tool to quantify stiffness of this Joint. Methods . Vibrations were applied to the head of the first metatarsal in 46 feet of 23 healthy subjects and picked up by a transducer at both sides of the first Tarsometatarsal Joint. A pilot study was performed on three patients with hypermobility of the first Tarsometatarsal Joint. Measurements are expressed in threshold units related to colour Doppler imaging. Results . The values of the threshold units were found to be very similar in healthy persons, with a good repeatibility; 95% of the healthy persons had a threshold unit below 3.4. No significant difference was found between the left and right foot, or between male and female subjects. Also there was no significant correlation with age or weight of the subjects. In the three patients with first Tarsometatarsal hypermobility we found threshold units above 5. Conclusions . With Doppler imaging of vibrations first Tarsometatarsal Joint stiffness can be measured in healthy persons in a non-invasive and objective way. In a pilot study, three patients with first Tarsometatarsal hypermobility showed lower stiffness values than the healthy subjects. Relevance This study presents a new method for quantification of first Tarsometatarsal Joint stiffness and provides reference values in healthy persons. First measurements on patients gave promising results to future use of this method for assessment of clinical hypermobility in hallux valgus patients.
Xiao Wang - One of the best experts on this subject based on the ideXlab platform.
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diagnosis and treatment of Tarsometatarsal Joint complex injury
China Journal of Orthopaedics and Traumatology, 2011Co-Authors: Jianliang Chen, Longjun Zhang, Xiaodong Zheng, Xiao WangAbstract:OBJECTIVE To explore the diagnosis and treatment of Tarsometatarsal Joint complex injury (TJC). METHODS From January 2007 to January 2009,16 patients with Tarsometatarsal Joint complex injury were treated with open reduction and internal fixation. There were 12 males and 4 females, ranging in age from 21 to 45 years with an average of 34.1 years. Seven cases were left and 9 cases were right and all injuries caused by direct violence. Four cases caused by traffic accident 5 by fall from high and 7 by crush injury. Intercuneiform dislocation were in 11 cases, naviculocuneiform Joint dislocation in 3 cases and cuboid fracture in 2 cases. All the cases were three column injuries. According to the situation of exploring and the stability, screw fixation was used for intertarsal Joint, internal and middle column Tarsometatarsal Joint, the Kirschner wire fixation for external column and miniature plate fixation for comminuted fracture of metatarsal bones and compressible fracture of cuboid. The criteria of the AOFAS Foot and Ankle Surgery by the United States Association of ankle-rear foot functional scale was used to evaluate the clinical effect. RESULTS All the patients were followed up,the duration ranged from 6 to 18 months(averaged 12.6 months). According to the score system of AOFAS,the total score was (74.6+/-10.4 ) points, including pain items of (29.3+/-5.9), the score of functional items of (32.4+/-5.6) points, and power lines of (12.9+/-2.6). All the incisions were primarily healed without infection, skin necrosis,fixture broken or loosen. Three cases received arthrodesis due to osteoarthritis. Four cases were followed up continually because they only had the radiologic osteoarthritis without pain. CONCLUSION Anatomical reduction and stable fixation is the key point of the treatment of Tarsometatarsal Joint complex injury. Open reduction and internal fixation at the first stage is good for secondary arthrodesis.
Christopher F Hyer - One of the best experts on this subject based on the ideXlab platform.
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arthrodesis of the first Tarsometatarsal Joint for correction of hallux abductovalgus technique guide and tips
Foot & Ankle Surgery: Techniques Reports & Cases, 2021Co-Authors: Travis M Langan, Roberto A Brandao, David A Goss, Christopher F HyerAbstract:Abstract The treatment of hallux abductovalgus continues to evolve as surgeons better understand first ray biomechanical pathology. Many authors have advocated the use of the 1st Tarsometatarsal Joint arthrodesis for correction of moderate to severe hallux abductovalgus deformities and those with hypermobility of the 1st ray. There continues to be debate over the best surgical technique, fixation construct, and post operative protocol for the 1st Tarsometatarsal Joint fusion. We describe a technique with a unique hardware construct that is reproducible and allows for excellent deformity correction and pain relief while minimizing associated complications with this procedure.
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maintenance of correction of the modified lapidus procedure with a first metatarsal to intermediate cuneiform cross screw technique
Foot & Ankle International, 2020Co-Authors: Travis M Langan, Roberto A Brandao, David A Goss, Joseph M Greschner, Clair N Smith, Christopher F HyerAbstract:Background:Recurrence of deformity remains a concern when fusing the first Tarsometatarsal Joint for correction of hallux valgus (HV). A recently described construct adds an additional point of fix...
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maintenance of correction of the first Tarsometatarsal Joint arthodesis procedure with a first metatarsal to second metatarsal screw technique a preliminary report
Foot & Ankle Orthopaedics, 2019Co-Authors: Roberto A Brandao, Travis M Langan, David A Goss, Joseph M Greschner, Christopher F HyerAbstract:Category:BunionIntroduction/Purpose:Fusion of the first Tarsometatarsal Joint is common for the treatment of moderate to severe hallux abductovalgus deformity. Despite arthrodesis of the first tars...
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corrective realignment arthrodesis of the first Tarsometatarsal Joint without wedge resection
Foot and Ankle Specialist, 2015Co-Authors: Jeffrey E Mcalister, Kyle S Peterson, Christopher F HyerAbstract:Moderate to severe hallux valgus (HV) has traditionally been treated with a corrective osteotomy or a Tarsometatarsal arthrodesis. Tarsometatarsal arthrodesis can be performed as a planar wedge resection or using a Joint curettage technique. Little is known about whether adequate correction can be obtained with purely a Joint curettage technique. The purpose of this study is to evaluate the corrective power of a first Tarsometatarsal Joint (TMTJ) arthrodesis using a nonplanar wedge curettage technique. A retrospective radiograph and chart review was performed on 99 consecutive patients (110 feet) who underwent a first TMTJ arthrodesis for primary HV correction utilizing a curettage technique. The radiographic measurements collected were the first intermetatarsal angle, HV angle, and tibial sesamoid position and were obtained at the following intervals: preoperative, immediate postoperative, and 6 months postoperative. In all, 91 patients (100 feet) qualified for statistical analysis. There was a significant decrease in all 3 measurements from the preoperative throughout the entire postoperative time period (P < .001). The authors demonstrate the ability to achieve significant angular correction with a Joint curettage method for a Tarsometatarsal arthrodesis.
