Foot & ankle specialist
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Foot & ankle specialist · Apr 2015
Case ReportsJoint salvage after neglected intra-articular physeal fracture of the hallux in high-level gymnasts.
Chronic sports-related injuries involving the hallux are well known in adult populations. However, they are less frequently described in adolescents. We present 2 cases of elite-level gymnasts with neglected Salter-Harris IV fractures involving the proximal phalanx of the great toe following a severe hyperextension injury to the metatarsophalangeal joint. Both were successfully treated with open reduction and internal fixation with return to pre-injury level of activity, improvement in outcome scores, and demonstration of no disability from injury 2 years after surgical intervention. ⋯ Therapeutic, Level IV: Case Series.
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Foot & ankle specialist · Apr 2015
Driving reaction times in patients with foot and ankle pathology before and after image-guided injection: pain relief without improved function.
Foot and ankle pathology is common in the driving population. Local anesthetic steroid injections are frequent ambulatory treatments. Brake reaction time (BRT) has validated importance in motor vehicle safety. There are no prior studies examining the effect of foot and ankle pathology and injection treatment on the safe operation of motor vehicles. We studied BRT in patients with foot and ankle musculoskeletal disease before and after image-guided injection treatment. ⋯ Therapeutic, Level II: Prospective Comparative Study.