BOOK
Managing Pediatric Foot and Ankle Deformity, An issue of Foot and Ankle Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
Clubfoot is a deformity in which an infant's foot is turned inward so that the bottom of the foot faces sideways or even upward. Approximately one infant in every 1,000 live births will have clubfoot, making it one of the more common congenital (present at birth) foot deformities. If a child's clubfoot is not treated, the foot will remain deformed, and he or she will not be able to walk normally.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Managing Pediatric Foot and Ankle Deformity\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Managing Pediatric Foot and Ankle Deformity\r | vii | ||
| The Ponseti Method in Low and Middle Income Countries: Challenges and Lessons Learned\r | vii | ||
| Treatment of Idiopathic Clubfoot in the Ponseti Era and Beyond\r | vii | ||
| Treatment of Severe Recurrent Clubfoot\r | vii | ||
| Evaluation and Surgical Management of the Overcorrected Clubfoot Deformity in the Adult Patient\r | viii | ||
| Tendon Transfers Around the Foot: When and Where\r | viii | ||
| Syndromic Feet: Arthrogryposis and Myelomeningocele\r | viii | ||
| Cavus Foot\r | viii | ||
| Neuromuscular Foot: Spastic Cerebral Palsy\r | ix | ||
| Tarsal Coalitions – Calcaneonavicular Coalitions\r | ix | ||
| Talocalcaneal Coalitions\r | ix | ||
| Painful Flexible Flatfoot\r | ix | ||
| Pediatric Ankle Fractures: Concepts and Treatment Principles\r | x | ||
| FOOT AND ANKLE CLINICS\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| March 2016 | xi | ||
| June 2016 | xi | ||
| September 2016 | xi | ||
| December 2016 | xi | ||
| RECENT ISSUES | xi | ||
| September 2015 | xi | ||
| June 2015 | xi | ||
| March 2015 | xi | ||
| Preface: Managing Pediatric Foot and Ankle Deformity \r | xiii | ||
| The Ponseti Method in Low and Middle Income Countries | 547 | ||
| Key points | 547 | ||
| INTRODUCTION | 547 | ||
| CHALLENGES | 548 | ||
| Competing Clinical Obligations | 548 | ||
| Developing a Population Perspective on Managing Clubfoot | 549 | ||
| Engaging Community-Based Organizations | 549 | ||
| Maintaining Comprehensive Patient Medical Records | 549 | ||
| Quality and Cost of Braces and Adherence to the Bracing Protocol | 549 | ||
| Health System Functionality | 550 | ||
| LESSONS LEARNED | 550 | ||
| In-Country Champions and Change Agents Are Essential | 550 | ||
| A Diverse Mix of Skill Sets and Interests Among Champions Is Important | 550 | ||
| Local Stakeholders Should Develop Their Own Vision, Action Plan, and Timelines | 551 | ||
| Focus on Sustainability from the Beginning | 551 | ||
| Linking Clinical and Programmatic Training Enhances Program Development | 551 | ||
| Support by the Orthopedic Society and Ministry of Health Can Accelerate Program Development | 552 | ||
| SUMMARY | 552 | ||
| REFERENCES | 552 | ||
| Treatment of Idiopathic Clubfoot in the Ponseti Era and Beyond | 555 | ||
| Key points | 555 | ||
| A SHORT HISTORY OF THE PONSETI METHOD | 555 | ||
| PEARLS ABOUT PONSETI CASTING | 557 | ||
| ETIOLOGY OF IDIOPATHIC CLUBFOOT | 558 | ||
| OTHER DIRECTIONS FOR PONSETI CASTING | 558 | ||
| THE “POST-PONSETI ERA” | 560 | ||
| SUMMARY | 561 | ||
| REFERENCES | 561 | ||
| Treatment of Severe Recurrent Clubfoot | 563 | ||
| Key points | 563 | ||
| INTRODUCTION | 563 | ||
| DEFINITION OF SEVERE RECURRENCE | 564 | ||
| CLINICAL ASSESSMENT | 565 | ||
| Radiographic Assessment | 566 | ||
| TREATMENT ACCORDING TO PATHOANATOMY | 567 | ||
| SUBTALAR ROTATION | 567 | ||
| EQUINUS | 568 | ||
| CAVUS | 571 | ||
| ADDUCTION | 573 | ||
| HEEL VARUS | 577 | ||
| SUMMARY | 580 | ||
| SUPPLEMENTARY DATA | 581 | ||
| REFERENCES | 581 | ||
| Evaluation and Surgical Management of the Overcorrected Clubfoot Deformity in the Adult Patient | 587 | ||
| Key points | 587 | ||
| INTRODUCTION | 587 | ||
| PRESENTATION | 588 | ||
| History | 588 | ||
| Examination | 588 | ||
| Nonoperative treatment | 589 | ||
| MANAGEMENT OF SPECIFIC DEFORMITIES | 589 | ||
| Hindfoot Valgus | 589 | ||
| Dorsal Bunion | 591 | ||
| Dorsal Subluxation of the Navicular | 594 | ||
| Flat Top Talus | 595 | ||
| SUMMARY | 597 | ||
| REFERENCES | 597 | ||
| Tendon Transfers Around the Foot | 601 | ||
| Key points | 601 | ||
| INTRODUCTION | 601 | ||
| SURGICAL TECHNIQUE | 602 | ||
| Anterior Tibial Tendon Transfer | 602 | ||
| Indications | 602 | ||
| Preoperative planning | 603 | ||
| Prep and patient positioning | 603 | ||
| Surgical approach and procedure | 603 | ||
| Split anterior tibial tendon transfer | 603 | ||
| Immediate postoperative care | 605 | ||
| Rehabilitation and recovery | 605 | ||
| Posterior Tibial Tendon Transfer to the Dorsum of the Foot | 606 | ||
| Indications | 606 | ||
| Preoperative planning | 606 | ||
| Prep and patient positioning | 606 | ||
| Surgical approach and procedure | 606 | ||
| Immediate postoperative care | 608 | ||
| Rehabilitation and recovery | 608 | ||
| Reverse Jones Procedure for Dorsal Bunion | 608 | ||
| Indications | 608 | ||
| Preoperative planning | 609 | ||
| Prep and patient positioning | 609 | ||
| Surgical approach and procedure | 609 | ||
| Immediate postoperative care | 609 | ||
| Rehabilitation and recovery | 609 | ||
| Peabody Procedure in Myelomeningocele | 609 | ||
| Indications | 611 | ||
| Preoperative planning | 611 | ||
| Prep and patient positioning | 611 | ||
| Surgical approach and procedure | 611 | ||
| Immediate postoperative care | 611 | ||
| Rehabilitation and recovery | 611 | ||
| CLINICAL RESULTS IN THE LITERATURES | 611 | ||
| Anterior Tibial Tendon Transfer | 611 | ||
| Full Anterior Tibia Tendon Transfer | 612 | ||
| Split Anterior Tibia Tendon Transfer | 613 | ||
| Posterior Tibial Tendon Transfer to the Dorsum of the Foot | 614 | ||
| Reverse Jones Procedure for Dorsal Bunion | 615 | ||
| Peabody Procedure in Myelomeningocele | 615 | ||
| SUMMARY | 616 | ||
| REFERENCES | 616 | ||
| Syndromic Feet | 619 | ||
| Key points | 619 | ||
| INTRODUCTION | 619 | ||
| MYELOMENINGOCELE | 620 | ||
| Treatment Considerations | 620 | ||
| Equinus Foot Deformity | 621 | ||
| Talipes Equinovarus (Clubfoot) | 621 | ||
| Soft tissue release | 621 | ||
| Talectomy | 622 | ||
| Other surgical procedures | 623 | ||
| Serial casting | 623 | ||
| Author’s preference | 624 | ||
| Calcaneus Foot Deformity | 624 | ||
| Author’s preference | 627 | ||
| Valgus Hindfoot and Ankle Deformities | 627 | ||
| Valgus hindfoot correction | 628 | ||
| Etiology of the valgus ankle | 628 | ||
| Fibular-Achilles tendodesis | 628 | ||
| Hemiepiphysiodesis of the medial distal tibia | 629 | ||
| Distal tibial osteotomy | 629 | ||
| Author’s preference | 629 | ||
| Congenital Vertical Talus | 630 | ||
| ARTHROGRYPOSIS MULTIPLEX CONGENITA | 630 | ||
| The Classic Clubfoot | 630 | ||
| Soft tissue releases | 631 | ||
| Talectomy | 632 | ||
| External fixator correction | 633 | ||
| Serial casting | 634 | ||
| Author’s preference | 634 | ||
| Equinocavus Foot | 636 | ||
| Congenital Vertical Talus | 636 | ||
| Author’s preference | 638 | ||
| SUMMARY | 638 | ||
| REFERENCES | 638 | ||
| Cavus Foot | 645 | ||
| Key points | 645 | ||
| INTRODUCTION | 645 | ||
| MORPHOLOGY | 645 | ||
| Sagittal Plane Deformities | 646 | ||
| Coronal Plane Deformities | 647 | ||
| CLINICAL PRESENTATION | 648 | ||
| COMPLEMENTARY EXAMINATIONS | 648 | ||
| Gait Analysis | 648 | ||
| Radiographic Evaluation | 649 | ||
| Normal anatomy of the foot | 649 | ||
| In the cavus foot | 650 | ||
| Podometry | 650 | ||
| Podobarometry | 650 | ||
| Electromyography | 650 | ||
| Computed Tomography and MRI for Neurologic Evaluation | 650 | ||
| CONSERVATIVE TREATMENT | 650 | ||
| SURGICAL TREATMENT | 650 | ||
| Neurosurgical | 650 | ||
| Orthopedic Treatment | 651 | ||
| SOFT TISSUE PROCEDURES | 651 | ||
| Steindler Plantar Release for Mild and Flexible Cases | 651 | ||
| Fasciectomy | 651 | ||
| Tendon Transfers | 651 | ||
| Jones Procedure | 651 | ||
| Claw Toes Treatment | 651 | ||
| FOOT OSTEOTOMIES | 652 | ||
| First Metatarsal Extension Osteotomy | 652 | ||
| Medial Cuneiform Osteotomy | 652 | ||
| Calcaneus Osteotomies | 652 | ||
| Tarsectomies or Midfoot Osteotomies | 652 | ||
| EXTERNAL FIXATION CORRECTION | 655 | ||
| SUMMARY | 655 | ||
| REFERENCES | 656 | ||
| Neuromuscular Foot | 657 | ||
| Key points | 657 | ||
| OPERATIVE TECHNIQUES | 658 | ||
| Open Tendoachilles Lengthening | 658 | ||
| Preoperative planning | 658 | ||
| Patient positioning | 658 | ||
| Immediate postoperative care | 659 | ||
| Rehabilitation and recovery | 659 | ||
| Ankle Epiphysiodesis Screw | 659 | ||
| Tarsal Coalitions – Calcaneonavicular Coalitions | 669 | ||
| Key points | 669 | ||
| INTRODUCTION | 669 | ||
| HISTORY | 669 | ||
| EPIDEMIOLOGY | 670 | ||
| ETIOLOGY | 670 | ||
| CLASSIFICATION | 670 | ||
| CLINICAL PRESENTATION | 671 | ||
| IMAGING | 671 | ||
| TREATMENT | 672 | ||
| OPERATIVE TECHNIQUE | 673 | ||
| Preoperative Planning | 673 | ||
| Positioning | 673 | ||
| Operative Approach | 673 | ||
| Operative Procedure | 674 | ||
| Closure | 676 | ||
| REHABILITATION AND RECOVERY | 676 | ||
| COMPLICATIONS | 676 | ||
| CLINICAL RESULTS IN THE LITERATURE | 676 | ||
| REFERENCES | 677 | ||
| Talocalcaneal Coalitions | 681 | ||
| Key points | 681 | ||
| INTRODUCTION | 681 | ||
| SIGNS AND SYMPTOMS | 681 | ||
| PHYSICAL EXAMINATION | 682 | ||
| RADIOGRAPHIC EVALUATION | 682 | ||
| PREOPERATIVE PLANNING | 682 | ||
| SURGICAL INDICATIONS | 682 | ||
| PROCEDURE | 683 | ||
| POSTOPERATIVE TREATMENT | 685 | ||
| CLINICAL RESULTS | 685 | ||
| SUMMARY | 689 | ||
| REFERENCES | 689 | ||
| Painful Flexible Flatfoot | 693 | ||
| Key points | 693 | ||
| BACKGROUND | 693 | ||
| DEVELOPMENT AND RISK FACTORS | 694 | ||
| PATHOPHYSIOLOGY | 694 | ||
| PRESENTATION AND PHYSICAL EXAMINATION | 695 | ||
| MANAGEMENT | 697 | ||
| PROCEDURES | 699 | ||
| REFERENCES | 701 | ||
| Pediatric Ankle Fractures | 705 | ||
| Key points | 705 | ||
| SCOPE OF REVIEW | 705 | ||
| EPIDEMIOLOGY | 705 | ||
| PEDIATRIC ANKLE ANATOMY | 706 | ||
| PATIENT EVALUATION AND DIAGNOSIS | 707 | ||
| History | 707 | ||
| Physical Examination | 707 | ||
| Atypical Fractures | 707 | ||
| Radiographs | 707 | ||
| FRACTURE CLASSIFICATION | 708 | ||
| Salter-Harris Classification | 708 | ||
| Transitional Fractures | 708 | ||
| TREATMENT STRATEGIES | 712 | ||
| General Concepts and Principles of Treatment | 712 | ||
| Management of Displaced Physeal Fractures | 715 | ||
| COMPLICATIONS | 715 | ||
| Growth Disturbance | 715 | ||
| Ankle Joint Problems | 716 | ||
| SUMMARY AND FUTURE DIRECTIONS | 717 | ||
| REFERENCES | 717 | ||
| Index | 721 |