The metatarsophalangeal (MTP) joints are often and predominantly affected in rheumatoid arthritis. The aim of the current study was to describe surgical techniques of shortening oblique osteotomy for lesser metatarsal bone with screw fixation at the osteotomy site, and to investigate the short-term clinical outcomes of our procedure. Twenty-seven feet (78 toes) of 24 RA patients underwent the s...

Fractures and fracture-dislocations involving the tarso-metatarsal region have been known for many years. In spite of this recognition, there remains considerable conflict of opinion regarding the incidence, mechanism, treatment and prognosis of the injury (Aitken and Poulson 1963). The purpose of this paper is to discuss the possible mechanisms of injury as studied from a series of twenty clin...

In 1881, Reverdin described a closing wedge osteotomy of the first metatarsal head with the apex laterally that also included excision of the medial eminence (Fig. 11-1A). His purpose was to realign the abducted hallux and remove the prominent bump. The procedure effectively reduces an abnormal proximal articular set angle but does not directly address the intermetatarsal angle. Since the time ...

Proper case selection, rigid stabilization, and efforts to prevent or treat infection will improve the success rate of metacarpal and metatarsal bone fractures in the horse. Metacarpal and metatarsal fractures in horses need not be associated with a poor prognosis. Authors’ addresses: Depts. of Veterinary Clinical Sciences (McClure and Hawkins) and Veterinary Pathobiology (Glickman and Glickman...

In this study, we reported a case with collapse and subluxation of metatarsal-cuneiform joint, navicular-cuneiform joint with subluxed the right first metatarsophalangeal joint. The injured medial column was internally fixed with compression arthrodesis. The fusion site was firmed up with BonGold® Bone Sponge and Bone Putty. The prognosis of fused navicular-cuneiform joint and metatarsal-cuneif...

The aim of this study was to determine the response of cyclists to manipulations of cadence and power output in terms of force application and plantar pressure distribution. Two groups of cyclists, 17 recreational and 12 competitive, rode at three nominal cadences (60, 80, 100 rev x min(-1)) and four power outputs (100, 200, 300, 400 W) while simultaneous force and in-shoe pressure data were co...

Received 11/2/2006; revised 1/17/2007; accepted 1/18/2007. For correspondence or reprints contact: Bing-Fu Shih, M.D., Division of Nuclear Medicine, Mackay Memorial Hospital. 92 Section 2, Chung-Shan North Road, Taipei 104, Taiwan. Tel: (886)2-25433535 ext.2241, Fax: (886)2-25433535 ext.2925, E-mail: [email protected] Bone scan is a sensitive tool for evaluating cause of bone pain in sympto...

Background: This study aimed to investigate the anatomic characteristics of the ligaments between the first cuneiform and the base of the second metatarsal, which might improve the treatment of Lisfranc

There is not any method to measure metatarsal protrusion in the whole metatarsal. The aim of this research is to know the normal metatarsal parabola in male and female feet. The system of measurement devised by Hardy and Clapham to evaluate the protrusion between metatarsals I and II was adapted to study the whole metatarsal parabola and applied to the five metatarsals of 169 normal feet, 72 fe...

Previously, we showed that expression of a dominant-negative form of the transforming growth factor beta (TGF-beta) type II receptor in skeletal tissue resulted in increased hypertrophic differentiation in growth plate and articular chondrocytes, suggesting a role for TGF-beta in limiting terminal differentiation in vivo. Parathyroid hormone-related peptide (PTHrP) has also been demonstrated to...