Ischaemic necrosis of the navicular bone and its treatment

1979 ◽  
Vol 104 (7) ◽  
pp. 133-137 ◽  
Author(s):  
C. Colles
2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 806.3-806
Author(s):  
K. Maatallah ◽  
M. Hfaidh ◽  
H. Ferjani ◽  
W. Triki ◽  
D. Kaffel ◽  
...  

Background:Several studies have shown that there is a link between body mass index (BMI) and painful foot imputed to a biomechanical change in foot structure [1].Objectives:Our objective was to study the association between BMI and static foot disorders in gonarthrosic subjects.Methods:It was a prospective descriptive study conducted in the rheumatology department of the Mohamed Kassab Institute of Orthopedics with 60 patients with Gonarthrosis. The socio-demographic data of the patients were studied. BMI was calculated for all patients. Static foot disorders have been studied.Results:Sixty patients were included, 83.3% of whom were female. The average age was 55.2 years [38-78 years]. The disease has been evolving for an average of 6 years [1-13 years]. The lesion was bilateral in 80% of cases, the average body mass index was 30.4 kg / m2 [24-36]. Knee arthritis was classified as stage I, II and III according to the Kellgren and Lawrence classification in 18.5%, 55.6% and 25.9% of patients respectively. The foot examination involved 108 gonarthrosic limbs. Examination of the integuments showed hyperkeratosis in 94.4% of the cases (79.6% calluses and 83.3% callosities). Forefoot deformities were Hallux valgus (HV) in 52.8% of cases and overlapping toes in 18.5% of cases. Pronation deformity using the Foot Posture Index (FPI) was found in 51.9% of cases. Abnormal lowering of navicular bone was noted in 51.9%. The podoscopic impression revealed flat feet in 73.2% of the cases.A statistically significant association was found between BMI and the presence of calluses (31.21 ± 2.897 vs26.83 ± 1.425, p <0.001), with HV (31.37 ± 3.086 vs29.49 ± 2.969, p = 0.002), at the overlap of the toes (33.2 ± 1.361vs29.86 ± 1.130, p <0.001), with the lowering of the navicular bone (31.17 ± 2.885vs29.68 ± 3.304, p = 0.015), FPI (p = 0.003) and flat podoscopic impression (p <0.001).Conclusion:BMI is strongly associated with static feet disorders in gonarthrosic patients by aggravating the postural changes in the foot caused by knee osteoarthritis [2]. Obesity is associated mainly with the existence of flat feet, pronation of the foot, toes deformities and hyperkeratosis.References:[1]Steele JR, Mickle KJ, Munro B. Fat flat frail feet: how does obesity affect the older foot. XXII Congress of the International Society of Biomechanics; 2009[2]Norton AA, Callaghan JJ, Amendola A, Phisitkul P, Wongsak S, Liu SS, et al. Correlation of knee and hindfoot deformities in advanced knee OA: compensatory hindfoot alignment and where it occurs. Clin Orthop Relat Res. 2015;473(1):166-74Disclosure of Interests:None declared


2017 ◽  
Vol 62 (4) ◽  
pp. 152-155
Author(s):  
Esra Yildizhan ◽  
Leylagul Kaynar ◽  
Nicolette Tiren ◽  
Ozlem canoz ◽  
Bulent Eser

2015 ◽  
Author(s):  
M. Zaborowicz ◽  
J. Włodarek ◽  
A. Przybylak ◽  
K. Przybył ◽  
D. Wojcieszak ◽  
...  
Keyword(s):  

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Phui Yee Wong ◽  
Tereze Laing ◽  
Catherine Milroy

Introduction. Literature on ideal management of accessory auricles is limited. Traditionally, accessory auricles are managed by paediatricians with suture ligation at the base of the accessory auricle to induce ischaemic necrosis (Mehmi et al, 2007). This method can be associated with complications and poor cosmesis thus leading to the vogue of surgical excision ( Frieden et al, 1995; Sebben, 1989). We present our experience in managing these lesions in children with the application of a titanium clip in a one-stop outpatient setting. Methods. Data was collected retrospectively through review of patient records and telephone questionnaire identifying outcomes from the parents’ perspective. Results. Of 42 patients, 24 (57.1%) responded. Eleven (26.2%) underwent surgical excision, 6 (14.3%) had no intervention, and 1 (2.4%) was not contactable. All parents were happy with the outcome and would recommend this management to other parents. Twenty-three (96%) had no complications apart from a tiny residual nubbin, which was considered cosmetically acceptable. One child had a residual nubbin that grew in size requiring surgical excision at later stage. Conclusion. Management of accessory auricles by the application of a titanium clip in one-stop outpatient setting is safe, simple, quick, and well tolerated with no need for admission, anaesthesia, or followup due to the low complication rate.


2001 ◽  
Vol 121 (9) ◽  
pp. 546-547 ◽  
Author(s):  
I˙. Günal ◽  
K. Yörüko˘glu

2019 ◽  
Vol 5 (4) ◽  
pp. 806-808
Author(s):  
Alioune Badara Gueye ◽  
Mouhamadou Niane ◽  
Charles Valérie Alain Kinkpé ◽  
Abdoulaye Ndoye Diop ◽  
Mohamed Daffé ◽  
...  

2014 ◽  
Vol 104 (1) ◽  
pp. 110-114 ◽  
Author(s):  
Anthony S. Nguyen ◽  
Gino H. Tagoylo ◽  
Gregory A. Mote

We report three patients with diagnostic imaging findings that are consistent with Mueller-Weiss syndrome. Mueller-Weiss syndrome is a rare condition that involves osteonecrosis of the navicular bone in an adult. The characteristic findings for Mueller-Weiss syndrome include a dorsomedial dislocation along with the collapse of the lateral navicular bone, resulting in a comma-shaped configuration. Through these three case studies, we aim to familiarize both foot and ankle specialists and radiologists with the diagnostic imaging findings for Mueller-Weiss syndrome.


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