Foot/Ankle

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A 17-year-old athlete with recurrent ankle sprains

Orthopedics Today, August 2017
Andrew R. Hsu, MD

A 17-year-old female high school soccer player with no medical comorbidities presented to clinic with right ankle pain that progressively worsened in the past 6 months. For 4 years, she had been diagnosed by her primary care physician and athletic trainers as having recurrent ankle sprains and ankle instability. The patient had been treated with multiple rounds of orthotics, ankle bracing, tall controlled ankle motion (CAM) boots, physical therapy and NSAID, with minimal benefit. The patient reported pain particularly with cutting maneuvers during soccer and when she tried to move her ankle side-to-side.

On physical exam, the patient was 5 feet 6 inches tall and weighed 110 pounds. She had diffuse pain and swelling along the medial aspect of her foot and ankle. She could not pinpoint the exact area of her discomfort, but she had worsening pain with subtalar joint passive range of motion (ROM). Standing alignment showed the patient had a rigid flatfoot deformity with mild forefoot abduction. She had full ankle ROM with mild pain over the anterior talofibular ligament, but there was no gross ankle ligamentous instability. Radiographs of the right ankle were obtained for further evaluation (Figure 1).

From OT Europe

EFORT Travelling Fellowship Report 1

Orthopaedics Today Europe, August 2017
Pim van Egmond, MD
Since 1995, EFORT organizes two travelling fellowships per year: one in the spring and one in the fall. Each national association can nominate one candidate at the end…
From OT Europe

EFORT Open Reviews: A round-up of recently published articles

Orthopaedics Today Europe, August 2017
EFORT Open Reviews is the new open access journal from EFORT and Bone & Joint Publishing. All articles are free to read online with no subscription required. Have…
From OT Europe

Awards from the 18th EFORT Annual Congress: Authors and presentations

Orthopaedics Today Europe, August 2017
The EFORT Congress Awards are selected among the many high-quality papers and posters presented at the congress. The best-rated free papers had the opportunity to…
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Feature Article

Calcaneocuboid Joint Arthritis of the Midfoot Precedes Tibiotalar Joint Arthritis

Orthopedics, November/December 2016, Volume 39 Issue 6
Surgical models have best shown the relationship between ankle and mid-foot osteoarthritis, although findings regarding…
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CME

Chronic OA Management: Volume 1, Issue 2

This activity is supported by an educational grant from Genzyme.

Osteoarthritis (OA) is a chronic, progressive and multifactorial disease characterized by degenerative and inflammatory…
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Resource Centers
American Orthopaedic Society for Sports Medicine Annual Meeting

American Orthopaedic Society for Sports Medicine Annual Meeting

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Meeting News

VIDEO: Glazebrook discusses outcomes of hemiarthroplasty of the toe with synthetic implant revised to fusion

July 19, 2017
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