Abstract:
:Injuries to the ankle, foot, and toes of injured workers are common. Although the workers' compensation system attempts to collect information about these injuries and report them in a meaningful way, the process is somewhat inconsistent, inaccurate, and provides information relevant to government agencies but not to physician organizations seeking to improve the prevention and treatment of work-related injuries. Several improvements in data collection could greatly increase the system's efficiency and usefulness. The first is to establish a national system of uniform data collection from each State. The second improvement involves standardization of the forms and means that the data are collected from the worker including a system to retrieve information that has been omitted during the initial encounter. The third, and most important, refinement is to change the reporting of the illness to match currently accepted medical diagnosis codes (ICD-9). Using the current system and making these improvements, the United States would be able to collect more meaningful data on work injuries in this country. From that point forward medical interventions could then be created and their effects more meaningfully analyzed. All those involved in the care and treatment of the injured worker must recognize not only the limitations of the collected data but also how this information can be manipulated. For example, whereas the total cost of benefits paid by employers increased during one decade the average cost per covered employee decreased. Employers and insurers can argue that their total costs have consistently risen but only by knowing that the cost per covered employee had decreased during that same time period can that argument be countered. Similarly, implementation of certain safety practices during a given time period may be accompanied by a reduction in the number of injuries. Changes in the laws that altered injury reporting and reduced the coverage for certain injuries, however, may have created a situation where the reported injury rates were reduced by accounting practice, not medical practice. It is also well established that insurance company profits may be linked as much to the general economy and stock market as they are to premiums and claims. It is hoped that this article begins an understanding of the extent of the problem of foot and ankle injuries in the working population. Additional statistical information on specific topics is presented elsewhere in this issue.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Conti SF,Silverman Ldoi
10.1016/s1083-7515(02)00028-1subject
Has Abstractpub_date
2002-06-01 00:00:00pages
273-90issue
2eissn
1083-7515issn
1558-1934pii
S1083-7515(02)00028-1journal_volume
7pub_type
杂志文章,评审abstract::This article summarizes the various alternatives for direct gastrocnemius lengthening and elucidates the relative strengths and tradeoffs of each as a means of providing balanced perspective in selecting the appropriate procedure for any given patient. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.08.007
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abstract::Nonunions of the tibia represent challenging orthopedic problems, which require the surgeon to analyze numerous factors and choose an appropriate treatment. Tibial nonunion treatment requires establishing its existence and cause. The treatment algorithm necessitates consideration of a wide variety of factors: the loca...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2005.12.003
更新日期:2006-03-01 00:00:00
abstract::This article reviews the role of cavus in foot and ankle injury and summarizes the current surgical and nonsurgical treatments. Recognition of foot position is crucial in the management of ankle instability associated with cavovarus. Correcting foot alignment with orthoses or surgery improves the mechanics of the ankl...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2013.08.005
更新日期:2013-12-01 00:00:00
abstract::These two morbidly obese patients with severe Charcot foot arthropathy were treated successfully with percutaneous correction of their deformity followed by a stepwise application of a pre-assembled neutrally aligned multiplane ring external fixator. This technique transfers well to the trauma environment in which ali...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2006.06.006
更新日期:2006-12-01 00:00:00
abstract::Rheumatoid arthritis is an autoimmune disease that may affect multiple joints, both small and large, and leads to numerous complications. The standard surgical treatment for a rheumatoid arthritic ankle has been an arthrodesis. The ideal candidate for an ankle replacement in a rheumatoid patient is one who is moderate...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2012.08.004
更新日期:2012-12-01 00:00:00
abstract::Flexor to extensor transfer is a useful means for the correction of a flexible hammer toe deformity. Although satisfaction rates have varied in the literature, this technique remains a useful tool in the surgeon’s armamentarium to improve toe deformity, decrease pain, and aid in shoe wear. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章
doi:10.1016/j.fcl.2011.08.005
更新日期:2011-12-01 00:00:00
abstract::Chronic symptoms following lateral ankle sprain occasionally requires surgical intervention. Many options are available including thermal assisted capsular modification. The authors review the history of thermal modification of tissues, the indication for use in the ankle and report their experience with a consecutive...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00063-3
更新日期:2002-09-01 00:00:00
abstract::This article discusses the complications after open reduction and internal fixation of ankle fractures. Complications are classified as perioperative (malreduction, inadequate fixation, and intra-articular penetration of hardware), early postoperative (wound edge dehiscence, necrosis, infection and compartment syndrom...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00162-6
更新日期:2003-03-01 00:00:00
abstract::Foot and ankle reconstruction following blast trauma is particularly challenging based on the devastating soft tissue injuries associated with open comminuted fractures. Considering the difficulties encountered in reconstruction, the functional limitations associated with many salvaged limbs, and the superior performa...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2005.10.002
更新日期:2006-03-01 00:00:00
abstract::Lateral talar process fractures (LTPF) are uncommon injuries but have become more relevant with snowboarding. Currently the fractures are classified according to McCrory-Bladin into 3 types, with advice for treatment that is not ideal anymore. This article proposes modifying the existing classification by differentiat...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2018.04.009
更新日期:2018-09-01 00:00:00
abstract::External fixators have been used effectively for a variety of traumatic, congenital, and neuromuscular conditions of the lower extremity for many decades. The transition to management of Charcot foot and ankle deformities in the diabetic neuropathic patient is a logical application. External fixation can address the u...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00019-0
更新日期:2002-03-01 00:00:00
abstract::Brachymetatarsia is a rare clinical entity that presents a complicated case to the treating surgeon. One-stage lengthening procedures with a variety of biologic and synthetic implants are preferred for metatarsals that only need to be lengthened up to 15 mm, whereas gradual lengthening allows for greater length gain a...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2004.05.002
更新日期:2004-09-01 00:00:00
abstract::Tarsometatarsal (TMT) joint complex injuries can be caused by either direct or indirect injuries. The Lisfranc joint represents approximately 0.2% of all fractures. Up to 20% of these injuries are misdiagnosed or missed on initial radiographic assessment; therefore, a high index of suspicion is needed to accurately di...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2018.07.014
更新日期:2018-12-01 00:00:00
abstract::Severe ankle degeneration can be a devastating problem for young adults. Although ankle fusion continues to be the gold standard, inherent long-term problems are related to this treatment option. Further advances in total ankle prosthetic arthroplasty are needed before this treatment option can be considered suitable ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2006.12.001
更新日期:2007-03-01 00:00:00
abstract::Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient satisfactory rate but have caused many complications, including silicone synovitis and lymph node inflammation. Metal and polyethylene hemiarthroplas...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2004.09.002
更新日期:2005-03-01 00:00:00
abstract::Peroneal tendoscopy is indicated for peroneal tenosynovitis, subluxation or dislocation, snapping, partial tears requiring debridement, and postoperative adhesions and scarring. Peroneal tendoscopy was also found to be valuable as a diagnostic tool in some instances. It is generally reported to have good to excellent ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.10.011
更新日期:2015-03-01 00:00:00
abstract::The incidence of AT rupture has increased in recent decades. AT ruptures frequently occur in the third or fourth decade of life in sedentary individuals who play sport occasionally. Ruptures also occur in elite athletes. Clinical examination must be followed by imaging. Conservative management and early mobilization c...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2013.02.009
更新日期:2013-06-01 00:00:00
abstract::Triple arthrodesis is largely used to restore painful hindfoot deformity. However, the procedure has been connected to several postoperative complications. Therefore, an isolated fusion of the talonavicular and the subtalar joint through a single medial approach has gained popularity. This "diple" arthrodesis provides...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2010.11.006
更新日期:2011-03-01 00:00:00
abstract::Peroneal tendon dislocation is an infrequent sports injury and can be difficult to diagnose. Posterior fibula tenderness and pain with eversion are useful signs to discriminate this from an ankle sprain. In the acute setting, a direct repair provides good results but may need to be augmented with additional soft tissu...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2007.07.001
更新日期:2007-12-01 00:00:00
abstract::There are many psychologic effects to trauma and disease. Patients often exhibit a grief reaction and loss of identity in the early stages of recovery. Fear and anxiety about the physical condition and future independence can contribute to feelings of separation and loneliness in patients. Loss of self-confidence and ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00100-1
更新日期:2001-06-01 00:00:00
abstract::This article reviews the anatomy of the spring ligament complex, the extent of ligament involvement in addition to the spring ligament, and implications for clinical reconstruction. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00086-x
更新日期:2001-03-01 00:00:00
abstract::The hallux valgus is one of the most challenging foot and ankle deformities to correct. The current concept is to consider the hallux valgus as a triplane deformity, and the parameters in transverse, sagittal, and frontal planes must be considered. The hallux valgus angle, intermetatarsal angle, tibial sesamoid positi...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2019.10.007
更新日期:2020-03-01 00:00:00
abstract::The success of cartilage repair in the ankle and other joints rests on multiple factors. Because native cartilage healing fails to produce hyaline, organized cartilage, the challenge lies in activating an appropriate healing response. The combination of an optimal structural matrix, infusion of pleuripotent cells, and...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:
更新日期:2000-12-01 00:00:00
abstract::A bunionette deformity is a painful prominence on the lateral aspect of the fifth metatarsal head. Surgical treatment can be considered if conservative treatment has failed to relieve the symptoms. The percutaneous approach consists of 2 steps: a condylectomy and an osteotomy of the fifth metatarsal. The learning curv...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2020.05.004
更新日期:2020-09-01 00:00:00
abstract::Freiberg disease, or osteochondrosis of the lesser metatarsal head, usually involves the second metatarsal and presents during the second or third decades of life. Conservative measures to relieve pressure on the affected metatarsal head are the first-line treatments, with good success for Smillie stage I to III disea...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2017.09.011
更新日期:2018-03-01 00:00:00
abstract::Iatrogenic hallux varus is a relatively rare complication of corrective hallux valgus surgery that has multiple pathologic facets. It requires a comprehensive assessment that focuses on joint flexibility, joint integrity, soft tissue balance, and bony deformity. A step-wise treatment approach is used to address all el...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.06.004
更新日期:2014-09-01 00:00:00
abstract::The advancing technologies available to the orthopedist are a necessary adjunct to heal wounds about the foot and ankle successfully. Successful wound healing should be viewed as a multidisciplinary approach, using the strengths of each discipline. Critical to an integrated method is communication preoperatively betwe...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00009-8
更新日期:2001-12-01 00:00:00
abstract::Using radiographs culled over a 33-month period, the treatment, complications, revision, and rehabilitation of complicated Jones fractures and stress fractures involving the proximal diaphysis are examined. Although the non-operative approach remains viable, the exigencies and desires of the athletic and leg-based wor...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2009.04.001
更新日期:2009-06-01 00:00:00
abstract::Clubfoot is a complex 4-dimensional deformity involving the hindfoot, midfoot, and forefoot. The fourth dimension is time. Treatment aims at achieving a pain-free, plantigrade, and mobile foot but, over time, flexible deformities become fixed and more difficult to manage. The Ponseti method of serial manipulation and ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2020.02.008
更新日期:2020-06-01 00:00:00
abstract::There are more than 150 different procedures described for correction of the hallux valgus deformity, the treatment of which is usually guided by severity. Moderate to severe hallux valgus has traditionally been managed with a shaft or proximal osteotomy together with distal soft-tissue release. Proximal osteotomies c...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.02.004
更新日期:2014-06-01 00:00:00