Pearls 1. Subtle, unexplained pain in the foot or ankle in an athlete can be a stress fracture. 2. Stress fractures of the medial malleolus may be associated with pathologic varus coming from the knee, ankle, or hindfoot. If surgery…
Indications Chronic, irreparable tears (tears >50% of the cross sectional area) of either the peroneus longus, brevis, or both Indications Pitfalls One must make certain that the tendon cannot be repaired primarily after the débridement of the tendon and that…
Indications Fracture in zone II or III of the proximal fifth metatarsal (5MT; Fig. 24.1 ) Acute fracture in an athlete Delayed union Indications Pitfalls Varus hindfoot alignment maintaining a continued risk to 5MT overload. Treatment Options Nonoperative treatment with…
Indications Relatively short metatarsal (brachymetatarsia; Fig. 20.1 ) Overload/transfer metatarsalgia to an adjacent metatarsal head Short first metatarsal (1MT) following corrective surgery for hallux valgus Indications Pitfalls Contraindicated for a dorsiflexion malunion of the 1MT, unless an adjunctive procedure can…