In Brodsky's classical description of zones affected by diabetic neuropathic arthropathy, he described the primary areas of the foot affected to be the midfoot and rearfoot (types 1,2,3).  How common is neuropathic arthropathy of the forefoot (Brodsky type 5)?  This article explores the fact that Brodsky type 5 (forefoot) may be an overlooked condition in diabetes care.

To fuse or not to fuse – that is the bunionectomy

Adjacent segment pathology following bunionectomy procedures

Foot and ankle surgeons use a number of fusion techniques to treat forefoot pathology.  Fusion of the great toe joint is commonly used to treat acquired hallux valgus (bunion).  The Lapid...

Lisfranc fractures - when is the most appropriate time to remove the fixation?

Most foot and ankle surgeons will agree that there’s a need to remove fixation, particularly screw fixation, prior to failure of the fixation by weight-bearing. Once broken, internal fixation is almost impossible to remo...

The shape of the toe box – add that to length and width next time you go shoe shopping.

I saw a young man who came into the clinic this week with a sore ingrown toenail. His family doctor had placed him on antibiotics and referred him to us for correction of the nail.  But there was a problem.  T...

Great toe injuries post 1^st mpj fusion

I saw an interesting case of turf toe this week.  The patient was a 63 y/o female who underwent 1^st mpj fusion for stage 4 hallux limitus in 2007.  The fusion was a success and the patient went on to be quite active in sports.

The patient presented to my offi...