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Calcaneal Fracture – Plantar Medial Tubercle
Calcaneal Fracture – Plantar Medial Tubercle

A unique fracture of the calcaneus not found within any fracture classification.Unique fracture of the calcaneus

I saw a unique fracture of the heel bone (calcaneus) this week that in 32 years of practice, I don’t believe I have ever seen before.  This fracture is not described in the most common fracture classifications, includi...

Tarsal Tunnel Syndrome and the Tinel’s Sign
Tarsal Tunnel Syndrome and the Tinel’s Sign

Is the Tinel’s sign a reliable diagnostic test?Testing for Tinel's sign of the posterior tibial nerve

Tarsal tunnel syndrome describes an entrapment of the posterior tibial nerve at the medial aspect of the ankle.  The posterior tibial nerve descends the leg and splits into three branches.

  • First branch – supplies sensation to the plantar heel.  Als...
Pemphigus Vulgaris of the Foot
Pemphigus Vulgaris of the Foot

How does the skin blister and why does it happen?

The formation of a blister is a localized deposition of fluid, most commonly deep to the epidermis, the most superficial layer of skin.  Blistering can occur due to a direct insult to the skin such as friction, an acute temperature injury to the ski...

External Fixation for Charcot Joint Reconstruction
External Fixation for Charcot Joint Reconstruction

Patient choice – are there weight limits when using ex-fix?Charcot reconstruction

External fixation (ex-fix) is often used as an adjunct to internal fixation when correcting rocker bottom flat foot due to Charcot arthropathy.  The reason that ex-fix is used is that the frame, or ex-fix device, can be used to carry weigh...

What’s in your toe box?
What’s in your toe box?

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

toe box

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...