Beginner’s guide to 1st Metatarsal Fractures

  Terms to know: Jahss classification   Conservative treatment for 1st met fractures: NWB in SLC for 4-6 weeks When should you do ORIF for met fractures? Extra-articular: >2-3 mm displacement and >10 degrees angulation Intra-articular: fracture involves >20% articular surface if   When should you do open surgery for Jahss? Jahss classification 1 Order…

Beginner’s guide to Calcaneal Fractures

A crash course regarding calcaneal fractures.   Last edited: March 2016 Author: Rossi bad The most fractured bone of all the tarsal bones is the calcaneus. They are mostly intra-articular and closed. There are 3 common “types” of fractures as it relates to the calcaneus: Intra-articular: Primary fx line (oblique-shearing) results in two fx: superio-medial (constant fragment) and…

Everything about the NAVICULAR!

    The navicular primary ossification center is the last to appear at 3 years.   There are classifications for the navicular, which include the Watson-Jones (tuberosity, dorsal lip, body, stress – TABS mneomonic fractures). Navicular body fractures have a classification called the Sangeorzan (3A-C).   PTTD pathological joint axis Kidner Os tibiale externum Stress…

Differentials: Osteomyelitis vs Charcot Neuroarthropathy Foot

Charcot neuroarthropathic (CN) foot and Diabetic foot Osteomyelitis (DFO) are two differential complications that occur due to diabetes. CN and DFO are notoriously  troublesome to differentiate at initial presentation. Therefore, podiatrists that are presented with a diabetic foot patient suspected of OM or CN, must be extremely vigilant in diagnosing these entities as treatment vastly differs–…

Podiatry Pearls for Externships

Weil Osteotomy (plantar oblique 3mm displacement of met neck) Who was the first to describe it? Baruke described it. What happens if the displacement is greater than 3 mm (i.e. what is a complication)? Floating toe What causes the floating toe in a Weil Osteotomy? Disadvantages the interossei What modification avoids this? Maraska (1 mm…

Podiatry Classifications – Mnemonics, vignettes, easy ways to remember

The following is a table of common podiatry classifications. They do not describe the classification in detail, but serves    …..as a stepping stone. It is paramount that you first know what the system describes.   Classification How to remember Jahss  (1st MPJ dislocation) “JahSeS-amoid” Watson-Jones (navicular) “Wat–saw [the] navicular” Rowe (calcaneus – extraarticular) “go out…

How to dictate an Austin procedure

The following article was originally found at: http://medical-transcription-sample-reports.blogspot.com/2011/12/austin-bunionectomy-medical.html ” DATE OF OPERATION:  MM/DD/YYYY PREOPERATIVE DIAGNOSIS:  Hallux abductovalgus deformity, left first metatarsal. POSTOPERATIVE DIAGNOSIS:  Hallux abductovalgus deformity, left first metatarsal. OPERATION PERFORMED:  Austin bunionectomy with internal fixation, left first metatarsal. SURGEON:  John Doe, D.P.M. HEMOSTASIS:  Pneumatic ankle tourniquet set at 250 mmHg. ANESTHESIA:  MAC with local.…

Residency interview questions

The following article is originally found at http://forums.studentdoctor.net/threads/residency-interview-questions.277489/   “I want to start off by saying that as a GENERAL rule, if you’ve externed at a place or visited several times they will be easier on you and by being there you will discover what they like to ask. The type of questions you get…