Metatarsophalangeal joint capsule tears: an analysis by arthrography, a new classification system and surgical management.
Metatarsalgia is a common presenting symptom with an established list of differential diagnoses. The authors present a classification system and surgical treatment algorithm for chronic metatarsophalangeal pain due to metatarsophalangeal joint capsule tear. A series of 58 metatarsophalangeal joints...
| Publicado en: | Journal of Foot & Ankle Surgery Vol. 40; no. 6; pp. 374 - 393 |
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| Autores principales: | , |
| Formato: | CEU diagnostic images exam questions research tables/charts Journal Article |
| Publicado: |
W B Saunders
2001 Nov-Dec
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106926634&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106926634 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10672516 2S4 jtl: Journal of Foot & Ankle Surgery issn: 10672516 maglogo: N pubinfo: dt: 2001 Nov-Dec vid: 40 iid: 6 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 106926634 106926634 2002057904 NLM11777233 106926634 ppf: 374 ppct: 19 formats: tig: atl: Metatarsophalangeal joint capsule tears: an analysis by arthrography, a new classification system and surgical management. aug: au: Powless SH Elze ME affil: Park Nicollet Clinic, Hennepin County Medical Center, 701 Park Avenue, Minneapolis, MN 55415 sug: subj: Joint Capsule Injuries Metatarsophalangeal Joint Injuries Foot Injuries Classification Arthrography Joint Capsule Surgery Joint Capsule Radiography Metatarsophalangeal Joint Surgery Metatarsophalangeal Joint Radiography Pain Etiology Retrospective Design Adult Middle Age Aged Female Male Education, Continuing (Credit) Human Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Metatarsalgia is a common presenting symptom with an established list of differential diagnoses. The authors present a classification system and surgical treatment algorithm for chronic metatarsophalangeal pain due to metatarsophalangeal joint capsule tear. A series of 58 metatarsophalangeal joints with partial tear diagnosed by arthrogram and treated by surgical repair are reviewed. The authors propose a classification system based on preoperative arthrography and a surgical repair procedure for each type of three distinct patterns. A study was developed and funded to perform postoperative arthrograms on 15 patients who had undergone surgical repair using the procedures presented. The purpose of the study was to validate the utility of the arthrogram in the diagnosis and clarification of the nature of the capsular tear. The authors were also able to demonstrate that the arthrographic findings became normal postoperatively, and that surgical repair of a seemingly innocuous capsule tear relieves pain. Fifty-six patients in the series reported relief of their preoperative symptoms. Postoperative arthrograms in 15 patients demonstrated a normal pattern in 73%, 20% had decreased extravasation, and 7% were unchanged. pubtype: Academic Journal doctype: CEU diagnostic images exam questions research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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