Update on Fibro-Cartilaginous Disease, An Issue of Clinics in Podiatric Medicine and Surgery

1st Edition, Volume 39-3 - June 21, 2022
Editor: Michael Theodoulou
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 1 9 6 3 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 1 9 6 4 - 7

In this issue of Clinics in Podiatric Medicine and Surgery, guest editor Dr. Michael Theodoulou brings his considerable expertise to the topic of Update on Fibro-Cartilaginous D… Read more

Update on Fibro-Cartilaginous Disease, An Issue of Clinics in Podiatric Medicine and Surgery

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In this issue of Clinics in Podiatric Medicine and Surgery, guest editor Dr. Michael Theodoulou brings his considerable expertise to the topic of Update on Fibro-Cartilaginous Disease. Disease of fibrocartilage in the foot can have severe negative impact on patients’ quality of life. In this issue, top experts in the field explore strategies for managing this disease (both operative and non-operative) as well as imaging strategies, complications, and other repair techniques.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Types of Fibrocartilage
Key points
Introduction
Embryologic development
Types of fibrocartilage
Location and function
Clinics care points
Histophysiology of Fibrocartilage
Key points
Introduction
What is cartilage?
Histology of fibrocartilage
Tendinopathy
Summary
Clinics care points
Update on Fibrocartilaginous Disease Clinical Examination
Plantar plate disorders
Insertional Achilles disorders
The Spring Ligament Complex—Anatomy and Function
Key points
Introduction: anatomy of the spring ligament complex
Vascular supply
Function
Failure presentation
Summary
Clinics care points
Gross Anatomy: Achilles Tendon
Key points
Introduction
Gastrocnemius
Soleus
Plantaris
Achilles tendon
Histology of the Achilles tendon
Blood supply
Nerve supply
Biomechanics
Watershed controversy
Anatomy: Plantar Plate
Key points
Introduction
Discussion
Summary
Clinics care points
Normal and Diseased Imaging: Ultrasound/MRI
Key points
Introduction
Plantar plate
Spring ligament
Summary
Clinics care points
Fibrocartilaginous Tissue: Why Does It Fail to Heal?
Key points
Introduction
Ligaments
Tendons
Entheses
Tendon/ligament healing
Plantar plate
Spring ligament
Insertional Achilles tendinopathy
Emerging technologies
Summary
Clinics care points
Nonoperative Treatment of Plantar Plate Tears
Key points
Introduction
Cause of plantar plate insufficiency
Clinical evaluation and pertinent findings
Conservative treatment of plantar plate tears
Pattern of plantar plate tears and effect on conservative management
Limits of conservative treatment
Summary
Clinics care points
Injuries to the Spring Ligament: Nonoperative Treatment
Key points
Introduction
Anatomy
Pathoanatomy and pathomechanics of spring ligament injury
Treating the spring ligament injury: nonoperative approach
Implementing a nonoperative treatment program for spring ligament injury
Imaging
Orthosis prescription for spring ligament injury
Clinics care points
Summary
Nonoperative Management of the Achilles Tendon Insertion
Key points
Pathophysiologic introduction
Clinical presentation and workup
Phases of treatment
Autologous injections
Nonautologous injections
Extracorporeal shockwave therapy
Minimally invasive treatments
Clinics care points
Operative Management: Plantar Plate
Key points
Introduction
Background
Prevalence
Patient evaluation overview
Physical examination
Imaging
Operative management
Complications
New developments
Evaluation of outcome and/or long-term recommendations
Summary
Clinics care points
Operative Management: Spring Ligament
Key points
Introduction
Patient evaluation
Surgical approach
Primary repair of spring ligament
Surgical reconstruction with flexor digitorum longus tendon transfer and augmentation
Surgical reconstruction with peroneus longus autograft
Postoperative care
Outcomes
Summary
Clinics care points
A Critical Biomechanical Evaluation of Foot and Ankle Soft Tissue Repair
Key points
Introduction
Achilles tendon
Anterior talofibular ligament
Plantar plate
Spring ligament
Clinics care points