4th April - midfoot problems

Venue - Manchester Royal Infirmary, starting 2pm

Leader - Mr R Samarji

Topic - midfoot problems

This is a clutch of problems, some common, some less so, which we’ll try to cover as fully as patients are available:

  • Midfoot OA
  • Plantar heel pain
  • Tarsal tunnel syndrome
  • Plantar fibromatosis
  • Tarsal coalition
  • Ganglia

I don’t have a fantastic collection of references for these but here are some suggestions:

Tarsal joint problems (hyperbook)

Jung HG et al. Spectrum of operative treatments and clinical outcomes for atraumatic osteoarthritis of the tarsometatarsal joints. Foot Ankle Int 2007; 28:482-9

Plantar heel pain (hyperbook)DiGiovanni BF et al. Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg Am. 2006;88(8):1775-81.

Levy JC et al. Value of radiographs in the initial evaluation of nontraumatic adult heel pain. Foot Ankle Int. 2006 Jun;27(6):427-30.

Tarsal tunnel syndrome (hyperbook, newly updated by Gillian Jackson)

Alshami et al Biomechanical evaluation of two clinical tests for plantar heel pain. Foot and Ankle International 2007; 28:499-505

Bracilovic et al. Effect of foot and ankle position on the tarsal tunnel compartment volume. Foot and Ankle International 2006;27:431-7

Kinoshita M, et al. The dorsiflexion-eversion test for diagnosis of tarsal tunnel syndrome. J Bone Joint Surg Am (2001); 83-A(12): 1835-9

Plantar fibromatosis - no hyperbook page yet but we hope to have one soon, based on Gaurav Rathore’s and Kuntal Patel’s research. Here’s their presentation from BOFAS 2006

Tarsal coalition - no hyperbook page yet (any offers?- I’ve got the papers) .

Good recent review article: Lemley F et al. Current concepts review: Tarsal coalition. Foot Ankle Int 2006; 27(12):1163-9

Ganglia (hyperbook) Just realised I haven’t updated this to include our recent paper! - will do this week hopefully.

Additional, cautionary view: Macdonald DJ et al. The differential diagnosis of foot lumps. 101 cases treated surgically in North Glasgow over 4 years. Ann Royal Coll Surg Eng 2007; 89:272-5