Search results “Tibiotalar joint fusion in knee”
Ankle Fusion Surgery Animation
Ankle Fusion Surgery Video. This video and other orthopaedic animations (in HD) are available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/all-animations/bones-joints-and-muscles-videos Voice by: Sue Stern. ©Alila Medical Media. All rights reserved. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Ankle arthrodesis, commonly known as “ankle fusion surgery”, is a reconstructive surgical procedure where the bones of a damaged ankle joint are fused into one single bone. This eliminates motion and reduces pain associated with movement of the joint. It is a highly successful procedure commonly suggested for repair of severely injured joints. During the procedure, the end of the fibula is cut to gain access to the joint. Damaged bones and cartilage are then removed. Screws, and possibly plates, are used to fix the tibia and talus together. With time, bone tissue grows fusing the joint into one solid mass of bone. Sometimes, bone graft may be added to facilitate bone growth. Bone graft is usually taken from some other bones of the same person. Screws and plates will remain inside the body after surgery. After the surgery, the up and down range of motion is mostly restricted, but lateral movement remains unchanged. The majority of people with ankle fusion do not limp. Compared to ankle joint replacement and other ankle procedures, ankle fusion has higher success rate, with less pain and less complication risk.
Views: 37563 Alila Medical Media
Making Strides With an Ankle Fusion
"It started when I had a motorcycle accident when I was 18 years," says Robert Werschky. Now 67, Werschky still felt the results almost 50 years later. The catastrophic crash left him with 23 breaks below his knee. This is an x-ray of his ankle taken last year. "The ankle was more or less crushed. And the doctors at the time told me I would have a lot of problems later on in life. And sure enough it came true," says Werschky. An active guy, an avid golfer, walking was always a pain. When it became uncontrollable Werschky took steps to fix the problem. "That's when I called Dr. Nemitz and he came forth with the only permanent solution: to have my ankle fused. You know, a patient really doesn't want to hear that. They really don't," says Werschky. "When they're getting to the point of needing a fusion to begin with, they have lost so much of their motion. They may have a few degrees left but it's mostly painful motion. And what I tell them is 'I'm going to take away the pain and maybe stiffen the joint a little bit more'," says Dr. Jason Nemitz, foot and ankle orthopedic surgeon on Lee Memorial Health System's medical staff. There is a lot of misconception surrounding ankle fusion. People fear a total loss of mobility in the foot. Fact is, there are three joints that affect motion. The other ones will compensate and provide some flexibility. "So the foot can go up and down around that joint as well as side to side," says Dr. Nemitz. Here's a view of Werschky ankle as it looks today. "You fix the two joints with a series of screws. If you compress those two joints together, you're trying to convince those two surfaces that they're actually a broken bone, that they're going to heal to each other," says Dr. Nemitz. And that's exactly what happened. In the months since, Werschky has made great strides. Now he walks for the pure pleasure. "Just simply going for a walk in the morning with my wife. I could actually walk 18 holes of golf now. It's just changed my life tremendously," says Werschky. Once he got over the stumbling block. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Views: 99612 Lee Health
Ankle Arthrodesis - Anterior Ankle Fusion Plate
J. Chris Coetzee, MD, (Edina, MN) demonstrates an ankle arthrodesis using the Anterior Ankle Fusion Plate. The design of this plate provides excellent compression options by utilizing the oblong compression hole which accepts a nonlocking screw and the anatomic compression hole which accepts a 5.5 mm hybrid screw. The plates have also been contoured to be low profile and provide surgeons with four points of fixation in the talus.
Open Ankle Fusion
Open Ankle Fusion Visit http://www.davidgordonortho.co.uk/ for more information
Movement After Ankle Fusion
Movement After Ankle Fusion Visit http://www.davidgordonortho.co.uk/ for more information
tibiotalar joint effusion treatment
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Views: 202 How to cure joints.
Ankle Arthroscopy and Open Repair
Post-collision injury to talar dome cartilage and associated tear of peroneus brevis tendon. Arthroscopic shaving of joint cartilage defects and suture repair to tendon injuries.
Views: 84237 Trial FX
Ankle arthrodesis by Ilizarov
Ankle arthrodesis by ilizarov methods.
Views: 2702 Dr L Prakash
Hemophilic Arthropathy
This is a patient who presents with chronic ankle pain. Frontal and lateral radiographs of the ankle were obtained. The red arrows on the frontal radiograph demonstrate severe narrowing of the tibiotalar joint space. There is subchondral sclerosis, osteophyte formation, and large subchondral cyst formation indicative of advanced osteoarthritis. The lateral radiograph demonstrates similar findings. However, the ankle is a joint which is not typically associated with severe secondary osteoarthritis unless there is a predisposing disease condition or event. Differential considerations would include severe secondary osteoarthritis due to trauma, septic arthritis, neurogenic arthropathy, or hemophilia. The diagnosis in this case is hemophilic arthropathy. Hemophilia occurs in male patients who get recurrent hemarthroses which eventually leads to severe secondary osteoarthritis. PF242 For more, visit our website at http://ctisus.com
Views: 677 CTisus
Pan Talar Arthrodesis
Case file: Rheumatoid arthritis 65 year old female Unstable ankle Plano valgus with foot cavus Difficult walking Techniques and methods taught in this HD video 1, Progressive construct assembly. 2, All wire tibial frame 3, Dr Kir Pat’s Arched wires for calcaneus. 4, Use of threaded sockets for right angling threaded rods. 5, A proper compression for arthrodesis. 6, Use of an olive wire for lateral compression. 7, Use of lateral threaded rod for lateral pull. 8, 5 wires, four half ring assembly for circumferential compression of arthrodesis. 9, Classic pan-talar arthrodesis technique. A 2X speeded HD video is available for view below. Lower resolution face book video here These and more techniques for you at Stanley Ilizarov Workshop Chennai, 9th to 11th March 2018. Welcome to Chennai!!
Views: 997 Dr L Prakash
Arthrocentesis: Ankle (sample) - www.proceduresconsult.com
View the complete video at http://www.proceduresconsult.com. Now also available on the iPhone and iPod Touch! http://itunes.apple.com/WebObjects/MZStore.woa/wa/viewSoftware?id=324566324&mt=8
Views: 39546 ProceduresConsult
Tear Talofibular Ligament
Views: 30202 Yolchai Jongjirasiri
Bipolar Osteochondral Allograft Transplantation of the Tibiotalar Joint for Ankle Arthritis
Bipolar osteochondral allografting is a technically complex procedure envisioned as an alternative to arthrodesis or arthroplasty in carefully selected young patients with advanced tibiotalar arthritis, usually as a result of trauma. Arthrodesis or implant arthroplasty is virtually contraindicated in these patients. Allograft transplantation is considered as an alternative to arthrodesis in a younger person with tibiotalar arthritis. The advantages of allografting over arthrodesis are relative preservation of joint motion that may provide higher function and longer preservation of surrounding midfoot and hindfoot joints than is seen after arthrodesis. The main potential advantages of allograft surgery are predictable pain relief, maintenance of tibiotalar joint function, and ease of conversion to other reconstructive procedures at a later date. Disadvantages include relatively high reoperation and failure rates. Perhaps the most influential characteristic in determining the choice of allografting over arthrodesis is the patient’s decision-making. Virtually all patients undergoing allografting have been offered arthrodesis but, after careful consideration, have a strong desire to avoid arthrodesis and accept the higher reoperation rate and relative long-term uncertainty of the allograft procedure. The surgical steps and technical aspects of the procedure parallel those for a typical total ankle arthroplasty with the key difference being the preparation and implantation of a fresh two-part allograft consisting of the distal part of the tibia and the talar dome. This procedure is technically challenging and should not be considered by those with limited experience with ankle reconstruction.
Views: 267 JBJSmedia
Ankle Surgery: Revision Tibiotalar Arthrodesis
This trailer is a preview of the full-length operation available at http://www.vjortho.com/2011/03/revision-tibiotalar-arthrodesis-using-ring-external-fixation/ This presentation features Mark E. Easley, MD. Contemporary recommendations for primary and revision ankle arthrodesis favor internal compression techniques involving the use of screw and/or plate fixation. While tibiotalocalcaneal arthrodesis with internal fixation may be a suitable method of salvage for the treatment of a failed tibiotalar arthrodesis in selected patients, ring external fixation has been reported as an alternative. In the author's experience, the advantages of ring external fixation over internal fixation for revision ankle arthrodesis include the avoidance of placing implants directly across areas of previous infection and obviating the need to depend on potentially poor bone quality for fixation. Moreover, an increase in tibiotalar compression is feasible at the time of follow-up visits; optimal compression is not essential at the time of revision arthrodesis. The authors conclude revision tibiotalar arthrodesis leads to satisfactory limb salvage in a majority of patients. Ring external fixation may facilitate clinically acceptable limb salvage in complex cases when methods of internal fixation are limited or even contraindicated.
Views: 5870 VJOrthopaedics
Ankle Joint - 3D Anatomy Tutorial
http://www.anatomyzone.com 3D anatomy tutorial on the ankle joint using the Zygote Body Browser (http://www.zygotebody.com). Join the Facebook page for updates: http://www.facebook.com/anatomyzone Follow me on twitter: http://www.twitter.com/anatomyzone Subscribe to the channel for more videos and updates: http://www.youtube.com/subscription_center?add_user=theanatomyzone
Views: 257800 AnatomyZone
Current Concepts In Foot & Ankle Injuries - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim animated educational video describing current concepts of foot and ankle injuries. I.Ankle fractures a.Supination-external rotation i.Vertical fractures of medial malleolus is bad ii.Differentiate between supination/external rotation and pronation/external rotation by lateral x-ray to see the direction of the fracture b.Isolated lateral malleolar fracture i.Nondisplaced with no talar shift can be treated conservatively. ii.Displaced fracture with talar shift will require surgery. c.Weber C fractures i.Syndesmotic injuries are common II.Ankle fractures & diabetes a.Surgery is better in diabetics III.Pilon fracture (tibial plafond) a.Axial load, high energy injury. Can occur due to a fall or from a car accident. i.medial malleolar fragment ii.Anterolateral fragment: chaput fracture iii.Posterolateral fragment: Volkman fracture (posterior inferior tibiofibular ligament is attached to this fragment) IV.Treatment of displaced fractures: a.Delay open reduction internal fixation until the skin condition improves. b.Soft tissue complications: you need to get skin wrinkles before you do internal fixation. c.Joint fusion surgery (arthrodesis) for arthritis: not commonly used or needed. V.Navicular fractures a.Stress fracture of the navicular is the important one and usually occurs in the central third. b.Treatment: Cast and non-weight bearing. Do ORIF in athletes, if there is a nonunion, or failure of conservative treatment and also in displaced fractures of the navicular. VI.5th metatarsal base fractures a.Zone I: proximal tubercle avulsion fracture. Treatment of zone I proximal tubercle fracture Is usually nonoperative (use a boot or a fracture shoe). b.Zone II (jones fracture) at the 4th and 5th metatarsal articulation which is the junction between the metaphysis and the diaphysis. c.Zone III proximal diaphysis fracture VII. Open calcaneal fractures a.Open fractures of the calcaneus may lead to amputation. There are two basic fragments: i.anteromedial (sustentacular) fragment ii.posterolateral (tuberosity) fragment VIII.Talus fractures (Hawkin’s classification) a.Type I: non-displaced. 10% AVN b.Type II: fracture with subtalar dislocation or subluxation. 50% AVN. c.Type III: fracture with subtalar and tibiotalar subluxation or dislocation. 90% AVN. d.Type IV: fracture with subtalar and tibiotalar dislocation and talonavicular subluxation. 90-100% AVN. Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Views: 57427 nabil ebraheim
Ankle & Subtalar Joint Motion Function Explained Biomechanic of the Foot - Pronation & Supination
Biomechanic Reference: http://astore.amazon.com/nichogiovi-20 Popular Running Shoes: http://astore.amazon.com/nichogiovi-20?_encoding=UTF8&node=2 Dr. Glass DPM Podiatry Resource Network [email protected] www.drglass.org This video illustration depicts the ankle joint complex which includes the tibial talar and subtalar joint in human anatomy. Dr. Glass DPM - This is an illustration that depicts the cardinal plane movements of the lower extremity. This is a biomechanical demonstration of the functional orthopedic nature of podiatry
Views: 679208 DrGlassDPM
Ankle Fusion Surgery - Ankle Arthrodesis Treatment Cost
Ankle Fusion Surgery. The goal of ankle arthrodesis (also commonly known as ankle fusion) is to relieve pain and maintain or improve function for a patient with ankle arthritis. - http://www.placidway.com/subtreatment-detail/treatment,20,subtreatment,227.html/Ankle-Fusion-Treatment-Abroad - Ankle fusion is the surgical removal of the cartilage portion of the joint and diseased bone and fusing (growing) of the bones together into one unit. Good cartilage normally forms the joint and allows for essentially pain free motion between bones. Damaged and/or diseased cartilage can allow some motion but this motion can be quite painful and disabling. For more information, contact us. It's FREE: Contact us directly: http://www.placidway.com/contact/contact-us.php Email: [email protected] Phone: +1.303.500.3821 Website: http://www.placidway.com Transcript: Trusted by thousands of people every year, PlacidWay is a leading medical tourism company that helps you compare and customize the most affordable treatments worldwide. Subcribe to our You Tube channel and get instant access to all of our latest medical care videos. Enjoy your free pass to quality global healthcare! Ankle fusion surgery is often the last resort to restore mobility and range of motion in an ankle joint, that is basically worn down. In some cases, this wearing down is caused by arthritis in a condition called degenerative arthritis. Also known as ankle arthrodesis, ankle fusion therapy may help restore function and mobility to those experiencing difficulty walking or performing daily living activities. In the United States, and depending on approach to surgery, ankle fusion surgery may cost between $30,000 and $43,000. Cost will also depend on location, hospitalization costs, and doctors fees. However, patients traveling to foreign locations such as Costa Rica, India or Mexico may spend an average of between $4,000 and $8,000 on ankle fusion surgery using an arthroscopic approach. Follow us: Youtube: http://www.youtube.com/user/placidways Pinterest: http://pinterest.com/placidway/ Google+: https://plus.google.com/u/0/+Placidway/ LinkedIn: https://www.linkedin.com/in/placidway Share this video: https://youtu.be/6jtJIJ9GwB8 https://en.wikipedia.org/wiki/Ankle_replacement Helpful tags: Ankle Fusion surgery cost, affordable ankle surgery, Arthrodesis,Foot And Ankle Surgery,Ankle Surgery,Post-Traumatic Arthritis,joint surgery abroad travel,,health literacy,ankle,tibia,fibula,talus,arthritis,osteoarthritis,internal fixation,orthopedic surgery,joint,ankle fusion,Arthrodesis
tibiotalar joint injury treatment
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Concomitant tibiotalar joint effusion and a partial tear of the talonavicular ligament at US.
Dynamic sagittal 12-5 MHz US demonstrates concomitant tibiotalar joint effusion and a partial tear of the talonavicular ligament following ankle sprain. Tib= tibia. Tal= talus. Asterisk= tibiotalar joint effusion. Injuries to the dorsal talonavicular ligament are rare and occur following forced plantar flexion of the foot. They are typically depicted by target evaluation because of point tenderness over the talonavicular joint. In the acute setting, tibiotalar joint effusion is a common associated finding.
Views: 488 ShoulderUS.com
small tibiotalar joint effusion treatment
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Use of the Zimmer Biomet AnkleFix lateral ankle fusion locking plate
This video covers the indications for open ankle fusion using the Zimmer Biomet AnkleFix lateral locking plate. The operative technique is detailed including the use of the external compression device.
Views: 2607 Mark Davies
Common Foot And Ankle Injections - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes injection techniques for painful conditions of the foot and ankle. Conditions which cause pain and inflammation are treatable with the use of diagnostic and therapeutic injection. Ankle joint The ankle joint is formed by the articulation of the tibia and talus. Injection is done to alleviate pain occurring from trauma, arthritis, gout or other inflammatory conditions. Anterolateral ankle impingement •Can occur due to the build-up of scar tissue in the ankle joint or from the presence of bony spurs. •With the ankle in a neutral position, mark the injection site just above the talus and medial to the tibialis anterior tendon. •The injection site is disinfected with betadine. •The needle is inserted into the identified site and directed posterolaterally. •Injection of the solution into the joint space should flow smoothly without resistance. •Pulling on the foot to distract the ankle joint is helpful. First metatarsophalangeal joint •The MTP joint is a common injection site frequently affected by gout and osteoarthritis. •The injection site is disinfected with betadine. •The needle is inserted on the dorsomedial or dorsolateral surface. •The needle is angled to 60-70 degrees to the plane of the match the slope of the joint. •Injection of the solution into the joint space should flow smoothly without resistance. •Pulling on the big toe is sometimes helpful in distraction of the joint. Peroneal tendonitis •Peroneal tendonitis is an irritation to the tendons that run on the outside area of the ankle, the peroneus longus and peroneus brevis. •The injection site is disinfected with betadine. •Insert the needle carefully in a proximal direction when injecting the peroneus brevis and longus tendon sheath. •Advance the needle distally to inject the peroneus brevis alone at its bony insertion. Achilles tendonitis •Achilles tendonitis is irritation and inflammation of the large tendon in the back of the ankle. Achilles tendonitis is a common overuse injury that occurs in athletes. •Injection of steroid should be given around the tendon, not through the tendon. •Injections directly into the tendon is not recommended due to increased risk of tendon rupture. •Platelets injection can be done through the tendon with needling and fenestration. Tarsal tunnel syndrome •The condition of pain and paresthesia caused by irritation to the posterior tibial nerve. •Feel the pulse of the posterior tibial artery, the nerve is posterior, find the area of maximum tenderness, 1-2 cm above it will be the injection site that is marked on the medial side of the foot and disinfected with betadine. •The solution is injected at an angle of 30 degrees and directed distally. •Warn the patient that the foot may become numb. •Care should be taken In walking an driving. •Usually performed after a treatment program which can include rest, stretching and the use of shoe inserts. Plantar fasciitis •The plantar fascia is a band of connective tissue deep to the fat pad on the plantar aspect of the foot. •Patients with plantar fascia complain of chronic pain symptoms that are often worse in the morning with walking. •The injection site is identified and marked on the medial side of the foot and betadine used. •Avoid injecting through the fat pad at the bottom of the foot to avoid fat atrophy. •The needle is inserted in a medial to lateral direction one finger breathe above the sole of the foot in a line that corresponds to the posterior aspect of the tibia. •The solution is injected past the midline of the width of the foot.
Views: 120528 nabil ebraheim
Scanning Technique: Ultrasound-Guided Foot Injection - SonoSite
Visit http://www.sonosite.com/education/ Demonstration of aspiration or injection of the ankle under ultrasound guidance, including probe type, probe position, projected needle path and key anatomy viewed during the exam. Visit http://www.sonosite.com/education/
Views: 61016 SonoSite
Ankle Joint Arthroscopy-Therapeutic : Ankle Arthroscopic Surgery, Examination, Treatment
Source: https://www.epainassist.com Watch How Ankle Joint Therapeutic Arthroscopy is Performed? Procedure is performed to eliminate cause of ankle joint pain, remove loose fragments of cartilages and ligaments, treat fracture of medial malleolus, repair tendon tear or ligament tear. Here we explain about the Ankle Joint Arthroscopy Therapeutic; Ankle Arthroscopic Surgery, Examination, and Treatment What Is Therapeutic Ankle Joint Arthroscopy? Arthroscopy is an excellent diagnostic and therapeutic technique for management of joint disorders. Therapeutic ankle joint arthroscopy can be useful in treatment of a variety of intraarticular disorders, which may have been caused by injury or by degenerative, inflammatory, or other pathologic conditions. The loose fragments of bone and pathologic tissues are removed in the ankle joints using arthroscopic methods. The modern arthroscopic instrumentation and ankle distraction techniques availability has allowed orthopedic surgeons to manage a growing list of ankle disorders with therapeutic ankle joint arthroscopy. How Is Ankle Arthroscopic Surgery Done? Ankle arthroscopic surgery is a procedure that uses a fiber-optic viewing tiny camera and small surgical tools to operate in and around the ankle joint through tiny incisions. Arthroscopy is performed for the surgical evaluation and treatment of a variety of ankle disorders. One may need ankle joint arthroscopy if one has debris in their ankle from torn cartilage or fractured bone chip. An orthopedic surgeon may choose to do an arthroscopy to evaluate the extent of damage and possibly try to repair it. The patient will be brought to the operating room, prepped and draped for anesthesia and surgery. An IV line will be placed. The whole leg will be exposed, cleaned, and sterilized. The ankle will be numbed with a regional anesthetic block. Once patient is anesthetized, small incisions will be made for the portals to be inserted. The portals will be placed in different areas around the ankle for the instruments and camera to be inserted in. The surgeon will then perform the ankle arthroscopic procedure. Once the procedure is completed, the surgical instruments and portals will be removed. The small incisions will be closed and bandaged appropriately. What Are The Risks of Ankle Arthroscopy? Risks of Ankle Arthroscopy Include: •Ankle arthroscopy is generally a very safe procedure with low complication rates. •As with any surgical procedure involving the use of instruments to a normally sterile area, there is a risk of infection. •Bleeding may occur from cut blood vessels. •There is a risk of local nerve damage in some people from this ankle joint arthroscopic surgery making the overlying skin numb. •There is also risk of anesthesia, depending on the kind of anesthesia that is chosen. Watch Related Videos for Health Information: How is Shoulder Joint Arthroscopy Done?: https://www.youtube.com/watch?v=Cj7DnAzhnyo Elbow Joint Arthroscopy (Diagnostic) - To Identify The Cause Of Elbow Pain: https://www.youtube.com/watch?v=lCWNFdxmYSQ&t=17s What is Knee Arthroscopy & How is it Done?: https://www.youtube.com/watch?v=8Ue_u3i3Lws&t=237s Related Articles: Ankle Joint Ligament Injury: http://www.epainassist.com/sports-injuries/ankle-injuries/ankle-joint-ligament-injury Ankle Joint Tendonitis or Tendinitis: http://www.epainassist.com/joint-pain/ankle-pain/ankle-joint-tendonitis-or-tendinitis Treatment Of Footballer's Ankle: http://www.epainassist.com/sports-injuries/ankle-injuries/what-is-footballers-ankle-know-its-symptoms-causes-treatment Physical Therapy for Sprained Ankle: http://www.epainassist.com/manual-therapy/physical-therapy/how-to-treat-a-sprained-ankle-with-physical-therapy Understanding Ankle Joint: http://www.epainassist.com/joint-pain/ankle-pain/understanding-ankle-joint-know-about-the-supporting-ligaments-tendons-muscles Follow us: Facebook: https://www.facebook.com/Epainassistcom-370683123050810/?ref=hl https://www.facebook.com/painassist/?ref=aymt_homepage_panel Twitter: https://twitter.com/ePainAssist G+: https://plus.google.com/+Epainassist Linkedin: https://www.linkedin.com/in/epainassist Subscribe for more Health & Fitness Related Videos: https://www.youtube.com/user/epainassist1?sub_confirmation=1
Views: 17586 ePainAssist
Osteonecrosis, AVN Of The Talus - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes osteonecrosis of the talus – AVN. fractures of the talar neck. Osteonecrosis is death of a segment of bone that interrupts the blood supply. This is the blood supply of the talus: • Artery of the tarsal canal: The artery of the tarsal canal is the dominant blood supply. • Deltoid branch of the artery of the tarsal canal: the only remaining blood supply with displaced fracture. • Posterior tibial artery • Artery of the sinus tarsi. Talar neck fractures are classified into four types. Hawkin’s classification • Type I: nondisplaced. 10% AVN. • Type II: fracture with subtalar dislocation or subluxation. 50% AVN. • Type III: fracture with subtalar and tibiotalar dislocation or subluxation. 90% AVN. • Type IV: fracture with subtalar and tibiotalar dislocation and talonavicular subluxation. 100% AVN. The fracture is usually reduced and fixed with the patient followed up clinically and radiologically for healing of the fracture and the development of avascular necrosis. The status of talar vascularity can be checked by the Hawkin’s sign. The Hawkin’s sign helps in the diagnosis of AVN. What is the Hawkin’s sign? The Hawkin’s sign is a subchondral osteopenia (lucency) seen at six to eight weeks on the mortise view x-ray of the ankle on the dome of the talus. Look for the radiolucent line below the subchondral bone. Radiolucent line is more commonly seen on the medial side of mortise view. The Hawkin’s sign is a good indication of intact vascularity with resorption of the subchondral bone following fracture of the talar neck. It is 100% sensitive and 58% specific. It indicated that the talus is alive and good prognosis. Its absence does not rule out intact vascularity. Once the fracture heals, begin weight bearing. Restricting weight bearing beyond that which is needed for healing of the fracture does not decrease the risk of osteonecrosis. At 3-6 months post operatively, AVN can be seen on the plane x-ray as sclerosis. MRI is sensitive for detecting AVN as it shows decreased signal on T1 but it does not guide the treatment. In MRI studies, titanium implants have better visualization that stainless steel. Osteonecrosis does not usually involve the entire talar body. Treatment is conservative. Surgical treatment includes tibiotalar fusion (ankle fusion). In cases of excessive osteonecrosis, tibiocalcaneal fusion or Blair fusion may be useful. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29 Background music provided as a free download from YouTube Audio Library. Song Title: Every Step
Views: 8501 nabil ebraheim
7 Simple Stretches to Straighten Out Your Spine Naturally | Natural Health
7 Simple Stretches to Straighten Out Your Spine Naturally | Natural Health 7 SIMPLE STRETCHES TO STRAIGHTEN OUT YOUR SPINE NATURALLY On the off chance that you have experienced one, at that point you realize that having back torment is a quite horrendous inclination. It doesn't make a difference on the off chance that you are having profoundly dynamic way of life or you are totally lethargic. You can essentially damageyour spine by doing your regular exercises. Anyway you don't have to stress, since we have the ideal activities for you that will assist you with getting free of your back torment. EXERCISE 1 For this activity you need to lie on your back. At that point you have to twist your correct leg at the knee. Presently you have to extend your left leg over your head. The wheeze it with both of your hands under your knee, at that point pull it toward your middle. All together for this activity to work you have to hold this pulling movement for 30 seconds. This activity should be rehashed twice for the two legs. EXERCISE 2 With a specific end goal to do this activity first you have to lie on your back and twist both your legs at the knee. At that point you have to get a handle to your left side leg with the two hands at the knee and after that draw it towards your middle. You have to hold this situation for around 20 seconds. At long last make sure to rehash this activity twice for the two legs. EXERCISE 3 For doing this activity you have to lie on your back. At that point you have to extend your correct arm out to the side, at a correct edge to your body. Next thing you have to do is extend your forgotten leg with the goal that it is straight. At that point you have to attempt and stretch your correct knee towards your left side, with the goal that it nearly contacts your left hand. You should hold this situation for around 20 seconds. Note that you should rehash this activity twice for the two knees. EXERCISE 4 For this activity you have to lie on your back and twist your left leg at the knee. Presently you have to put the lower half of your correct leg across over your left thigh, with your knee bringing up sideways at a correct point. At that point painstakingly pull your left leg towards your head. You should hold this situation for around 30 seconds in the event that you can. Next thing you have to do is switch the situation of your legs and rehash the activity once. EXERCISE 5 Keeping in mind the end goal to do this activity you have to incline toward the floor on your correct knee and stretch out your leg behind you. Your left leg ought to be bowed at the knee. You have to hold this situation for around 30 seconds. EXERCISE 6 For doing this activity you have to lie on your correct side. At that point you have to twist your left leg at the knee and handle your lower leg with your left hand. At that point precisely pull on your lower leg with your hand. Along these lines you will tens the muscles in your left thigh. For this activity recollect that your spine ought not be bowed to any incredible degree. You have to hold this situation for around 30 seconds. At last you have to lie on your left side and rehash the activity. EXERCISE 7 For this activity you have to stand a safe distance's from a table. At that point you have to twist your abdominal area forward the table and marginally twist your legs at the knees, up to the point where you can contact the edge of the table with both your hands. For this activity you have to recall that your arms should be extended and your make a beeline for be at thelevel of your shoulders. You should hold this situation for around ten seconds. At that point you have to stand up straight and twist your body to each side, in a steady progression.
Views: 192 Natural Health
Ankle Effusion Emergency Department Point-of-care Ultrasound
Use of ED Point-of-care Ultrasound to confirm ankle effusion and to aspirate and inject the joint.
Views: 1732 Dharmesh Shukla
small ankle joint effusion treatment
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Views: 515 How to cure joints.
Over Pronation & Supination Motion Biomechanics of the Subtalar Joint Explained
Valmassey's Textbook Clinical Biomechanics of the Lower Extremities is a great reference. I suggest it http://amzn.to/LuvjO2 Biomecanical Reference: http://astore.amazon.com/nichogiovi-20 Popular Running Shoes: http://astore.amazon.com/nichogiovi-20?_encoding=UTF8&node=2 This illustration focuses on the Subtalar Joint of the foot. The narration is as follows: In human anatomy, the subtalar joint is also known as the Talocalcaneal joint, in the foot. This articulation is between the talus and the calcaneus at the posterior, middle, and anterior facets and is capable of both pronation and supination, about a single axis model. This motion exists primarily as transverse and frontal plane motions, depicted in the series shown. In the medial and lateral viewpoints, this motion of pronation and supination will lower and raise the arch height of the foot, respectively. This will be accompanied by change in the talocalcaneal angle which increases and decreases, as well. As the medial column flattens, the talonavicular articulation will fault, with the talar head declining plantarly, splaying of the foot will also result in changes in overall length. Anterior and Posterior views will demonstrate an internal and external rotation of the leg, which translates in frontal plane inversion and eversion of the heel respectively. This subtalar pronation, unlocks the midtarsal joint and in return, creates a mobile and adaptable posture to the foot architecture. There will also be a notable widening and narrowing of the foot shape, visible in the dorsal and plantar viewpoints of this simulation. Here, the Talocalcaneal angle will also demonstrate widening in pronation, while the talar head escapes its articulation with the navicular. The subtalar joint is the primary interface of pronatory and supinatory motions of the foot and leg. The human foot is a remarkable instrument of human locomotion, and is an intriguing accomplishment of engineering. © 2012 DrGlass.org Narrator: Caroline Murphy Illustrations: Nicholas Giovinco & Kevin Kirby Producer: Nicholas Giovinco
Views: 125255 DrGlassDPM
TTC (Tibio-Talo-Calcaneal) Fusion for a Pilon Ankle Fracture using Dyna Nail
Tibiotalocalcaneal Arthrodesis Using Retrograde Intramedullary (IM) Compressive Nail for Treatment of Complex Pilon Fractures (AO/OTA 43- B & C). Procedure by Dr. Keith Goss and Dr. Alberto Abrebaya in Tuba City Regional Health Care Center.
Views: 482 Magdy Issa
What is Jaw Joint Effusion
Jaw joint effusion describes the collection of fluid in the jaw joint. Having a joint effusion means that the joint interior accumulates joint fluid and/or blood. A joint effusion can be caused by anything from rheumatic conditions to mechanical injuries or bad posture. http://www.checkdent.com
Views: 5209 Checkdent
How to Reverse Arthritis Naturally
Go to https://owners.leadpages.net/ars-prelaunch/ for an early bird special on my latest, and most comprehensive arthritis reversal system. At http://bergmanchiropractic.com and http://Owners-Guide.com we strive to educate people on natural solutions to health. http://SkypePackage.com for online consults. SUBSCRIBE at http://www.youtube.com/user/johnbchiro How to Reverse Arthritis Naturally Degeneration of joints does not occur due to age. Trauma and digestion are the main causes in the degeneration of our joints- which causes wrinkles, and slouching. CALL TOLL FREE 1-855-712-0012 to get bonus materials not on YouTube or text your first name and email plus 89869 to 1-817-591-2905.
Views: 1317270 Dr. John Bergman
treatment of ankle joint effusion
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Views: 179 How to cure joints.
How to Identify Ankle Effusions on a Lateral Ankle X-ray
Memorize this quick tip from Dr. Paul Jhun to help diagnose an ankle effusion on a lateral ankle x-ray. Want more high-yield tips like this? Check out Hippo's Emergency Medicine Board Review: https://bit.ly/2I2TBie
Views: 1643 Hippo Education
Linear Actuator Activating Ankle Joint: Plantarflexion/Dorsiflexion
NOTE: Leg is not real. Artificial leg made from skeletal structure and foam as flesh
Views: 566 Sefirosu Reinhardt
Ankle and Subtalar Joint Range of Motion Assessment
Demonstration of the assessment of the range of motion at the ankle and subtalar joints.
Views: 20694 Jason Craig
Glenohumeral joint effusion at US.
Dynamic axial 12-5 MHz US demonstrates accumulation of joint effusion into posterior glenohumeral recess during external rotation of the shoulder. Hum= humerus. Gle= glenoid. Glenohumeral joint effusions are more readily detected in the long head of the biceps brachii tendon sheath and the posterior glenohumeral recess. Detection of small effusions collected in the posterior glenohumeral recess is facilitated by the external rotation of the shoulder, which leads to an easier capsule distension. With larger effusions, fluid can be seen in neutral position or even internal rotation.
Views: 4416 ShoulderUS.com
Osteoarthritis of the Ankle
Tips for managing ankle arthritis. Dr. Stephen Pinney also discusses ankle arthritis surgery.
Views: 4731 VCHOASIS
BIMBO. Artrodesis de rodilla
Presa Canario de 60 kg intervenido en OROTAVET de artrodesis de rodilla www.orotavet.com
Views: 152 Alejandro Bañares
Ankle Ligament Repair Surgery with Arthrex Internal Brace - Houston Ankle Surgeon
In this ankle surgery video, Dr Moore demonstrates how the Arthrex Internal Brace and its equipment is designed to reinforce the anterior talofibular ligament after the Modified Brostrom procedure. The steps are also explained in the instructional video http://youtu.be/FNcCY0ilfFw if the surgical video is too graphic. Most foot and ankle specialists will perform a ligament repair surgery like the Modified Brostrom if the patient has had frequent ankle sprains, ankle instability or the quintessential 'weak ankle' or ankle 'giving out'. Tests include the initial x-rays, MRI, and 'anterior drawer sign' at the clinical evaluation pre operatively. The high points of this surgical equipment are the bone anchors that are offered as an absorbable material and insert 'peek' material. The drills are cannulated for ease of use and maintaining position of the portals and hand held taps and drivers are as easy to use as they are intelligently designed for each part of the procedure. Finally, the brace material itself is made of fiber wire at 5 times the standard strength. To see more surgery instruction videos or for more information, log on to http://www.www.MyFootFix.com or our blog at http://www.Dr-Robert-J-Moore-III.com to watch the surgery, listen to patient testimonials, see patient reviews, ask Dr Moore a question, or make an appointment. Stay Healthy and One Step Ahead!
Top 3 Treatments for Posterior Tibial Tendonitis (Exercises Included)
Famous Physical Therapists Bob Schrupp and Brad Heineck demonstrate the top 3 treatments for Posterior Tibial Tendonitis. They have included some effective exercises. Check out the Products Bob and Brad LOVE on their Amazon Channel: https://www.amazon.com/shop/physicaltherapyvideo
Views: 188583 Bob & Brad
Ankle Pain Relief Exercises
Ankle Pain Relief Exercises. http://zhealtheducation.com/episode-127-ankle-pain-relief-exercises/
Views: 91134 ZHealthPerformance
Ankle Fracture Stretches & Exercises - Ask Doctor Jo
These ankle fracture stretches and exercises should only be done after your broken ankle has healed, and you are cleared by your doctor to start physical therapy. See Doctor Jo’s blog post about this at: http://www.askdoctorjo.com/ankle-fracture-stretches-exercises Often after an ankle fracture, your ankle becomes very stiff and weak. These stretches and exercises should help. The first stretch will be a calf stretch. Start off with your legs out in front of you. You can bend up the leg you aren’t using towards you in a comfortable position. Keep the leg you want to stretch out in front of you. Take a stretch strap, dog leash, belt, or towel and wrap it around the ball of your foot. Relax your foot, and pull the strap towards you stretching your calf muscle. You should feel the stretch under your leg. Hold the stretch for 30 seconds, and do three of them. Now prop your ankle up on a roll or hang your foot off the bed or table so your heel doesn't touch the floor. Put the band around the ball of your foot for good resistance. First, push your foot down and up. This is called ankle plantarflexion. Next you want to wrap the band around your other foot. This time you will have resistance pulling out. This is ankle eversion.Now cross your foot over the foot with the band as seen in the video, and pull your foot inward. This is ankle inversion. The next exercise will be standing up. You want to lean against a wall or something sturdy. Place the foot you want to stretch behind you. Make sure to keep your heel down and your toes forward pointing towards the wall. With the other foot in front of you, like you are in a lunge position, bend your knee towards the wall until you feel a stretch through your back leg. Try to keep your back leg as straight as possible. Hold the stretch for 30 seconds, and do it three times. Then you will bend your back knee, and do the same stretch. This is to stretch the Soleus muscle which is underneath your gastroc. Hold the stretch for 30 seconds, and do it three times. Now is a heel raise off the ground. Stand with your feet about shoulder width apart, come up on your toes as high as you can. Try not to lean forward, but bring your body straight up and slowly come back down. Push off as much as you can so your heel leaves the ground. Start off with ten and work your way up to 20-25. If this becomes easy, then you can do one foot at a time. The last exercise will be a balance series. Stand on one foot, but hold onto something sturdy. Try to balance for 30 seconds to a minute. When that becomes easy, just use one finger one each side. Then just one finger for balance, and finally try balancing without holding on at all. Related Videos: Ankle Strengthening Exercises & Stretches: https://youtu.be/g-iXYapbuqk?list=PLPS8D21t0eO9JGYS958XUh2mkV8Sa2sAq Sprained Ankle Treatment: https://youtu.be/UYM-_k_dWZw?list=PLPS8D21t0eO9JGYS958XUh2mkV8Sa2sAq =========================================== SUBSCRIBE for More Videos: http://www.youtube.com/subscription_center?add_user=askdoctorjo ======================================= Doctor Jo is a Doctor of Physical Therapy. http://www.AskDoctorJo.com http://www.facebook.com/AskDoctorJo http://www.pinterest.com/AskDoctorJo https://www.instagram.com/AskDoctorJo http://www.twitter.com/AskDoctorJo http://plus.google.com/+AskDoctorJo ======================================= Ankle Fracture Stretches & Exercises: https://www.youtube.com/watch?v=-FmJLBlBlNU PRODUCT PLACEMENT DISCLAIMER: This video represents the honest opinions of Doctor Jo. Thank you to King Athletic for providing Doctor Jo with free loop bands to use. DISCLAIMER: This content (the video, description, links, and comments) is not medical advice or a treatment plan and is intended for general education and demonstration purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. Don’t use this content to avoid going to your own healthcare professional or to replace the advice they give you. Consult with your healthcare professional before doing anything contained in this content. You agree to indemnify and hold harmless Ask Doctor Jo, LLC and its officers for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Ask Doctor Jo, LLC makes no representations about the accuracy or suitability of this content. Use of this content is at your sole risk.
Views: 77814 AskDoctorJo
452 Conditions that aren't what they seem   Foot and Ankle
Presented by: Mary Lloyd Ireland Professor Dept. of Orthopaedic Surgery and Sports Medicine University of Kentucky Lexington KY www.marylloydireland.com 0:00 Introduction 0:04 Turf Toe: Football Athlete 0:44 Heel Pain Adolescent male •Rheumatoid condition •Ankylosing spondylitis •Reiter’s syndrome •Enthesistis Related Arthritis Infection •Sever’s disease (usually younger males, peaking at age 8) •Stress fracture •Conditions / tumors •Osteoid osteoma 1:58 YO White Male •Right midfoot pain for 1 month •No specific injury •Baseball athlete •Rapid growth phase PE: •Tenderness over medial arch and midfoot •Stable normal ankle exam •Tenderness over posterior tibialis tendon 2:41 13 YO White MaleWorkup: •Plain xrays – negative •MRI scan – medial cuneiform stress fracture Treatment •Boot •Nonweightbearing 4 weeks •Full weightbearing 4 weeks •Improved •Cleared for return to baseball 3:14 Films in early summer 2009 4:32 Followup 8 months later •Developed recurrent medial foot pain and swelling PE: •Mild ankle effusion, stable •Swelling and pain over posterior tibialis tendon Workup: •Plain films •MRI scan 4:56 RIGHT FOOT 5:17 RIGHT ANKLE 5:39 MRI Scan •Bone edema •Medial mallelous •medial and intermediate cuneiform •Posterior tibialis tenosynovitis •Ganglion cyst, talonavicular joint •Tibiotalar effusion 6:17 Foot and Ankle Consult Recommended •Open exploration Surgery performed •Tenosynovectomy, posterior tibialis tendon •Biopsy Laboratory work: •Rheumatoid profile, rheumatoid factor negative Followup •Used AFO brace •Returned to baseball 6 months later 7:07 1 Year Later •Developed uveitis •Pediatric ophthalmologist requested consult with pediatric rheumatologist Laboratory studies: •HLAB 27: positive •ANA: negative •Rheumatoid factor: negative 8:04 Diagnosis •Enthesistis Related Arthritis •HLAB 27 Positive •No clinical evidence of ankylosing spondylitis Treatment: •Medications: •Methotrexate, Naprosyn •Home Rehab program •Returned to baseball wearing AFO 9:29 15 YO Male •Right ankle •6 Months of Pain •Initial x-ray: 10:04 1 month followup 13:56 14 months post op 14:06 17 YO Male •Left ankle pain x3 weeks •Trying to get in shape, played more basketball than usual •Possible stress fracture of the medial malleolus 14:44 3 months after initial presentation 14:56 5 Months after initial presentation 15:41 7 months after initial presentation 16:01 Small Blue Cell Tumor •Ewing’s sarcoma vs. •Lymphoma 16:09 A good History and Physical is Key 16:53 Thank You
Views: 132 UKyOrtho