ABSTRACT
A review of the literature was performed to determine current theories regarding the physiology of human articular cartilage. The process of chondrodegeneration in rheumatoid arthritis and osteoarthritis was then discussed. Clinical pedal pathology was used to emphasize important but abstract concepts.
Subject(s)
Cartilage, Articular/physiology , Arthritis, Rheumatoid/pathology , Biomechanical Phenomena , Cartilage Diseases/pathology , Cartilage, Articular/anatomy & histology , Cartilage, Articular/pathology , Cartilage, Articular/ultrastructure , Compliance , Humans , Lubrication , Osteoarthritis/pathology , Synovial Fluid/physiology , Synovial Membrane/physiologyABSTRACT
Soft tissue malignancies represent a diagnostic and therapeutic challenge to the podiatric physician. In order to improve prognosis and increase survival rates of affected patients, prompt clinical and histologic recognition of suspect lesions is necessary. Here we present information and case reports on selected soft tissue malignancies including Kaposi's sarcoma, malignant melanoma, synovial sarcoma, and epithelioid sarcoma to aid the practitioner in recognizing these serious lesions that occur in the foot.
Subject(s)
Foot Diseases , Soft Tissue Neoplasms , Acquired Immunodeficiency Syndrome/complications , Adult , Aged , Child , Child, Preschool , Diagnosis, Differential , Female , Homosexuality , Humans , Infant , Male , Melanoma/diagnosis , Melanoma/pathology , Melanoma/therapy , Middle Aged , Sarcoma/diagnosis , Sarcoma/pathology , Sarcoma/therapy , Sarcoma, Kaposi/diagnosis , Sarcoma, Kaposi/pathology , Sarcoma, Kaposi/therapy , Sarcoma, Synovial/diagnosis , Sarcoma, Synovial/pathology , Sarcoma, Synovial/therapy , Skin Neoplasms/diagnosis , Skin Neoplasms/pathology , Skin Neoplasms/therapySubject(s)
Tendon Transfer/methods , Toes/abnormalities , Aged , Child, Preschool , Humans , Reflex, Stretch , Toes/surgeryABSTRACT
The Evans calcaneal osteotomy is used to correct the flexible flatfoot deformity. The procedure restores functional integrity to the medial longitudinal arch and reestablishes the locking mechanism of the midtarsal joint complex. A preliminary analysis of 36 cases (50 feet) performed at Atlanta Hospital and Medical Center during the past 3 years has yielded favorable results.