Regnauld | The Foot | Buch | sack.de

Regnauld The Foot



Pathology, Aetiology, Semiology, Clinical Investigation and Therapy

1986, 633 Seiten, Kartoniert, Paperback, Format (B × H): 210 mm x 280 mm, Gewicht: 1622 g
ISBN: 978-3-642-64881-6
Verlag: Springer


Regnauld The Foot

In orthopaedic surgery, the study of the foot has a special place. Familiarity with the congenital and acquired problems of in­ flammation and arthrosis must be blended with an understand­ ing of the mechanics of support and propulsion before a sure choice of effective treatment can be made. There is involvement of bones, joints, tendons, ligaments, soft tissues and integument, none of which can be treated in isolation. Superficial appraisal can lead to the cardinal error of facile diagnosis, and ignorance of the physiology of the organ and of the differences of expert opinion with respect to pathogenesis and basic therapeutic con­ cepts invites inevitably poor management. In this book, I have attempted to interpret pathology, clinical presentation and treatment in the light of practical experience. I do not presume to be original, for many distinguished authors on the subject already. Lelievre (1952), Viladot et have written al. '1956), de Doncker and Kowalski (1970) and many others, preceded by Hohmann (1951), Morton (1935), Hauser (1950) and Boehler (1944), have all contributed significantly to our ba­ sic knowledge and opened the way to understanding. The philosopher Alain wrote succinctly: "When it is fully com­ prehended that there is no knowledge without experience and that one cannot conceive an idea unless there already exists a thought, no more need be said".

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I Functional Structure, Diagnosis and Cutaneous Infections.- 1 Functional Structure of the Foot.- 1.1 General Considerations.- 1.1.1 Tibiotalocalcaneal Complex.- 1.1.2 Subtalar Complex.- 1.1.3 Midtarsal Joints.- 1.1.4 Metatarsal System.- 1.1.5 Ligaments.- 1.1.6 Muscles.- 1.2 The Foot Under Load.- 1.3 Dynamic Considerations.- 1.3.1 Ankle Joint.- 1.3.2 Subtalar Joint.- 1.3.4 Antetarsal Joint.- 1.3.5 Interphalangeal Joints.- 2 Diagnosis of Disorders of the Foot.- 2.1 History.- 2.2 Examination of Unloaded Foot.- 2.2.1 Integument.- 2.2.2 Vascular Supply.- 2.2.3 Nails.- 2.2.4 Disorders.- 2.2.5 Joints.- 2.3 The Loaded Foot: Static.- 2.4 The Loaded Foot: Dynamic.- 2.5 Special Investigations.- 2.5.1 Podometry.- 2.5.2 Radiography.- 2.5.3 Other Special Investigations.- 3 Painful Syndromes of the Foot and Other Parts.- 3.1 Muscle Pains.- 3.2 Tendinitis.- 3.3 Pain in Knee, Hip and Vertebral Column.- 3.4 Neuralgias.- 3.5 Classification of Relevant Foot Displacements.- 3.5.1 Balanced Pes Cavus.- 3.5.2 Bilateral Pes Planus.- 3.5.3 PesCavovarus.- 4 Mycoses.- 4.1 Clinical Features.- 4.1.1 Interdigital Intertrigo.- 4.1.2 Plantar Mycoses.- 4.1.3 Ungual Mycosis or Onyxis of Toes.- 4.2 Laboratory Examination.- 4.3 Treatment.- 4.3.1 Prophylaxis.- 4.3.2 Treatment of the Established Condition.- II Functional and Structural Disorders of the Forefoot.- 5 Painful Syndromes of the Forefoot.- 5.1 Causes.- 5.1.1 Muscular Weakness and Incoordination.- 5.1.2 Modifications of Longitudinal and Transverse Arches of Foot.- 5.1.3 Modifications of Frontal Configuration of Lisfranc Joint.- 5.2 Relationship Between Morphological and Clinical Features.- 5.2.1 Flat Triangular Forefoot Syndrome.- 5.2.2 Convex Triangular Forefoot.- 5.2.3 Simple Convex Forefoot.- 5.2.4 Cavus Forefoot.- 5.3 Symptoms.- 5.4 Principles of Treatment.- 6 The Flat Triangular Forefoot.- 6.1 Clinical Features.- 6.2 Treatment.- 6.2.1 Conservative.- 6.2.2 Operative.- 7 Simple Convex Forefoot.- 7.1 Clinical Features.- 7.1.1 Symptoms.- 7.1.2 Physical Signs.- 7.2 Treatment.- 7.2.1 Conservative.- 7.2.2 Operative.- 8 The Convex Triangular Forefoot.- 8.1 Clinical Features.- 8.1.1 Symptoms.- 8.1.2 Physical Signs.- 8.2 Treatment.- 8.2.1 Conservative.- 8.2.2 Operative.- 9 The Cavus Forefoot.- 9.1 Clinical Features.- 9.1.1 Symptoms.- 9.1.2 Physical Signs.- 9.2 Treatment.- 9.2.1 Conservative.- 9.2.2 Operative.- 9.3 Iatrogenic Cavus Forefoot.- 10 Convex Forefoot with Insufficiency of the First Ray.- 10.1 Congenital Familial Forefoot of Duddley Morton.- 10.1.1 Etiology.- 10.1.2 Clinical Presentation.- 10.1.3 Treatment.- 10.2 Congenital Short First Metatarsal.- 10.2.1 Etiology.- 10.2.2 Clinical Presentation.- 10.2.3 Treatment.- 10.3 Acquired Short First Metatarsal.- 10.4 Short Great Toe.- 10.5 Hypermobility of First Metatarsal.- 10.5.1 Clinical Presentation.- 10.5.3 Treatment.- 11 Selective Overloading of Metatarsal Heads.- 11.1 First Metatarsal.- 11.1.1 Congenital Hypertrophy.- 11.1.2 Acquired Equinus Deformity.- 11.1.3 Hypertrophy of Sesamoids.- 11.1.4 Iatrogenic Conditions.- 11.2 Congenital Hypertrophy of First and Second Metatarsals.- 11.3 Second, Third and Fourth Metatarsals.- 11.3.1 Etiology.- 11.3.2 Clinical Presentation.- 11.3.3 Treatment.- 11.4 Fifth Metatarsal.- 11.4.1 With Clawing of Toe.- 11.4.2 With Reduced Vertical Mobility.- 11.4.3 With Equinus of Metatarsal Associated with Longitudinal or Forefoot Cavus or of Iatrogenic Origin.- 11.4.4 With Plantar Cutaneous Atrophy.- 12 Insufficiency of the Central Metatarsals.- 12.1 Etiology.- 12.2 Clinical Presentation.- 12.3 Treatment.- 12.3.1 Conservative.- 12.3.2 Operative.- 13 Disorders of the Sesamoids.- 13.1 Congenital Bipartite or Tripartite Sesamoid.- 13.2 Dystrophy or Aseptic Necrosis (Renander's Disease).- 13.3 Fracture.- 13.4 Exostosis.- 13.5 Sesamoiditis from Overloading.- 14 Metatarsalgia.- 14.1 General Considerations and Classification.- 14.2 Diffuse Metatarsalgia.- 14.2.1 Clinical Presentation.- 14.2.2 Longitudinal Displacement.- 14.2.3 Displ


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