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Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
They run 88[meaning a fracture of the phalanges].[number-code of toe, with the big toe=1 and the little toe=5].[number-code of phalanx, counting 1-3 outwards from the foot].[number-code of location on the bone, with 1 being the inner end, 3 the outer, and 2 in-between]. [10]
They are condyloid joints, meaning that an elliptical or rounded surface (of the metatarsal bones) comes close to a shallow cavity (of the proximal phalanges). The region of skin directly below the joints forms the ball of the foot. The ligaments are the plantar and two collateral.
A traction splint most commonly refers to a splinting device that uses straps attaching over the pelvis or hip as an anchor, a metal rod(s) to mimic normal bone stability and limb length, and a mechanical device to apply traction (used in an attempt to reduce pain, realign the limb, and minimize vascular and neurological complication) to the limb.
Failure most often occurred at the proximal attachment to the calcaneus, which is consistent with the usual location of symptoms (i.e. in plantar fasciitis). Complete rupture or surgical release of the plantar fascia leads to a decrease in arch stiffness and a significant collapse of the longitudinal arch of the foot.
A plantar fascial rupture, is a painful tear in the plantar fascia. The plantar fascia is a connective tissue that spans across the bottom of the foot. [1] The condition plantar fasciitis may increase the likelihood of rupture. [2] A plantar fascial rupture may be mistaken for plantar fasciitis or even a calcaneal fracture.
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