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Doctor insights on: Coxa Plana

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What is bilateral coxa valga?

What is bilateral coxa valga?

Increased angle: When measuring the head, neck, and shaft of the femur (thigh bone) and angle is measured. When the angle is greater than 135, this is referred to as coxa valga. Bilateral would mean that both hip are involved. ...Read more

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Cortisone inj anterior tib tendon no effect.Other possibilities?Worn boot,done physio,taken anti-inflammatories,worn orthotics.Slipped 1 1/2 yrs ago.

Cortisone inj anterior tib tendon no effect.Other possibilities?Worn boot,done physio,taken anti-inflammatories,worn orthotics.Slipped 1 1/2 yrs ago.

See details: Have you had a recent MRI? If not, get one. It is difficult to suggest specifics without being able to perform an exam or review an MRI. ...Read more

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What does "left distal femoral osteotomy genu valgum" mean?

What does "left distal femoral osteotomy genu valgum" mean?

Surgery type: If you have a knee angular deformity, it can be corrected by cutting a bone (an osteotomy) near the knee joint to change the alignment of the knee. A knock-knee deformity is also called genu valgum, from the latin roots. The correction of a knock knee is usually done by cutting the end of the femur to make the correction. The term "distal" refers to end of the femur at the level of the knee. ...Read more

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What is tibial derotation osteotomy along with femoral derotation osteotomy?

What is tibial derotation osteotomy along with femoral derotation osteotomy?

Good question: Osteotimy is a cut in the bone. In a derotational osteotimy, the bone is cut and then rotated to a better position and this corrected position is usually then held in place by a plate and screws. In this case, the surgery is done on the tibia and femur. The most common indication would be severe malalignment of the leg such as a severe case of "in- toeing." ...Read more

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Is genu valgum the same as "knock-knees"?

Is genu valgum the same as "knock-knees"?

I suppose: Genu simply knee and valgus is the deformity that means the lower part (toward the ankle) is jutting to the outside. I believe that this is the more scientific name for "knock-knees". The opposite deformity, genu varum, would be when the knees are bowed to the outside and one has the proverbial "can't catch a pig in a ditch" problem. Both problems lead to uneven loading of the knee. ...Read more

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Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Misaligned talus: Is usually what happens with what you are describing. This happens in a pronatory foot. Orthotics are good conservative treatment. An implant between the talus and calcaneus is a surgical option. ...Read more

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What surgeons perform cosmetic genu varum/bow legs corrective surgery?

What surgeons perform cosmetic genu varum/bow legs corrective surgery?

Orthopedic surgeon: Check for some have experience in reconstructive surgery. ...Read more

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Pes cavus surgery, is it worth it?

Pes cavus surgery, is it worth it?

Foot surgery: Remember that there are risks and complications with all kinds of surgery regardless if it is foot, hand, heart, or brain. I always tell my patients that surgery should be the last option. If you have pain try some conservative care first. You can always have surgery later, but once you have the surgery you cant undo it. ...Read more

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Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?

Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?

See good knee...: This is purely an MRI reading of your knee.'partial' acl and PCL tears in your age group means very little to me unless you had a very significant , recent knee injury w/ a hemarthrosis .( which u don't have).'chondromalacia'( of what..Mfc, lfc, patella?) means you have a component of arthritis in your knee. See a qualified, respected knee surgeon to discuss your options . Best of luck! ...Read more

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Dr. Paul Velt Dr. Velt
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My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?

Dr. Paul Velt Dr. Velt
2 doctors agreed:
My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?

See orthopedist : Those findings especially at the dome of the talus was once osteochondritis dessicans. To try and avoid further aritic findings talk to your doctor. That talar finding is an "old" injury. So too is enthesophyte ( spur) ...Read more

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What does "minimally displaced distal fibula fracture Weber B" mean?

What does "minimally displaced distal fibula fracture Weber B" mean?

It tells a lot: It means the outside of the ankle bone (fibula) is broken at the level of the ankle joint, and can extend outward and sometimes upward. The other side of the ankle can sometimes be sprained or have a fracture.The Danis Weber classifications help guide treatment. Type A fractures might do well with a cast or walking boot. Type B fractures might nonweightbearing or surgery. Type C needs surgery. ...Read more

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After debridment of torn lateral meniscus, large ulcer defect at lateral femoral condyl (grade 2) is discovere, is't treatable? What are my options?

After debridment of torn lateral meniscus, large ulcer defect at lateral femoral condyl (grade 2) is discovere, is't treatable? What are my options?

Yes and no: While the damage to the condyle is not a good thing, sometimes a chondroplasty, drilling procedures and various cartilage transplants might be helpful depending on the size of the lesion, your age and other factors in your knee. ...Read more

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Hav bilateral bunion, hammer 5 bilateral recovery?

Hav bilateral bunion, hammer 5 bilateral recovery?

Would be difficult: With both feet out of commission during the recuperation, this would be difficult. I discourage my patients from having this done. Keep in mind depending on the type of bunionectomy and hammertoe repair performed, there is on average a 6-8 week healing period for any bone work but with lower extremity surgery, particularly in the foot, the added issues with swelling are due to dependent position. ...Read more

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Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Yes: the cavus is the bone position typically as in your condition at the heel. A bone cut can be made to align the heel. The retinacular repair can be done at the same time. ...Read more

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In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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What is best treatment for 3mm osteochrondal defect in medial femoral condyle? Kissing contusion of the knee joint?

What is best treatment for 3mm osteochrondal defect in medial femoral condyle? Kissing contusion of the knee joint?

Let me advise you: Many patients appear to do well from an arthroscopic washout and debridement where any loose bodies of cartilage are removed and the defect is tidied back to healthy cartilage. However, when this treatment fails to relieve symptoms it is unclear what the best treatment is. ...Read more