Crozer met adductus Flashcards
Bankart
Indications: Age 8 years or older
Congenital absence of medial cuneiform
Excise cuboid (to balance out lack of medial cuneiform)
Brown
Ages 2-6 years old
Procedure:
1. Transfer TP into navicular
2. Medial capsulotomy of nav-cun joint
Chondrotomy by johnson
Ages 6-8 years old
Procedure:
1. Resect 2.5 mm lateral based wedges (apex medial) of cartilage in metatarsals 2-5, enlarge
bases medially
2. Lateral base wedge osteotomy distal to epiphysis of 1st metatarsal
3. Lengthen ABductor hallucis
**Berman & Gartland
Most popular osseous procedure for met adductus
Indications: Met adductus + Age 6 years or older
Procedure:
1. Panmetatarsal base wedges dome-shaped or crescentic osteotomies
a. Optional – rearfoot procedures to correct combined deformities
2. Manipulate foot into corrected position, use pin fixation in all metatarsals and cast for 6
weeks
Ghali
Ages 2-6 years old
Procedure:
1. Heyman, Herndon & Strong procedure
2. PLUS ant-medial release of naviculocuneiform joint
*heyman, Herndon and strong (tarsomet soft tissue release)
2-6 yo
3 dorsal incisions
capsulotomies and ligament release of all tarsomet joints-keep plantar lat ligaments and joint capsule intact
optional-syndesmotomy of NC joint and release TA
manipulate mets and foot into rectus position
lange
2-6 yo
capsulotomy of 1st met cuneiform and casting
lepird
8+ yo
3 dorsal incisions
transverse plane osteotomies in bases of mets 2-4 from dorsal dig to plantar prox.
oblique base wedge osteotmies of 1st and 5th
lichtblau
2-6yo
release abductor halluces.
sectioning of ab hal through small medial incision
mccormick and blout
8+ yo
arthrodesis of 1st met cuneiform
osteotomy of bases 2-4
Peabody and muro
8+yo excises bases of mets 2-4 osteotomy 5th met. mobilize and reduce subluxation of 1st met cuneiform joint correct abnormal insertion of TA tendon
Steytler and Van der walt
8+ yo.
oblique b osteotomy of all met bases
Thompson
2-6 yo
resect ab hallucis
