1st Edition

Curbside Consultation of the Foot and Ankle 49 Clinical Questions

Edited By George Holmes, Simon Lee Copyright 2012
    282 Pages
    by CRC Press

    Are you looking for concise, practical answers to those questions that are often left unanswered by traditional foot and ankle references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? Curbside Consultation of the Foot and Ankle: 49 Clinical Questions provides quick answers to the tricky questions most commonly posed during a “curbside consultation” between orthopedic surgeons.

    Drs. George B. Holmes, Jr. and Simon Lee have designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with the foot and ankle. The unique Q&A format provides quick access to current information related to the foot and ankle with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references allow readers to browse large amounts of information in an expedited fashion.

    Curbside Consultation of the Foot and Ankle: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Practicing orthopedic surgeons, orthopedic residents, foot and ankle specialists, and medical students will benefit from the user-friendly, casual format and the expert advice contained within.

    Some of the questions that are answered:
    • When do you do an allograft or autograft talar transplantation graft for a failed osteochondral talar lesion?
    • How do you treat an athlete with chronic lateral foot overload and peroneal tendonitis with a cavovarus foot?
    • How do you fix your syndesmotic injuries? Can I use tight-ropes now?
    • I have a 63 year old patient who had an ankle fracture 20 years ago. They are ready for a major procedure now. Should I perform an ankle arthrodesis or should I refer her out to someone for a total ankle arthroplasty? What are your criteria for a total ankle arthroplasty?
    • Do I need to use bone graft in foot and ankle surgery, autologous or allograft? What graft should I use?

    Section I Forefoot/Midfoot

    Question 1 How Do You Evaluate and Treat an 18-Year-Old Female With Plantar

    Hallux Metatarsophalangeal Pain and a Radiolucent Line on Her


    Daniel L. Ocel, MD

    Question 2 My Mother-in-Law is Developing Progressive Pain in the Ball of Her Foot

    and Clawing of Her Lesser Toes. What Do I Do?

    David R. Richardson, MD

    Question 3 My Patient Has Failed Conservative Treatment of a Morton’s Neuroma.

    Do I Perform a Plantar or Dorsal Surgical Approach?

    Daniel L. Ocel, MD

    Question 4 A 43-Year-Old Recreational Marathon Runner Is Having Pain Over Her

    Bunion. Will This Eventually Need Surgery?

    Steven A. Kodros, MD

    Question 5 How Would You Treat My 74-Year-Old Community Ambulator With a

    Severe Bunion Who Cannot Find Shoes for the Michigan Winters?

    Robert S. Marsh, DO and Donald R. Bohay, MD, FACS

    Question 6 How Do You Treat an Ingrown Toenail? Should I Prescribe the Oral

    Antifungal Medication for Onychomycosis?

    Yong Chae, DPM, FACFAS

    Question 7 How Do You Manage Hallux Rigidus? Which Patients With Hallux

    Rigidus Should Receive a Cheilectomy, Arthrodesis, or Arthroplasty?

    Jennifer Chu, MD and Judith Baumhauer, MD, MPH

    Question 8 How Do I Perform a Midfoot Fusion?

    Michael S. Pinzur, MD

    Section II Hindfoot

    Question 9 How Do You Treat Plantar Fasciitis? How Do I Know if It Is the First

    Branch of the Lateral Plantar Nerve (Baxter’s Nerve)?

    Bruce Cohen, MD

    Question 10 Do All Patients With Pes Planus Require Treatment?

    Eric Breitbart, MD; Wayne Berberian, MD; and Sheldon Lin, MD

    Question 11 What Is Your Surgical Approach to Chronic Posterior Tibial Tendon


    Scott Nemec, DO and John G. Anderson, MD

    Question 12 Which Patients With Cavovarus Feet Need Treatment?

    Armen S. Kelikian, MD

    Question 13 I Am Performing a Triple Arthrodesis But Cannot Seem to Reduce the

    Talonavicular Joint. What Am I Doing Wrong?

    Scott Nemec, DO and John G. Anderson, MD

    Question 14 How Much Fixation Is Required for a Subtalar Fusion? What Is Your

    Postoperative Protocol?

    Eric Breitbart MD; Wayne Berberian, MD; and Sheldon Lin, MD

    Section III Ankle

    Question 15 How Do I Treat a Patient With Recurrent Medial Ankle Pain and a

    Magnetic Resonance Imaging Fi


    George B. Holmes, Jr, MD graduated from Yale College in New Haven, Connecticut and earned his medical degree from Yale University School of Medicine. He completed his orthopedic residency at the Harvard Combined Orthopaedic Residency. This was followed by a sports medicine fellowship with Lyle Micheli, MD at the Children’s Hospital Boston in Massachusetts and a foot and ankle fellowship with Roger A. Mann, MD in Oakland, California.   

    Dr. Holmes is currently Director of the Section of Foot & Ankle Surgery at Rush University Medical Center, Chicago, Illinois. He is also an editor for Foot & Ankle International and has hosted visiting fellows from Brazil and Poland. Past nonacademic activities include serving as an orthopedic consultant for the Joffrey Ballet, the Philadelphia Dance Company, the Boston Marathon, the Chicago Bulls, and the Sacramento Kings. He has authored numerous peer-reviewed and nonpeer-reviewed articles; regional, national and international podium presentations; and book chapters.   

    Simon Lee, MD 
    is an assistant professor in Orthopaedic Surgery at Rush University Medical College. He is a graduate of Rush Medical College, completing his orthopedic surgery residency at the University of Illinois, Chicago. He completed his Foot and Ankle Surgery Fellowship in Charlotte, North Carolina at the Miller Clinic and Carolina’s Medical Center.   

    Dr. Lee is active in the continued education of orthopedic residents at Rush Medical Center in foot and ankle surgery. He is active and serves as a committee member for the American Orthopedic Foot and Ankle Society (AOFAS). Dr. Lee has served on the faculty of numerous courses on surgery of the foot and ankle through the AAOS and AOFAS. Additionally, he is a reviewer for the Foot and Ankle International (FAI) journal. Locally, Dr. Lee serves as the foot and ankle consultant for numerous Chicago metro area high schools, colleges, semi-professional and professional dance companies, and the Chicago White Sox and Chicago Bulls.