Faʻataʻaliʻu & Paʻu Faiga Faʻaanofaʻataʻoto Faʻamatalaga Faʻataʻi & Faʻafitauli II | El Paso, TX.

Lisfranc Fracture-Dislocation

• M / C faʻavaeina le vae i le faʻasalalauga-metatarsal (Lisfranc joint). Faʻatonu le aʻafiaga poʻo le faʻaleleia ma le totoina poʻo le faʻasolosolo e feliuaʻi le vae. Lisfranc ligament o loʻo umia 2nd MT base ma 1st Cu ua vaʻaia. Faʻaalia ma poʻo le f / o le faʻatauvaʻa-faʻamalosi.
• Ata: 1st sitepu: vae radiography i le tele o mataupu lava ia Dx. E ono fesoasoani le MSK US: faʻaali le faʻalavelave ile Cu1-Cu2. Ligament ma lautele avanoa> 2.5mm. MRI ono fesoasoani ae le taua. Fesoasoani vaʻai mamafa mamafa Dx.
• 2-ituaiga: homolateral (1st MTP soʻotaga i le faʻafesoʻotaʻiga) ma eseesega (2-5 MT faʻasolosolo mulimuli ane ma 1st MT medally)
• Faʻatautaia: faʻapitoa le faʻaaogaina o galuega
• NB Atraumatic Lisfranc dislocation o se faʻalavelave faifaipea o le vae o le maʻisuka Charcot

Osteochondral Puapuaga a le Talus (OCD)

• Taatele. E le o se faʻafitauli na maua i le sili-medial talar dome. E mafai ona aʻafia ai le gasegase o le gasegase.
• Falemaʻi: tiga / faʻamataʻu / tapuni. E taua tele ata.
• 1st laasaga: e mafai e le radiography ona faʻaalia le le mautonu o le eletise / halo, vaega.
• MRI fesoasoani esp. pe afai o le OCD o le cartilaginous ma e faʻaalia le ponaivi.
• Pulega: e le o faagaoioia: short-leg cast / immonbilization-4-6 wk. faʻamalosi: aveeseina arthrocsopic.
• Faʻamaumauga: faʻamuamua 2nd DJD

Metatarsal Manua

• Masani ma Faʻamamaʻa gau e taatele: m / c 5th MT & 2nd, 3rd MT.
• Jones Fx: extra-articular Fx o faʻataʻitaʻiga metaphysis o le 5th MT. Maua e le lotogatasi. E masani ona faʻagaioia faʻagaoioia.
• Pese-Jones: intra-articular avulsion o le 5th MT styloid / base eccentric contraction o Peroneus Brevis M. Pulea faʻataʻitaʻi: boot-cast immobilization. Uma Jones & Pseudo-Jones Dx i vae faasologa radiography.
• Manatua Fx. Calcaneus, 2nd, 3rd, 5th MTs. Utaina faʻateleina (tamoʻe) poʻo le "Mati vae" 2nd / 3 MT. Togafitiga: tiga i gaioiga, faaititia e malologa. Dx: x-ave masani unrewarding muamua. MRI poʻo le MSK US ono fesoasoani. Pulea: Faʻapitoa. Faʻafitauli; alualu i luma i le atoatoa Fx
• Turf toe: taʻaloga taʻalo masani a le 1st MTP-sesamoid/ plantar ua masae le ipu lauti. 1st MTP le mautonu / tatala. Pulea faʻagaoioia.

Gugu o le vae ma tapuvae

• DJD o le tapuvae: le masani ai o le muamua OA. Masani atiina ae pei o le 2 i faʻaletonu / AVN, RA, CPPD, Hemophilic arthropathy, Juvenile Idiopathic Arthritis, ma isi faʻaaliga pei DJD: osteophytes, JSL, subchondral cIST uma vaʻaia i luga o x-ray
• Inflammatory Arthritis: E ono tupu le RA ile tapuvae poʻo se soʻoga soʻofaʻatasi. E masani lava ona iai ma symmetrical Lima / vae RA muamua (2nd, 3rd MCP, tapulima, MTP i vae) masani ma eleele tafia, JSL toniga, juxta-articular osteopenia, ma tuai tuai subluxations.
• HLA-B27 spondyloarthropathies: e masani ona aʻafia ai vaega pito i lalo: mulivae, tapuvae vae i le Toʻaga (Reiter). Erosive-aoga ponaivi faʻateleina o se taua Dx.
• Gasegase o le oona: taatele i le pito maualalo. Ankle, ogatotonu vae vae 1st MTPs. Amataga amata: matuitui gouty gugu ma ST aoga ma leai erosions / tophi. Gout tophaceous faaumiumi: peri-articular, intra-osseous taia-i fafo erosions ma ova-tautau pito, leai amataga JSL / osteopenia, ST. Tophi ono vaʻaia.
• Eseesega faʻasoesa: PVNS. Le masani ai. Aafia 3-4th tausaga o le olaga. O le iʻuga o le faʻateleina o le synovial ma Macrophages ma le tele o vaega o Giant Cells ua faʻatumuina i le hemosiderin ma le faʻaputuputuina o gaʻo e ono taitai atu ai i le fulafula, faʻaleagaina o le cartilage, maʻa o ponaivi. Dx: x-ray o le le lava, MRI masani o filifiliga. Biopsy a le Synovial. Pulega: faʻagaioiga, mafai ona faigata.

Neuropathic Osteoarthropathy

• (Soʻoga o Charcot) Masani ma le faʻatupulaia d / t faʻamaʻi i le ituaiga 2 DM. E ono iai muamua ma le tiga (50% o mataupu) ma le faʻamaʻi faʻaleagaina ole mafaufau male faʻamaoni ole faʻaaliga. Early Dx: tuai. E taua tele ata: x-ray: muamua le faʻasolosolo, o nisi SF faʻaalia e vaaia. MRI fesoasoani i le vave Dx ma le tele o ese ese-utaina. Late Dx: faʻasoesa le toe suia, pa'ū, le atoatoa. Faʻaaliga: Lisfrance dislocation i Charcot soʻoga
• M / C ogatotonu vae (TM soʻoga) i le 40% o mataupu, tapuvae 15%. Alualu i luma: Rocker-lalo vae, papala, papala, faʻatupulaia le papala, ma le olaga nei.
• Early Dx: e ala i le MRI e tāua tele. Faʻafesoʻotaʻi i tagata mamai i le 2 DM aemaise lava pe a amata ona lipotia muamua le tiga o le vae / tapuvae.

Tapuvae & Ata o Ata