Keratotic Disorders of the Plantar Skin by Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am Volume 85(5):938-955 May 1, 2003 ©2003 by The Journal.

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Presentation transcript:

Keratotic Disorders of the Plantar Skin by Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am Volume 85(5): May 1, 2003 ©2003 by The Journal of Bone and Joint Surgery, Inc.

Harris mat print of a patient with varus forefoot deformity. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Harris mat print of a patient with a valgus forefoot deformity. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-A The foot of a patient with rheumatoid arthritis and large diffuse plantar callosities beneath the metatarsal heads. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A wart on the plantar aspect of the foot usually does not develop in a weight-bearing area. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Histologically, a wart demonstrates considerable vascularity. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A discrete plantar keratosis beneath the prominent fibular condyle of the second metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Histologic section of a keratotic lesion, demonstrating layers of keratin with no blood vessels. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Figs. 7-A and 7-B Placement of a soft metatarsal support in the shoe. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A discrete, localized intractable plantar keratosis beneath the second metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A Harris mat print demonstrating a well-localized area of pressure representing a discrete plantar keratosis beneath the third metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A diffuse keratotic lesion. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A Harris mat print demonstrating a diffuse keratotic lesion beneath the second metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Figs. 12-A, 12-B, and 12-C Typical findings with a Morton foot. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

A Harris mat print demonstrating increased weight-bearing beneath the second and third metatarsals, with little or no weight-bearing beneath the first metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Surgical technique for a modified DuVries plantar condylectomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

An excised plantar condyle. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Radiograph demonstrating a vertical chevron osteotomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Figs. 16-A, 16-B, and 16-C A hyperkeratotic lesion beneath the tibial sesamoid following a bunionectomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Radiograph demonstrating that the tibial sesamoid is centered beneath the metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Axial radiograph demonstrating the sesamoid sitting beneath the crista of the metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Figs. 17-A and 17-B Surgical technique for shaving of the tibial sesamoid. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Figs. 17-C and 17-D Axial and lateral radiographs showing the tibial sesamoid after removal of its plantar half. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Technique for basal metatarsal osteotomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Radiographs of a foot in which a basal osteotomy was carried out with fixation with a screw and a wire tension band. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Figs. 20-A through 20-D Surgical technique for the oblique metatarsal osteotomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Preoperative and postoperative radiographs demonstrating shortening of the second metatarsal to create a smooth metatarsal arch. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.

Figs. 22-A, 22-B, and 22-C Surgical technique for the distal metatarsal osteotomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85: ©2003 by The Journal of Bone and Joint Surgery, Inc.