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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 on theme: "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."— Presentation transcript:

1 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 of Bone and Joint Surgery, Inc.

2 Harris mat print of a patient with varus forefoot deformity. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

3 Harris mat print of a patient with a valgus forefoot deformity. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

4 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

5 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

6 Histologically, a wart demonstrates considerable vascularity. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

7 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

8 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

9 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

10 A discrete, localized intractable plantar keratosis beneath the second metatarsal head. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

11 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

12 A diffuse keratotic lesion. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

13 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

14 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

15 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

16 Surgical technique for a modified DuVries plantar condylectomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

17 An excised plantar condyle. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

18 Radiograph demonstrating a vertical chevron osteotomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

19 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

20 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

21 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

22 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

23 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

24 Technique for basal metatarsal osteotomy. Roger A. Mann, and Jeffrey A. Mann J Bone Joint Surg Am 2003;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

25 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

26 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

27 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.

28 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;85:938-955 ©2003 by The Journal of Bone and Joint Surgery, Inc.


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