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Lateral column fusions.

Thomas J Chang1, David J Soomekh

  • 1Northern California Foot and Ankle Center, 45 Castro Street, Suite 315, San Francisco, CA 94114, USA. Changgang5@aol.com

Clinics in Podiatric Medicine and Surgery
|March 12, 2004
PubMed
Summary
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Lateral column pain in the foot is common in neutral to supinated foot types and can be successfully treated. The Achilles tendon

Area of Science:

  • Orthopedic surgery
  • Foot and ankle biomechanics
  • Podiatric medicine

Background:

  • Medial column pain has extensive literature, but lateral column pain presents unique biomechanical challenges.
  • Distinguishing between medial and lateral column pain is crucial and depends on patient foot type.
  • Lateral column pain is frequently observed in individuals with neutral to supinated foot structures.

Purpose of the Study:

  • To discuss successful treatment approaches for chronic pain and end-stage arthrosis of lateral column joints.
  • To highlight the biomechanical considerations in lateral column pathology.
  • To emphasize the potential role of the Achilles tendon in lateral column issues.

Main Methods:

  • Review of existing literature on medial and lateral column pain treatments.

Related Experiment Videos

  • Clinical observation correlating foot type with lateral column pain prevalence.
  • Discussion of surgical and non-surgical treatment strategies for lateral column conditions.
  • Consideration of the biomechanical impact of the Achilles tendon on lateral column structures.

    • Main Results:

    • Lateral column pain is notably more prevalent in neutral to supinated foot types.
    • Chronic pain and end-stage arthrosis of lateral column joints demonstrate successful treatment outcomes with discussed approaches.
    • The Achilles tendon, while critical for medial column collapse, also warrants consideration in lateral column pathology.

    Conclusions:

    • Effective treatment strategies exist for chronic lateral column pain and arthrosis, particularly in neutral to supinated feet.
    • Understanding foot type is essential for accurate diagnosis and targeted treatment of column pain.
    • Further consideration of the Achilles tendon's role in lateral column pathology is recommended.