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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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Development of the Limb Synovial Joints01:07

Development of the Limb Synovial Joints

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Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
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Related Experiment Video

Updated: Oct 14, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Congenital Vertical Talus.

Thomas Wirth1

  • 1Department of Orthopaedics, Klinikum Stuttgart, Olgahospital, Kriegsbergstraße 62, D-70174 Stuttgart, Germany.

Foot and Ankle Clinics
|November 9, 2021
PubMed
Summary
This summary is machine-generated.

Congenital vertical talus, a foot deformity, is now treated with less invasive methods like serial casting and percutaneous achillotenotomy. These modern techniques offer better functional outcomes compared to older, extensive surgical approaches.

Keywords:
Congenital vertical talusPercutaneous achillotenotomyPeritalar releaseReverse ponseti method

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Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Foot and Ankle Deformities

Background:

  • Congenital vertical talus is a structural foot deformity characterized by a rocker bottom shape.
  • It involves talonavicular joint dislocation and tendon contractures.
  • Traditional treatments included extensive soft tissue releases.

Purpose of the Study:

  • To compare the efficacy of modern, minimally invasive treatments for congenital vertical talus with historical surgical methods.
  • To evaluate the functional outcomes of serial casting, closed/mini-open talonavicular joint reduction, and percutaneous achillotenotomy.

Main Methods:

  • Treatment involves serial casting for foot alignment.
  • Reduction of the talonavicular joint is performed via closed or mini-open techniques.
  • Percutaneous achillotenotomy addresses tendo Achilles contractures.

Main Results:

  • The current approach utilizes serial casting, minimally invasive joint reduction, and percutaneous tenotomy.
  • Functional results from the minimally invasive method are superior to extensive soft tissue releases.
  • This represents an advancement in treating congenital vertical talus.

Conclusions:

  • Minimally invasive techniques provide superior functional outcomes for congenital vertical talus.
  • Serial casting and percutaneous procedures are effective in managing this complex foot deformity.
  • Modern treatment paradigms offer improved results for patients with congenital vertical talus.