Injury to the metatarsals can be seen in a wide variety of patient populations and is often underrated in terms of long-term outcomes and severity. Although commonly seen in industrial settings secondary to direct, heavy equipment injury, it can also present indirectly by a seemingly minor mechanism. Due to the important role the metatarsals play in ambulation and proper foot function, careful treatment and recognition of these injuries requires not only an ability to recognize but to appropriately treat such injuries. In addition to radiographic findings, soft tissue damage and sequelae can compound the patient's prognosis and recovery. This lecture provides the basis tenets toward recognizing and treating various metatarsal insults that will be encountered in clinical practice. Although many methods of fixation have been identified over the years, a basic description of principles is outlined from which each surgeon can build upon. Please use this lecture as a guide in treating metatarsal trauma, keeping in mind that each patient must be treated as a unique case and that subjective and objective findings, combined with good clinical judgment, should take priority in each case

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One of Dr. Solomon's surgical interests is rheumatoid arthritic reconstruction of the foot. This lecture on Reconstruction of the Rheumatoid Forefoot looks at both the historic and present approaches to conservative and surgical treatment of the foot. This lecture will introduce to the podiatrist the important medical and surgical considerations in the surgical reconstruction of the rheumatoid forefoot. Peri-operative care and alternatives surgical approaches are discussed in this presentation.

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Lecture topic first classifies deformity by etiology, then through radiographic techniques. The radiographic classifications then serves as the template for categorizing the numerous surgical procedures utilized to correct cavus foot deformity.

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by an Educational Grant from

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