Peripheral Arterial Disease Awareness Month

September is Peripheral Arterial Disease Awareness (PAD) Month. PAD can cause leg/foot pain and can result in lower extremity wounds and limb loss if not treated. MSFAS can HELP. Call us for an appointment today – 901-309-7700. We have four convenient locations: Cordova, East Memphis, Midtown and Atoka.

Growth Plate (Physeal) Fractures

Growth plate injuries are an interesting and challenging group of injuries based on the unique characteristics of skeletally immature bone in the developing pediatric patient. Generally they are seen after twisting or compressive forces are applied to a bone. They can occur at any age and care must be taken to accurately diagnose and treat these injuries to prevent long term complications.

Histologically, woven bone predominates in the skeletally immature patient. Mechanically, woven bone responds differently to external stress than compact or lamellar bone found in the mature skeleton. Pediatric bone has increased capacity for plastic deformation and decreased tendency for comminution when compared to adult bone.

When growth plate injury is suspected based on the history and physical exam, x-rays or CT scans are often used to confirm or stage the diagnosis. There are multiple forms of growth plate disruptions ranging from a simple compacting injury to complete dislocation.

When evaluation of the patient and fracture injury has been assessed, closed reduction is typically attempted with consent from the patient and family to proceed to open reduction if closed reduction is not possible. Sometimes, it is even necessary to insert screws or pins to stabilize the fracture. In the post-reduction setting, immobilization and non-weight bearing protocols are often implemented. Generally pediatric patients will heal these injuries within 2 months and go forward through life without residual complications.

If you think you have suffered a growth plate injury, please make an appointment with Mid-South Foot and Ankle Specialist to find the best solution for your foot. Call us at 901-309-7700 to make an appointment today.

Ankle Sprains

An ankle sprain is a very common injury and can happen to any person in any age group. Common ways that people are injured include sports, work, daily activities or simply mis-stepping on uneven ground. The injury occurs with twisting or inversion of the ankle, which is where the foot turns inward beyond normal limits of motion. When this happens the ligaments that stabilize the joint can be stretched or torn. This is called an ankle sprain.

A ligament is a stiff, rubber-band like tissue that connects bones together and stabilizes joints. There are several important ligaments that stabilize the ankle joint. The most commonly injured are those on the lateral (or outside) part of the ankle. When these are damaged, the ankle joint can become unstable and even sometimes dislocate.

The most common ankle sprain is referred to as a lateral ankle sprain and can result in significant pain and swelling, with bruising being very common. It is also common to experience continued feelings of instability and have repeat sprains. With appropriate treatment most ankle sprains can recover in a fairly short period of time and with no surgery.

However it is important to know that there are other, more serious injuries that can occur with an ankle sprain. These include complete tearing of the ligaments with dislocation or severe instability, fractures, and damage to cartilage within the ankle joint. For these reasons it is important to have a thorough examination if you suspect you have sustained an ankle sprain.

At Mid-South Foot and Ankle Specialists we employ proven treatment methods that are very effective at managing ankle sprains, and will get you back to physical activity as soon as possible. If you think you have suffered an ankle sprain, please feel free to contact Mid-South Foot and Ankle Specialist at 901-309-7700 to make an appointment today.

Digital (Toe) Fractures

Digital (Toe) fractures are a common injury experienced by thousands of Americans annually. The injury is usually caused by a combination of forces which lead to a disruption in the bone cortex resulting in a visible break on x-ray. In the most severe cases, bone can actually be broken into multiple fragments called a comminuted (or compound) fracture.

Most digital fractures are caused through stubbing or crushing mechanisms. The most frequently fractured digits are the hallux (Great toe) and the 5th digit with the least frequently injured toe being the 3rd. Patients who have fractured their toe generally present to the office with a history of recent injury, pain, swelling, bruising, difficulty weight bearing, and discomfort in shoe gear. In some cases on obvious clinical deformity can be noted as a result of the movement of bone fragments.

Initial office workup includes performing a history and physical of the patient and assessing for malalignment of the toe. The integrity of the surrounding skin, toenail, and blood and nerve supply to the toe is also carefully assessed. X-rays generally are ordered to best evaluate the nature of the bones.

Treatment choices can vary based on the injury. Some simple fractures can be addressed with splinting or taping methods to secure the toe. Sometimes a reduction or repositioning of the toe is needed, and in the most severe injuries, surgical treatment of the injury may be required. Generally fractured toes heal within 6-8 weeks and patients return to normal ambulation without ongoing complication.

If you think you have suffered a toe injury, please make an appointment with Mid-South Foot and Ankle Specialist to find the best solution for your foot. Call us at 901-309-7700 to make an appointment today.

Pediatric Flatfoot

Back to school days are fast approaching. There are so many things on our to do list to get our children ready for school – purchasing supplies and school clothes, getting physicals and shot records, registering them for school and sports, etc. When preparing for school, don’t ignore your child’s growing pains. Many children suffer from Pediatric Flatfoot and may not have symptoms.

As they grow, the flatfoot may cause the child:
• Pain, tenderness or cramping in the foot, leg and knee.
• Outward tilting of heel.
• Difficulty with shoes.
• Reduced energy when participating in physical activities or voluntary withdrawal from doing any physical activities, like sports.

Shown are pictures of a flatfoot before and after surgery. If you think your child is suffering from Pediatric Flatfoot, please make an appointment with Mid-South Foot and Ankle Specialist to find the best solution for your child. Call us at 901-309-7700 to make an appointment today.