QUICK START GUIDE QUICK START GUIDE (THIS SIDEBAR WILL NOT PRINT) Arthrodiastasis for Treatment of of Lesser Metatarsal Heads (THIS SIDEBAR WILL NOT PRINT) This PowerPoint template produces a 42”x90" presentation poster. You can use it to create your research poster by placing your title, subtitle, text, tables, charts and How to change the template colors photos. Stephanie Wu, DPM¹, Jones Thomas, DPM², Hummira Abawi, DPM, FACFAS³ You can change the overall template color theme by clicking on the COLORS dropdown menu under the DESIGN tab. You can see a tutorial here: We provide a series of online tutorials that will guide you through the poster design ¹ PGY-1, VA Maryland Healthcare System and Sinai Hospital, Baltimore, Rubin Institute for Advanced Orthopedics https://www.posterpresentations.com/how-to-change-the-research-poster-template-colors.h process and answer your poster production questions. For complete template tml tutorials, go online to PosterPresentations.com and click on the HELP DESK tab. ² PGY-2, VA Maryland Healthcare System and Sinai Hospital, Baltimore, Rubin Institute for Advanced Orthopedics ³ Assistant Director, VA Maryland Healthcare System and Sinai Hospital, Baltimore, Rubin Institute for Advanced Orthopedics You can also manually change the color of individual elements by going to VIEW > To print your poster using our same-day professional printing service, go online to SLIDE MASTER. On the left side of your screen select the background master where PosterPresentations.com and click on "Order your poster". you can change the template background, column sizes, etc.

After you finish working on the SLIDE MASTER, it is important that you go to VIEW > NORMAL to continue working on your poster.

Important: Check the template size Introduction Patient Course Results Discussion/Analysis Conclusion This is a template for a Before you start working on your poster and to presentation poster avoid printing problems check that you have Date Event Details Asymptomatic relief noted at 10 weeks of external fixator application Our patient developed avascular necrosis of 3rd and 4th metatarsals Our case study is limited to one patient. However, the results of downloaded and that you are using the correct There is a paucity of literature describing the use of arthrodiastasis with return to functional baseline at 10 months. Patient had 0/10 pain at 42 inches tall size template for your poster presentation. 05/13/17 Trauma/urgent care Twisted left ankle during patient care. X-ray performed, after a traumatic fall. No resolution of symptoms were noted with the combination of procedures have shown success in symptoms This template can also be printed at the for surgical treatment in avascular necrosis of the lesser How to change the column layout configuration by following sizes without distortion and without Left 4th metatarsal closed nondisplaced fracture 3-year follow-up nonsurgical treatment modalities for 9 months and she was unable to relief and earlier return to functional baseline. Though the surgical You can manually change the configuration on the columns by going to VIEW > SLIDE 90 inches wide any additional formatting: MASTER. You can delete columns, resize them or modify them as needed for your 36 tall x 77.14 wide metatarsals. Arthrodiastasis is used in the setting of avascular 09/14/17 1st clinic visit MRI: angulated fracture of 4th metatarsal neck and return to work due to pain. 4 months after initial surgery, the patient techniques could be limited to patients and pathologies specific, layout. B 44 tall x 94.28 wide collapse of 3rd metatarsal head. A was able to return to daily 4-hour work shift with breaks for icing and they should be applied to current AVN pathologies to explore You can see a tutorial here: necrosis of the , Legg-Calves-Perthes disease (1). With similar Tender to palpation of dorsal aspect of 2nd, 3rd and https://www.posterpresentations.com/how-to-change-the-column-configuration.html concept and pathologies, we would expect promising results (2). 4th metatarsals with edema. Not able to return to work. elevating. 6 months after surgery, the patient was able to return to different treatment options. Case series studies in the future would 8-hour shifts requiring breaks. 10 months following surgery, the be essential in comparing core decompression with Therefore, we explored the combination of surgical techniques that 11/19/17 2nd clinic visit Ecchymosis along 3rd and 4th. POP along dorsum 3rd How to Zoom in and out and 4th metatarsal. Limited ROM 3rd and 4th MTPJ. patient was able to return to 12-hour shift with no restrictions. 37 and core decompression with joint distraction. Use the PowerPoint zoom tool to adjust the involved core decompression with autologous marrow discussed surgery How to hide the QUICK START screen magnification to view comfortably. months after injury and 28 months after initial surgery, patient GUIDE bars from the sides of PowerPoint provides 2 ways to zoom: aspirate concentrate (BMAC). In conjunction with BMAC, 2/20/18 Surgery #1 Left application of ex-fix monorail 3rd and 4th continues to report no pain as rated on Visual analog scale. the template 1. On the top menu bar click on the VIEW tab metatarsophalangeal joint. Core decompression of 3rd The Quick Start Guides are outside the and then click on ZOOM. Choose the zoom template’s printable area and they will percentage that works best for you. offloading harmful stresses to a compromised articular surface with and 4th metatarsals. Bone marrow aspirate from not be on the printed poster. 2. For better zoom flexibility, use the zoom The literature is rife with surgical treatment options for avascular Acknowledgement slider at the bottom right of the window. external fixation allows one to maintain full weight bearing to the If you create a PDF file from your 3/8/18 Post-op visit #1 Blister to distal 4th digit. Hardware intact. 4th monorail necrosis of the lesser metatarsal heads. Typical surgical treatment template, the guides will not be included. , while improving the synovial circulation to the joint. This adjusted/loosened up Thank you John Miller, DPM and Emily Chau, DPM for providing includes osteotomies, debridement, core decompression, autografts, To hide the guides click on the Home tab Ruler and Guides case study documents a patient with avascular necrosis of the lesser 3/15/18 ED visit Possible DVT. Readjusted proximal monorails allografts, and arthroplasties. Alhadhoud et al. performed a systematic patient care. (top of the screen) and then click on the The dotted lines on his poster template are guides. The horizontal and vertical guides Layout button below to see the available will help you align your poster elements accurately. Text boxes and other elements will metatarsal heads treated successfully with core decompression, 4/10/18 Surgery #2 Removed external fixator, manipulation under review of surgical interventions for AVN of metatarsal heads and layouts. Choose the Without Guides ”snap” to the guides and stay within the boundaries of the columns. To hide the guides anesthesia layout. go to VIEW and uncheck the Guides box. BMAC and multiple monorail external fixators. found that all interventions had weak support in the literature in 5/3/18 Post-op visit #1 Pin sites clean, no infection concerns. Xray - metatarsal C D regards to demonstrating their efficacy (3). To our knowledge, only Headers and text containers heads 3 and 4 have bony consolidation. No signs of Included in this template are commonly used lytic lesions except at lateral 3rd metatarsal head. Dorsal one article in the literature mentions the use of arthrodiastasis for References section headers such as Abstract, Objectives, Case Presentation pain on palpation to left foot 4th metatarsal head, no AVN of the lesser metatarsal heads (4). In the foot and ankle, Methods, Results, etc. plantar pain, no pain with ROM - Click inside a section header to add its text. arthrodiastasis is often used for treatment of arthritis of both the first 1.Maxwell, S. L., et al. “Arthrodiastasis in Perthes’ Disease.” The Journal of Bone - To add another header, click on edge of the Forty-nine-year-old female with past medical history of diabetes 7/5/18 Post-op visit #2 Incision all healed. Xray - pin sites healed. Joint space and Joint Surgery. British Volume Crossref section box so that it is outlined. Copy and metatarsophalangeal joint and ankle joint. , vol. 86-B, no. 2, 2004, pp. 244–50. , paste it. mellitus type 1 with cheiroarthropathy, graves disease, within lesser digits 2-4 maintained space. No further doi:10.1302/0301-620x.86b2.14284. How to preview your poster prior - To increase its size, click on the white circles avn changes. Contour of metatarsal heads acceptable. to printing and expand to the the desired size. hypothyroidism, psoriatic arthritis, hyperlipidemia, aortic Able to return to 4-hour work shift with breaks for 2.Luzo, Carlos Augusto Malheiros, et al. “Initial Experience of Use of an You can preview your poster at any time Arthrodiastasis has been used in the treatment of avascular necrosis by pressing the F5 key on your insufficiency, pericarditis and bilateral carpal tunnel syndrome who ice/elevation Articulated External Fixator in Treating Legg-Calvé-Perthes Disease by keyboard. You will see on the screen Adding content to the poster of the femoral head as early as 1979. By creating a space between the what's on your poster and how it should presented to clinic after suffering a fall during work a month ago. 8/2/18 Clinic visit Able to perform 8-hour shift with several breaks for Means of Arthrodiastasis during the Active Phase of the Disease.” Revista Start by adding your text to each section without spending too much time with articular surfaces, minimizing mechanical stress, and maintaining look when printed. Press the ESC key to F5 formatting. Use the default font size even if your text extends beyond the bottom of the X-ray imaging results from urgent care showed left foot, 3rd and 4th ice/elevation. Moderate pain and swelling Brasileira de Ortopedia (English Edition), vol. 51, no. 3, 2016, pp. 337–45. Crossref, exit Preview. poster. Continue until you have added all your content including text, graphics, photos, movement, the synovial circulation will be restored. This encourages etc. Once you finish adding your content you can go back and format your text as nondisplaced toe fractures. She was advised to wear surgical shoe and 11/28/18 Clinic visit Intermittent swelling. Able to perform heel raise doi:10.1016/j.rboe.2016.04.005. needed. without pain fibrous repair of defects of articular cartilage and the preservation of 3.Alhadhoud, M. A., Alsiri, N. F., Daniels, T. R., & Glazebrook, M. A. (2020). - If you run out of room, try to reduce the size of your fonts and/or the size of your partial weightbearing with light duty. Then followed up with podiatry Surgical interventions of Freiberg’s disease: A systematic review. Foot and How to print your poster graphics. If there is a lot of empty space try to increase your font sizes and the size as outpatient clinic where a magnetic resonance imaging (MRI) was 12/28/18 Clinic visit Able to perform 12-hour work shift without restrictions an intact and congruent articular surface. (5) When you are ready to have your poster printed go online to PosterPresentations.com of your graphics. The font used for references can be smaller. F and click on the "Order Your Poster" button. You can have your poster printed on E Ankle Surgery. https://doi.org/10.1016/j.fas.2020.08.005 requested and reviewed. MRI showed an angulated fracture of 4th 7/8/20 Clinic visit 0/10 pain in foot, wear supportive shoe orthotics professional papers, fabric for easy traveling and a variety of other materials. This idea has been extrapolated to this case study to achieve 4.Wynes, J., Cook, E. A., & Cook, J. J. (2019). Lesser Metatarsal Head with If you submit a PowerPoint document, you will be receiving a PDF proof for your Photos metatarsal neck and collapse of 3rd metatarsal head. On physical Avascular Necrosis and Revision PIPJ Distraction Arthrodesis. In approval prior to printing. If your order is placed and paid for before noon (Pacific time) You can add photos by dragging and dropping from your desktop, copy and paste, or Left: 1 month after symptomatic relief in longstanding lesser metatarsals AVN. An Monday-Friday, your order will ship out that same day. FedEx Next day, Second day, by going to INSERT > PICTURES. Resize images proportionally by holding down the exam, tender to touch along lateral/posterior ankle extending onto th Hammertoes: A Case-Based Approach (pp. 403–413). Springer International Third day, and Free Ground services are offered. injury, 4 neck SHIFT key and dragging one of the white corner handles (dots). For a dorsum of foot, 2nd, 3rd and 4th metatarsals. Ecchymosis noted advantage of performing arthrodiastasis for AVN is maintenance and professional-looking poster, do not distort your images by stretching them minimally displaced Publishing. https://doi.org/10.1007/978-3-319-16552-3_29 Go to PosterPresentations.com for more information. disproportionally. along 3rd and 4th metatarsal with limited range of motion in possible elongation of a short ray. Several other treatment options 5. fracture Aldegheri R, Trivella G, Saleh M. Articulated distraction of the hip: causes shortening which can cause a myriad of forefoot problems. metatarsophalangeal joints. Pain with ankle inversion and Right: MRI conservative surgery for arthritis in young patients. Clin Orthop plantarflexion motion. surgical interventions of decompression of decreased T1 signal Similarly, joint distraction may result in immediate pain relief by 1994;301:94-101. 3rd and 4th metatarsals were recommended. Nonunion fracture of intensity of 3rd decreasing joint pressure as joint capsule, ligaments and subchondral 4th metatarsal and avascular necrosis of 3rd and 4th metatarsals head metatarsal head and bone contains a high number of nociceptive pain receptors. Another th benefit of arthrodiastasis is immediate weight bearing as well as a Quality check your graphics were suspected, surgical interventions were recommended. angulated 4 Zoom in and look at your images at 100%-200% magnification. If they look clear, they metatarsal neck minimally invasive approach. © 2019 PosterPresentations.com For complete tutorials visit: will print well. fracture A/B: Postoperative x-rays, AP and lateral. Good alignment with intacted hardware. https://www.posterpresentations.com/help 2117 Fourth Street , STE C desk.html C: Immediate postoperative clinical photo. D: Removal of hardware, post-op visit with good bony consolidation. E: clinical photo of healed incision with removal of hardware. Berkeley CA 94710 USA F: Ten month x-ray with patient working 12 hour shift without any problems

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