BOFAS News & Events

This pages lists all the latest news and upcoming events.

 

To access 'Foot Print' (the BOFAS Bulletin) please click here (members only)

 

Latest News

Togay Koç
/ Categories: Abstracts, 2013, Poster

Morton’s neuroma: the clinical picture revisited

D. Mahadevan, M. Venkatesan, R. Bhatt, M. Bhatia

Introduction: Various tests to clnically detect Morton´s neuroma (MN) have been described but none are pathognomonic and the most reliable technique has yet to be established.

Methods: A prospective study was undertaken on 54 feet with symptomatic Morton’s neuroma (MN) to identify the most common reported symptoms and clinical signs. Patients in a foot and ankle clinic with features of MN had their symptoms and clinical signs recorded. An ultrasound was subsequently performed by a radiologist who was kept blind to clinical findings.

Results: MN was detected on ultrasound at the site of symptoms in all but one case. Adjacent webspace neuromas were symptomatic in 27% and asymptomatic in 5%. Forefoot pain was the presenting feature in 96% and 72% characterised the pain as burning. 60% complained of altered sensation. The sensation of ´like having a pebble in the shoe´ was reported in only 52%. The thumb-index-finger squeeze test was the most consistent clinical finding (94%). Mulder’s click was only positive in 63% and was size dependent (10.9mm in positive tests vs. 8.5mm in negative tests, p=0.016). Other tests were less consistent and were positive in 42% for foot squeeze, 35% for plantar percussion, 31% for dorsal percussion and 28% for sensory changes.

Results: The diagnosis of MN can be reliably made through clinical assessment (98% chance of having an ultrasound detectable MN). A history of forefoot ‘burning’ pain with a positive thumb-index-finger squeeze test may be considered as pathognomonic of MN.

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Tags: Clinical Test

 

BOFAS Hosted Events

This courses is designed to develop and extend the knowledge and skills of training foot and ankle surgeons. Techniques of arthroscopic surgery of the joints, ligaments and tendons of the ankle and foot will be presented and demonstrated. Basic Skills covers the more common procedures which a foot and ankle surgeon would be likely to need. Delegates will be given ample time to develop their skills in each of the areas listed below using cadaver limbs. Questions and case presentations will be encouraged with an expert and interactive faculty.

Anterior ankle
Posterior ankle 
Haglund’s surgery
Sub-talar joint
Tendoscopy
Arthroscopic Ankle fusion
1st MTP joint

 

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This courses is designed to develop and extend the knowledge and skills of established foot and ankle surgeons. Techniques of arthroscopic surgery of the joints, ligaments and tendons of the ankle and foot will be presented and demonstrated. Advanced Skills covers some more advanced and emerging techniques. Delegates will be given ample time to develop their skills in each of the areas listed below using cadaver limbs. Questions and case presentations will be encouraged with an expert and interactive faculty.

1st MTP joint
Arthroscopic lateral and medial ligament repair FHL transfer
Peroneal groove and Tibialis posterior
Tarsal coalition excision
Sub-talar fusion
Chopart joint fusion

 

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BOFAS Principles Course Taunton

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These courses are aimed at Higher Surgical Trainees / ST3 onwards and are designed to teach the core of Foot and Ankle surgery in an informal and interactive environment. The emphasis is on clinical examination cases, discussion groups and typical day-to-day clinic scenarios. Although not an exam preparation course, content is taught to the standard expected in the FRCS(Tr & Orth) exam; that of a day-one non-specialist orthopaedic consultant. Applications will open on 1st September 2023.

Venue - Taunton (TBC)

 

 

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BOFAS Supported Events

Other Upcoming Events / Courses