Paul J. Kaulius, DPM
Location and Office HoursPaul J Kaulius DPM
Trexlertown, PA 18087
- Lehigh Valley Hospital Cedar Crest
What causes osteochondritis dissecans?
Doctors believe osteochondritis dissecans may be caused by repetitive trauma or stresses to the bone over time. As the articular cartilage degenerates, it changes from a smooth, frictionless surface to a rough cobblestone-like surface. Chips may become detached, floating freely inside the ankle joint and causing pain and a loss of motion. In addition, the joint may become swollen and painful.
What type of follow-up care does my baby need for clubfoot?
Up to 2 months old, your child should see the doctor every 1 to 2 weeks and have gentle manipulation of the foot and cast changes. At about 2 months old, there should be an outpatient surgery visit, and the doctor should do Achilles tendon lengthening (tenotomy) and apply the last cast. At about 3 months old, the doctor should remove the last cast and measure your child for a brace. Then at about 4 months old until your baby is pulling and standing, you should see the doctor every 2 to 3 months and your baby should wear the brace for 23 hours a day with no exceptions. At about 12 months until 3 to 4 years old, your child should see the doctor every 3 to 6 months and wear the brace at night and during naptimes.
What is ankle spatting?
Spatting is when the cleat is taped on the outside to reinforce and help support the ankle. There are two opposing thoughts in regards to spatting. The first is that spatting is a helpful way to decrease ankle sprains. The extra supports can help prevent the common ankle sprain. The second thought process is that while spatting might reduce common ankle sprain, it can also increase the likelihood of suffering from another, more serious injury. If the ankle does not roll upon impact, then the force is driven up into the lower leg and a possible break or fracture is possible in the lower leg. (This answer provided for NATA by the Eastern University Athletic Training Education Program)Helpful? 1 person found this helpful.
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