[Injuries of the epiphyseal cartilage. Fundamental concepts].
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Biomedical subjects
Publications and source records attributed to F Bonnel.
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The Foot, organ of the erect position and of walking is a unique example of architectural wonder, of which the slightest abnormality, static as well as dynamic may be the cause of a major dysfunction. Biomechanically, it may be summarized in two triangles: a posterior triangle, static, ensuring the erect position, and an anterior triangle, dynamic or propulsive represented by the phalangeal triangle. These two triangles are connected by a metatarso-phalangeal hinge, the harmonious curvature of which ensures the orientation and the adaptation of the foot in all directions regardless of the condition of the ground.
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The case of an 81-year-old woman with persistent post-traumatic pain of the knee linked to tophaceous gout of the patella is presented. This gout was associated with adenomatous primary hyperparathyroidism. The relationship between hyperuricemia, hyperparathyroidism and chronic renal failure is discussed.
A study of 39 cases permitted us an analysis of the lesions of Lisfranc's joint, from severe fracture dislocation to fractures which are rarely reported in this joint. Standard XRay views seem to us insufficient and we propose carrying out oblique views and, sometimes, tomographic views. We were thus able to obtain information permitting a mechanical functional classification, and thus interpret the lesions in relation to the cause and thus adapt treatment. A long-term follow up of 23 cases suggests frequently invaliding sequelae after involvement of the tarso-metatarsal joints. The authors suggest resection and arthrodesis straightaway in dislocations.