Ischemic necrosis following clubfoot surgery: The purple hallux sign

Journal of Pediatric Orthopaedics Part B

Volumn 13, Issue 5, 2004, Pages 315-322

  Hootnick, David R ^a,b,g   Packard Jr , David S ^b   Levinsohn, E Mark ^c   Berkowitz, Scott A ^d   Aronsson, David D ^e   Crider Jr , Russell J ^f  

^a State University of New York Upstate Medical University: College of Medicine   (United States)

^b STATE UNIVERSITY OF NEW YORK   (United States)

^c CROUSE HOSPITAL   (United States)

^d YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e UNIVERSITY OF VERMONT COLLEGE OF MEDICINE   (United States)

^f NEW YORK UNIVERSITY   (United States)

^g SUNY UPSTATE MEDICAL UNIVERSITY   (United States)

Author keywords

Arterial deficiency; Clubfoot surgery; Necrosis; Purple hallux

Indexed keywords

ADOLESCENT; ARTERIOGRAPHY; ARTERY MALFORMATION; ARTICLE; CHILD; CLINICAL ARTICLE; CLUBFOOT; EARLY DIAGNOSIS; EMERGENCY SURGERY; FEMALE; GANGRENE; HALLUX; HUMAN; INFANT; LIMB PERFUSION; MALE; PEROPERATIVE COMPLICATION; PRACTICE GUIDELINE; PRIORITY JOURNAL; PURPLE HALLUX; RISK FACTOR; TIBIAL ARTERY;

EID: 4444311929     PISSN: 1060152X     EISSN: None     Source Type: Journal    
DOI: 10.1097/01202412-200409000-00006     Document Type: Article

References (31)

1. Stern WG. Problems in the treatment of clubfoot. A. The circulation after forcible correction. B. The amount of correction practicable at any one setting. Am J Orthop Surg 1910; 8:131-136.
2. Kite JH. The clubfoot. New York: Grune and Stratton; 1964.
3. Turco VJ. Clubfoot. New York: Churchill Livingstone; 1981.
4. DeVelasco Polo G, Ruiz D. Preliminary report of findings of vascular absence in patients with congenital clubfoot [in Potoguese]. Rev Ort Lat Am 1968; 8:27-34.
5. Sarrafian SK. Anatomy of the foot and ankle. 2nd ed. Philadelphia: J.B. Lippincott, Williams & Wilkins; 1993.
6. Sodre H, Bruschini S, Mestriner LA, Miranda F Jr, Levinsohn EM, Packard DS Jr, et al. Arterial abnormalities in talipes equinovarus as assessed by angiography and the Doppler technique. J Pediatr Orthop 1990; 10: 101-104.
7. Katz PA, Albanese EL, Levinsohn EM, et al. Pulsed color flow Doppler analysis of arterial deficiency in idiopathic clubfoot. J Pediatr Orthop 2003; 23:84-87.
8. Hootnick DR, Packard DS Jr, Levinsohn EM, Wladis AR. Three cases of necrosis following clubfoot surgery: a proposed vascular etiology. In: Simons GW (editor): The clubfoot: the present and a view of the future. New York: Springer-Verlag; 1994, pp. 442-448.
9. Hootnick DR, Packard DS Jr, Levinsohn EM, Crider RJ Jr. Confirmation of arterial deficiencies in a limb with necrosis following clubfoot surgery. J Pediatr Orthop B 1999; 8:187-193.
10. Kitziger K, Wilkens K. Absent posterior tibial artery in an infant with talipes equinovarus. J Pediatr Orthop 1991; 11:777-778.
11. Quillin SP, Hicks ME. Absent posterior tibial artery associated with clubfoot deformity: an unusual variant. J Vasc Interv Radiol 1994; 5:497-499.
12. Hootnick DR, Packard DS Jr, Levinsohn EM. Necrosis leading to amputation following clubfoot surgery. Foot Ankle 1990; 10:312-316.
13. Hootnick DR, Packard DS Jr, Levinsohn EM. Postoperative necrosis in clubfoot: recent findings and review. Orthopaedics International Edition 1992; 1:48-58.
14. Hootnick DR, Packard DS Jr, Levinsohn EM, Crider RJ Jr. Prelude to necrosis following clubfoot surgery: The purple hallux. Ped Supplements 1999; 26:717.
15. Ben-Menachem Y, Butler JE. Arteriography of the foot in congenital deformities. J Bone Joint Surg Am 1974; 86A:1625-1630.
16. Greider MD, Siff SJ, Gerson P, Donovan NM. Arteriography in clubfoot. J Bone Joint Surg 1980; 62A:1123-1129.
17. Hootnick DR, Levinsohn EM, Crider RJ Jr, Packard DS Jr. Congenital arterial malformations associated with clubfoot. Clin Orthop 1982; 167:160-163.
18. Man D, Acland RD. The microarterial anatomy of the dorsalis pedis flap and its clinical applications. Plast Reconstr Surg 1980; 65:419-423.
19. Hunt TK, Twomey P, Zederfeldt B, Dunphy JE. Respiratory gas tensions and pH in healing wounds. Am J Surg 1967; 114:302-307.
20. Hunt TK, Hussain Z (editors). Wound microenvironment. Philadelphia: W.B. Saunders; 1992.
21. Dudell G, Cornish JD, Bartlett RH. What constitutes adequate oxygenation? Pediatrics 1990; 85:39-41.
22. Muir L, Laliotis N, Kutty S, Klenerman L. Absence of the dorsalis pedis pulse in the parents of children with club foot. J Bone Joint Surg 1995; 77B:114-116.
23. Gaine WJ, Turner PG. Postoperative blood loss into plaster casts after clubfoot surgery: an experimental model. J Pediatr Orthop B 1999; 8:147-149.
24. Koman LA, Ruch DS, Smith BP, Smith TL (editors). Vascular disorders. Volume 2. 4th ed. New York: Churchill Livingstone; 1999.
25. Schwartz RA, Kerns D, Fillinger M. Color Doppler imaging for assessment of arterial anatomy in congenital skeletal foot deformity. In: Simons GW (editor): the clubfoot: the present and a view of the future. New York: Springer-Verlag; 1994, pp. 59-62.
26. Crider RJ Jr, Hootnick DR, Packard DS Jr, Levinsohn EM, Schwartz RA, Sodre H, et al. A comparison of arteriographic and doppler techniques in evaluating the abnormal arterial patterns in talipes equinovarus. In: Simons GW (editor): The clubfoot: the present and a view of the future. New York: Springer-Verlag; 1994, pp. 172-177.
27. Stanitski CL, Ward WT, Grossman W. Noninvasive vascular studies in clubfoot. J Pediatr Orthop 1992; 12:514-517.
28. Hanlon M, Barnes M, Lamb G, Nicol R. Central compartment pressure monitoring following clubfoot release. J Pediatr Orthop 1996; 16:63-66.
29. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group. N Engl J Med 1996; 334:1209-1215.
30. Baraff U. Capillary refill: is it a useful clinical sign? Pediatrics 1993; 92:723.
31. Gorelick MH, Shaw KN, Baker MD. Effect of ambient temperature on capillary refill in healthy children. Pediatrics 1993; 92:699-702.