foot and ankle

Approaches

Ankle

- anterior

- anterolateral

- posterolateral

Hindfoot

- lateral

- Ollier's

Anterior approach to Ankle

Concept

Between EHL and EDL

Indications 

- drainage of ankle joint

- ankle arthrodesis

- ORIF tibial plafond

- removal of loose bodies

Approach

Position 

Definition

1. Spinal dysraphism

Failure of the neural tube to close (i.e. spina bifida + failure of neural tube development)

May see one of 5 telltale skin defects 

- tail

- skin dimpling 

- sacral pit 

- hair tuft 

- lipoma 

Myelodysplasia: Any developmental defect of the spinal cord 

2. Spina Bifida Cystica