Personal Profile
He provides a tertiary level service for complex foot and ankle problems accepting referrals from colleagues and neighbouring hospitals.
The Neutral Heel Push Test
Mr Sajid Shariff Consultant Foot & Ankle Orthopaedic Surgeon alongside his colleague Mr Pasapula have described a new orthopaedic test for the integrity of the spring ligament.
The research was carried out at the Evelyn Cambridge Surgical Training Centre which resulted in a publication enclosed with this blog.
The video of the test can be viewed on Youtube : https://www.youtube.com/watch?v=xpHHA62T-u0
Highlights
1. Spring ligament is the primary supporting structure against planovalgus deformity.
2. We examined 21 cadaveric specimens in a standardised and reproducible manner.
3. Mean lateral translation increased most significantly when the spring ligament was released.
4. The Neutral heel lateral push test can determine spring ligament integrity.
Publications:
Neutral heel lateral push test: The first clinical examination of spring ligament integrity The Foot Vol 25, Issue 2, June 2015, Pages 69-74
The resistance to failure of spring ligament reconstruction. The Foot. 33.2017.10.1016/j.foot.2017.05.006.Pasapula Chandra, Devany Adam, Fischer Nicole, Wijdicks Coen, Hübner Tim, Reifenschneider Franziska, Shariff, Sajid
Common Conditions
Plantar fasciitis: is a common condition caused by inflammation of the plantar fascia. The plantar fascia is a fibrous sheet in the sole of your foot which helps maintain the arch. Heel pain, (sometimes intermittent) is usually worse in the morning (when rising) also after periods of prolonged sitting or at the start of sporting activity. The type of pain has been described as a nail being driven into the heel or a burning sensation. Pain may also occur in the mid part of the foot.
Hallux valgus or Bunion: Hallux valgus (this is a Latin phrase, meaning foot deformity), also known as as a Bunion, is when the big toe is deformed. The big toe will tilt towards the other toes and will have a bony lump that appears on the inside of the foot. As the toe progressively tilts more out of place, the bony lump will become more visible. This condition is mainly found in women, and it is predicted that 35.7% of over 65 have hallux valgus. Many women tend to develop Hallux Valgus due to wearing tight shoes or heeled shoes when they are young; this can increase the risk of developing hallux valgus in later life. Hallux valgus can also be hereditary, meaning that it runs in families.
Ankle Arthroscopy: An ankle arthroscopy is a ‘look’ into the ankle joint, which also allows keyhole surgery to be carried out. This procedure involves making two or three small puncture wounds usually in the front of the ankle. A small arthroscope (3 to 5 millimetres in diameter) is inserted into the ankle allowing the surgeon to see and operate inside the ankle joint. A number of different soft tissue and bony conditions can be treated arthroscopically, e.g. removal of bony spurs or loose bone fragments or shaving of soft tissue inflammation (synovitis). Success and recovery rates vary depending upon the specific condition being treated and will be discussed with you prior to surgery.
