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https://www.readbyqxmd.com/read/29278836/the-fibularis-digiti-quinti-tendon-a-cadaveric-study-with-anthropological-and-clinical-considerations
#1
Morgan E Chaney, Tung V Dao, Benjamin S Brechtel, Stephanie J Belovich, Kathy J Siesel, John R Fredieu
In addition to the fibularis longus and brevis muscles, a number of anomalous muscles or tendons can arise from the lateral compartment of the leg. The authors describe a bilateral and robust fibularis digiti quinti (FDQ) tendon present in the foot of a 99-year-old female cadaver, present the incidence of this tendon in a cohort of 26 cadavers dissected by podiatric-medical students for a lower-extremity anatomy course, and discuss the anthropological and clinical significance of the findings. In these specimen, the FDQ tendon arose from the fibularis brevis tendon proximal to the lateral malleolus, but did not separate completely from the fibularis brevis tendon until passing through the inferior fibular retinaculum...
December 5, 2017: Foot
https://www.readbyqxmd.com/read/29128666/comparison-of-plantar-pressure-distribution-in-cad-cam-and-prefabricated-foot-orthoses-in-patients-with-flexible-flatfeet
#2
Banafsheh Khodaei, Hassan Saeedi, Maryam Jalali, Maede Farzadi, Ehsan Norouzi
BACKGROUNDS: The effect of foot orthoses on plantar pressure distribution has been proven by researchers but there are some controversies about advantages of custom-made foot orthoses to less expensive prefabricated foot orthoses. METHODS: Nineteen flatfeet adults between 18 and 45 participated in this study. CAD-CAM foot orthoses were made for these patients according to their foot scan. Prefabricated foot orthoses were prepared according to their foot size. Plantar pressure, force and contact area were measured using pedar® -x in-shoe system wearing shoe alone, wearing CAD-CAM foot orthoses and wearing prefabricated foot orthoses...
December 2017: Foot
https://www.readbyqxmd.com/read/29126047/clinico-sonographical-evaluation-of-idiopathic-clubfoot-and-its-correction-by-ponseti-method-a-prospective-study
#3
Sumit Chawla, Mallika Gupta, Varun Pandey, Abhishek Jain, Manoj Kumar
BACKGROUND: Objective evaluation of infant with clubfoot is required as conventional imaging modality is of limited usefulness. Ultrasound shows to be a promising technique for assessing deformity and monitoring of clubfoot correction. AIM: Study was done to evaluate the deformity sonographically; to assess the changes in these parameters after treatment by Ponseti method and to correlate these ultrasonographic variables with clinical Pirani score. MATERIALS AND METHODS: 82 feet in 54 children were observed...
December 2017: Foot
https://www.readbyqxmd.com/read/29126045/the-effectiveness-of-conservative-non-pharmacological-treatment-of-plantar-heel-pain-a-systematic-review-with-meta-analysis
#4
REVIEW
Stefano Salvioli, Maddalena Guidi, Giulia Marcotulli
Plantar heel pain is one of the most common causes of pain and musculoskeletal pathologies of the foot. The aim of this systematic review was to identify the most effective, conservative and non-pharmacological treatments regarding pain in patients with plantar heel pain. The authors searched 5 databases and included only randomized control trials which investigated the efficacy of a conservative non-pharmacological treatment compared to the placebo, for the outcome of pain. Study selection, data collection and risk of bias assessment were conducted independently by two authors, and consensus was reached with a third author...
December 2017: Foot
https://www.readbyqxmd.com/read/29126044/medial-forefoot-fillet-flap-for-primary-closure-of-transmetatarsal-amputation-a-series-of-four-cases
#5
Eliezer Sidon, Shai Shemesh, Yoav Rosenthal, Snir Heller, Steven Velkes, Alon Burg
Amputation of the forefoot is a salvage procedure for several forefoot acute or chronic infection. A good, sensate and durable skin cover is important for quicker and better rehabilitation. The use of filleted flaps (or "spare parts technique") has been published in the past as a creative technique. The purpose of this article is to introduce a reproducible, pre-planned, technique that requires less creativity for the use of the "spare parts". The authors describe a case series of 4 patients with deep infection and osteomyelitis of the forefoot, without involvement of the medial skin that underwent two staged procedure for transmetatarsal amputation with medial forefoot fillet flap...
December 2017: Foot
https://www.readbyqxmd.com/read/29126043/biphasic-bioresorbable-scaffold-trufit-plug%C3%A2-for-the-treatment-of-osteochondral-lesions-of-talus-6-to-8-year-follow-up
#6
Elvira Di Cave, Pierluigi Versari, Fabio Sciarretta, David Luzon, Lorenzo Marcellini
BACKGROUND: The ideal treatment of osteochondral lesions of the talus (OLT) is debatable. The TruFit plug has been investigated as a potential treatment method for osteochondral defects. This is a biphasic scaffold designed to stimulate cartilage and subchondral bone formation. The purpose of this retrospective study was to investigate the long-term functional and MRI outcomes of the TruFit Plug for the treatment of OLT. METHODS: Twelve consecutive patients treated from March 2007 to April 2009 for OLT were evaluated...
December 2017: Foot
https://www.readbyqxmd.com/read/29126042/successful-treatment-of-infected-wound-dehiscence-after-minimally-invasive-locking-plate-osteosynthesis-of-tibial-pilon-and-calcaneal-fractures-by-plate-preservation-surgical-debridement-and-antibiotics
#7
Giandavide Ieropoli, Jorge Hugo Villafañe, Silvia Chiara Zompi, Umberto Morozzo, Riccardo D'Ambrosi, Federico Giuseppe Usuelli, Pedro Berjano
OBJECTIVE: The aim is to present a case series that illustrates possible benefits from combining minimally invasive plate osteosynthesis (MIPO), plastic surgery and antibiotic therapy, in order to treat and eradicate infection in patients with tibial pilon or calcaneal fractures. METHODS: Eleven consecutive patients with dehiscence of the surgical wound in outcomes MIPO using a Locking Compression Plate (LCP) for tibial pilon, or calcaneus fractures. The patients had developed a documented infection of the surgical wound...
December 2017: Foot
https://www.readbyqxmd.com/read/29126040/5-year-results-of-the-1-5cm-incision-achilles-tendon-repair
#8
Samuel K K Ling, Amanda Slocum, T H Lui
BACKGROUND: To study a hypothesis that the cost-effective 1.5cm medial incision Achilles tendon repair technique will provide good functional outcomes which are maintained for over 5 years. METHOD: Prospective study of 12 consecutive cases with a minimal 5-year follow-up were recruited from April 2008 to November 2010. Cases whom were mentally incompetent or those which required concomitant procedures were excluded. Outcomes measures included the numeric pain rating scale, motor power strength, range of motion, functional scoring using the AOFAS hindfoot score and patient's self-assessment using the Foot and Ankle Outcome Score (FAOS)...
December 2017: Foot
https://www.readbyqxmd.com/read/29126039/the-resistance-to-failure-of-spring-ligament-reconstruction
#9
Chandra Pasapula, Adam Devany, Nicole C Fischer, Coen A Wijdicks, Tim Hübner, Franziska Reifenscneider, Sajid Shariff
INTRODUCTION: The spring ligament (SL) is increasingly recognised as the major structure that fails in acquired adult flatfoot deformity (AAFD). This is the first study that demonstrates integrity of repair of the SL. PATIENTS AND METHODS: Six pairs of fresh frozen cadavers were setup in a standardised fashion with ankle in plantargrade (mean age 59 years, BMI 25). A 25N lateral force was applied to the medial metatarsal head using an algometer. Lateral displacement of the foot was measured with SL intact, sectioned, following FibreWire® repair, then Arthrex InternalBrace (IB) reconstruction, then with selective sectioning of each limb of the IB reconstruction...
December 2017: Foot
https://www.readbyqxmd.com/read/29126038/magnetic-resonance-imaging-findings-of-chronic-plantar-fasciitis-before-and-after-extracorporeal-shock-wave-therapy
#10
Masahiro Maki, Kazuya Ikoma, Masamitsu Kido, Yusuke Hara, Koshiro Sawada, Suzuyo Ohashi, Toshikazu Kubo
INTRODUCTION: The objective of this study is to examine the relationships between treatment outcome and changes in magnetic resonance (MR) imaging findings after extracorporeal shock wave therapy (ESWT) for chronic plantar fasciitis. METHODS: The subjects were 23 feet of 23 patients of refractory plantar fasciitis. The mean age was 53.7 years. The thickness of the plantar fascia (PF) and findings of a high-signal intensity area (HSIA) inside the PF, edema around the PF, and bone marrow edema (BME) of the calcaneus were investigated on MR images...
December 2017: Foot
https://www.readbyqxmd.com/read/29126037/radiographic-evaluation-of-first-mtp-joint-arthrodesis-for-severe-hallux-valgus-does-the-introduction-of-a-lag-screw-improve-union-rates-and-correction-of-the-intermetatarsal-angle
#11
Zachariah Pinter, Parke Hudson, Brent Cone, Girish Motwani, Krishna Prasad, Ashish Shah
BACKGROUND: First metatarsophalangeal (MTP-1) joint fusion is a reliable method for the correction of various deformities including hallux valgus and hallux rigidus. Ideal constructs provide high rates of fusion in desired alignment. The present study examines the union rates, as well as the change in dorsiflexion angle during the follow up period in patients who underwent MTP-1 fusion with a dorsal locking plate and a lag screw, versus patients fused with a dorsal locking plate alone...
December 2017: Foot
https://www.readbyqxmd.com/read/29126036/bone-cyst-formation-after-ankle-arthroplasty-may-be-caused-by-stress-shielding-a-numerical-simulation-of-the-strain-adaptive-bone-remodelling
#12
Hazibullah Waizy, Bernd-Arno Behrens, Kerstin Radtke, Amer Almohallami, Christina Stukenborg-Colsman, Anas Bouguecha
BACKGROUND: The history of total ankle arthroplasty (TAA) has different evolution steps to improve the outcome. The third generation implants show an overall 8-year survival rate up to 93%. The main reported reason for early failure of TAA is aseptic loosening, cyst formation is also frequently reported. The aim of the present study is to use the finite element (FE) method to analyze the adaptive bone remodeling processes, including cyst formation after TAA. METHODS: Bone characteristics applied to the model corresponded to information obtained from computed tomography...
December 2017: Foot
https://www.readbyqxmd.com/read/29126035/histomorphological-and-biochemical-properties-of-plantar-soft-tissue-in-diabetes
#13
Yak-Nam Wang, Kara Lee, Jane B Shofer, William R Ledoux
BACKGROUND: Diabetes results in pathophysiological changes, leading to tissue that is unable to withstand and adapt to the same loads, resulting in breakdown. Certain locations are more susceptible to breakdown, yet differences between locations are largely not well understood. The authors performed a histological and biochemical analysis of isolated plantar adipose tissue at six relevant locations. METHODS: Tissue from six plantar locations (hallux, first, third and fifth metatarsal heads, lateral midfoot and calcaneus) was taken from fresh cadaveric feet of older diabetic and older non-diabetic intact donors...
December 2017: Foot
https://www.readbyqxmd.com/read/29287221/ankle-fractures-getting-it-right-first-time
#14
Anna S Walsh, Victoria Sinclair, Patrick Watmough, Alistair A Henderson
INTRODUCTION: Ankle fractures are common injuries presenting to trauma departments and ankle open reduction and internal fixation (ORIF2 ) is one of the first procedures targeted in early orthopaedic training. Failure to address the fracture pattern with the appropriate surgical technique and hardware may lead to early failure, resulting in revision procedures or premature degenerative change. Patients undergoing revision ORIF are known to be at much greater risk of complications and many of these secondary procedures may be preventable...
November 28, 2017: Foot
https://www.readbyqxmd.com/read/29278835/single-stage-treatment-of-diabetic-calcaneal-osteomyelitis-with-an-absorbable-gentamicin-loaded-calcium-sulphate-hydroxyapatite-biocomposite-the-silo-technique
#15
Efstathios Drampalos, Hasan Raza Mohammad, Chris Kosmidis, Moez Balal, Jason Wong, Anand Pillai
BACKGROUND: Chronic osteomyelitis necessities appropriate infected bone and soft tissue excision. The authors describe the Silo surgical technique for the treatment of calcaneal osteomyelitis using a new antibiotic-loaded absorbable calcium sulphate/hydroxyapatite biocomposite. METHODS: The Silo method involves debridement of the dead bone and local delivery of antibiotic in drilled tunnels using the biocomposite. It is combined with multiple sampling and culture-specific systemic antibiotic treatment guided by a multidisciplinary team...
November 23, 2017: Foot
https://www.readbyqxmd.com/read/29454275/long-term-follow-up-of-patients-undergoing-tibialis-posterior-transfer-is-acquired-pes-planus-a-complication
#16
Mira Pecheva, Adam Devany, Basil Nourallah, Steven Cutts, Chandra Pasapula
In this retrospective study, a series of 10 elective patients treated with transfer of the tibialis posterior (TP) tendon for pes cavus and drop foot are described. Since TP transfer completely subtracts the role of this tendon, this cohort of patients provides an opportunity to examine the consequences of tibialis posterior (TP) deficiency. After a mean follow up period of 44.7 months, only one patient showed evidence of strain in the spring ligament but none of the patients in this series developed clinical or radiological evidence of planovalgus deformity...
November 22, 2017: Foot
https://www.readbyqxmd.com/read/29414116/foot-scan-assessment-of-metatarsus-adductus-a-useful-adjunct-to-bleck-s-classification
#17
Mohsen Karami, Adel Ebrahimpour, Yoosef Aminizadeh, Farshid Moshiri, Amin Karimi, Alireza Radyn Majd
To determine the severity of metatarsus adductus (MA) comparing with Bleck's classification as a commonly acceptable method for assessing MA, static foot scan has been used. In this cross-sectional descriptive research study, 100 subjects were equally divided into four groups according to Bleck's classification. The feet were scanned and MA severity (MAS) index was measured on the obtained foot scan images. The MAS index was the ratio of the transverse deviation of the forefoot from the lateral border heel line to the width of the ball of the foot...
November 22, 2017: Foot
https://www.readbyqxmd.com/read/29288908/the-role-of-military-footwear-and-workload-on-ground-reaction-forces-during-a-simulated-lateral-ankle-sprain-mechanism
#18
Jeffrey D Simpson, Hunter DeBusk, Christopher Hill, Adam Knight, Harish Chander
BACKGROUND: Ankle sprains are a common orthopedic injury in military populations, which may be attributed to occupational demands and footwear. Minimalist military boots have become popular, but their influence on ground reaction force (GRF) attenuation capabilities during an ankle inversion perturbation are unknown. Therefore, the purpose of this study was to examine potential differences in GRFs during an ankle inversion perturbation in a standard issue (STN) and minimalist military boot (MIN) before and after a simulated military workload...
November 22, 2017: Foot
https://www.readbyqxmd.com/read/29277083/manipulation-under-anaesthesia-and-steroid-injection-for-pain-and-stiffness-after-surgery-to-the-first-metatarsophalangeal-joint
#19
Sanil Ajwani, Cezary Kocialkowski, Rebecca Hill, Nasser Kurdy
AIM: To determine the effectiveness of manipulation under anaesthesia and local steroid injection to treat stiffness of the first metatarsophalangeal joint following surgery for hallux rigidus or hallux valgus. METHODS: Patients were identified who had undergone surgery for hallux rigidus or hallux valgus and subsequently were treated with manipulation and steroid injection for stiffness of their joint. Patient records were reviewed to determine the range of movement of the joint pre-operatively, immediately following the procedure and at subsequent follow up...
November 22, 2017: Foot
https://www.readbyqxmd.com/read/29414117/structural-differences-in-the-lower-extremities-in-children-aged-7-9-years-caused-by-playing-football-a-cross-sectional-study
#20
Salvador Diaz-Miguel, Eva Lopezosa-Reca, Salomon Benhamu-Benhamu, Ana Belen Ortega-Avila, Raquel García-De-La-Peña, Gabriel Gijon-Nogueron
BACKGROUND: Physical activity during childhood can be beneficial in the long term. However, this practice can influence the child's physiological development. The aim of this study was to determine whether the practice of soccer, in moderation, could be a risk factor for the inadequate development of the lower limb. METHODS: The study group was composed of 115 children, of whom 59 (mean age 8.03±0.89years) practised soccer 3 times a week and had a positive Physical Activity Questionnaire for Adolescents (PAQ-A) score, while a further 56 (mean age 7...
November 17, 2017: Foot
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