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https://www.readbyqxmd.com/read/27888790/complication-assessment-and-prevention-strategies-using-midfoot-fusion-bolt-for-medial-column-stabilization-in-charcot-s-osteoarthropathy
#1
Alexander T Mehlhorn, Markus Walther, Niklas Iblher, Norbert P Südkamp, Hagen Schmal
In Charcot's osteoarthropathy stabilization of the medial column of the foot was introduced in order to establish a stable foot and reduce the risk for amputation. This study was performed to analyze postoperative complications, define risk factors for those and develop strategies for prevention. Since bolt dislocation takes place frequently, it was aimed to predict an appropriate time point for bolt removal under the condition that osseous healing has occurred. Fourteen consecutive patients with neuroosteoarthropathy of the foot and arch collapse were treated with open reduction and stabilization using midfoot fusion bolt and lateral lag screws...
November 4, 2016: Foot
https://www.readbyqxmd.com/read/27893994/shortening-scarf-osteotomy-for-correction-of-severe-hallux-valgus-does-shortening-affect-the-outcome
#2
Prasad Karpe, Marie C Killen, Raymond D Pollock, Rajiv Limaye
BACKGROUND: Translation and shortening of Scarf osteotomy allows correction of severe hallux valgus deformity. Shortening may result in transfer metatarsalgia. AIM: To evaluate outcome of patients undergoing shortening Scarf osteotomy for severe hallux valgus deformities. MATERIALS AND METHODS: Fifteen patients (20feet, mean age 58 years) underwent shortening Scarf osteotomy for severe hallux valgus deformities. Outcomes were pre and postoperative AOFAS scores, IM and HV angles, patient satisfaction...
October 26, 2016: Foot
https://www.readbyqxmd.com/read/27888791/influence-of-genetic-variations-in-platelet-glycoproteins-and-enos-in-the-development-of-arterial-ischaemia-of-lower-limbs-in-type-2-diabetes-mellitus-patients
#3
Virginia Carvalhais, Ema Ruivães, Luis Bernardo Pina-Cabral, Bárbara Mesquita, Flávio Oliveira, Maria Céu Monteiro, Maria Begoña Criado
Endothelial and platelet dysfunction increase the atherothrombotic risk in diabetes mellitus patients. Therefore, arterial ischaemia of lower limbs is an important complication in diabetes mellitus. In the present work, type 2 diabetic patients were classified by a podiatrist into presence or absence of arterial ischaemia of lower limbs. Several polymorphisms in platelet glycoproteins and eNOS genes were evaluated. Our results suggest that the -5CC genotype in Kozak sequence of GPIbα may be associated with a higher risk of developing arterial ischaemia of lower limbs in type 2 diabetes mellitus patients...
October 26, 2016: Foot
https://www.readbyqxmd.com/read/27888789/reliability-and-minimal-detectable-change-in-foot-pressure-measurements-in-typically-developing-children
#4
Timothy Niiler, Chris Church, Nancy Lennon, John Henley, Ameeka George, Daveda Taylor, Angelica Montes, Freeman Miller
BACKGROUND: In pedobarography, clinically meaningful comparison of measurements within or between subjects is limited by data variability and measurement error. This study aims to determine the components of the minimal detectable change (MDC) in impulse across all foot regions and the reliability of these measures. METHODS: A convenience sample of foot pressures from 108 visits by normal, healthy subjects aged 2-17 years was studied. Each subject had three pedobarograph measurements taken per foot, with six subjects returning for a second visit for assessment of day-to-day variability...
October 22, 2016: Foot
https://www.readbyqxmd.com/read/27888792/case-study-an-intraoperative-finding-of-black-bone-disease-in-a-podiatric-surgery-patient
#5
Robyn L Carter-Wale, Trevor D Prior
Black bone disease has been recognised as a potential consequence of long-term treatment with tetracycline antibiotics. Largely documented affecting structures in the head and skull, there are few reported cases of black bone disease in the foot and ankle. The case of a 55 years old patient, who as a teenager, had undergone treatment with minocycline hydrochloride for chronic acne, and was found to have bone discolouration consistent with minocycline induced black bone disease (MIBBD) during the course of hallux valgus corrective surgery some 40 years later, is presented...
September 20, 2016: Foot
https://www.readbyqxmd.com/read/27888786/the-assessment-of-three-dimensional-foot-pronation-using-a-principal-component-analysis-method-in-the-stance-phase-of-running
#6
Mohammad Rabiei, Mansour Eslami, Afshin Fayyaz Movaghar
Foot pronation has not been quantified dynamically in three planes of movement in an in-vivo study. The aims of this study were to determine foot pronation through using Principal Component Analysis (PCA) method and to compare it among barefoot, shod and shod with 6° lateral wedge during the stance phase of running. In this method, three-dimension of foot movements were measured and each of these components represents a percentage of foot pronation. These components were derived based on eigenvalues and vectors of covariance matrix of primary variables...
September 20, 2016: Foot
https://www.readbyqxmd.com/read/27736722/the-use-of-a-static-measure-to-predict-foot-posture-at-midstance-during-walking
#7
Thomas G McPoil, Jessica Ford, Joel Fundaun, Chelsea Gallegos, Andrew Kinney, Peter McMillan, Jessica Murphy, Elliot Sky, Derrick Torba, Michael Bade
Previous studies have successfully used the longitudinal arch angle (LAA) to assess foot posture, but the measurement consistency and ability of the LAA to predict dynamic foot posture during activity in a variety of foot types have not been evaluated. The purpose of this study was to determine the reliability of the LAA as well as if the clinical method of assessing the LAA could be used to predict the LAA at midstance during walking for supinated, normal, and pronated foot types. The Arch Height Ratio was used to select 35 participants with 12 supinated, 46 normal, and 12 pronated feet...
September 20, 2016: Foot
https://www.readbyqxmd.com/read/27888788/alternate-hot-and-cold-application-in-the-management-of-heel-pain-a-pilot-study
#8
Dhananjay Arankalle, Jon Wardle, Pradeep M K Nair
BACKGROUND: Despite a long-standing tradition of naturopathic physical therapy and hydrotherapy use in the treatment of musculoskeletal conditions, neither naturopathy, nor specific aspects of hydrotherapy have been tested for efficacy in the treatment of heel pain. METHODS: Patients (n=20) were assigned to standard naturopathic physiotherapy care (NPC) with two adjuvant therapy groups: a control group (therapeutic ultrasound, n=10), or alternating compresses (n=10)...
September 19, 2016: Foot
https://www.readbyqxmd.com/read/27888787/outcomes-in-chevron-osteotomy-for-hallux-valgus-in-a-large-cohort
#9
Bart van Groningen, M C Marieke van der Steen, Max Reijman, Janneke Bos, Johannes G E Hendriks
Clinical and radiological related outcomes have been reported for Chevron osteotomy as correction for mild to moderate hallux valgus, but only for relatively small patient series. Moreover, evaluation of the patient's point of view has mostly been conducted by means of more physician-based outcome measures. The goal of this study was to evaluate the effect of the Chevron osteotomy for hallux valgus on patients' daily lives using the Foot and Ankle Outcome Score (FAOS) as a validated and a hallux valgus specific patient reported outcome measure (PROM)...
September 19, 2016: Foot
https://www.readbyqxmd.com/read/27888785/hallux-varus-following-scarf-osteotomy
#10
Shahid Akhtar, Sabur Malek, Kartik Hariharan
Hallux varus is an uncommon condition and majority of the cases are iatrogenic. It can occur as a result of any type of hallux valgus correction surgery and in our cases scarf osteotomy is not an exception. Treatment of this complication can be challenging and it is important to understand the factors that cause this deformity before embarking on surgical correction. Four cases of hallux varus following Scarf osteotomy (1% of our total Scarf osteotomy cases) and discuss the salient features of these patients...
September 19, 2016: Foot
https://www.readbyqxmd.com/read/27744047/management-of-chronic-achilles-tendon-ruptures-a-review
#11
REVIEW
Francesc Malagelada, Callum Clark, Raman Dega
Achilles tendon ruptures are increasingly common yet up to a fifth of them are undiagnosed after medical consultation. Those undiagnosed will become chronic ruptures causing considerable functional morbidity and represent a challenge to the treating doctor. The purpose of this article is to discuss the presentation and management of chronic Achilles tendon ruptures. Due to the paucity of data, evidence-based recommendations are unavailable. A number of different surgical techniques are presented and a working algorithm is described to aid in the treatment of these lesions...
August 2016: Foot
https://www.readbyqxmd.com/read/27744046/kinematic-analysis-of-subtalar-eversion-during-gait-in-women-with-fibromyalgia
#12
Ana Paula Silva, Daniel das Virgens Chagas, Maria Lúcia Cavaliere, Sérgio Pinto, José Silvio de Oliveira Barbosa, Luiz Alberto Batista
OBJECTIVE: To analyse the subtalar eversion range of motion during walking in women with fibromyalgia. METHOD: Twenty women diagnosed with fibromyalgia were directed to walk barefoot at comfortable and self-paced speed on a 7m walkway. Subtalar eversion range of motion was measured using the difference between the maximum and minimum values of subtalar eversion in stance phase. A range of motion between 4°-6° was considered as reference values for subtalar eversion during gait...
August 2016: Foot
https://www.readbyqxmd.com/read/27721160/triple-osteotomy-for-the-correction-of-severe-hallux-valgus-deformity-patient-reported-outcomes-and-radiological-evaluation
#13
Sean Booth, Abhijit Bhosale, Abubakar Mustafa, Ravi Shenoy, Anand Pillai
BACKGROUND: Symptomatic Hallux valgus can be treated with metatarsal osteotomy combined with proximal phalangeal osteotomy, however this might not be sufficient to treat severe HV deformities. METHODS: Fifteen feet in eleven female patients treated with double first metatarsal and proximal phalanx osteotomies without lateral release were prospectively studied and outcome measures including radiological angles and validated patient reported outcome scores collected...
August 2016: Foot
https://www.readbyqxmd.com/read/27720630/an-unusual-case-of-pigmented-villo-nodular-synovitis-of-the-second-toe-a-case-report-and-review-of-literature
#14
Pankaj Sharma, Vivek Tiwari, Shah Alam Khan, Shishir Rastogi
Pigmented villo-nodular synovitis (PVNS) is a common disease entity particularly in the knee joint but its incidence in the foot is quite rare. A case of PVNS of the second toe that presented at the outpatient department with an insidious onset and slowly progressive painful swelling of the toe associated with stiffness is presented. The mass was subsequently excised and the diagnosis confirmed by histo-pathology samples. The patient's symptoms improved significantly after the operation. This case is one of the very few reported cases of PVNS involvement of flexor tendon sheath of the foot...
August 2016: Foot
https://www.readbyqxmd.com/read/27718385/tuberculosis-around-the-tarsal-navicular-a-rare-entity
#15
Vipul Vijay, Nishint Gupta, Raju Vaishya
Osteoarticular TB around the tarsal navicular is a chronic, uncommon condition affecting the midfoot, which causes significant morbidity to the patient. Tuberculosis around the tarsal navicular is rarely described in the literature. A series of three cases - two involving the talo-navicular joint and one involving the naviculo-cuneiform joint is described. Biopsy was used in all the cases for achieving diagnosis. All patients had good to fair outcome following medical management with anti-tubercular therapy...
August 2016: Foot
https://www.readbyqxmd.com/read/27521483/plantar-fasciitis-a-randomized-comparative-study-of-platelet-rich-plasma-and-low-dose-radiation-in-sportspersons
#16
Paritosh Gogna, Sahil Gaba, Reetadyuti Mukhopadhyay, Rakesh Gupta, Rajesh Rohilla, Lakhpat Yadav
BACKGROUND: Plantar Fasciitis makes up about 15% of patients requiring professional care due to foot symptoms. The treatment methods are numerous with none proving to be clearly superior to others. We aimed to compare two common treatment methods in search of the best treatment. METHOD: All consecutive sportspersons presenting to our OPD with clinical diagnosis of plantar fasciitis underwent treatment consisting of stretching exercises, activity modification, and NSAID's for 6 months...
August 2016: Foot
https://www.readbyqxmd.com/read/27423120/guide-wire-placement-for-fifth-metatarsal-intra-medullary-screw-fixation-a-technical-tip
#17
John Grice, James Calder
Treatment of fifth metatarsal fractures in elite athletes or delayed/non unions often requires operative fixation. However, this can cause technical difficulties and we present an operative tip to avoid complications is presented.
August 2016: Foot
https://www.readbyqxmd.com/read/27344234/a-comparison-of-energy-consumption-between-the-use-of-a-walking-frame-crutches-and-a-stride-on-rehabilitation-scooter
#18
Nimesh Patel, Timothy Batten, Andrew Roberton, Doyo Enki, Guy Wansbrough, James Davis
BACKGROUND: Following foot and ankle surgery, patients may be required to mobilise non-weight bearing, requiring a walking aid such as crutches, walking frame or a Stride-on rehabilitation scooter, which aims to reduce the amount of work required. The energy consumption of mobilising using a Stride-on scooter has not previously been investigated, and we aim to establish this. METHODS: Ten healthy volunteers (5 males:5 females) aged 20-40 years mobilised independently, then with each mobility device for 3min at 1km/h on a treadmill, with rest periods, whilst undergoing Cardio-Pulmonary Exercise Testing (CPET)...
August 2016: Foot
https://www.readbyqxmd.com/read/27723566/correlation-and-comparison-of-syndesmosis-dimension-on-ct-and-mri
#19
Fabian Wong, Rebecca Mills, Nadeem Mushtaq, Roland Walker, Samrendu K Singh, Ali Abbasian
INTRODUCTION: Various methods using CT scan have been described to diagnose distal tibiofibular syndesmotic injuries. However, CT scan does not take into account the amount of cartilage within the distal tibiofibular joint and could therefore lead to false positive results. We present the first study correlating the findings of the distal tibiofibular syndesmosis on CT and MRI scans. METHODS: CT and MRI scan of consecutive patients over a period of 18 months, and of a time lapsed less than 12 months between the two imaging modalities, were reviewed...
June 23, 2016: Foot
https://www.readbyqxmd.com/read/27718386/the-burden-of-diabetes-related-foot-disorders-in-community-dwellers-living-in-rural-ecuador-results-of-the-atahualpa-project
#20
Oscar H Del Brutto, Robertino M Mera, Nathan R King, Mauricio Zambrano, Lauren J Sullivan
BACKGROUND/OBJECTIVES: Prevalence of diabetes-related foot disorders (DRFD) in rural areas of developing countries is unknown. The burden of these conditions in Atahualpa, a rural Ecuadorian village, were assessed. METHODS: Using a population-based design, Atahualpa residents aged ≥40 years with diabetes mellitus were identified. Ankle brachial index determinations were used to assess presence of peripheral arterial disease, and the Michigan Neuropathy Screening Instrument was used to estimate peripheral neuropathy...
June 2, 2016: Foot
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