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Posterior tibia dysfunction

Maarten Van de Velde, Giovanni Arnoldo Matricali, Sander Wuite, Charlotte Roels, Filip Staes, Kevin Deschamps
BACKGROUND: Classification systems developed in the field of posterior tibialis tendon dysfunction omit to include dynamic measurements. Since this may negatively affect the selection of the most appropriate treatment modality, studies on foot kinematics are highly recommended. Previous research characterised the foot kinematics in patients with posterior tibialis tendon dysfunction. However, none of the studies analysed foot segmental motion synchrony during stance phase, nor compared the kinematic behaviour of the foot in presence of different posterior tibialis tendon dysfunction stages...
June 2017: Clinical Biomechanics
Z Y Wang, X B Wu
Ankle joint fracture is one of the most common types of fracture. There are many researches on the injury mechanism, treatment principles and surgical techniques. A type of injury which combines posterior dislocation of fibula, known as the Bosworth injury, is relatively rare. In 1947, Bosworth first described this type of injury as an unusual ankle fracture dislocation with fixed posterior fracture dislocation of the distal part of the fibula. In this type of fracture, the proximal fibular shaft fragment locks behind the tibialis posterior tubercle...
April 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Naoki Yoshioka, Kazuya Ikoma, Masamitsu Kido, Kan Imai, Masahiro Maki, Yuji Arai, Hiroyoshi Fujiwara, Daisaku Tokunaga, Nozomu Inoue, Toshikazu Kubo
BACKGROUND: The recent classifications for posterior tibial tendon dysfunction (PTTD) stage II are based on forefoot deformity, but there is still no consensus regarding a detailed explanation of the clinical condition. The purposes of this study were to clarify the clinical condition of flatfoot deformity using three-dimensional (3D) computed tomography (CT) imaging under loading on both healthy and flat feet and to compare 3D movement of the forefoot in response to load. METHODS: Ten volunteers and 10 PTTD stage II patients with symptomatic flatfoot deformity were examined...
March 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Mary Claire Manske, Kathleen E McKeon, Jeffrey E Johnson, Jeremy J McCormick, Sandra E Klein
BACKGROUND: Tibialis posterior tendon dysfunction is a common disorder leading to pain, deformity, and disability, although its pathogenesis is unclear. A vascular etiology has been proposed, but there is controversy regarding the existence of a hypovascular region that may render the tendon vulnerable. The purpose of this study was to provide a description of the arterial anatomy supplying the tibialis posterior tendon. METHODS: Sixty adult cadaveric lower extremities were obtained from a university-affiliated body donation program...
April 2015: Foot & Ankle International
Il-Kyu Kim, Hyun-Young Cho, Sang-Pill Pae, Bum-Sang Jung, Hyun-Woo Cho, Ji-Hoon Seo
OBJECTIVES: Oral and maxillofacial defects often require bone grafts to restore missing tissues. Well-recognized donor sites include the anterior and posterior iliac crest, rib, and intercalvarial diploic bone. The proximal tibia has also been explored as an alternative donor site. The use of the tibia for bone graft has many benefits, such as procedural ease, adequate volume of cancellous and cortical bone, and minimal complications. Although patients rarely complain of pain, swelling, discomfort, or dysfunction, such as gait disturbance, both patients and surgeons should pay close attention to such after effects due to the possibility of tibial fracture...
December 2013: Journal of the Korean Association of Oral and Maxillofacial Surgeons
Gautam Malhotra, James Cameron, Brian C Toolan
BACKGROUND: Chronic diastasis of the syndesmosis has been recognized as a cause of persistent pain and dysfunction after a rotational ankle injury. Recently, there has been an increased effort to define the use of computed tomography (CT) imaging in making this diagnosis; however, no clear consensus has been reached on the best way to assess the anatomical integrity of the syndesmosis. In this retrospective case series, we have evaluated the diagnostic capability of 2 novel CT-based measurements...
May 2014: Foot & Ankle International
Zhiwei Chen, Zhen Sheng, Zhu Dai
OBJECTIVE: To investigate the methods and effectiveness of surgical treatment for posteromedial corner (PMC) injury combined with anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) ruptures. METHODS: Between February 2009 and February 2012, 15 patients (15 knees) with PMC injury combined with ACL and PCL ruptures underwent PMC repair with suture anchor and ACL and PCL reconstruction. There were 7 males and 8 females with an average age of 39 years (range, 15-59 years)...
May 2013: Chinese Journal of Reparative and Reconstructive Surgery
Masamitsu Kido, Kazuya Ikoma, Kan Imai, Daisaku Tokunaga, Nozomu Inoue, Toshikazu Kubo
BACKGROUND: The acquisition of flatfoot by an adult is thought to primarily be caused by posterior tibial tendon dysfunction, although some other causes, such as congenital flexible flatfoot or an accessory navicular, may also be responsible. The objective of this study was to evaluate the bone rotation of each joint in the medial longitudinal arch (MLA) and compare the response in healthy feet with that in flat feet by analyzing the reconstructive three-dimensional (3D) CT image data during weightbearing...
June 2013: Clinical Biomechanics
Alexandre Godoy-Santos, Mirella V Cunha, Rafael Trevisan Ortiz, Túlio Diniz Fernandes, Rames Mattar, Maria Cristina L G dos Santos
Posterior tibial tendon (PTT) dysfunction is recognized as an etiology leading to acquired flatfoot in adults, causing significant functional loss. Many risk factors and systemic conditions have been proposed in literature. However, many patients present PTT dysfunction without any of these characteristics. This suggests that there could be a genetic influence associated with posterior tibial tendinopathy. The purpose of the present study is to investigate the association of the -1607 polymorphism in the promoter gene of MMP-1 and posterior tibial tendinopathy...
July 2013: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Shijun Wei, Xianhua Cai, Guangrong Yu
OBJECTIVE: To review the progress in clinical and biomechanical study on soft tissue reconstruction of adult-acquired flatfoot deformity (AAFD). METHODS: The recent original articles of soft tissue repair and tendon transfer for AAFD were extensively reviewed. RESULTS: The soft tissue procedures for AAFD can be divided into two components: static restoration of medial column stability and dynamic reconstruction of the posterior tibial tendon...
October 2012: Chinese Journal of Reparative and Reconstructive Surgery
Du Hwan Kim, Duk Hyun Sung, Yong Ki Min
Osteomalacia is a metabolic bone disease that leads to softening of the bones and can be caused by hypophosphatemia. Large clinical studies of low-dose adefovir dipivoxil (adefovir) have found no evidence of renal tubular dysfunction leading to hypophosphatemia after 48 weeks of treatment. We report two cases of low-dose adefovir-induced hypophosphatemic osteomalacia that initially presented with diffuse musculoskeletal pain. The first patient was a 62-year-old man with a 2-year history of bone pain involving the dorsal mid-thorax, lower anterior chest wall, right sacroiliac joint area, and both knees...
March 2013: Journal of Bone and Mineral Metabolism
Kota Watanabe, Harold B Kitaoka, Tadashi Fujii, Xavier Crevoisier, Lawrence J Berglund, Kristin D Zhao, Kenton R Kaufman, Kai-Nan An
Many biomechanical studies investigated pathology of flatfoot and effects of operations on flatfoot. The majority of cadaveric studies are limited to the quasistatic response to static joint loads. This study examined the unconstrained joint motion of the foot and ankle during stance phase utilizing a dynamic foot-ankle simulator in simulated stage 2 posterior tibial tendon dysfunction (PTTD). Muscle forces were applied on the extrinsic tendons of the foot using six servo-pneumatic cylinders to simulate their action...
February 2013: Gait & Posture
Tomoaki Kamiya, Eiichi Uchiyama, Kota Watanabe, Daisuke Suzuki, Mineko Fujimiya, Toshihiko Yamashita
BACKGROUND: The most common cause of acquired flatfoot deformity is tibialis posterior tendon dysfunction. The present study compared the change in medial longitudinal arch height during cyclic axial loading with and without activated tibialis posterior tendon force. METHODS: Fourteen normal, fresh frozen cadaveric legs were used. A total of 10,000 cyclic axial loadings of 500 N were applied to the longitudinal axis of the tibia. The 32-N tibialis posterior tendon forces were applied to the specimens of the active group (n=7)...
November 2012: Clinical Biomechanics
Merzesh Magra, Syed Taqvi, Robert Cooper, Chris M Blundell, Mark B Davies
Flexor digitorum longus (FDL) is the primary flexor of the lateral four toes. It is a reliable source of tendon for transfer surgery. We present a case whereby a patient who required a reconstruction for adult acquired flatfoot deformity using FDL as a dynamic structure for transfer was found to have an absent FDL tendon at the time of operation, necessitating the use of flexor hallucis longus (FHL) instead. This unusual finding prompted us to investigate the frequency of absence of the FDL tendon. We reviewed our hospital MRI database of foot and ankle images specifically looking for patients with absence of this tendon...
November 2012: Clinical Anatomy
Heather A Vallier, Beth Ann Cureton, Dianne Schubeck
OBJECTIVES: Previous studies have reported a negative effect of pelvic trauma on genitourinary and reproductive function of women. However, fracture pattern, injury severity, and final fracture alignment have not been well studied. The purpose of this project was to describe sexual function in women after pelvic ring injury. DESIGN: Cohort study: a prospective collection of sexual function data for women with prior pelvic ring injury versus control groups of uninjured women and other women from the orthopaedic trauma clinic...
May 2012: Journal of Orthopaedic Trauma
Clifford T Hepper, Jeffrey E Johnson
No abstract text is available yet for this article.
May 2011: Foot & Ankle International
Eugenio Savarese, Salvatore Bisicchia, Rocco Romeo, Annunziato Amendola
High tibial osteotomy (HTO) is a surgical procedure used to change the mechanical weight-bearing axis and alter the loads carried through the knee. Conventional indications for HTO are medial compartment osteoarthritis and varus malalignment of the knee causing pain and dysfunction. Traditionally, knee instability associated with varus thrust has been considered a contraindication. However, today the indications include patients with chronic ligament deficiencies and malalignment, because an HTO procedure can change not only the coronal but also the sagittal plane of the knee...
March 2011: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
Rachel M Frank, Shane T Seroyer, Paul B Lewis, Bernard R Bach, Nikhil N Verma
This study aimed to establish normal values for the position of the native anterior cruciate ligament (ACL) insertion on the tibia to assist in the evaluation of tunnel placement after primary ACL reconstruction or prior to revision surgery. One hundred consecutive MRI studies performed on patients with a mean age of 29 years (range 20-35) from a single MRI facility were reviewed. Patients with prior surgery, significant osteoarthritis, acute ACL injury, or evidence of ACL reconstruction were excluded. Using digital image software, measurements were taken of anterior-most and posterior-most portions of the ACL insertion on the tibia...
November 2010: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Takaaki Hirano, Matthew B A McCullough, Harold B Kitaoka, Kazuya Ikoma, Kenton R Kaufman
BACKGROUND: Posterior tibial tendon dysfunction is a significant contributor to flatfeet. Non-operative treatments, like in-shoe orthoses, have varying degrees of success. This study examined changes to the work of friction of the posterior tibial tendon under three conditions: intact, simulated flatfoot, and flatfoot with an orthosis. It was hypothesized that work of friction of the posterior tibial tendon would significantly increase in the flatfoot, yet return to normal with an orthosis...
November 2009: Clinical Biomechanics
James W Brodsky, Daniel A Charlick, Scott C Coleman, Fabian E Pollo, Christian T Royer
INTRODUCTION: Due to advances in technology, segmental gait analysis of the foot is now possible and can elucidate hindfoot deformity in persons with posterior tibial tendon dysfunction (PTTD). This study evaluated the motion of the hindfoot and ankle power following surgical reconstruction for PTTD utilizing a segmental foot model during gait. MATERIALS AND METHODS: Twenty patients who underwent posterior tibial tendon reconstruction for Stage 2 PTTD using transfer of the flexor digitorum longus tendon to the navicular tuberosity, reconstruction of the calcaneo-navicular ligament complex, and a medial displacement calcaneal osteotomy were evaluated at a minimum followup of 1 year...
July 2009: Foot & Ankle International
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