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https://www.readbyqxmd.com/read/27894834/a-podoscopic-and-descriptive-study-of-foot-deformities-in-patients-with-down-syndrome
#1
E Mansour, J J Yaacoub, Z Bakouny, A Assi, I Ghanem
INTRODUCTION: Subjects with Down syndrome (DS) are known to be affected by various foot deformities. Despite the fact that some of these deformities have been reported in the literature, a more comprehensive description would be of benefit. The aim of this study is to investigate the prevalence of known foot deformities in patients with DS and of other previously non-described foot anomalies in this population. HYPOTHESIS: Subjects with DS have an increased prevalence of foot deformities compared to control subjects...
November 25, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27858680/comparing-the-efficacy-of-exercise-internal-and-external-shoe-modification-in-pes-planus-a-clinical-and-pedobarographic-study
#2
Ozgur Taspinar, Derya Demirbag Kabayel, Ferda Ozdemir, Hakan Tuna, Yasar Keskin, Oznur Berke Mercimek, Necdet Süt, Selcuk Yavuz, Filiz Tuna
Pes planus is a condition that can cause pain along the innerfoot due to the absence or abnormal depression of the longitudinal arch. There are few studies available that compare therapy modalities used in these patients. In our study, those treated with conservative therapies - internal and external shoe modifications and pes planus exercises - were compared clinically and pedobarographyically. 60 pes planus patients were included in the study. In the first group; internal modification was performed by placing a medial longitudinal arch support inside the shoe...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27842935/surgical-treatment-results-for-flexible-flatfoot-in-adolescents
#3
Necip Selcuk Yontar, Tahir Ogut, Mehmet Fatih Guven, Huseyin Botanlioglu, Gokhan Kaynak, Ata Can
OBJECTIVE: Idiopathic flexible pes planus (IFPP) is a common foot problem in adolescents and young adults. Hypothesis for the present study was that combination of procedures for IFPP can achieve results in adolescents and young adults that are as good as those seen in adult-acquired pes planovalgus (AAPP) treatment in adults. METHODS: A total of 21 feet of 18 patients (10 boys, 8 girls) with mean age of 15.6 years underwent surgical reconstruction for flatfoot deformity...
November 11, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27802481/metatarsal-shape-and-foot-type-a-geometric-morphometric-analysis
#4
Scott Telfer, Matthew W Kindig, Bruce J Sangeorzan, William R Ledoux
Planus and cavus foot types have been associated with an increased risk of pain and disability. Improving our understanding of the geometric differences between bones in different foot types may provide insights into injury risk profiles and have implications for the design of musculoskeletal and finite element models. In this study we performed a geometric morphometric analysis on the geometry of metatarsal bones from 65 feet, segmented from computed tomography scans. These were categorized into four foot types: pes cavus, neutrally aligned, asymptomatic pes planus, and symptomatic pes planus...
November 1, 2016: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/27609390/-medication-compliance-and-diet-compliance-in-309-oral-lichen-planus-patients
#5
Ji-Yan Huang, Han-Qin Li, Liang Chen, Hou-Ming Zhao, Ye Lin
PURPOSE: To evaluate the feasibility and clinical outcomes of an atraumatic extraction technique using Benex Extraction System in flapless immediate implant placement in anterior teeth. METHODS: Twenty-five patients with single hopeless anterior maxillary teeth were enrolled in the study. The involved teeth were extracted using Benex Extraction System and implants were immediately placed in a flapless way. Healing abutments were connected immediately. After 4-6 months of healing, screw-retained implant temporary crowns were used to reshape the peri-implant gingiva...
June 2016: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/27548905/medial-longitudinal-arch-angle-presents-significant-differences-between-foot-types-a-biplane-fluoroscopy-study
#6
Megan E R Balsdon, Kristen M Bushey, Colin E Dombroski, Marie-Eve LeBel, Thomas R Jenkyn
The structure of the medial longitudinal arch (MLA) affects the foot's overall function and its ability to dissipate plantar pressure forces. Previous research on the MLA includes measuring the calcaneal-first metatarsal angle using a static sagittal plane radiograph, a dynamic height-to-length ratio using marker clusters with a multisegment foot model, and a contained angle using single point markers with a multisegment foot model. The objective of this study was to use biplane fluoroscopy to measure a contained MLA angle between foot types: pes planus (low arch), pes cavus (high arch), and normal arch...
October 1, 2016: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/27524705/minimally-invasive-osteotomies-of-the-calcaneus
#7
REVIEW
Gregory P Guyton
Osteotomies of the calcaneus are powerful surgical tools, representing a critical component of the surgical reconstruction of pes planus and pes cavus deformity. Modern minimally invasive calcaneal osteotomies can be performed safely with a burr through a lateral incision. Although greater kerf is generated with the burr, the effect is modest, can be minimized, and is compatible with many fixation techniques. A hinged jig renders the procedure more reproducible and accessible.
September 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27390312/the-value-of-history-physical-examination-and-radiographic-findings-in-the-diagnosis-of-symptomatic-meniscal-tear-among-middle-age-subjects-with-knee-pain
#8
Jeffrey N Katz, Savannah R Smith, Heidi Y Yang, Scott D Martin, John Wright, Laurel A Donnell-Fink, Elena Losina
OBJECTIVE: To evaluate the utility of clinical history, radiographic and physical exam findings in the diagnosis of symptomatic meniscal tear (SMT) in patients over age 45, in whom concomitant osteoarthritis is prevalent. METHODS: In a cross-sectional study of patients from two orthopedic surgeons' clinics we assessed clinical history, physical examination and radiographic findings in patients over 45 with knee pain. The orthopedic surgeons rated their confidence that subjects' symptoms were due to MT; we defined the diagnosis of SMT as at least 70% confidence...
July 7, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27030231/secondary-arthrodesis-after-total-ankle-arthroplasty
#9
Christopher E Gross, John S Lewis, Samuel B Adams, Mark Easley, James K DeOrio, James A Nunley
BACKGROUND: While it is thought that stresses through the subtalar and talonavicular joints will be decreased after total ankle replacement (TAR) relative to ankle fusion, progressive arthritis or deformity of these joints may require a fusion after a successful TAR. However, after ankle replacement, it is unknown how hindfoot biomechanics and blood supply may be affected. Consequently, subsequent hindfoot joint fusion may be adversely affected. METHODS: We retrospectively identified a consecutive series of 1001 primary TARs performed between January 1998 and December 2014...
July 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27004650/the-impact-of-body-fat-on-three-dimensional-motion-of-the-paediatric-foot-during-walking
#10
Ryan Mahaffey, Stewart C Morrison, Paul Bassett, Wendy I Drechsler, Mary C Cramp
Childhood obesity is commonly associated with a pes planus foot type and altered lower limb joint function during walking. However, limited information has been reported on dynamic intersegment foot motion with the level of obesity in children. The aim of this study was to explore the relationships between intersegment foot motion during gait and body fat in boys age 7-11 years. Fat mass was measured in fifty-five boys using air displacement plethysmography. Three-dimensional gait analysis was conducted on the right foot of each participant using the 3DFoot model to capture angular motion of the shank, calcaneus, midfoot and metatarsals...
February 2016: Gait & Posture
https://www.readbyqxmd.com/read/27002666/differences-in-the-angle-of-the-medial-longitudinal-arch-and-muscle-activity-of-the-abductor-hallucis-and-tibialis-anterior-during-sitting-short-foot-exercises-between-subjects-with-pes-planus-and-subjects-with-neutral-foot
#11
Ji-Hyun Lee, Heon-Seock Cynn, Tae-Lim Yoon, Sil-Ah Choi, Tae-Woo Kang
BACKGROUND AND OBJECTIVES: Excessive activity of the tibialis anterior muscle may be a causal mechanism in overuse injuries such as stress fracture in pes planus patients. However, information about this relationship is limited. In this study, we compared the angle of the medial longitudinal arch, the activities of the abductor hallucis and tibialis anterior muscles, and the activity ratio of tibialis anterior/abductor hallucis in individuals with pes planus and those with a neutral foot position during short-foot exercises conducted while sitting...
November 21, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/26908688/pediatric-pes-planus-a-state-of-the-art-review
#12
REVIEW
James B Carr, Scott Yang, Leigh Ann Lather
Flatfoot (pes planus) is common in infants and children and often resolves by adolescence. Thus, flatfoot is described as physiologic because it is usually flexible, painless, and of no functional consequence. In rare instances, flatfoot can become painful or rigid, which may be a sign of underlying foot pathology, including arthritis or tarsal coalition. Despite its prevalence, there is no standard definition for pediatric flatfoot. Furthermore, there are no large, prospective studies that compare the natural history of idiopathic, flexible flat feet throughout development in response to various treatments...
March 2016: Pediatrics
https://www.readbyqxmd.com/read/26781131/operative-treatment-of-fifth-metatarsal-jones-fractures-zones-ii-and-iii-in-the-nba
#13
Martin O'Malley, Bridget DeSandis, Answorth Allen, Matthew Levitsky, Quinn O'Malley, Riley Williams
BACKGROUND: Proximal fractures of the fifth metatarsal (zone II and III) are common in the elite athlete and can be difficult to treat because of a tendency toward delayed union, nonunion, or refracture. The purpose of this case series was to report our experience in treating 10 NBA players, determine the healing rate, return to play, refracture rate, and role of foot type in these athletes. METHODS: The records of 10 professional basketball players were retrospectively reviewed...
May 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26608867/planovalgus-foot-deformity-in-cerebral-palsy-corrected-by-botulinum-toxin-injection-in-the-peroneus-longus-clinical-and-radiological-evaluations-in-young-children
#14
C Boulay, M Jacquemier, E Castanier, H Giorgi, G Authier, V Pomero, B Chabrol, J-L Jouve, G Bollini, E Viehweger
BACKGROUND: In children with cerebral palsy (CP), overactivity of the peroneus longus (PL) muscle is a major contributor to pes planovalgus. This retrospective study assessed whether abobotulinumtoxinA injections into a PL showing premature activity on electromyography (EMG) clinically improved foot morphology in children with CP. METHODS: Study participants were <6 years old, had a diagnosis of CP, good functional abilities (Gross Motor Function Classification System level 1 or 2), equinovalgus (initial contact with the hallux or head of the first metatarsal) and overactive PL on EMG...
December 2015: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/26480021/angelman-syndrome-a-review-highlighting-musculoskeletal-and-anatomical-aberrations
#15
REVIEW
Rohit Sachdeva, Sarah J Donkers, Soo Y Kim
Angelman's syndrome (AS) is a genetic neurodevelopment disorder. The cause is a known abnormality involving the maternal inherited ubiquitin-protein ligase (UBE3A) gene. Clinical characteristics universal to the disorder are well documented in the literature and include developmental delay, seizures, ataxia, altered tone, severely impaired speech and intellect, as well as an overall happy demeanor, frequent bouts of laughter, and hypermotoric behavior. Associated with this disorder are several musculoskeletal aberrations...
July 2016: Clinical Anatomy
https://www.readbyqxmd.com/read/26160386/algorithm-for-severe-hallux-valgus-associated-with-metatarsus-adductus
#16
Jyoti Sharma, Umur Aydogan
BACKGROUND: Radiographic angles, such as the intermetatarsal angle, hallux valgus angle, and distal metatarsal articular angle, are commonly used to help guide operative planning for soft tissue and osseous treatment options for hallux valgus. Hallux valgus treatment in the setting of associated metatarsus adductus is less common and not well described. The presence of metatarsus adductus reduces the gap between the first and second metatarsals. Consequently, it complicates the measurement of the first-second intermetatarsal angle and can limit the area available for transposition of the first metatarsal head...
December 2015: Foot & Ankle International
https://www.readbyqxmd.com/read/26126115/automatic-detection-of-calcaneal-fifth-metatarsal-angle-using-radiograph-a-computer-aided-diagnosis-of-flat-foot-for-military-new-recruits-in-taiwan
#17
Chin-Hua Yang, Kuei-Ting Chou, Mu-Bai Chung, K S Chuang, Tzung-Chi Huang
Flatfoot (pes planus) is one of the most important physical examination items for military new recruits in Taiwan. Currently, the diagnosis of flatfoot is mainly based on radiographic examination of the calcaneal-fifth metatarsal (CA-MT5) angle, also known as the arch angle. However, manual measurement of the arch angle is time-consuming and often inconsistent between different examiners. In this study, seventy male military new recruits were studied. Lateral radiographic images of their right and left feet were obtained, and mutual information (MI) registration was used to automatically calculate the arch angle...
2015: PloS One
https://www.readbyqxmd.com/read/26087865/foot-deformities-function-in-the-lower-extremities-and-plantar-pressure-in-patients-with-diabetes-at-high-risk-to-develop-foot-ulcers
#18
Ulla Hellstrand Tang, Roland Zügner, Vera Lisovskaja, Jon Karlsson, Kerstin Hagberg, Roy Tranberg
OBJECTIVE: Foot deformities, neuropathy, and dysfunction in the lower extremities are known risk factors that increase plantar peak pressure (PP) and, as a result, the risk of developing foot ulcers in patients with diabetes. However, knowledge about the prevalence of these factors is still limited. The aim of the present study was to describe the prevalence of risk factors observed in patients with diabetes without foot ulcers and to explore possible connections between the risk factors and high plantar pressure...
2015: Diabetic Foot & Ankle
https://www.readbyqxmd.com/read/26081472/flat-feet-and-a-diagnosis-of-plantar-fasciitis-in-a-marine-corps-recruit
#19
REVIEW
Ann R Lurati
A 22-year-old man sought care at an orthopedic clinic for acute plantar fasciitis. He reported that he had begun an intensive exercise program to prepare himself for Marine Corps Officer Candidate School. Pes Planus, or flat feet, was noted on physical examination. This article reviews the diagnoses of pes planus and plantar fasciitis as well as current intervention strategies.
April 2015: Workplace Health & Safety
https://www.readbyqxmd.com/read/26004125/neutral-heel-lateral-push-test-the-first-clinical-examination-of-spring-ligament-integrity
#20
Chandra Pasapula, Adam Devany, Ahmed Magan, A Memarzadeh, V Pasters, S Shariff
INTRODUCTION: The spring (calcaneonavicular) ligament is an intricate multiligament complex whose primary role is to stabilise the medial longitudinal arch and head of talus. Clinical suspicion of a spring ligament injury in isolation is roused when persistent medial midfoot pain is present with associated pes planus following trauma. METHOD: We undertook a cadaveric study on 21 specimens to assess the use of a neutral heel lateral push test to examine the spring ligament in a standardised procedure, measuring lateral translation with graduated antegrade and retrograde defunctioning of surrounding structures and the spring ligament...
June 2015: Foot
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