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Metatarsophalangeal

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https://www.readbyqxmd.com/read/29135720/clinical-outcome-following-total-joint-replacement-and-arthrodesis-for-hallux-rigidus-a-systematic-review
#1
Jasper Stevens, Robin T A L de Bot, Joris P S Hermus, Lodewijk W van Rhijn, Adhiambo M Witlox
BACKGROUND: Hallux rigidus is a common cause of foot pain in the elderly and has a negative impact on quality of life. Several operative treatment options are available for feet that are refractory to conservative treatment. Of these, total joint replacement and arthrodesis of the first metatarsophalangeal joint are the most commonly performed interventions. Nevertheless, it is still not known which intervention results in the best clinical outcome and the fewest complications. METHODS: PubMed/MEDLINE, Embase, and the Cochrane Library were systematically searched for studies assessing outcome with the American Orthopaedic Foot & Ankle Society-Hallux Metatarsophalangeal Interphalangeal (AOFAS-HMI) score, Foot Function Index (FFI), visual analog scale (VAS) for pain, or Short Form-36 (SF-36) in patients who underwent an arthrodesis or total joint replacement for the treatment of symptomatic hallux rigidus...
November 14, 2017: JBJS Reviews
https://www.readbyqxmd.com/read/29131657/variability-of-the-dynamic-stiffness-of-foot-joints-effect-of-gait-velocity-variation
#2
Enrique Sanchis, Joaquín Luis Sancho-Bru, Alba Roda-Sales, Javier Pascual Huerta
BACKGROUND: Comparison of dynamic stiffness of foot joints was previously proposed to investigate pathological situations with changes in the properties of muscle and passive structures. Samples must be controlled to reduce the variability within groups being compared, which may arise from different sources, such as gait speed or foot posture index (FPI). METHODS: In this work, variability in the measurement of the dynamic stiffness of ankle, midtarsal and metatarsophalangeal joints was studied in a controlled sample of healthy adult male subjects with normal FPI, and the effect of gait speed was analyzed...
November 13, 2017: Journal of the American Podiatric Medical Association
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
#3
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...
July 8, 2017: Foot
https://www.readbyqxmd.com/read/29110501/first-metatarsal-head-osteochondral-defect-treatment-with-particulated-juvenile-cartilage-allograft-transplantation-a-case-series
#4
Bryan Van Dyke, Gregory C Berlet, Justin L Daigre, Christopher F Hyer, Terrence M Philbin
BACKGROUND: Focal damage to articular cartilage, also called an osteochondral defect (OCD), can be a cause of pain and decreased range of motion. Recent advancements have led to transplantation techniques using particulated juvenile articular cartilage allograft. This technique has been applied to the first metatarsal head to a very limited degree, with no published results to our knowledge. The aim of this study was to review the clinical results of patients who underwent particulated juvenile cartilage allograft implantation for first metatarsal head OCDs...
November 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29103891/nonimplant-arthroplasty-for-the-treatment-of-end-stage-hallux-rigidus
#5
Jake G Ruff, Kathleen Q Trotter, John F Grady
Surgical management of end-stage hallux rigidus involves joint-sparing techniques, including cheilectomy and decompression osteotomies, and joint-destructive procedures, including arthroplasty (resection, interpositional, implant, Valenti) and arthrodesis. Joint-destructive procedures have traditionally been reserved for the end stages of hallux rigidus involving grade 3 and 4. We present a modification of the previously reported Valenti arthroplasty with short-term patient outcomes. We performed a retrospective review of the medical records of 96 patients who had undergone the nonimplant arthroplasty procedure for treatment of end-stage hallux rigidus with a minimum follow-up period of 6 months...
November 2, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29079230/first-metatarsophalangeal-joint-fusion-with-use-of-crossed-kirschner-wires-and-intramedullary-steinmann-pin
#6
Lawrence G Karlock, Levi Berry, Seth T Craft, Rocco Petrozzi, Adam G Grahn, Michael L Casteel
Primary arthrodesis is a thoroughly studied treatment option for end-stage pathologic entities of the first metatarsophalangeal joint. It is a commonly accepted treatment of many pathologic conditions, including hallux rigidus, severe hallux valgus, hallux varus, and other conditions pertaining to the first ray. Numerous fixation techniques are available for this procedure. Fixation constructs range from simple crossing Kirschner wires to plate and screw fixation or, even, external fixation. We propose a simple and cost-effective fixation technique using an intramedullary Steinmann pin with crossing Kirschner wires...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29072495/distraction-osteogenesis-and-fusion-for-failed-first-metatarsophalangeal-joint-replacement-case-series
#7
Rachael J Da Cunha, Sydney C Karnovsky, Austin T Fragomen, Mark C Drakos
No abstract text is available yet for this article.
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29069047/amputation-of-the-first-metatarsophalangeal-joint-due-to-a-giant-gouty-tophi-a-case-report
#8
Chenchen Zhou, Cheng Xue, Bo Yang, Wutao Wang, Yanqiu Xu, Fang Huang, Yi Wang
RATIONALE: The first metatarsophalangeal joint (MTP1) is the most frequent site of gouty tophi. We report an unusual case with a giant skin-perforating tophi. This is the first case of gouty tophi at MTP1 which accepts surgical debulking and amputation. PATIENT CONCERNS: A 42-year-old man presented with a seven-year history of gout and a giant tophi at MTP1. The patient was referred to hospital due to persistent pain and ulcerations on the surface of the left MTP1...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29058450/range-of-motion-of-the-first-metatarsophalangeal-joint-after-different-capsulorrhaphies-a-comparative-cadaver-study
#9
Can Xu, Mingqing Li, Chenggong Wang, Hua Liu
BACKGROUND: Capsulorrhaphy restricts the motion of the first metatarsophalangeal joint (1st MTPJ) in hallux valgus surgery. However, changes in motion of the first MTPJ immediately after surgery that resulted from different capsulorrhaphy methods have not been compared. The primary aim of this study was to compare the immediate effect of Y-shaped and inverted L capsulorrhaphy methods on the range of motion (ROM) of the 1st MTPJ. METHODS: Y-shaped and inverted L capsulorrhaphies were performed on sixteen human cadaveric feet...
October 23, 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/29038920/stener-like-lesion-of-the-lateral-collateral-ligament-of-the-first-metatarsophalangeal-joint
#10
S Braspenningx, W Rezaie, P Simons
Displaced ulnar collateral ligament injuries of the metacarpophalangeal joint of the thumb, also known as Stener lesions, are a well-recognized clinical entity, requiring surgical intervention because of the trapped location of the torn lateral collateral ligament superficial to the adductor aponeurosis of the thumb. We report a similar lesion located at the first metatarsophalangeal joint, to our knowledge the first ever described in the literature. In our patient, magnetic resonance imaging showed a full-thickness tear of the lateral collateral ligament of the first metatarsophalangeal joint, as well as a full-thickness tear of the extensor hood, with dislocation of the proximal part of the ruptured lateral collateral ligament to a position superficial to the extensor hood...
October 16, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29026643/mineralized-collagen-artificial-bone-repair-material-products-used-for-fusing-the-podarthral-joints-with-internal-fixation-a-case-report
#11
Nihar S Ghate, Helen Cui
In this study, we reported a case with collapse and subluxation of metatarsal-cuneiform joint, navicular-cuneiform joint with subluxed the right first metatarsophalangeal joint. The injured medial column was internally fixed with compression arthrodesis. The fusion site was firmed up with BonGold® Bone Sponge and Bone Putty. The prognosis of fused navicular-cuneiform joint and metatarsal-cuneiform joint were examined by X-ray shortly after surgical operation and followed up 2, 4, 6, 9 and 13 weeks after the surgical operation...
October 2017: Regenerative Biomaterials
https://www.readbyqxmd.com/read/29024479/partite-hallux-sesamoid-bones-relationship-with-sesamoid-bones-at-other-metatarsophalangeal-joints
#12
Tao Sun, Haitao Zhao, Lingxiang Wang, Wenjuan Wu
Introduction - Partite hallux sesamoids are clinically meaningful but their association with other sesamoids is not clear. The objective was to relate the prevalence of the partite hallux sesamoid bones to sesamoid bones at other metatarsophalangeal (MTP) joints. Methods - We conducted a retrospective review of plain radiographs of 7946 adult feet between November 2005 and September 2012 in order to identify partite hallux sesamoids and sesamoids at other MTP joints. Coexistence patterns of the partition and extra sesamoids were studied...
October 10, 2017: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/28993565/a-retrospective-study-of-radiographic-abnormalities-in-the-repositories-for-thoroughbreds-at-yearling-sales-in-japan
#13
Daisuke Miyakoshi, Hiroyuki Senba, Mitsumori Shikichi, Masaya Maeda, Ryo Shibata, Kazuhiro Misumi
This study aimed to evaluate whether radiographic abnormalities at yearling sales were associated with the failure to start racing at 2-3 years of age. Radiographic abnormalities in the carpal (n=852), tarsal (n=976), metacarpophalangeal (n=1,055), and metatarsophalangeal joints (n=1,031) from 1,082 horses, recorded at yearling sale, were reviewed. Eighty-two horses (7.6%) failed to start racing. Radiographic abnormalities such as wedged or collapsed tarsal bones, irregular lucency of a sagittal ridge at the distal aspect of the distal third metatarsal bone, and proximal dorsal fragmentation of the first phalanx in metatarsophalangeal joints were associated with failure to start racing in these horses...
October 6, 2017: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/28989937/comparison-of-2-radiographic-techniques-for-measurement-of-tibiofemoral-joint-space-width
#14
Nabil Mehta, Jeffrey Duryea, Gary J Badger, Matthew R Akelman, Morgan H Jones, Kurt P Spindler, Braden C Fleming
BACKGROUND: No consensus is available regarding the best method for measuring tibiofemoral joint space width (JSW) on radiographs to quantify joint changes after injury. Studies that track articular cartilage thickness after injury frequently use patients' uninjured contralateral knees as controls, although the literature supporting this comparison is limited. PURPOSE: (1) To compare JSW measurements using 2 established measurement techniques in healthy control participants and (2) to determine whether the mean JSW of the uninjured contralateral knee in a cohort with anterior cruciate ligament (ACL) reconstruction is different from that obtained from a true control population...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28979586/percutaneous-first-metatarsophalangeal-joint-fusion
#15
Thomas Bauer
The first metatarsophalangeal (MTP1) joint fusion is a very useful procedure in forefoot surgery and is still the gold standard for the treatment of severe and painful hallux rigidus. Normal walking and running are possible after MTP1 fusion, the first ray mobility being essentially in the interphalangeal (IP) joint with a compensatory hypermobility in dorsal flexion. Percutaneous MTP1 fusion is a simple procedure providing comparable results to fusions performed with open techniques. Postoperative cares are simplified with an immediate full weight bearing on rigid flat shoes and quick return to normal walking...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28975843/long-term-follow-up-of-capsular-interposition-arthroplasty-for-hallux-rigidus
#16
Ettore Vulcano, Andy L Chang, David Solomon, Mark Myerson
BACKGROUND: Capsular interposition arthroplasty is a joint- and motion-sparing procedure that has been shown as an effective alternative to fusion. This study aimed to evaluate patient function and satisfaction after long-term follow-up. METHODS: Sixty-four patients were treated with capsular interposition arthroplasty for hallux rigidus by the senior author performed between February 1998 and July 2011. Twenty-two patients could not be reached for follow-up and were thus excluded from the analysis...
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28972893/youngswick-austin-versus-distal-oblique-osteotomy-for-the-treatment-of-hallux-rigidus
#17
Antonio Viladot, Luca Sodano, Lorenzo Marcellini, Marco Zamperetti, Elsa Sanchez Hernandez, Ramon Viladot Perice
BACKGROUND: Hallux Rigidus is the most common degenerative joint pathology of the foot. Several procedures are described for the management of this deformity. In this prospective study we compared Youngswick-Austin and distal oblique osteotomy in the treatment of grade II Hallux Rigidus, in terms of clinical outcomes, efficacy and complications. MATERIAL AND METHODS: Forty-six patients (50 feet) with moderate Hallux Rigidus (Regnauld grade II) were recruited and operated between March 2009 and December 2012...
September 7, 2017: Foot
https://www.readbyqxmd.com/read/28953644/a-new-surgical-procedure-for-hallux-limitus-treatment-double-v-osteotomy-on-the-base-of-the-proximal-phalanx-of-the-hallux
#18
José Valero, Manuel Moreno, José Gallart, David González, Jose L Salcini, Luis Gordillo, Javier Deus, Manuel Lahoz
The purpose of this study was to evaluate the effectiveness of the new Double-V osteotomy of the first metatarsophalangeal joint (1MPJ) in patients with hallux limitus (HL).A study of 66 patients was performed, 33 patients were treated Cheilectomy and 33 were treated Double-V. All patients underwent an assessment of the passive mobility of the 1MPJ before the procedure, reevaluated 12 months later evaluating dorsiflexion, plantarflexion, and patients status using both the American Orthopaedic Foot and Ankle Society (AOFAS) for Hallux Metatarsophalangeal-Interphalangeal Scale...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28948984/scoring-ultrasound-synovitis-in-rheumatoid-arthritis-a-eular-omeract-ultrasound-taskforce-part-2-reliability-and-application-to-multiple-joints-of-a-standardised-consensus-based-scoring-system
#19
Lene Terslev, Esperanza Naredo, Philippe Aegerter, Richard J Wakefield, Marina Backhaus, Peter Balint, George A W Bruyn, Annamaria Iagnocco, Sandrine Jousse-Joulin, Wolfgang A Schmidt, Marcin Szkudlarek, Philip G Conaghan, Emilio Filippucci, Maria Antonietta D'Agostino
OBJECTIVES: To test the reliability of new ultrasound (US) definitions and quantification of synovial hypertrophy (SH) and power Doppler (PD) signal, separately and in combination, in a range of joints in patients with rheumatoid arthritis (RA) using the European League Against Rheumatisms-Outcomes Measures in Rheumatology (EULAR-OMERACT) combined score for PD and SH. METHODS: A stepwise approach was used: (1) scoring static images of metacarpophalangeal (MCP) joints in a web-based exercise and subsequently when scanning patients; (2) scoring static images of wrist, proximal interphalangeal joints, knee and metatarsophalangeal joints in a web-based exercise and subsequently when scanning patients using different acquisitions (standardised vs usual practice)...
2017: RMD Open
https://www.readbyqxmd.com/read/28946113/continuous-use-of-textured-insole-improve-plantar-sensation-and-stride-length-of-people-with-parkinson-s-disease-a-pilot-study
#20
Ellen Lirani-Silva, Rodrigo Vitório, Fabio Augusto Barbieri, Diego Orcioli-Silva, Lucas Simieli, Lilian Teresa Bucken Gobbi
Findings involving the acute benefits of textured insoles on gait in people with Parkinson's disease (PD) are still controversial. To our best acknowledge, the continuous use of textured insoles on gait in people with PD has not been investigated yet. The aim of this pilot study was to obtain preliminary data of the effects of textured insoles on gait and plantar sensation in people with PD after one-week intervention and one-week follow-up period. Nineteen patients with PD were distributed into two groups: experimental group and control group...
September 18, 2017: Gait & Posture
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