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Metatarsophalangeal

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https://www.readbyqxmd.com/read/29336886/can-the-syndesmosis-procedure-prevent-metatarsus-primus-varus-and-hallux-valgus-deformity-recurrence-a-5-year-prospective-study
#1
Daniel Yiang Wu, Eddy Kwok Fai Lam
One of the main objectives of hallux valgus surgery is correction of the metatarsus primus varus deformity by osteotomy, arthrodesis, or soft tissue correction. The syndesmosis procedure uses intermetatarsal cerclage sutures to realign the first metatarsal and also induces a syndesmotic bonding between the first and second metatarsals to prevent metatarsus primus varus deformity recurrence. The purpose of the present study was to demonstrate radiologic evidence of the effectiveness of the syndesmosis concept and to identify the incidence and nature of deformity recurrence...
January 12, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29312840/relationship-between-the-intersesamoid-ligament-and-sesamoid-bones-in-cadaveric-feet-with-hallux-valgus
#2
Regina C Fiacco, Garen M Ream, Charlotte Wilson, R Shane Tubbs, Marios Loukas, Piotr B Kozlowski, Anthony C DiLandro, Kevin T Jules, Anthony V D'Antoni
There is heterogeneity in the literature regarding the anatomy, exact location, and definition of the intersesamoid ligament (IL). Anatomic knowledge of the IL and its variations are important for surgeons who undertake corrective surgery for hallux abducto valgus (HAV). The IL was dissected in 16 feet from 32 formalin-fixed cadavers (12 females, four males; mean age at death, 76.6 years) to examine its morphology. The length, width, and thickness of its constituent bands were recorded with a digital caliper...
November 3, 2017: Curēus
https://www.readbyqxmd.com/read/29310462/do-postoperative-hallux-angles-correlate-with-outcome-in-mp1-fusion-our-experience-with-71-cases
#3
Xavier Paredes-Carnero, Antonio María Fernández-Cebrián, Silvia Villardefrancos-Gil
PURPOSE: To determine if the postoperative alignment of the hallux influences the final clinical outcome of hallux metatarsophalangeal joint (first MTPJ) arthrodesis. METHODS: A total of 71 consecutive cases (hallux rigidus) were studied in stages 3 and 4. They were operated through arthrodesis between 2008 and 2014. The follow-up mean was 7.3 years. The AOFAS (American Orthopaedic Foot and Ankle Society) test was performed preintervention and per annum. In radiology, both the hallux valgus angle and the dorsiflexion angle of the first MTPJ were studied...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29310149/percutaneous-hallux-valgus-correction-modified-reverdin-isham-osteotomy-preliminary-results
#4
Giuseppe Restuccia, Alessandro Lippi, Federico Sacchetti, Carmine Citarelli, Francesco Casella, Maurizio Benifei
BACKGROUND: Hallux valgus (HV) is a metatarsophalangeal joint deformity that can be classified as mild, moderate, or severe. Treatment is recommended for pain or severe deformities. Recently, operative percutaneous correction techniques have been performed to treat mild deformities. MATERIALS AND METHODS: A retrospective, single-surgeon, single-center study of 49 HV percutaneous correction using a modified Reverdin-Isham osteotomy was conducted. HV, intermetatarsal angle (IM), proximal articular set angles (PASA), and American foot and ankle functional score (AOFAS) were assessed pre- and postoperatively by a single operator...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29307743/treatment-of-hallux-varus-after-traumatic-adductor-hallucis-tendon-rupture
#5
Eric A Barp, Eric W Temple, Jennifer L Hall, Hayden L Smith
Hallux varus is a deformity of acquired and less commonly congenital etiologies. It can present secondary to the release of the soft tissues surrounding the first metatarsophalangeal joint surfaces during bunion surgery. If the condition is left untreated, it can be debilitating, with progressive pain and destruction of joint surfaces. Many procedures have been described for the treatment of iatrogenic causes of hallux varus; however, little has been reported regarding the success of procedures when used for less typical traumatic causes...
January 5, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29307742/is-double-metatarsal-osteotomy-superior-to-proximal-chevron-osteotomy-in-treatment-of-hallux-valgus-with-increased-distal-metatarsal-articular-angle
#6
Chul Hyun Park, Woo-Chun Lee
We compared the results of proximal chevron osteotomy and double metatarsal osteotomy for hallux valgus with an increased distal metatarsal articular angle (DMAA). From October 2008 to December 2012, first metatarsal osteotomies were performed in 64 patients (69 feet) with symptomatic hallux valgus associated with an increased DMAA. Proximal chevron with Akin osteotomy and lateral soft tissue release was performed in 46 feet (PCO group); double metatarsal osteotomy and Akin osteotomy without lateral soft tissue release was performed in 23 feet (DMO group)...
January 5, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29306736/early-results-of-roto-glide-joint-arthroplasty-for-treatment-of-hallux-rigidus
#7
Prasad Karpe, Maire-Clare Killen, Amit Chauhan, Raymond Pollock, Rajiv Limaye
BACKGROUND: Traditionally severe hallux rigidus is treated with arthrodesis. Recently arthroplasty has been used in order to retain motion at the metatarsophalangeal joint. AIM: To assess the early to mid-term functional and radiological outcomes in patients undergoing first metatarsophalangeal arthroplasty using the Rotoglide implant. MATERIALS AND METHODS: A prospective review was undertaken to assess functional and radiological outcomes of all patients undergoing an un-cemented three-component first metatarsophalangeal arthroplasty for hallux rigidus...
November 14, 2017: Foot
https://www.readbyqxmd.com/read/29298501/minimally-invasive-distal-metatarsal-metaphyseal-osteotomy-of-the-lesser-toes-learning-curve
#8
Sabine Krenn, Sascha Albers, Peter Bock, Clemens Mansfield, Michel Chraim, Hans-Joerg Trnka
BACKGROUND: Minimally invasive surgery has a shorter surgical time, and in this study we focus on minimally invasive distal metatarsal metaphyseal osteotomy (DMMO). The operation seems to be less complex but requires a high learning curve. We report on our first patients to underline the need for extensive training and great awareness for the risks in the early learning stages. METHODS: We evaluated 27 patients (mean age = 60.9 years) with a mean follow-up time of 7...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29287314/the-symptomatic-course-of-foot-osteoarthritis-phenotypes-an-18-month-prospective-analysis-of-community-dwelling-older-adults
#9
Thomas J Downes, Linda Chesterton, Rebecca Whittle, Edward Roddy, Hylton B Menz, Michelle Marshall, Martin J Thomas
OBJECTIVE: Osteoarthritis (OA) is a heterogeneous disease with symptom progression at the foot unclear. This study investigated the symptomatic course of three pre-defined foot OA phenotypes over an 18-month period. METHODS: The Clinical Assessment Study of the Foot (CASF) is a community-based cohort of adults aged ≥50 years in North Staffordshire, UK. Participants who reported foot pain in a postal health survey and underwent radiographic assessment were mailed an 18-month follow-up survey...
December 29, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29279812/first-metatarsophalangeal-joint-arthrodesis-in-hallux-valgus-versus-hallux-rigidus-using-cup-and-cone-preparation-compression-screw-and-dorsal-plate-fixation
#10
Calvin Chien, Terrence Alfred, Richard Freihaut, Sabrina Pit
Various techniques have been described for first metatarsophalangeal (MTP) joint arthrodesis. The purpose of this study was to determine if cup and cone preparation by a single surgeon with an interfragmentary screw and dorsal plate fixation provides a comparable union rate in hallux valgus versus hallux rigidus. Our study included all patients who underwent first MTP joint fusions using cup and cone preparation with an interfragmentary compression screw and dorsal plate fixation from 2010 to 2015. We compared union rates in 65 patients with hallux rigidus with 47 who had hallux valgus...
October 19, 2017: Curēus
https://www.readbyqxmd.com/read/29277083/manipulation-under-anaesthesia-and-steroid-injection-for-pain-and-stiffness-after-surgery-to-the-first-metatarsophalangeal-joint
#11
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/29242789/giant-cell-tumor-of-metacarpal-in-the-skeletally-immature-patient-and-free-osteoarticular-metatarsal-transfer-review-of-literature-with-case-report
#12
Pankaj Kumar Mishra, Yash Agarwal, Prakhar Singhal, Kripa Shankar Mishra
Introduction: In the customary wisdom, it is conceded that giant-cell tumor (GCT) is a pathology of fused epiphysis, but there are literatures available to depict that even though rare bit, but it occurs in the skeletally immature patients. Here, we are presenting a rare case of GCT of the fifth metacarpal in the skeletally immature patient. Case Report: It is a case report of a 13-year-old girl with the history of swelling over her right hand for 5 months. X-ray revealed that there was an osteolytic fusiform expansible lesion...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29242787/foot-deformities-in-hajdu-cheney-syndrome-a-rare-case-report-and-review-of-the-literature
#13
Ashish B Shah, Breann K Tisano, Osama Elattar, Jackson Rucker Staggers, Sameer Naranje
Introduction: Hajdu-Cheney syndrome (HCS) is a rare autosomal dominant disease characterized by acroosteolysis, wormian skull bones with persistent skull sutures, premature loss of teeth, micrognathia, short stature, hypermobility of the joints, neurologic manifestations such as basilar invagination with subsequent paresthesia, hearing loss, and speech alterations, and osteoporosis with tendency to pathologic fractures of long bones and vertebrae as well as painful hands and feet. Very few cases have been earlier reported in the literature...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29241361/clinical-and-radiological-outcomes-comparing-percutaneous-chevron-akin-osteotomies-vs-open-scarf-akin-osteotomies-for-hallux-valgus
#14
Mun Chun Lai, Inderjeet Singh Rikhraj, Yew Lok Woo, William Yeo, Yung Chuan Sean Ng, Kevin Koo
BACKGROUND: Minimally invasive surgeries have gained popularity due to less soft tissue trauma and better wound healing. To date, limited studies have compared the outcomes of percutaneous and open osteotomies. This study aims to investigate the clinical and radiological outcomes of percutaneous chevron-Akin osteotomies vs open scarf-Akin osteotomies at 24-month follow-up. METHOD: We reviewed a prospectively collected database in a tertiary hospital hallux valgus registry...
December 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29232993/evaluation-of-metatarsal-head-resurfacing-hemiarthroplasty-in-the-surgical-treatment-of-hallux-rigidus-a-retrospective-study-and-mid-to-long-term-follow-up
#15
Musa Uğur Mermerkaya, Erkan Alkan, Mehmet Ayvaz
BACKGROUND: The aim of this study was to evaluate the mid- to long-term outcomes of metatarsal head resurfacing hemiarthroplasty in the surgical treatment of advanced-stage hallux rigidus. METHODS: We performed a retrospective review of 57 consecutive patients (25 [43.9%] males, 32 [56.1%] females; mean age, 61.0 ± 6.4 years) who underwent first metatarsal head resurfacing hemiarthroplasty (HemiCAP) for hallux rigidus between August 2007 and September 2010. Sixty-five implantations were performed in 57 patients; 8 patients underwent bilateral procedures...
March 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29230868/frequency-distribution-of-osteochondral-fragmentation-of-the-dorsoproximal-articular-surface-of-the-proximal-phalanx-in-racing-thoroughbreds-in-the-uk
#16
R Walsh, M R W Smith, I M Wright
BACKGROUND: Osteochondral fragmentation of the dorsoproximal margin of the proximal phalanx is commonly recognised in racing Thoroughbreds. Frequency distribution has been documented in racing Thoroughbreds and Quarter Horses in the USA and in European Warmbloods but no data have been published from the UK. Concurrent intra-articular soft tissue lesions and radiographic accuracy of fragment distribution in racing Thoroughbreds have not previously been reported. OBJECTIVES: To document frequency distribution of dorsoproximal fragmentation of the proximal phalanx in a UK population of racing Thoroughbreds and to compare this with published data...
December 12, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29230404/experimental-gait-analysis-to-study-stress-distribution-of-the-human-foot
#17
Vidya K Nandikolla, Robin Bochen, Steven Meza, Allan Garcia
Researchers and clinicians are increasingly using plantar pressure and force measurement system to evaluate foot functions. This research evaluates the quality and reliability of a Tekscan HR mat to study the plantar pressures and forces acting during walking, running, jumping, and standing of healthy subjects. The following regions of the foot were investigated: heel, mid foot, metatarsophalangeal joint, hallux, and the toes. The arches of both feet of the three healthy subjects in the gait analysis were presented which addresses the balancing issues of the body during locomotion...
2017: Journal of Medical Engineering
https://www.readbyqxmd.com/read/29224948/a-modified-foot-and-ankle-score-for-assessing-patient-outcomes-after-first-metatarsophalangeal-arthrodesis
#18
Hao Guo, Hai-Lin Xu, Hao Lu, Bao-Guo Jiang
First metatarsophalangeal (MTP) arthrodesis is commonly used to treat many end-stage first MTP diseases. The most widely used scale for measuring the clinical outcomes after this procedure, the American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal scale, has not been adequately validated and does not measure specific foot functions. Another outcome measure, the patient-reported Foot and Ankle Outcome Score (FAOS) has acceptable construct validity but poor content validity. The FAOS scale has 42 questions, many of which are unrelated to the hallux...
December 7, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29223409/obtaining-adequate-tension-for-extensor-hallucis-longus-tendon-rupture-repair-using-wide-awake-surgery-a-case-report
#19
Takenori Matsuda, Akira Taniguchi, Koji Hayashi, Yasuaki Nakanishi, Yasuhito Tanaka
Wide-awake surgery has potential advantages for treating extensor or flexor tendon injury. We present a case of chronic extensor hallucis longus injury treated with turn-down reconstruction using wide-awake surgery with a selective nerve block. To the best of our knowledge, this is the first such case reported. The patient had dropped a knife proximal to the right hallux metatarsophalangeal joint. Because direct suturing was thought to be difficult, turn-down reconstruction was performed under a selective nerve block...
December 7, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29216701/-a-cadaveric-study-of-a-new-capsulorrhaphy-for-the-surgical-treatment-of-hallux-valgus
#20
S L Orozco-Villaseñor, M Monzó-Planella, X Martín-Oliva, J Vázquez-Escamilla, J J Mayagoitia-Vázquez, J E Frías-Chimal
BACKGROUND: There are many surgical options for the treatment of hallux valgus in combination with capsular repairs for the correction of hallux valgus. MATERIAL AND METHODS: This report corresponds to a descriptive study where a new capsulorrhaphy technique in hallux valgus is proposed. Six dissections were performed on cadavers with hallux valgus deformity using the following surgical technique: medial approach on the first toe longitudinally, dissecting by planes and locating the metatarsophalangeal joint capsule; it was incised longitudinally...
May 2017: Acta Ortopédica Mexicana
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