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https://www.readbyqxmd.com/read/27649396/the-effect-of-variable-lower-extremity-immobilization-devices-on-emergency-brake-response-driving-outcomes
#1
Laura E Sansosti, Zinnia M Rocha, Matthew W Lawrence, Andrew J Meyr
INTRODUCTION AND OBJECTIVES: Immobilization devices such as surgical shoes and walking boots are commonly prescribed by podiatric physicians in the treatment of a variety of lower extremity pathologies and during the post-operative recovery period, but may have the potential to affect a patient’s ability to maintain a safe level of control over the accelerator and brake pedals while operating an automobile. The objective of this investigation was to assess driving outcomes in a group of healthy participants under variable foot wear conditions...
September 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27638269/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-with-additional-suture-anchor-augmentation-a-prospective-study-of-45-consecutive-patients
#2
James M Cottom, Joseph S Baker, Phillip E Richardson
Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months...
September 21, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27536489/plantar-fat-grafting-and-tendon-balancing-for-the-diabetic-foot-ulcer-in-remission
#3
Cynthia A Luu, Ethan Larson, Timothy M Rankin, Jennifer L Pappalardo, Marvin J Slepian, David G Armstrong
We report on the use of free fat grafting as a means of redistributing normal and shear stress after healing of plantar diabetic foot wounds. Although fat augmentation (lipofilling) has been described previously as an approach to supplement defects and prevent atrophy, including use as an adjunct to wound healing and to mitigate pain in the foot, we are unaware of any reports in the medical literature that have described its use in the high-risk diabetic foot in remission. An active 37-year-old man with type 2 diabetes and neuropathy presented with gangrene of his fifth ray, which was amputated...
July 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27445123/effect-of-variable-lower-extremity-immobilization-devices-on-emergency-brake-response-driving-outcomes
#4
Laura E Sansosti, Zinnia M Rocha, Matthew W Lawrence, Andrew J Meyr
The effect of lower extremity pathologic features and surgical intervention on automobile driving function has been a topic of contemporary interest in the orthopedic medical literature. The objective of the present case-control investigation was to assess 3 driving outcomes (i.e., mean emergency brake response time, frequency of abnormally delayed brake responses, and frequency of inaccurate brake responses) in a group of participants with 3 variable footwear conditions (i.e., regular shoe gear, surgical shoe, and walking boot)...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27417976/adding-stiffness-to-the-foot-modulates-soleus-force-velocity-behaviour-during-human-walking
#5
Kota Z Takahashi, Michael T Gross, Herman van Werkhoven, Stephen J Piazza, Gregory S Sawicki
Previous studies of human locomotion indicate that foot and ankle structures can interact in complex ways. The structure of the foot defines the input and output lever arms that influences the force-generating capacity of the ankle plantar flexors during push-off. At the same time, deformation of the foot may dissipate some of the mechanical energy generated by the plantar flexors during push-off. We investigated this foot-ankle interplay during walking by adding stiffness to the foot through shoes and insoles, and characterized the resulting changes in in vivo soleus muscle-tendon mechanics using ultrasonography...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27215162/plantar-hyperhidrosis-an-overview
#6
REVIEW
Tracey C Vlahovic
Plantar hyperhidrosis, excessive sweating on the soles of feet, can have a significant impact on patients' quality of life and emotional well-being. Hyperhidrosis is divided into primary and secondary categories, depending on the cause of the sweating, with plantar hyperhidrosis typically being primary and idiopathic. There is an overall increased risk of cutaneous infection in the presence of hyperhidrosis, including fungal, bacterial, and viral infections. This article discusses a range of treatment options including topical aluminum chloride, iontophoresis, injectable botulinum toxin A, glycopyrrolate, oxybutynin, laser, and endoscopic lumbar sympathectomy...
July 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/26872523/the-neglected-achilles-tendon-rupture-repaired-with-allograft-a%C3%A2-review-of-14-cases
#7
Kene P Ofili, Jason D Pollard, John M Schuberth
Various surgical techniques have been reported for the repair of neglected Achilles tendon ruptures, including V-Y advancements, synthetic augmentations, and collagen implants. The use of an Achilles tendon allograft allows bridging of large defects without donor site morbidity, with a relative ease of technique and adequate graft availability. The present retrospective report focused on the outcomes of a series of 14 patients with neglected ruptures treated with an Achilles tendon allograft. Patients were included in the present series if they had ≥12 months of postoperative follow-up data available and the allograft had been used without any adjunctive procedures...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26553332/impacts-of-gender-weather-and-workplace-differences-in-farm-worker-s-gear
#8
JuYoun Kwon, Hee Sok Park, Sun-Hwa Kim, Kyung-Suk Lee
BACKGROUND: The farmers cannot help working in outdoor conditions which have high humidity and solar radiation during the harvest period. Wearable items including clothing are the nearest environment of human body, and to understand the current state of them can be a way to set up an active prevention strategy against the health risk from heat stress in summertime agriculture. The aim of this study was to investigate the work wear and accessories which the elderly farmers used during agricultural working...
2015: Journal of Physiological Anthropology
https://www.readbyqxmd.com/read/24882222/the-gearing-function-of-running-shoe-longitudinal-bending-stiffness
#9
Steffen Willwacher, Manuel König, Björn Braunstein, Jan-Peter Goldmann, Gert-Peter Brüggemann
The purpose of the present study was to investigate whether altered longitudinal bending stiffness (LBS) levels of the midsole of a running shoe lead to a systematic change in lower extremity joint lever arms of the ground reaction force (GRF). Joint moments and GRF lever arms in the sagittal plane were determined from 19 male subjects running at 3.5 m/s using inverse dynamics procedures. LBS was manipulated using carbon fiber insoles of 1.9 mm and 3.2 mm thickness. Increasing LBS led to a significant shift of joint lever arms to a more anterior position...
July 2014: Gait & Posture
https://www.readbyqxmd.com/read/24527155/a-review-of-cyanoacrylate-liquid-skin-protectant-and-its-efficacy-on-pedal-fissures
#10
REVIEW
Tracey C Vlahovic, Elizabeth A Hinton, Debashish Chakravarthy, Cynthia Ann Fleck
INTRODUCTION: Skin fissures are a common dermatologic condition caused by excessive dry skin, numerous systemic diseases, and backless shoe gear. They are defects in skin that fall into the category of damaged, partial-thickness skin wounds, as opposed to full-thickness wounds. Patients with heel fissures are at an increased risk for developing infection, which could cause more severe issues, especially in patients with diabetes and peripheral vascular disease. METHODS: Five patients from Temple Foot and Ankle Institute, Philadelphia, PA, with a total of 8 heel fissures and 2 hallux fissures, were studied...
December 2010: Journal of the American College of Certified Wound Specialists
https://www.readbyqxmd.com/read/23669005/early-weightbearing-using-achilles-suture-bridge-technique-for-insertional-achilles-tendinosis-a-review-of-43-patients
#11
Ryan B Rigby, James M Cottom, Anand Vora
Posterior heel pain caused by insertional Achilles tendinosis can necessitate surgical intervention when recalcitrant to conservative care. Surgical treatment can necessitate near complete detachment of the Achilles tendon to fully eradicate the offending pathologic features and, consequently, result in long periods of non-weightbearing. A suture bridge technique using bone anchors is available for reattachment of the Achilles tendon. This provides restoration of the Achilles footprint on the calcaneus, including not only contact, but also actual pressure between the tendon and bone...
September 2013: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/23664740/minimalist-shoe-injuries-three-case-reports
#12
David J Cauthon, Paul Langer, Thomas C Coniglione
Running in minimalist shoes continues to increase in popularity and multiple mainstream shoe companies now offer minimalist shoes. While there is no evidence that traditional running shoes prevent injuries, there are concerns that the designs of minimalist shoes may increase injury risk. However, reports of injuries in runners wearing minimalist shoes are rare. We present three injuries occurring in runners that were wearing minimalist shoes at the time of injury. All three of the runners switched immediately to the minimalist shoes with no transition period...
June 2013: Foot
https://www.readbyqxmd.com/read/23318099/early-results-with-use-of-the-midfoot-fusion-bolt-in-charcot-arthropathy
#13
Benjamin D Cullen, Glenn M Weinraub, Gabriel Van Gompel
Charcot neuroarthropathy is a complicated condition affecting up to 1 in 680 diabetic patients that can rapidly cause severe destruction of the bony architecture in the foot, with resultant gross instability and frank deformity. Conservative care is not always successful at maintaining an intact soft tissue envelope of the foot; therefore, surgical reconstruction is often attempted in an effort to salvage the limb. The goal is to create a stable, plantigrade foot that can be placed in a shoe or simple brace...
March 2013: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/23119125/associated-risk-factors-and-management-of-chronic-diabetic-foot-ulcers-exceeding-6-months-duration
#14
Hassan Gubara Musa, Mohamed Elmakki Ahmed
BACKGROUND: The management of chronic diabetic foot ulcers (DFU) poses a great challenge to the treating physician and surgeon. The aim of this study was to identify the risk factors, clinical presentation, and outcomes associated with chronic DFU>6 months' duration. METHODS: This prospective study was performed in Jabir Abu Eliz Diabetic Centre (JADC), Khartoum, Sudan. A total of 108 patients who had DFU for >6 months were included. Recorded data included patient's demographics, DFU presentation, associated comorbidities, and outcomes...
2012: Diabetic Foot & Ankle
https://www.readbyqxmd.com/read/22727376/end-stage-hallux-rigidus-cheilectomy-implant-or-arthrodesis
#15
Ruth A Peace, Graham A Hamilton
End-stage arthritis of the first metatarsophalangeal joint (MTPJ) typically results in anexophytic process with marked limitation of motion. Pain may occur from the degenerative process itself and/or the bone spur formation that may become directly inflamed from shoe gear. The best surgical treatment for end-stage arthrosis of the big toe joint continues to be a controversial topic despite hallux rigidus being recognized clinically for more than 100 years. Although joint-sparing procedures are considered, arthrodesis is recommended, as this procedure is definitive and produces predictable results...
July 2012: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/22011272/bra-associated-allergic-contact-dermatitis-p-tert-butylphenol-formaldehyde-resin-as-the-culprit
#16
Elise M Herro, Sheila F Friedlander, Sharon E Jacob
P-tert-butylphenol formaldehyde resin (PTBPFR) is recognized as a significant source of allergic contact dermatitis in adults and children in association with athletic gear, shoes, and neoprene. To our knowledge, this is the first case report of allergic contact dermatitis with PTBPFR associated with padded foam bras.
July 2012: Pediatric Dermatology
https://www.readbyqxmd.com/read/21819816/motorcycle-protective-clothing-protection-from-injury-or-just-the-weather
#17
Liz de Rome, Rebecca Ivers, Michael Fitzharris, Wei Du, Narelle Haworth, Stephane Heritier, Drew Richardson
BACKGROUND: Apart from helmets, little is known about the effectiveness of motorcycle protective clothing in reducing injuries in crashes. The study aimed to quantify the association between usage of motorcycle clothing and injury in crashes. METHODS AND FINDINGS: Cross-sectional analytic study. Crashed motorcyclists (n=212, 71% of identified eligible cases) were recruited through hospitals and motorcycle repair services. Data was obtained through structured face-to-face interviews...
November 2011: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/21816636/longitudinal-tears-of-peroneus-longus-and-brevis-tendons-a-gouty-infiltration
#18
Fernando Radice, Juan Eduardo Monckeberg, Giovanni Carcuro
The natural history of recurrent uric acid deposition includes joint destruction, as well as tendon weakening and rupture. Simultaneous rupture of the peroneus longus and brevis tendons secondary to tophaceous gout is very rare. In the present report, we describe the case of a 37-year-old man who had a history of recurrent ankle pain and 4 previous episodes of acute gout localized to his ipsilateral first metatarsophalangeal joint. The physical examination revealed the ankle pain to actually be localized to the peroneal tendons immediately distal to the fibular malleolar groove...
November 2011: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/21513869/minimal-invasive-percutaneous-bipolar-radiofrequency-for-plantar-fasciotomy-a-retrospective-study
#19
MULTICENTER STUDY
Jones Hormozi, Suzette Lee, Daniel K Hong
The purpose of this study was to present the results of a relatively new, minimally invasive surgical technique for the treatment of chronic plantar fasciitis in 14 patients, 2 of whom underwent the treatment bilaterally one foot at time on separate occasions. This was a retrospective, multicenter, nonrandomized study. All of the patients had failed conservative therapy and had symptoms for at least 6 months. The mean follow-up duration was 15.25 months (range, 6-33 months). The postoperative mean American Orthopaedic Foot & Ankle Society hindfoot score was 82...
May 2011: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/21465689/heelys-injuries-a-review-of-the-national-electronic-injury-surveillance-system-data
#20
Heather Beach, Barbara M Garcia Peña, Marc Yves-Rene Linares
OBJECTIVE: The purpose of this study was to describe the types and severity of Heelys-related injuries reported to the National Electronic Injury Surveillance System (NEISS). Strategies for prevention of these injuries may be developed using this information. METHODS: We performed a retrospective analysis of the NEISS data of the US Consumer Safety Product Commission between 2002 and 2006. RESULTS: The NEISS had 131 reported Heelys injuries in children...
October 2009: Pediatric Emergency Care
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