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https://www.readbyqxmd.com/read/28090416/post-traumatic-arthritis-of-the-tarsometatarsal-joint-complex-a-case-report
#1
Chirag Kapoor, Amit Patel, Maulik Jhaveri, Paresh Golwala
Tarsometatarsal (TMT) arthritis is characterized by instability and pain in the foot. The commonest cause is post-traumatic arthritis. A Lisfranc injury involves the articulation between the medial cuneiform and the base of the second metatarsal, which is considered a keystone to midfoot integrity. Neglected or undertreated injury to the Lisfranc joint complex leads to secondary arthritis and significant disability. We present a case of a young male patient with a two-year-old neglected Lisfranc joint injury and secondary osteoarthritis of the first, second, and fourth TMT joints, which we treated surgically with arthrodesis using screws, with a good functional outcome on final follow-up...
December 9, 2016: Curēus
https://www.readbyqxmd.com/read/28058661/an-old-mismanaged-lisfranc-injury-treated-by-gradual-deformity-correction-followed-by-the-second-stage-internal-fixation
#2
Mehraj D Tantray, Khurshid Kangoo, Asif Nazir, Muzamil Baba, Raja Rameez, Syed Tabish, Syed Shahnawaz
The Lisfranc fracture-dislocation of the foot is uncommon and diagnosis is often missed. The Lisfranc joint involves the articulation between medial cuneiform and base of the second metatarsal and is considered a keystone to structural integrity to the midfoot. The articulation has a stabilization effect on longitudinal and transverse arches of the foot. A neglected or untreated injury to the Lisfranc joint can lead to secondary arthritis and significant morbidity and disability. We present a case of a neglected Lisfranc fracture-dislocation in a 28-year-old female patient who presented 3 months after injury...
January 5, 2017: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/28050532/foot-and-ankle-fractures-during-childhood-review-of-the-literature-and-scientific-evidence-for-appropriate-treatment
#3
REVIEW
Stefan Rammelt, Alexandre Leme Godoy-Santos, Wolfgang Schneiders, Guido Fitze, Hans Zwipp
Foot and ankle fractures represent 12% of all pediatric fractures. Malleolar fractures are the most frequent injuries of the lower limbs. Hindfoot and midfoot fractures are rare, but inadequate treatment for these fractures may results in compartment syndrome, three-dimensional deformities, avascular necrosis and early post-traumatic arthritis, which have a significant impact on overall foot and ankle function. Therefore, the challenges in treating these injuries in children are to achieve adequate diagnosis and precise treatment, while avoiding complications...
November 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28043054/dynamic-plantar-pressure-distribution-strength-capacity-and-postural-control-after-lisfranc-fracture-dislocation
#4
Alexander T Mehlhorn, Markus Walther, Tayfun Yilmaz, Lennart Gunst, Anja Hirschmüller, Norbert P Südkamp, Hagen Schmal
Substantial progress has been made in the operative treatment of Lisfranc fractures, however, the prognosis remains poor. We hypothesized that Lisfranc injuries change the postural control and muscle strength of the lower limb. Both are suggested to correlate with the clinical outcome and quality of life. 17 consecutive patients suffering from a Lisfranc fracture dislocation were registered, underwent open reduction and internal fixation and were followed-up for 50.5±25.7months (Mean±SDM). Biomechanical analysis of muscle strength capacities, postural control and plantar pressure distribution was assessed >6 month postoperatively...
December 19, 2016: Gait & Posture
https://www.readbyqxmd.com/read/28035908/plantar-pressures-increase-with-raising-body-weight-a-standardised-approach-with-paired-sample-using-neutral-shoes
#5
T Hotfiel, H D Carl, F Wendler, A Jendrissek, R Heiß, B Swoboda
BACKGROUND: Plantar pressure leads to stress on plantar tissue and can be seen as risk factor for metatarsal stress fractures or plantar ulcers and is associated with prolonged and complicated recurrence of existing tissue damages. A clear demarcation of a systematic raise of body load regarding its effect on plantar pressure has not been described. OBJECTIVE: Assessing plantar pressure in different conditions of body weight, comparing data to initial body weight...
December 23, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28033051/plantar-pressure-during-gait-in-pregnant-women
#6
Jeanne Bertuit, Clara Leyh, Marcel Rooze, Véronique Feipel
BACKGROUND: During pregnancy, physical and hormonal modifications occur. Morphologic alterations of the feet are found. These observations can induce alterations in plantar pressure. This study sought to investigate plantar pressures during gait in the last 4 months of pregnancy and in the postpartum period. A comparison with nulliparous women was conducted to investigate plantar pressure modifications during pregnancy. METHODS: Fifty-eight women in the last 4 months of pregnancy, nine postpartum women, and 23 healthy nonpregnant women (control group) performed gait trials on an electronic walkway at preferred speeds...
November 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27999731/clinical-commentary-on-midfoot-and-forefoot-involvement-in-lateral-ankle-sprains-and-chronic-ankle-instability-part-2-clinical-considerations
#7
John J Fraser, Mark A Feger, Jay Hertel
Lateral ankle sprains (LAS) and chronic ankle instability (CAI) are common musculoskeletal injuries that are a result of inversion injury during sport. The midfoot and forefoot is frequently injured during a LAS, is often overlooked during clinical examination, and maybe contributory to the development of CAI. The purpose of part two of this clinical commentary and current concept review is to increase clinician's awareness of the contribution of midfoot and forefoot impairment to functional limitation and disability of individuals who experience LAS and CAI and to facilitate future research in this area...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27992254/an-investigation-of-structure-flexibility-and-function-variables-that-discriminate-asymptomatic-foot-types
#8
Sarah P Shultz, Jinsup Song, Andrew P Kraszewski, Jocelyn F Hafer, Smita Rao, Sherry Backus, Rajshree Mootanah, Howard J Hillstrom
It has been suggested that foot type consider not only foot structure (high, normal, low arch), but also function (over-pronation, normal, over-supination) and flexibility (reduced, normal, excessive). Therefore, this study used canonical regression analyses to assess which variables of foot structure, function, and flexibility can accurately discriminate between clinical foot type classifications. The feet of 61 asymptomatic, healthy adults (18-77 years) were classified as cavus (N=24), rectus (N=54), or planus (N=44) using standard clinical measures...
December 19, 2016: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/27986272/predictors-of-amputation-in-high-energy-forefoot-and-midfoot-injuries
#9
Zachary M Working, Iain Elliott, Lucas S Marchand, Lance G Jacobson, Angela P Presson, Ami Stuart, David L Rothberg, Thomas F Higgins, Erik N Kubiak
INTRODUCTION: High energy injuries to the midfoot and forefoot are highly morbid injury groups that are relatively unstudied in the literature. Patients sustaining injuries of this region are challenging to counsel at the time of injury because so little is known about the short and long term results of these injuries. The purpose of this study was to investigate injury specific factors that were predictive of amputation in patients sustaining high energy midfoot and forefoot injuries...
December 10, 2016: Injury
https://www.readbyqxmd.com/read/27975013/free-medial-plantar-flap-connection-with-a-posterior-tibial-artery-flap-in-reconstruction-of-fore-mid-foot-skin-defect
#10
Hao Wu, Jia-Gen Sheng, Chang-Qing Zhang
BACKGROUND: Although there are many surgical treatments for covering the skin defect of the fore-mid foot, how to reconstruct the weight-bearing region remains a challenge. The weight-bearing region of the sole needs to withstand the pressure and shearing stresses of walking, so the plantar skin is anatomically different from other skins in the areas of texture, thickness, subcutaneous tissue, etc. Medial plantar flaps that are harvested from the instep region are regarded as the first choice for weight-bearing region reconstruction because of their excellent functional and aesthetic long-term result...
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27965435/can-we-predict-the-outcome-for-people-with-patellofemoral-pain-a-systematic-review-on-prognostic-factors-and-treatment-effect-modifiers
#11
M Matthews, M S Rathleff, A Claus, T McPoil, R Nee, K Crossley, B Vicenzino
BACKGROUND: Patellofemoral pain (PFP) is a multifactorial and often persistent knee condition. One strategy to enhance patient outcomes is using clinically assessable patient characteristics to predict the outcome and match a specific treatment to an individual. AIM: A systematic review was conducted to determine which baseline patient characteristics were (1) associated with patient outcome (prognosis); or (2) modified patient outcome from a specific treatment (treatment effect modifiers)...
December 13, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27956940/facilitating-the-interpretation-of-pedobarography-the-relative-midfoot-index-as-marker-for-pathologic-gait-in-ankle-osteoarthritic-and-contralateral-feet
#12
Frigg Arno, Frigg Roman, Wiewiorski Martin, Goldoni Jennifer, Horisberger Monika
BACKGROUND: Pedobarography offers dynamic information about the foot, but the interpretation of its large data is challenging. In a prior study it was shown that attention can be restricted to pedobarographic midfoot load data. We aim to verify this observation in ankle osteoarthritic and contralateral feet. METHODS: We assessed both feet of 120 patients with end-stage ankle osteoarthritis (OA) and 35 healthy volunteers with AOFAS-score and dynamic pedobarography in barefoot condition...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/27940985/military-personnel-sustaining-lisfranc-injuries-have-high-rates-of-disability-separation
#13
George C Balazs, M G Hanley, G J Pavey, J-Ph Rue
OBJECTIVES: Lisfranc injuries are relatively uncommon midfoot injuries disproportionately affecting young, active males. Previous studies in civilian populations have reported relatively good results with operative treatment. However, treatment results have not been specifically examined in military personnel, who may have higher physical demands than the general population. The purpose of this study was to examine rates of return to military duty following surgical treatment of isolated Lisfranc injuries...
December 9, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27935562/current-conservative-management-and-classification-of-club-foot-a-review
#14
Ganesan Balasankar, Ameersing Luximon, Adel Al-Jumaily
Clubfoot, known as congenital talipes equinovarus, is one of the complex paediatric foot deformity with the incidence of 1 in every 1000 live births. It consists of four complex foot abnormalities such as forefoot adductus, midfoot cavus, and hindfoot varus and ankle equinus. There are a number of surgical techniques (soft tissue releases, arthrodesis) used to correct clubfoot. However currently the conservative management (manipulation, serial casting, and braces) of clubfoot is considered as the best choice and it is widely accepted among orthopaedists...
November 30, 2016: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/27904801/midfoot-and-forefoot-involvement-in-lateral-ankle-sprains-and-chronic-ankle-instability-part-1-anatomy-and-biomechanics
#15
John J Fraser, Mark A Feger, Jay Hertel
: The modern human foot is the culmination of more than five million years of evolution. The ankle-foot complex absorbs forces during loading, accommodates uneven surfaces, and acts as a lever for efficient propulsion. The ankle-foot complex has six independent functional segments that should be understood for proper assessment and treatment of foot and ankle injuries: the shank, rearfoot, midfoot, lateral forefoot, and the medial forefoot. The compliance of the individual segments of the foot is dependent on velocity, task, and active and passive coupling mechanisms within each of the foot segments...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27899721/lisfranc-injuries-in-the-athlete
#16
REVIEW
John S Lewis, Robert B Anderson
: Lisfranc injuries to the tarsometatarsal complex of the midfoot have become increasingly recognized in the athletic population. Regardless of mechanism, any injury that results in instability in the midfoot requires operative stabilization to preserve function and enable return to sport. In this manuscript, the anatomy, etiology, prevalence, current treatment modalities, and clinical outcomes of patients who suffer Lisfranc injuries are reviewed, with a special focus on the unique characteristics surrounding such an injury in an athlete...
December 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27890134/the-relationship-between-arch-height-and-foot-length-implications-for-size-grading
#17
Matthew Hill, Roozbeh Naemi, Helen Branthwaite, Nachiappan Chockalingam
OBJECTIVE: Medial longitudinal Arch Height is synonymous with classifying foot type and conversely foot function. Detailed knowledge of foot anthropometry is essential in the development of ergonomically sound footwear. Current Footwear design incorporates a direct proportionate scaling of instep dimensions with those of foot length. The objective of this paper is to investigate if a direct proportional relationship exists between human arch height parameters and foot length in subjects with normal foot posture...
March 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/27889978/-analysis-of-plantar-pressure-patterns-among-obese-population
#18
Eleonóra Leidecker, Péter Kellermann, Mónika Galambosné Tiszberger, Bálint Molics, Aliz Bohner-Beke, József Nyárády, János Kránicz
INTRODUCTION: Although the role of body weight on foot health and load has been widely documented in research, the effect of the extra load due to body weight on plantar pressure characteristics is not well known. AIM: The aim of this study was to evaluate the impact of obesity on plantar pressure patterns among the working-age population. METHOD: 180 participants were involved. Two groups were evaluated according to body mass index categories regarding eight regions of the plantar area, focusing on the following parameters: contact area, maximum pressure and peak pressure...
November 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27888854/mr-imaging-of-the-midfoot-including-chopart-and-lisfranc-joint-complexes
#19
REVIEW
Monica Tafur, Zehava Sadka Rosenberg, Jenny T Bencardino
Following a brief description of the normal anatomy and biomechanics of the midfoot, this article focuses on MR imaging features of common osseous, tendon, and ligament abnormalities that affect the midfoot. Discussion of the anatomy and pathology affecting the Chopart and Lisfranc joint complexes, both of which play important roles in linking the midfoot to the hindfoot and the forefoot respectively, is also included.
February 2017: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/27888790/complication-assessment-and-prevention-strategies-using-midfoot-fusion-bolt-for-medial-column-stabilization-in-charcot-s-osteoarthropathy
#20
Alexander T Mehlhorn, Markus Walther, Niklas Iblher, Norbert P Südkamp, Hagen Schmal
In Charcot's osteoarthropathy stabilization of the medial column of the foot was introduced in order to establish a stable foot and reduce the risk for amputation. This study was performed to analyze postoperative complications, define risk factors for those and develop strategies for prevention. Since bolt dislocation takes place frequently, it was aimed to predict an appropriate time point for bolt removal under the condition that osseous healing has occurred. Fourteen consecutive patients with neuroosteoarthropathy of the foot and arch collapse were treated with open reduction and stabilization using midfoot fusion bolt and lateral lag screws...
December 2016: Foot
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