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https://www.readbyqxmd.com/read/29753998/use-of-high-speed-stereo-radiography-to-assess-the-foot-orthoses-effectiveness-in-controlling-midfoot-posture-during-walking-a-pilot-study
#1
Erin M Mannen, Stuart J Currie, Elizabeth C Bachman, Amira Otmane, Bradley S Davidson, Kevin B Shelburne, Thomas G McPoil
BACKGROUND: The intent of this pilot study was to determine the feasibility of using high-speed stereo radiography (HSSR) to assess the effectiveness of footwear and foot orthoses in controlling the change in the position of the midfoot during walking in individuals with a flexible pes planus foot type. METHODS: Four individuals (1 female; 3 male) with a mean age of 25 years (range 22-29) and a bilateral flexible pes planus foot type participated in the study. The HSSR system was used to measure 3-dimensional changes in the longitudinal arch angle (LAA) with each participant walking barefoot, shoe only and shoes with orthoses...
January 31, 2018: Foot
https://www.readbyqxmd.com/read/29753178/the-management-of-dorsal-peroneal-nerve-compression-in-the-midfoot
#2
Baljinder Singh Dhinsa, Laila Hussain, Sam Singh
The foot and ankle specialist will frequently encounter patients with dorsal midfoot pain in clinic. In the presence of midfoot pain and/or paraesthesia, nerve entrapment must be considered. The authors report the outcome of a case series of patients who underwent surgical release of the DPN. Between 2011-2017, a single surgeon operated on seven patients with a diagnosis of DPN entrapment. A retrospective review of the patient's clinical notes was performed, including the operative findings. The average age at presentation was 47 years (range, 31-70 years), and the left foot was affected in four cases...
December 28, 2017: Foot
https://www.readbyqxmd.com/read/29748105/reliability-of-the-measurement-of-cuboid-height-in-midfoot-charcot-neuroarthropathy
#3
Shyam Sheth, Brian S Derner, Andrew J Meyr
Cuboid height is a quantitative radiographic measurement of the relationship of the inferior cuboid to the plantar osseous plane of the lateral column of the foot and might be associated with poor clinical outcomes in patients with midfoot Charcot neuroarthropathy. We evaluated the reliability of the cuboid height measured by a group of foot and ankle surgeons on subjects with midfoot Charcot neuroarthropathy. Ten board-certified foot and ankle surgeons, 10 residents, and 10 medical students measured the cuboid height on 11 lateral weightbearing radiographic projections of subjects with midfoot Charcot neuroarthropathy...
May 7, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29729803/hallux-valgus-medial-column-instability-and-their-relationship-with-posterior-tibial-tendon-dysfunction
#4
REVIEW
Steven Blackwood, Leland Gossett
Historically, bunions have focused on the coronal plane; however, there is tension and compression failure in the sagittal plane of the midfoot during arch collapse. Correction of all 3 planes of deformity, coronal, sagittal, and rotational, can be achieved in several ways. Taking a big picture of global foot mechanics by recognizing the common types of conditions associated with arch collapse, including hallux valgus deformities, can serve as a useful roadmap for navigating more complicated deformities where hallux valgus exists...
June 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/29713385/a-minimal-markerset-for-three-dimensional-foot-function-assessment-measuring-navicular-drop-and-drift-under-dynamic-conditions
#5
Patric Eichelberger, Angela Blasimann, Nicole Lutz, Fabian Krause, Heiner Baur
Background: The validity of predicting foot pronation occurring mainly at the midfoot by surrogate measures from the rearfoot, like eversion excursion, is limited. The dynamic navicular mobility in terms of vertical navicular drop ( dNDrop ) and medial navicular drift ( dNDrift ) may be regarded as meaningful clinical indicators to represent overall foot function. This study aimed to develop a minimal approach to measure the two parameters and to examine their intra- and interday reliability during walking...
2018: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/29703591/nurse-initiated-radiographic-test-protocol-for-ankle-injuries-a-randomized-controlled-trial
#6
Jonathan Ka-Ming Ho, Janita Pak-Chun Chau, Jimmy Tak-Shing Chan, Caroline Hau-Yee Yau
INTRODUCTION: Nurse-initiated radiographic-test protocol was compared with usual practice in reducing unnecessary ankle and foot radiographic-test requests and shortening patients' length of stay (LOS) in an emergency department (ED) by reducing their waiting time for physician reassessment. METHODS: Patients with ankle injuries were enrolled in an unblinded randomized controlled trial. Participants were randomized to receive either the protocol (n = 56) or usual practice (n = 56)...
April 24, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29685565/decompressive-medial-cuneiform-exostectomy-for-resistant-tibialis-anterior-insertional-tendinopathy
#7
Alan J Laing, Christopher Carr
Distal tibialis anterior tendinopathy, as a clinical entity, has only recently been documented in foot and ankle studies. We report our experience with medial cuneiform decompressive exostectomy and superficial tendon debridement in 14 cases of recalcitrant tibilalis anterior insertional pain. We reviewed 13 patients (14 feet; 12 females, 1 male; mean age 67.9 ± 7.5; range 55 to 80 years) in whom conservative treatment had failed who had undergone debridement of the insertional tibialis anterior tendon and decompressive exostectomy of the medial cuneiform...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29674653/pedobarographic-analysis-following-ponseti-treatment-for-unilateral-neglected-congenital-clubfoot
#8
Chao Xu, Jie Wei, Ya-Bo Yan, Lei Shang, Xiao-Jiang Yang, Lu-Yu Huang, Wei Lei
Recent trends have led to an interest in Ponseti treatment for correcting neglected congenital clubfoot. Although good clinical and functional outcomes have been reported, the plantar pressure distribution after the treatment of neglected clubfoot has not been explored yet. The present study aimed to investigate whether plantar pressures normalized following Ponseti treatment in patients with neglected congenital clubfoot. Pedobarographic, clinical, and functional examinations were performed in 22 children (aged, 91...
April 19, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29666963/minimally-invasive-surgery-and-percutaneous-surgery-of-the-hindfoot-and-midfoot
#9
Yves Stiglitz, Cyrille Cazeau
Minimally invasive surgery (MIS) and percutaneous (PC) surgery recently spread as a new technique in operative forefoot correction, and by extension in hindfoot and midfoot. Numerous procedures were described, and a race for MIS and PC has started. However, performing surgery with small incisions should not be an end in itself. Biomechanical and anatomical concerns must be taken into account and shall not be sacrificed for cosmetic reasons. For the most common hindfoot and midfoot pathologies, we discuss what we consider the surgical necessities and then describe the MIS and/or PC procedure we choose, according to these fundamentals...
April 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29658814/combined-spring-and-deltoid-ligament-repair-in-adult-acquired-flatfoot
#10
Caio Nery, André Vitor Kerber C Lemos, Fernando Raduan, Nacime Salomão B Mansur, Daniel Baumfeld
BACKGROUND: Adult-acquired flatfoot deformity (AAFD) is usually due to a combination of mechanical failure of the osteoligamentous complex that maintains the medial longitudinal arch of the foot and attenuation or complete tear of the posterior tibial tendon. Magnetic resonance imaging studies in patients with flatfoot deformities have reported the posterior tibial tendon to be pathologic in up to 100% of patients, the spring ligament in up to 87%, and the deltoid ligament in 33%. Many studies in the literature describe reconstruction of the spring ligament or the deltoid ligament associated with AAFD, but there is no study in which both (spring and deltoid) ligaments are reconstructed at the same time...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29655650/surgical-treatment-of-lisfranc-injury-with-plantar-plate-approach
#11
Deepal Dalal, Christian Curry, Ryan Carter, Colin Zdenek, Nicholas W Todd, Shannon M Rush, Richard Jensen
Midfoot injuries are the second most common athletic foot injury documented in the published data. High-energy Lisfranc dislocations are commonly seen secondary to traumatic etiologies and disrupt the strong midfoot ligaments supporting the arch. These injuries require immediate surgical intervention to prevent serious complications such as compartment syndrome and amputation. The present case series reports a new Lapidus plate system used in 3 patients who underwent arthrodesis procedures for Lisfranc joint dislocation...
April 11, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29625413/a-novel-approach-for-the-detection-and-exploration-of-joint-coupling-patterns-in-the-lower-limb-kinetic-chain
#12
Kevin Deschamps, Maarten Eerdekens, Jurre Geentjens, Lieselot Santermans, Lien Steurs, Bart Dingenen, Maarten Thysen, Filip Staes
BACKGROUND: A comprehensive perspective on foot and lower limb joint coupling is lacking since previous studies did not consider the multi-articular nature of the foot and lower limb neither accounted for biomechanical heterogeneity. RESEARCH QUESTION: The current manuscript describes a novel methodological process for detection and exploration of joint coupling patterns in the lower limb kinetic chain. METHODS: The first stage of the methodological process encompasses the measurement of 3D joint kinematics of the foot and lower limb kinetic chain during dynamic activities...
March 31, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29619844/comparison-of-screws-to-plate-and-screw-constructs-for-midfoot-arthrodesis
#13
Jamal Ahmad, Mary-Katherine Lynch, Mitchell Maltenfort
BACKGROUND: We performed a prospective comparison of screws versus plate-and-screws for midfoot arthrodesis. MATERIALS: Between 2010 and 2015, a total of 50 patients with midfoot arthritis received screws or plate-and-screws for their midfoot arthrodesis. Function and pain were graded with the Foot and Ankle Ability Measures (FAAM) and visual analog scale (VAS), respectively. Data regarding arthrodesis healing and complications were recorded. RESULTS: Twenty-five patients received screws for fusion, where 21 achieved full arthrodesis healing by 6 months from surgery...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29619094/foot-osteoarthritis-latest-evidence-and-developments
#14
REVIEW
Edward Roddy, Hylton B Menz
Foot osteoarthritis (OA) is a common problem in older adults yet is under-researched compared to knee or hand OA. Most existing studies focus on the first metatarsophalangeal joint, with evidence relating to midfoot OA being particularly sparse. Symptomatic radiographic foot OA affects 17% of adults aged 50 years and over. The first metatarsophalangeal joint is most commonly affected, followed by the second cuneometatarsal and talonavicular joints. Epidemiological studies suggest the existence of distinct first metatarsophalangeal joint and polyarticular phenotypes, which have differing clinical and risk factor profiles...
April 2018: Therapeutic Advances in Musculoskeletal Disease
https://www.readbyqxmd.com/read/29601967/tarsal-coalition-in-paediatric-patients
#15
REVIEW
P-L Docquier, P Maldaque, M Bouchard
Tarsal coalition is due to failure of segmentation between two or more foot bones during embryological development at a site where the joint cleft fails to develop. Depending on the nature of the tissue connecting the bones, the abnormality is a syndesmosis, synchondrosis, or synostosis. Although the coalition exists at birth, synostosis usually develops only late during growth. Talo-calcaneal and calcaneo-navicular coalitions account for over 90% of all cases of tarsal coalition. The joint at the site of the coalition is stiff...
March 27, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29594373/comparison-of-dimeglio-and-pirani-score-in-predicting-number-of-casts-and-need-for-tenotomy-in-clubfoot-correction-using-the-ponseti-method
#16
Manuele Lampasi, Caterina Novella Abati, Camilla Bettuzzi, Stefano Stilli, Giovanni Trisolino
PURPOSE: The Dimeglio and the Pirani scores are largely used to rate clubfoot at presentation and monitor correction. To date, the accuracy of these scores in predicting appropriate treatment is controversial. The aim of this study was to investigate the accuracy of Dimeglio and Pirani scores in predicting the number of casts and the need for tenotomy in clubfoot correction using the Ponseti method. METHODS: Ninety-one consecutive feet (54 patients; mean age at presentation: 28 ± 15 days) undergoing clubfoot correction using the Ponseti method were prospectively followed from first casting to correction...
March 29, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29573666/foot-posture-is-associated-with-plantar-pressure-during-gait-a-comparison-of-normal-planus-and-cavus-feet
#17
Andrew K Buldt, Saeed Forghany, Karl B Landorf, Pazit Levinger, George S Murley, Hylton B Menz
BACKGROUND: Variations in foot posture, such as pes planus (low medial longitudinal arch) or pes cavus (high medial longitudinal arch) are associated with some lower limb injuries. However, the mechanism that links foot posture to injury is not clear. Research question The aim of this study was to compare plantar pressure between healthy individuals with normal, planus or cavus feet. METHODS: Ninety-two healthy volunteers (aged 18 to 45) were classified as either normal (n = 35), pes planus (n = 31) or pes cavus (n = 26) based on the Foot Posture Index, Arch Index and normalised navicular height truncated...
March 5, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29562217/childhood-obesity-is-associated-with-altered-plantar-pressure-distribution-during-running
#18
Paula Ribeiro Mesquita, Silvia Gonçalves Ricci Neri, Ricardo M Lima, Felipe P Carpes, Ana Cristina de David
BACKGROUND: Obesity is associated with higher foot loading during walking. The impact of this condition on running, however, has yet to be elucidated. RESEARCH QUESTION: The purpose of this study was to examine the association between childhood obesity and plantar pressure distribution during running. METHODS: Forty-two volunteers aged 5-10 years took part in this cross-sectional study. Body mass index (BMI) was assessed for obesity classification...
March 14, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29547791/repeatability-of-spatiotemporal-plantar-pressure-and-force-parameters-during-treadmill-walking-and-running
#19
Corina Nüesch, Jan-Arie Overberg, Hermann Schwameder, Geert Pagenstert, Annegret Mündermann
BACKGROUND: Instrumented treadmills with integrated pressure mats measure spatiotemporal, pressure and force parameters and are often used to investigate changes in gait patterns due to injury or rehabilitation. RESEARCH QUESTION: What is the within- and between-day repeatability of such an instrumented treadmill for spatiotemporal parameters, peak pressures and forces during walking and running? METHODS: Treadmill gait and running analysis were performed at 5...
May 2018: Gait & Posture
https://www.readbyqxmd.com/read/29547030/changes-in-kinematic-coupling-among-the-rearfoot-midfoot-and-forefoot-segments-during-running-and-walking
#20
Tomoya Takabayashi, Mutsuaki Edama, Erika Yokoyama, Chiaki Kanaya, Takuma Inai, Yuta Tokunaga, Masayoshi Kubo
BACKGROUND: Understanding the concept of kinematic coupling is essential when selecting the appropriate therapeutic strategy and grasping mechanisms for the occurrence of injuries. A previous study reported that kinematic coupling between the rearfoot and shank during running and walking were different. However, because foot mobility involves not only the rearfoot but also the midfoot or forefoot, kinematic coupling is likely to occur among the rearfoot, midfoot, and forefoot segments...
January 2018: Journal of the American Podiatric Medical Association
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