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Y T Wei, G W Zhong, T G Tang, H H Liang, J Yao, F Q Sun
Objective: To evaluate the clinical outcome of repairing donor site of foot after improved toe-to-finger reconstruction utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery. Methods: Twelve patients of toe defect after reconstruction were repaired from March, 2015 to June, 2017 utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery in the Department of Hand and Foot Microsurgery of Xin'an Hospital, Dongguan City.Of which, there were 7 cases of great toe defect with fibular side of phalanx ungual and skin, 5 cases of second toe defect with proximal interphalangeal joints and the partial bone accompanied the great toe defect...
September 4, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Josephine Merker, Matthias Hartmann, Johannes-Peter Haas, Ansgar Schwirtz
BACKGROUND: Children suffering from juvenile idiopathic arthritis (JIA), a heterogeneous group of chronic inflammatory joint diseases, adapt to individual gait patterns to avoid loading of inflamed, swollen and painful joints. As the interpretability of previous studies is limited, this study aims to assess the functional capacity, loads and plantar pressure distribution in the gait of a homogeneous JIA group. RESEARCH QUESTION: Does a symmetrical lower limb joint involvement influence the gait dynamics in JIA patients, and how are the results of three-dimensional gait analysis (3DGA) and pedobarography related? METHODS: Fifty JIA patients with symmetrical hip, knee and ankle joint arthritis and 27 healthy controls performed 3DGA and pedobarography at self-selected walking speeds...
September 9, 2018: Gait & Posture
Blair A Becker, Marc A Childress
Most foot disorders do not require podiatry referral or complex interventions. After the clinical diagnosis is made, these conditions can typically be managed with over-the-counter (OTC) and home remedies, with guidance from the primary care physician. Stretching and strengthening exercises, along with the use of heel cups, resolve most plantar fasciitis cases and are at least as effective as nonsteroidal anti-inflammatory drugs or steroid injections. Hallux rigidus is best managed with a hard-soled shoe or rigid insert that relieves pain by restricting motion across the metatarsophalangeal joint...
September 1, 2018: American Family Physician
Katherine Turner
The well-child visit allows for comprehensive assessment of a child and the opportunity for further evaluation if abnormalities are detected. A complete history during the well-child visit includes information about birth history; prior screenings; diet; sleep; dental care; and medical, surgical, family, and social histories. A head-to-toe examination should be performed, including a review of growth. Immunizations should be reviewed and updated as appropriate. Screening for postpartum depression in mothers of infants up to six months of age is recommended...
September 15, 2018: American Family Physician
Vivek Tiwari, Prateek Behera, Radha Sarawagi, Babu Mohammed Rafi, Saurabh Sahu, Hemanth Raj, Manish Rajpoot
Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disease characterized by widespread areas of abnormal bone formation in muscles, ligaments, tendons and joint capsules. Typically, the symptoms begin in the first decade of life with episodes of painful inflammatory soft tissue swellings. Gradually, there occurs restriction of motion at various joints, severely limiting the activities of daily living and the quality of life of such patients by the third decade of life. There is no definite cure available for the disease and the current treatment options target symptomatic and palliative management...
July 10, 2018: Curēus
Hamza Mohammad Abdulghani, Areej Salman AlRajeh, Budoor Hussain AlSalman, Lulwah Sami AlTurki, Norah Sulaiman AlNajashi, Mohammad Irshad, Khalid Hamad Alharbi, Yazeed Eid AlBalawi, Yazeed A AlSuliman, Tauseef Ahmad
Background: Diabetes mellitus with comorbid complications constitute a major public health problem worldwide. The aim of this study was to evaluate the risk of comorbid complications with glycosylated hemoglobin levels and diabetes duration. Also assessed were patients' diabetic foot-care knowledge and practices. Patients and methods: This was a quasiexperimental study. A total of 360 type 2 diabetes mellitus patients were interviewed at a government health care center in Riyadh, Saudi Arabia...
2018: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
Gholam Hossain Shahcheraghi, Mahzad Javid
The mirror foot is a rare congenital foot anomaly which is often associated with 6- to 8-toed polydactyly. Postaxial polydactyly is the most common form of this anomaly, while central polydactyly is seen infrequently. We report on 2 cases of the central mirror-foot anomaly. Calcaneus duplication and fibular hypoplasia were present in 1 case. We treated both patients by resecting the middle foot rays and narrowing the foot width through cuneiform excision and use of cerclage wires or heavy suture approximation of the remaining adjacent rays...
September 2018: Iranian Journal of Medical Sciences
Jae Ung Ko, Hyeunsuk Seo, Goo Joo Lee, Donghwi Park
RATIONALE: Venlafaxine is an antidepressant and anxiolytic agent that functions by inhibiting central serotonin and norepinephrine reuptake, and it is a relatively recently introduced drug. In particular, overdose of venlafaxine has been reported to cause severe cardiac toxicity including ventricular tachycardia, prolongation of QT interval, and seizure or severe muscular injury. However, reports describing venlafaxine-induced rhabdomyolysis with neuropathy remain scarce. Accordingly, we report such a case involving a 49-year-old woman with bilateral sciatic neuropathy combined with rhabdomyolysis following venlafaxine overdose...
September 2018: Medicine (Baltimore)
Marybeth Ezaki, Terri Beckwith, Scott N Oishi
Macrodactyly is a rare condition in which fingers, hands or limb growth is unregulated, resulting in overgrowth of tissues in the affected extremities. It is critical to properly assess these extremities for signalling pathway, psychological impact and potential surgical intervention, to achieve the best possible outcome for each patient. Treatment approaches can vary, and patient and family expectations weigh heavily on care complexity. Common surgical procedures may include epiphysiodeses, osteotomies, debulking procedures, carpal tunnel releases, toe transfers and amputations...
September 12, 2018: Journal of Hand Surgery, European Volume
Xingchen Li, Stephen Viviano, Ramazi Datiashvili
No abstract text is available yet for this article.
2018: Eplasty
Alyaa Al-Ibraheemi, William Albert Ahrens, Karen Fritchie, Jie Dong, Andre M Oliveira, Bonnie Balzer, Andrew L Folpe
We present our experience with ten well-characterized malignant tenosynovial giant cell tumors, including detailed immunohistochemical analysis of all cases and molecular cytogenetic study for CSF1 rearrangement in a subset. Cases occurred in 7 M and 3 F (mean age: 52 years; range: 26-72 years), and involved the ankle/foot (n = 1), finger/toe (n = 3), wrist (n = 1), pelvic region (n = 3), leg (n = 1), and thigh (n = 1). There were eight primary and two secondary malignant tenosynovial giant cell tumors...
September 11, 2018: Modern Pathology: An Official Journal of the United States and Canadian Academy of Pathology, Inc
Yukinobu Okamura, Azusa Nishizawa, Yushiro Fujii, Hideaki Yanagisawa
The giant 1771 Yaeyama tsunami occurred in the southwestern part of the Ryukyu Arc, a region on an obliquely subducting plate boundary, which shows no direct evidence of inter-plate coupling. Studies of tsunami boulders and deposits suggest that the recurrence interval of comparably giant tsunamis is roughly 500 to 1000 years. Tsunami source models, which include either slip on a shallow plate boundary or active faulting plus a landslide on the overriding plate, are controversial because of inconsistencies in the geophysical and geological data...
September 11, 2018: Scientific Reports
Giulio Valagussa, Luca Trentin, Alessio Signori, Enzo Grossi
There is increasing evidence that autism spectrum disorder (ASD) subjects have also motor impairments. Toe walking (TW) is a phenomenon that can be found in ASD subjects during gait, even if this condition was found not to be necessarily related only to walking, since these children often also stand and run on their tiptoes. Since persistent TW in ASD subjects may contribute to secondary shortening of the Achilles's tendon, it becomes important to have an assessment tool and/or outcome measure for both the clinical and rehabilitative settings...
September 10, 2018: Autism Research: Official Journal of the International Society for Autism Research
Hadley J Pearson, Robert T Brodell, C Ralph Daniel Iii
Onychomadesis occurs when the proximal nail plate becomes unattached to the underlying structures. When only one or a few nails are involved, the cause is usually physical trauma. A 23-year-old female presented with a 4-year history of recurrent onychomadesis involving her bilateral great toes that occurred during the springtime. While recurrent trauma from winter shoes or athletic activities may be a contributing factor, our patient was convinced that wearing tight-fitting socks during winter nights was the primary pathophysiologic process...
August 2018: Skin Appendage Disorders
Mouna Ejjiyar, Saloua Ettalbi
Macrodactylia is a rare congenital malformation of unknown origin that can affect the fingers or the toes. It is characterized by an increase in the size of all the elements of one or more rays, recognizable at birth or occurring in a progressive manner. Social, aesthetic as well as functional impact imposes early surgical management or even amputations in advanced forms. We report the case of a 18-year old unmarried, left handed patient without a profession, admitted to the Department of Burns, Plastic and Aesthetic Surgery at the University Hospital Mohammed VI in Marrakech, with progressive acrodactylia involving the first and the second ray of the right hand...
2018: Pan African Medical Journal
Rena Hale, Joshua Green, Jerome Hausselle, David Saxby, Roger V Gonzalez
Squats are a common lower extremity task used in strength and conditioning, balance training, and rehabilitation. It is important to understand how slight alterations in lower extremity kinematics during a squat affect the internal joint loading of the knee. This study directly quantified tibiofemoral contact throughout the in vitro simulation of a bodyweight back squat performed two ways: a heel squat (knees in line with toes) and a toe squat (knees anterior to the toes) at peak knee flexion. Three cadaveric right lower extremities were instrumented and positioned into the University of Texas Joint Load Simulator...
July 19, 2018: Journal of Biomechanics
P A Calderón-Ávila, J A Garrocho-Rangel, J A Cepeda-Bravo, M S Ruiz-Rodríguez, M Pierdant-Pérez, A Pozos-Guillén
BACKGROUND: Eisenmenger syndrome (ES) is a heart cyanotic condition characterised by elevated pulmonary vascular resistance and an intra-cardiac right-to-left shunting of blood through a systemic-to-pulmonary circulation connection. Affected children usually exhibit severe hypoxia, clubbing of fingers/toes, haemoptysis, anaemia, and organ damage. CASE REPORT: During autumn 2015, the patient and her parents arrived at the paediatric dentistry clinic. The patient presented with the main complaint of generalised inflamed gingival tissues, severely protruded upper incisors, and evident abnormal mouth breathing...
September 8, 2018: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Franz Marxreiter, Heiko Gaßner, Olga Borozdina, Jens Barth, Zacharias Kohl, Johannes C M Schlachetzki, Caroline Thun-Hohenstein, Dieter Volc, Bjoern M Eskofier, Jürgen Winkler, Jochen Klucken
Mobile, sensor-based gait analysis in Parkinson's disease (PD) facilitates the objective measurement of gait parameters in cross-sectional studies. Besides becoming outcome measures for clinical studies, the application of gait parameters in personalized clinical decision support is limited. Therefore, the aim of this study was to evaluate whether the individual response of PD patients to dopaminergic treatment may be measured by sensor-based gait analysis. 13 PD patients received apomorphine every 15 min to incrementally increase the bioavailable apomorphine dose...
September 8, 2018: Journal of Neurology
Frederic Viseux, Franck Barbier, Philippe Villeneuve, Antoine Lemaire, Pascal Charpentier, Sebastien Leteneur
The purpose of the study was to evaluate the effect of an additional thickness placed under the toes (TUT) on the CoP measures and to determine the optimum thickness required to maximize the postural control performance. Four conditions were compared: TUT 0 (control), 0.8, 3, and 6mm and four variables were computed from the CoP displacements. These results suggest that the lowest TUT could contribute to changing balance control, and may have clinical interest. This brings perspectives in the management of patients with risk of falling or with chronic pain syndromes, complementing validated therapeutic strategies...
September 5, 2018: Neurophysiologie Clinique, Clinical Neurophysiology
Jesse M Charlton, Gillian L Hatfield, Jordan A Guenette, Michael A Hunt
BACKGROUND: Toe-in and toe-out walking are two strategies which have been shown to be effective in reducing the knee adduction moment in people with knee osteoarthritis. However, despite a positive biomechanical impact on the knee, altering foot rotation may impart unintended forces or joint positions on the ankle that could impact joint health. The kinematic and kinetic changes at the ankle during toe-in or toe-out walking have yet to be examined. OBJECTIVE: To examine ankle/rearfoot biomechanics during toe-in and toe-out walking in those with knee osteoarthritis...
September 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
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