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foot and ankle disorders

Gözde Özcan Söylev, Hakan Boya
Complex regional pain syndrome (CRPS) is a painful and disabling disorder that usually affects the extremities. This complication may affect the knee joint after total knee arthroplasty (TKA). We report a unique case of CRPS of the foot and ankle, which was an unusual involvement site for CRPS after TKA.
October 7, 2016: Acta Orthopaedica et Traumatologica Turcica
Byung-Joon Jeon, Hwan Jun Choi, Jin Seok Kang, Min Sung Tak, Eun Soo Park
Diabetes mellitus is a common metabolic disorder. Among various complications, diabetic neuropathy and peripheral vascular disorders are closely associated with diabetic foot ulcers (DFUs). Lower extremity ulcers and amputations are ongoing problems among individuals with diabetes. There are several classification systems for DFUs; however, no prognostic system has to date been accepted as the gold standard or the optimum prediction tool for amputations. A retrospective study was designed. Demographic data and baseline laboratory data were gathered and scored or evaluated using five representative DFU classification systems...
October 10, 2016: International Wound Journal
Oscar H Del Brutto, Robertino M Mera, Nathan R King, Mauricio Zambrano, Lauren J Sullivan
BACKGROUND/OBJECTIVES: Prevalence of diabetes-related foot disorders (DRFD) in rural areas of developing countries is unknown. The burden of these conditions in Atahualpa, a rural Ecuadorian village, were assessed. METHODS: Using a population-based design, Atahualpa residents aged ≥40 years with diabetes mellitus were identified. Ankle brachial index determinations were used to assess presence of peripheral arterial disease, and the Michigan Neuropathy Screening Instrument was used to estimate peripheral neuropathy...
June 2, 2016: Foot
X Q Liao, J Li, Q Zhang, Y J Lan
Objective: To investigate the prevalence of work-related musculoskeletal disorders (MSDs) in the lower limbs and occupational stress in bus drivers, as well as the association between occupational stress and MSDs in the lower limbs, and to provide a reference for the prevention and control of MSDs in the lower limbs in bus drivers. Methods: Cluster sampling was used to collect 598 bus drivers from those who underwent physical examination in a hospital in Chengdu, China, from June to July, 2015. The data on demographic features and living habits were collected, and the Chinese version of effort-reward imbalance questionnaire and Nordic Standardized Questionnaires for Musculoskeletal Disorders were used to investigate occupational stress and the development of MSDs...
August 20, 2016: Chinese Journal of Industrial Hygiene and Occupational Diseases
Marco Schieppati, Jean Louis Honeine, Manh-Cuong Do, Oscar Crisafulli
OBJECTIVE: The critical action for gait initiation involves lifting of the swing leg while shifting the centre of mass (CoM) of the body over the stance leg. This action is made possible by the initial displacement of the centre of pressure (CoP) in the direction of the swing leg. We hypothesised that the CoP displacement requires a coordinated action of the swing-leg abductor muscles and of the dorsiflexor muscles of the stance leg. MATERIAL/PATIENTS AND METHODS: Nine subjects initiated gait starting from three different initial stance widths (small, medium, wide)...
September 2016: Annals of Physical and Rehabilitation Medicine
Dane Jensen Brodke, Charles L Saltzman, Darrel Scott Brodke
Patient-reported outcome measures have become important tools for assessing health status in a variety of patient populations. Many historically or commonly used patient-reported outcome measures in orthopaedics are narrow in scope and are limited by the burden associated with their administration, making them useful only for specific populations. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to overcome these limitations. The system was developed using item response theory, which allows for reliable and efficient estimation of underlying health traits using targeted item banks to assess physical function in the upper and lower extremities...
November 2016: Journal of the American Academy of Orthopaedic Surgeons
Yildiz Analay Akbaba, Derya Celik, R Tahir Ogut
We sought to translate and culturally adapt the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale (AOFAS-AHFS) into Turkish and determine the selected psychometric properties of the translated version. The AOFAS-AHFS is widely used to evaluate disability associated with foot and ankle injuries but has not yet been translated or culturally adapted for Turkish-speaking individuals. The AOFAS-AHFS was translated into Turkish using the Beaton guidelines. The measurement properties of the Turkish AOFAS-AHFS (internal consistency, construct validity, and floor and ceiling effects) were tested in 72 patients (94 feet, 50 females; average ± SD age 44...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
M Schwarze, J Block, M Alimusaj, N Beckmann, M Schiltenwolf
Expert medical opinions are necessary in pretrial cases and other legal matters. They act as means of evidence for administrative bodies and courts. It may be necessary to adapt the method of evaluation depending upon the issue or subject matter to be evaluated. We report on a social court case, which needed to answer the question of the medical necessity of a functional electrical stimulation orthosis prescribed to improve the function of a drop foot accompanied by an atactic gait disorder. The claimant suffered from a stroke, which had occurred several years before...
September 9, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
Michael H Theodoulou, Laura Bohman
Posterior ankle pain can occur for many reasons. If it is produced by forced plantarflexion of the foot, it is often a result of impingement from an enlarged posterior talar process or an os trigonum. This condition may present in an acute or chronic state. Management is initially nonoperative, but surgical treatments are available. This condition is often seen in athletes, so procedures that limit surgical trauma and allow early return to activity are ideal. An arthroscopic approach for this disorder produces good outcomes with limited complications...
October 2016: Clinics in Podiatric Medicine and Surgery
Manuel González-Sánchez, Guang Zhi Li, Maria Ruiz Muñoz, Antonio I Cuesta-Vargas
PURPOSE: To perform a cultural adaptation and validation study (internal and external) of the FAAM questionnaire to create the Chinese version of the questionnaire (FAAM-Ch). MATERIALS AND METHODS: Two independent professional native translators performed a translation from English to Chinese and reverse translation. Psychometric properties analysis: Internal consistency of measure was analysed through the Cronbach's α coefficients. After extraction by maximum likelihood (EML), the structure factor and construct validity was analysed; to extract a factor, it was necessary to complete the following three requirements: ≥10% of variance, Eigenvalue >1...
September 6, 2016: Disability and Rehabilitation
Dai Owaki, Yusuke Sekiguchi, Keita Honda, Akio Ishiguro, Shin-Ichi Izumi
Sensory impairments caused by neurological or physical disorders hamper kinesthesia, making rehabilitation difficult. In order to overcome this problem, we proposed and developed a novel biofeedback prosthesis called Auditory Foot for transforming sensory modalities, in which the sensor prosthesis transforms plantar sensations to auditory feedback signals. This study investigated the short-term effect of the auditory feedback prosthesis on walking in stroke patients with hemiparesis. To evaluate the effect, we compared four conditions of auditory feedback from plantar sensors at the heel and fifth metatarsal...
2016: Neural Plasticity
Yu-Ching Lin, John Y Kwon, Mohammad Ghorbanhoseini, Jim S Wu
Flatfoot deformity is a common disorder of the foot and ankle and is caused by loss of the hindfoot arch. Radiologists and clinicians should be familiar with the anatomy and the imaging criteria used to assess injury to the supporting structures. Radiographs and computed tomography are most useful in characterizing the degree of osseous deformity and ultrasonography and magnetic resonance imaging are most useful in the evaluation of the supporting soft tissue structures. Treatment depends on the clinical symptoms and involves restoring the normal biomechanics of the hindfoot arch through strengthening exercises, foot/ankle orthotics, and surgery...
September 2016: Radiologic Clinics of North America
Zachary Lerner, Diane Damiano, Hyung-Soon Park, Andrew Gravunder, Thomas Bulea
Crouch gait, a pathological pattern of walking characterized by excessive knee flexion, is one of the most common gait disorders observed in children with cerebral palsy (CP). Effective treatment of crouch during childhood is critical to maintain mobility into adulthood, yet current interventions do not adequately alleviate crouch in most individuals. Powered exoskeletons provide an untapped opportunity for intervention. The multiple contributors to crouch, including spasticity, contracture, muscle weakness, and poor motor control make design and control of such devices challenging in this population...
July 27, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Joanne O'Connor, Dorothy McCaughan, Catriona McDaid, Alison Booth, Debra Fayter, Roccio Rodriguez-Lopez, Roy Bowers, Lisa Dyson, Cynthia P Iglesias, Simon Lalor, Rory J O'Connor, Margaret Phillips, Gita Ramdharry
BACKGROUND: Patients who have knee instability that is associated with neuromuscular disease (NMD) and central nervous system (CNS) conditions can be treated using orthoses, such as knee-ankle-foot orthoses (KAFOs). OBJECTIVES: To assess existing evidence on the effectiveness of orthoses; patient perspectives; types of orthotic devices prescribed in the UK NHS; and associated costs. METHODS: Qualitative study of views of orthoses users - a qualitative in-depth interview study was undertaken...
July 2016: Health Technology Assessment: HTA
Ayako Kubota, Masayuki Sekiguchi, Sou Ikata, Shigeta Takeuchi, Kazuaki Tsuchiya
Operative therapy for the foot and ankle disorders of rheumatoid arthritis (RA) have been changing with advances in drug therapy. The surgical techniques, joint-preserving procedure for the RA foot and total ankle arthroplasty for the RA ankle, are the surgical techniques which allow patients with RA not only to relief their pain but also obtain higher lower limb function. Recently, more and more patients with RA have been receiving joint-preserving procedure for the foot or total ankle arthroplasty for the ankle...
June 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
Gulia Ashish, Juvekar Shashikant, Puri Ajay, Desai Subhash
INTRODUCTION: Melorheostosis is a benign bone dysplasia affecting predominantly the appendicular skeleton and adjoining soft tissues. The diagnosis can be established on plain radiographs alone and advanced imaging modalities can be avoided. We hereby report a rare case of melorheostosis affecting the foot with a review of the role of various imaging modalities in diagnosis of this rare bone dysplasia. CASE REPORT: We present the case of a 29 years old man who was diagnosed with melorheostosis affecting his left foot...
January 2016: Journal of Orthopaedic Case Reports
Nili Steinberg, Israel Hershkovitz, Aviva Zeev, Bruce Rothschild, Itzhak Siev-Ner
BACKGROUND: Joint range of motion (ROM) refers to the extent of movement of the joint, recorded using standard goniometers. Joint hypermobility (JHM) is a condition in which most of the synovial joints move beyond the "normal" limits. Joint hypermobility is recognized as a feature of heritable disorders of the connective tissue and can be identified mostly by the Beighton scale. Data on the possible relationship between JHM and joint ROM are lacking in the literature. The main objective of the present study was to evaluate the relationship between JHM and joint ROM in the different lower-extremity joints in young dancers...
June 2016: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
Khalil H Chamseddin, Melissa L Kirkwood
Arthroscopy of the foot and ankle is a common orthopedic procedure with low complication rates. Arterial injuries from these procedures are an even more rare subset of the complications. Hemophilia A is a genetic disorder of aberrant coagulation, which leads to increased risk of bleeding even after minor trauma. We present the second case of anterior tibial artery pseudoaneurysm formation secondary to ankle arthroscopy in a hemophiliac patient and suggest that these individuals are at higher risk for developing complications associated with arterial injury...
July 2016: Annals of Vascular Surgery
Céline Delvert, Pascal Rippert, Françoise Margirier, Jean-Pierre Vadot, Carole Bérard, Isabelle Poirot, Carole Vuillerot
BACKGROUND: Transverse-plane foot deformities are a frequently encountered issue in children with neurological disorders. They are the source of many symptoms, such as pain and walking difficulties, making their prevention very important. OBJECTIVES: We aim to describe the use and tolerability of a side pole static ankle foot orthosis used to prevent transverse-plane foot deformities in children with neurologic disorders. STUDY DESIGN: Monocentric, retrospective, observational study...
May 4, 2016: Prosthetics and Orthotics International
Nilgün Bek, Gürsoy Coşkun, Gizem İrem Kınıklı, Sevilay Karahan
OBJECTIVE: The aim of this study was to develop a disease-specific multidimensional hallux valgus (HV) scale, as well as to establish the validity and reliability thereof. METHODS: The 14-item Multidimensional Nil Hallux Valgus Scale was developed. The scale has a score range of 0-60, with higher score indicating increased HV symptoms, complaints, and functional disorder. Among the patients referred to our clinic with HV diagnosis based on anterior-posterior non-weight-bearing radiography of the affected foot, 129 feet of 66 patients (63 bilateral, 3 unilateral) were included in the study...
2016: Acta Orthopaedica et Traumatologica Turcica
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