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https://www.readbyqxmd.com/read/29453583/reconstruction-for-chronic-achilles-tendinopathy-comparison-of-flexor-hallucis-longus-fhl-transfer-versus-v-y-advancement
#1
Jackson R Staggers, Kenneth Smith, Cesar de C Netto, Sameer Naranje, Krishna Prasad, Ashish Shah
BACKGROUND: Several operative techniques exist for Achilles tendinopathy. The purpose of our study was to compare the clinical and functional outcomes of flexor hallucis longus (FHL) transfer and V-Y advancement for the treatment of chronic insertional Achilles tendinopathy. METHODS: Retrospective chart review from 2010 to 2016 of patients that underwent FHL transfer or V-Y advancement for chronic insertional Achilles tendinopathy. Outcome measures were compared for these two procedures...
February 16, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29448825/radiographic-prognostic-factors-for-selective-soft-tissue-release-after-ponseti-failure-in-young-pediatric-clubfoot-patients
#2
Michael Seungcheol Kang, Il-Yeong Hwang, Soo-Sung Park
BACKGROUND: Selective soft tissue release (SSTR), which includes a combination of abductor hallucis, tibialis posterior, and Achilles lengthening, has been used in patients with recurrent clubfoot deformity after Ponseti treatment. The aim of this study was to investigate the prognostic factors for recurrence of clubfoot deformity after SSTR. METHODS: Consecutive patients with idiopathic clubfoot and residual or recurrent deformity after Ponseti treatment underwent SSTR between 2005 and 2013...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29437060/degenerative-subtalar-joints-complicated-by-medial-plantar-intraneural-cysts-cutting-the-cystic-articular-branch-prevents-recurrence
#3
P Laumonerie, F Lapègue, N Reina, M Tibbo, M Rongières, M Faruch, P Mansat
AIMS: The pathogenesis of intraneural ganglion cysts is controversial. Recent reports in the literature described medial plantar intraneural ganglion cysts (mIGC) with articular branches to subtalar joints. The aim of the current study was to provide further support for the principles underlying the articular theory, and to explain the successes and failures of treatment of mICGs. PATIENTS AND METHODS: Between 2006 and 2017, five patients with five mICGs were retrospectively reviewed...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29413791/contributions-of-foot-muscles-and-plantar-fascia-morphology-to-foot-posture
#4
Salih Angin, Karen J Mickle, Christopher J Nester
BACKGROUND: The plantar foot muscles and plantar fascia differ between different foot postures. However, how each individual plantar structure contribute to foot posture has not been explored. The purpose of this study was to investigate the associations between static foot posture and morphology of plantar foot muscles and plantar fascia and thus the contributions of these structures to static foot posture. METHODS: A total of 111 participants were recruited, 43 were classified as having pes planus and 68 as having normal foot posture using Foot Posture Index assessment tool...
January 27, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29413772/increasing-the-safety-of-minimally-invasive-hallux-surgery-an-anatomical-study-introducing-the-clock-method
#5
Francesc Malagelada, Miki Dalmau-Pastor, Betlem Fargues, Maria Cristina Manzanares-Céspedes, Fernando Peña, Jordi Vega
BACKGROUND: The purpose of this study is to describe a simple and reproducible method to localize the neurological structures at risk and to describe a safe zone for hallux minimally invasive surgery (MIS) procedures. METHODS: Ten fresh-frozen cadaveric feet were dissected to identify the dorsomedial digital nerve (DMDN) and the dorsolateral digital nerve (DLDN) of the first toe. Axial sections were performed at the sites of metatarsal osteotomies. We documented the position of the nerves with respect to the extensor hallucis longus (EHL) tendon using a clock method superimposed on the axial section RESULTS: The DMDN was found at an average of 26...
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29413632/test-retest-reliability-of-ultrasound-measures-of-intrinsic-foot-motor-function
#6
John J Fraser, L Colby Mangum, Jay Hertel
OBJECTIVE: To establish test-retest reliability of Intrinsic Foot Muscle (IFM) motor function measured using ultrasound imaging (USI). SETTING: Laboratory. DESIGN: Reliability Study. PARTICIPANTS: 24 healthy young adults without history of ankle-foot injury. MAIN OUTCOME MEASURES: Ultrasound measures of Abductor hallucis (AbdH), flexor digitorum brevis (FDB), quadratus plantae (QP) and flexor hallucis brevis (FHB) cross-sectional area (CSA) and thickness were assessed on 2 occasions, 3-10 days apart...
December 2, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29409298/use-of-a-percutaneous-osteotomy-with-plate-fixation-in-hallux-valgus-correction
#7
Rodrigo Díaz Fernández
BACKGROUND: With hundreds of operative methods described for correction of hallux valgus we can state that the ideal surgical treatment is still controversial. The Bösch technique has been used as a percutaneous way of correcting hallux valgus deformities with the use of a pin fixation. The aim of this study is to evaluate a new method of fixation by using a percutaneous locking plate. METHODS: Between June 2013 and January 2015, 24 consecutive percutaneous subcapital osteotomies of the first metatarsal bone were performed for the treatment of painful hallux valgus deformities in 24 patients...
September 20, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409217/surgical-management-of-chronic-achilles-tendon-ruptures-using-less-invasive-techniques
#8
Nicola Maffulli, Francesco Oliva, Gayle D Maffulli, Angelo Del Buono, Nikolaos Gougoulias
BACKGROUND: Surgical management of chronic Tendo Achillis (TA) ruptures usually requires tendon grafting procedures. Several techniques have been described. We examined the outcome of three different less invasive (incisions length less than 3 cm) tendon transfer techniques in the management of patients with a chronic rupture of the TA. METHODS: Of 62 patients (39 males and 23 females; mean age 44.8 years; range 29.3-62 years) with chronic TA ruptures managed operatively, 21 patients had a ≥6cm gap and underwent free ipsilateral semitendinosus (ST) graft (21 patients), whereas patients with smaller gaps had either ipsilateral peroneus brevis (PB) (20 patients) or ipsilateral flexor hallucis longus (FHL) transfer (21 patients)...
February 16, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409187/flexor-hallucis-longus-transfer-versus-turndown-flaps-augmented-with-flexor-hallucis-longus-transfer-in-the-repair-of-chronic-achilles-tendon-rupture
#9
Don Koh, Jeremy Lim, Jerry Y Chen, Inderjeet R Singh, Kevin Koo
BACKGROUND: Repairs of chronic Achilles tendon ruptures are technically challenging due to large defects after scar excision. Multiple techniques for repair have been proposed but little consensus on best practice established. This study aims to compare flexor hallucis longus (FHL) transfers versus turndown flaps augmented by FHL transfers. METHODS: Between 2005 and 2015, 49 unilateral repairs of chronic Achilles tendon ruptures were performed. We retrospectively compared the outcomes of 20 patients who underwent FHL transfer with 19 patients who underwent turndown flaps augmented with FHL transfer before surgery and at three time points after surgery (three, six and twelve months)...
November 10, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409181/technique-tip-edl-to-ehl-double-loop-transfer-for-extensor-hallucis-longus-reconstruction
#10
Gonzalo F Bastías, Natalio Cuchacovich, Adam Schiff, Giovanni Carcuro, Manuel J Pellegrini
BACKGROUND: Extensor hallucis longus (EHL) tendon injuries often occur in the setting of lacerations to the dorsum of the foot. End-to-end repair is advocated in acute lacerations, or in chronic cases when the tendon edges are suitable for tension free repair. Reconstruction with allograft or autograft is advocated for cases not amenable to a primary direct repair. This is often seen in cases with tendon retraction and more commonly in the chronic setting. In many countries the use of allograft is very limited or unavailable making reconstruction with autograft and tendon transfers the primary choice of treatment...
December 6, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409178/outcomes-of-flexor-digitorum-longus-fdl-tendon-transfer-in-the-treatment-of-achilles-tendon-disorders
#11
Cesar de Cesar Netto, Apisan Chinanuvathana, Lucas Furtado da Fonseca, Eric J Dein, Eric W Tan, Lew Charles Schon
BACKGROUND: In patients with chronic Achilles tendon disorders, Achilles tendon debridement can be supplemented with a tendon transfer, with the flexor hallucis longus tendon (FHL) transfer representing the most common used technique. Our study describes clinical and functional results of patients treated with flexor digitorum longus (FDL) tendon transfer in the treatment of patients with chronic Achilles tendon disorders. METHODS: Retrospective study of prospectively collected data of thirteen patients (15 feet) that underwent FDL tendon transfer as part of the treatment of chronic Achilles tendon disorders...
December 19, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29405809/impairment-based-rehabilitation-increases-lower-leg-muscle-volumes-and-strength-in-chronic-ankle-instability-patients-a-preliminary-study
#12
Mark A Feger, Luke Donovan, C Collin Herb, Geoffrey G Handsfield, Silvia S Blemker, Joseph M Hart, Susan A Saliba, Mark F Abel, Joseph S Park, Jay Hertel
CONTEXT: Chronic ankle instability (CAI) patients have demonstrated atrophy of foot and ankle musculature and deficits in ankle strength. The effect of rehabilitation on muscle morphology and ankle strength has not previously been investigated in CAI patients. OBJECTIVE: Our objective was to analyze the effect of impairment-based rehabilitation on intrinsic and extrinsic foot and ankle muscle volumes and strength in CAI patients. DESIGN: Controlled laboratory study...
February 6, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29399465/endoscopic-all-inside-repair-of-the-flexor-hallucis-longus-tendon-in-posterior-ankle-impingement-patients
#13
Akinobu Nishimura, Shigeto Nakazora, Naoya Ito, Aki Fukuda, Ko Kato, Akihiro Sudo
Longitudinal flexor hallucis longus (FHL) tendon tears are sometimes complicated by posterior ankle impingement syndrome (PAIS), especially in ballet dancers. In recent years, PAIS has been treated endoscopically, but it is difficult to suture FHL tendon tears endoscopically. In this report, we describe how to suture the FHL tendon endoscopically with the Meniscal Viper Repair system (Arthrex, Naples, FL). Without our endoscopic technique, when a patient is found to have a longitudinal tear of the FHL under endoscopy, we must choose to either neglect the tear or convert to an open repair...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29373047/the-study-of-surface-electromyography-used-for-the-assessment-of-abductor-hallucis-muscle-activity-in-patients-with-hallux-valgus
#14
Kamila Mortka, Przemysław Lisiński, Agnieszka Wiertel-Krawczuk
BACKGROUND: Hallux valgus is a common foot disorder. In patients with hallux valgus, the anatomy and biomechanics of foot is subject to alterations. OBJECTIVE: The aim of this clinical and neurophysiological study is to compare the activity of abductor hallucis (AbdH) muscle between the group of patients with hallux valgus and control group of healthy people, with the use of surface electromyography. METHODS: The study involved 44 feet with diagnosed hallux valgus (research group) and 42 feet without deformation (control group)...
January 26, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29366540/anatomy-of-master-knot-of-henry-a-morphometric-study-on-cadavers
#15
Orhan Beger, Özlem Elvan, Mert Keskinbora, Burçin Ün, Deniz Uzmansel, Zeliha Kurtoğlu
OBJECTIVE: The objective of this study was to evaluate the features of flexor hallucis longus (FHL), flexor digitorum longus (FDL) and flexor digitorum accessorius (FDA) muscles with relevance to the tendon grafts and to reveal the location of Master Knot of Henry (MKH). METHODS: Twenty feet from ten formalin fixed cadavers were dissected, which were in the inventory of Anatomy Department of Medicine Faculty, Mersin University. The location of MKH was identified...
January 20, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29364026/effects-of-a-4-week-intrinsic-foot-muscle-exercise-program-on-motor-function-a-preliminary-randomized-control-trial
#16
John J Fraser, Jay Hertel
CONTEXT: Intrinsic foot muscle (IFM) exercises are utilized clinically in the treatment of foot and ankle conditions. However, the effectiveness of training on IFM motor function is unknown. OBJECTIVE: To study the effects of a 4-week IFM exercise program on motor function, perceived difficulty, and IFM motor activation measured using ultrasound imaging (USI) during three IFM exercises. DESIGN: Single-blinded randomized control trial. SETTING: Laboratory...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29355794/surgical-results-of-common-peroneal-nerve-neuroplasty-at-lateral-fibular-neck
#17
John Souter, Kevin Swong, Matthew McCoyd, Neelam Balasubramanian, Magan Nielsen, Vikram C Prabhu
BACKGROUND: Common peroneal nerve (CPN) compressive neuropathy is the most common lower extremity entrapment neuropathy. MATERIALS & METHODS: A retrospective review of a prospectively maintained single-institution database of all cases of CPN palsy that underwent decompression and neuroplasty over a five-year period was performed. RESULTS: Thirty patients underwent a neuroplasty of the CPN over a five year period (2010-2015) at our institution...
January 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29338333/endoscopic-transfer-of-flexor-hallucis-longus-tendon-for-chronic-achilles-tendon-rupture-technical-aspects-and-short-time-experiences
#18
Elisabeth Ellingsen Husebye, Marius Molund, Kjetil Harald Hvaal, Are Haukåen Stødle
BACKGROUND: Chronic Achilles tendon ruptures can lead to reduced power of plantar flexion in the ankle with impaired gait ability. The open 1- or 2-incision technique for flexor hallucis longus transfer has proven good functional outcome but has the disadvantage of relatively extensive surgery performed at a vulnerable location. To reduce the risk of soft tissue problems, the flexor hallucis longus transfer can be performed endoscopically. MATERIAL AND METHOD: An endoscopic technique for flexor hallucis longus transfer is presented together with the experiences from the first six patients operated with this method...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29331290/the-use-of-ultrasonography-to-identify-the-intersection-of-the-dorsomedial-cutaneous-nerve-of-the-hallux-and-the-extensor-hallucis-longus-tendon-a-cadaveric-study
#19
Matthew J Zdilla, Kyle D Miller, Jordan V Swearingen, H Wayne Lambert
Terminal branches of the superficial fibular nerve are at risk of iatrogenic damage during foot surgery, including hallux valgus rigidus correction, bunionectomy, cheilectomy, and extensor hallucis longus tendon transfer. One terminal branch, the dorsomedial cutaneous nerve of the hallux, is particularly at risk of injury at its intersection with the extensor hallucis longus tendon. Iatrogenic injuries of the dorsomedial cutaneous nerve of the hallux can result in sensory loss, neuroma formation, and/or debilitating causalgia...
January 11, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29327389/multivariate-analysis-of-variations-in-intrinsic-foot-musculature-among-hominoids
#20
Motoharu Oishi, Naomichi Ogihara, Daisuke Shimizu, Yasuhiro Kikuchi, Hideki Endo, Yumi Une, Satoshi Soeta, Hajime Amasaki, Nobutsune Ichihara
Comparative analysis of the foot muscle architecture among extant great apes is important for understanding the evolution of the human foot and, hence, human habitual bipedal walking. However, to our knowledge, there is no previous report of a quantitative comparison of hominoid intrinsic foot muscle dimensions. In the present study, we quantitatively compared muscle dimensions of the hominoid foot by means of multivariate analysis. The foot muscle mass and physiological cross-sectional area (PCSA) of five chimpanzees, one bonobo, two gorillas, and six orangutans were obtained by our own dissections, and those of humans were taken from published accounts...
January 12, 2018: Journal of Anatomy
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