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Achiya Zvi Amir, Gadi Horev, Joanne Yacobovich, Michael Bennett, Hannah Tamary
The congenital dyserythropoietic anemias (CDAs) are a group of rare genetic disorders characterized by ineffective erythropoiesis and the development of secondary hemochromatosis. Distal limb anomalies are a well-documented though rare feature of congenital dyserythropoietic anemia type I, that have not been reported so far in other types. We describe a patient with congenital dyserythropoietic anemia type II and four members of a family with clinical features of congenital dyserythropoietic anemia type III with distal limb anomalies...
October 19, 2016: American Journal of Medical Genetics. Part A
Viktor Feldman, Meir Nyska, Niv Marom, Omer Slavin, Yaron S Brin, Uri Farkash, Ezequiel Palmanovich
BACKGROUND: This study was designed to measure transverse forces between the 1st and 2nd metatarsals after reducing the intermetatarsal angle (IMA) in normal and hallux valgus (HV) feet, during non weight-bearing and weight-bearing phases of gait. METHODS: Four cadaver feet, three normal and one with hallux valgus, were used. A new suture button device (CyclaPlex™) composed of screw-type buttons connected with a wire was implanted at the mid-shaft of the 1st and 2nd metatarsals of all the feet...
October 17, 2016: Journal of Orthopaedic Surgery and Research
Bharat Rekhi, Vivek Verma, Ashish Gulia, Nirmala A Jambhekar, Subhash Desai, Shashikant L Juvekar, Jyoti Bajpai, Ajay Puri
Giant cell tumor of bone (GCTB) is mostly a benign tumor, but associated with recurrences and metastasis. Lately, denosumab is being utilized in the treatment of certain GCTBs. Twenty-seven tumors, analyzed in the present study, occurred in 16 males and 11 females (M: F = 1.45:1), in the age-range of 16 to 47 years (mean = 29.5, median = 29). Most tumors were identified in the tibia(6) and femur(6), followed by the humerus(3), radius(3), pelvis(3), fibula(3), sacrum(1), metacarpal(1) and metatarsal(1) bones...
October 8, 2016: Pathology Oncology Research: POR
Sean Booth, Abhijit Bhosale, Abubakar Mustafa, Ravi Shenoy, Anand Pillai
BACKGROUND: Symptomatic Hallux valgus can be treated with metatarsal osteotomy combined with proximal phalangeal osteotomy, however this might not be sufficient to treat severe HV deformities. METHODS: Fifteen feet in eleven female patients treated with double first metatarsal and proximal phalanx osteotomies without lateral release were prospectively studied and outcome measures including radiological angles and validated patient reported outcome scores collected...
September 20, 2016: Foot
Ali Yeganeh, Mani Mahmodi, Hosein Farahini, Mehdi Moghtadaei
INTRODUCTION: Severe defects in long bones can be caused by several factors such as trauma that lead to open wound and secondary infections after surgery. Induced membrane technique is one of the therapeutic strategies that can be used for these patients. Due to importance of this method and lack of information about this technique in Iran. AIM: this study was performed to investigate technical strengths and weakness of induced membrane technique. MATERIAL AND METHODS: This case series study conducted on 21 patients with bone defects in the femur and tibia and metatarsal bones referred to orthopedic clinic of Rasoul Akram Hospital, Tehran, Iran, for induced membrane surgery in 2012-2015...
July 27, 2016: Medical Archives
Yik-Hei Sung, Ping Hu, Jian Wang, Hai-Jun Liu, Ying-Yong Wang
A new species, Amolops albispinus sp. nov. is described based on a series of specimens collected from Mt. Wutong, Shenzhen, Guangdong Province, China. The new species can be distinguished from other known congeners by molecular divergence in the mitochondrial COI and 16S rRNA gene and morphological characters including presence of white conical spines on the lips, loreal and temporal regions, excluding the tympanum; small body, SVL 36.7-42.4 mm in adult males and 43.1-51.9 mm in adult females; very rough dorsal skin of body with numerous raised large warts; olive-brown dorsum with dark brown blotches; strongly developed vomerine teeth; absence of vocal sacs; absence of tarsal glands; absence of dorsolateral folds; presence of circummarginals groove on the disk of first finger; and absence of outer metatarsal tubercles...
September 26, 2016: Zootaxa
Jiangyinzi Shang, Runsheng Guo, Ping Zhan, Chuwen Chen, Jing Kan, Hucheng Liu, Min Dai
An aneurysmal bone cyst (ABC) is a rare, non-neoplastic, destructive, hemorrhagic and expansile lesion accounting for 1% of all bone tumors. This type of lesion predominantly affects long bones and vertebrae. ABC of the metatarsal is rare and only a few cases have been reported in the literature to date. The present study reports a rare case of ABC of the third metatarsal occurring in a 27-year-old male patient, who presented with repeated foot swelling that had lasted for ~1 year. Other clinical manifestations included limping, multiple lumps (defined as masses on or below the skin, as detected by imageological diagnosis) and progressively increasing local pain in his right foot...
October 2016: Oncology Letters
Spenser J Cassinelli, Renee Herman, Thomas G Harris
: Hallux valgus is the most common disorder of the hallux and often results in pain, functional disability, and impaired gait patterns. The goals of surgical management are to correct the deformity while improving patients' pain and function. Traditional treatment of moderate to severe hallux valgus deformities consist of proximal osteotomy and/or arthrodesis given their powerful corrective ability. Despite their corrective power, proximal osteotomies are more technically demanding, have a higher rate of complications, and require a more restricted post-operative recovery...
October 2016: Foot & Ankle International
Marie Laberge-Malo, Reggie C Hamdy, Laurent Ballaz, Audrey Parent, Annie Pouliot
OBJECTIVE: Toe filler combined to ankle-foot orthosis (AFO) can be used to improve gait after a partial foot amputation. The AFO supports the plantar aspect of the foot, and the toe filler gives a longer lever arm that helps for pivoting over the lost metatarsals. However, the AFO type can influence gait parameters. The objective of this study case was to evaluate the effect of prosthesis with toe filler combined to: - an articulated AFO; - a fixed carbon-fiber AFO on gait. PATIENTS AND METHODS: A gait analysis was practiced on a 20-year-old male with a partial foot amputation...
September 2016: Annals of Physical and Rehabilitation Medicine
Siham Zahi, Laila Mahir, Soumia Meftah, Fatima Lmidmani, Abdellatif El Fatimi
OBJECTIVE: Premature aging syndromes are very rare and most often hereditary. Initially purely descriptive entities, these syndromes are now much better understood genetically and pathophysiologically and can now be classified according to the mechanisms involved. They often manifest as a pigmented skin dry, atrophic and sclerotic. There is no treatment for these conditions apart from that of their complications (frequent ulceration). OBSERVATIONS: Forty-five years of patient follow-up in dermatology for premature aging syndrome, addressed in our service for podiatric care...
September 2016: Annals of Physical and Rehabilitation Medicine
Véronique Bourg, Guillaume Fumery, Pierre Moretto
OBJECTIVE: We present a preliminary study of plantar pressure control with visual feedback in healthy volunteers by using internal or external focus attentional focalization. The objectives are to decrease the pressure under the right heel of 70%. MATERIAL/PATIENTS AND METHODS: Twenty healthy volunteers were randomized into 2 groups using either internal or external focus. Plantar pressures were recorded using 3 captors under each heel, on the heads of 1st and 5th metatarsals as well as under the calcanean tuberosity (Winshoe device, Medicapteurs C)...
September 2016: Annals of Physical and Rehabilitation Medicine
Jin Su Kim, Hun Ki Cho, Ki Won Young, Sang Young Lee, Ji Soo Kim, Kyoungtae Lee
BACKGROUND: Scarf osteotomy has been used in hallux valgus surgery due to its large fixation surface for screws and low postoperative complications. However, screws may cause skin irritation from their head, which may require an additional surgical procedure to remove. METHODS: This study included 115 patients (106 females and 9 males, 115 feet) who underwent hallux valgus correction with a scarf osteotomy using bioabsorbable screws between September 2010 and September 2012...
September 25, 2016: Foot & Ankle International
Rodrigo Díaz Fernández
BACKGROUND: Percutaneous surgery to correct deformities of the forefoot presents the advantages of using a minimal incision, which involves less soft tissue damage and less risk of wound complications. For severe deformities, percutaneous techniques have not been proven as effective. We propose a technique for the treatment of severe hallux valgus. METHODS: In a sample of 52 feet operated on 48 patients, we performed a double percutaneous osteotomy (closure proximal osteotomy and a distal Akin) or triple when a Reverdin-Isham osteotomy was added...
September 23, 2016: Foot & Ankle International
Daltry Dott, Christopher Canlas, Christopher Sobey, William Obremskey, Andrew Brian Thomson
OBJECTIVE: Necrotizing fasciitis is an infection of the soft tissue that is characterized by rapidly spreading inflammation and subsequent necrosis. It is a rare complication of peripheral nerve blocks. We report a rare case of necrotizing fasciitis after placement of a peripheral nerve catheter. CASE REPORT: A 58-year-old woman presented for an elective right second metatarsal resection and received a sciatic nerve catheter for postoperative pain control. On postoperative day 7, clinical examination and imaging supported the diagnosis of necrotizing fasciitis...
September 22, 2016: Regional Anesthesia and Pain Medicine
Jun Young Choi, Ji Woong Yeom, Yu Min Suh, Jin Soo Suh
BACKGROUND: We aimed to compare the postoperative height of the second metatarsal head relative to the first metatarsal head using axial radiographs among 3 different commonly used osteotomy techniques: proximal chevron metatarsal osteotomy (PCMO), scarf osteotomy, and distal chevron metatarsal osteotomy (DCMO). METHODS: We retrospectively reviewed the radiographs and clinical findings of the patients with painful callosities under the second metatarsal head, complicated by hallux valgus, who underwent isolated PCMO, scarf osteotomy, or DCMO from February 2005 to January 2015...
September 22, 2016: Foot & Ankle International
Sarang Desai
: Freiberg's infarction is a well-known condition that most commonly effects the second metatarsophalangeal joint. The etiology of Freiberg's infarction is not entirely clear and there is no consensus on treatment. The case report presents a patient successfully treated with a metatarsal shortening osteotomy, marrow stimulation, and micronized allograft cartilage matrix. This is to my knowledge the first reported case using the described technique for Freiberg's infarction. LEVELS OF EVIDENCE: Therapeutic, Level V: Expert opinion...
September 19, 2016: Foot & Ankle Specialist
João Francisco Botelho, Daniel Smith-Paredes, Sergio Soto-Acuña, Daniel Núñez-León, Verónica Palma, Alexander O Vargas
In early theropod dinosaurs-the ancestors of birds-the hallux (digit 1) had an elevated position within the foot and had lost the proximal portion of its metatarsal. It no longer articulated with the ankle, but was attached at about mid-length of metatarsal 2 (mt2). In adult birds, the hallux is articulated closer to the distal end of mt2 at ground level with the other digits. However, on chick embryonic day 7, its position is as in early theropods at half-length of mt2. The adult distal location is acquired during embryonic days 8-10...
September 21, 2016: Journal of Experimental Zoology. Part B, Molecular and Developmental Evolution
Stephen J Kriger, Shontal A Behan, Parth J Bhakta, Nicholas G Bruning, Brennan A Menninger, Mark C Razzante
INTRODUCTION AND OBJECTIVES: Due to its inert character and desired biocompatibility, titanium (Ti) implants have been universally accepted as safer alternatives to the previous conventional orthopedic hardware implants. However, a recent emergence of Type IV hypersensitivity reactions to Ti have displayed symptoms that include eczema, contact dermatitis, prolonged fever, sterile osteomyelitis, and impaired fracture and wound healing. The following case presents a patient with postoperative incision dehiscence and devascularization of cortical surfaces in contact with Ti hardware after undergoing a medial displacement calcaneal osteotomy and a first metatarsal-cuneiform arthrodesis...
September 2016: Journal of the American Podiatric Medical Association
Christopher R Hood, Stephanie Eldridge, Matthew Tran, Jason R Miller
INTRODUCTION AND OBJECTIVES: There are several various accessory ossicles and sesamoid bones that can be seen throughout the foot and ankle, with reported incidence of 21.2% and 9.6%, respectively. Accessory ossicles and sesamoid bones usually remain asymptomatic until an inciting event (trauma, overuse) occurs and can then cause pain or degenerative changes. They can also be found in routine imaging. One of these confusing findings are lesser metatarsal sesamoids, which are a rare occurrence...
September 2016: Journal of the American Podiatric Medical Association
Peter Nolte, Robert Anderson, Elton Strauss, Zhe Wang, Liuyi Hu, Zekun Xu, R Grant Steen
INTRODUCTION: Whether to treat metatarsal fractures conservatively or surgically is controversial. We test a hypothesis that metatarsal fractures treated conservatively with non-invasive low-intensity pulsed ultrasound (LIPUS) obtain heal rates comparable to current surgical techniques. PATIENTS AND METHODS: This is a retrospective observational cohort study, using patient outcomes from a prospectively-collected LIPUS registry required by the U.S. Food & Drug Administration...
September 13, 2016: Injury
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