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Metatarsus adductus

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https://www.readbyqxmd.com/read/28719558/recurrence-of-hallux-valgus-can-be-predicted-from-immediate-postoperative-non-weight-bearing-radiographs
#1
Chul Hyun Park, Woo-Chun Lee
BACKGROUND: The aims of this study were to identify risk factors for the recurrence of hallux valgus deformity and to clarify whether recurrence after surgery to treat hallux valgus can be predicted using radiographic parameters assessed on immediate postoperative non-weight-bearing radiographs. METHODS: A proximal chevron osteotomy combined with a distal soft-tissue procedure was performed by a single surgeon to treat moderate to severe hallux valgus deformity in 93 patients (117 feet)...
July 19, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28580056/a-pictorial-review-of-reconstructive-foot-and-ankle-surgery-elective-lesser-forefoot-procedures
#2
REVIEW
Andrew J Meyr, Laura Sansosti, Sayed Ali
This pictorial review focuses on basic procedures performed within the field of podiatric surgery, specifically for elective procedures of the lesser forefoot including the correction of hammertoes and lesser metatarsal deformities. Our goal is to demonstrate objective radiographic parameters that surgeons utilize to initially define the deformity, lead to procedure selection and judge post-operative outcomes. We hope that radiologists will employ this information to improve their assessment of post-operative radiographs following reconstructive foot surgeries...
November 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28579126/forefoot-adduction-is-a-risk-factor-for-jones-fracture
#3
Adam E Fleischer, Rebecca Stack, Erin E Klein, Jeffrey R Baker, Lowell Weil, Lowell Scott Weil
Jones fractures are among the most common fractures of the foot; however, much remains unknown about their etiology. The purpose of the present study was to further examine the risk factors of forefoot and hindfoot alignment on Jones fractures using an epidemiologic study design. We used a retrospective, matched, case-control study design. Cases consisted of patients with acute, isolated Jones fractures confirmed on plain film radiographs seen at our institute from January 2009 to December 2013. Patients presenting with pain unrelated to metatarsal fractures served as controls...
May 31, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28523332/apert-syndrome-clinical-case
#4
Mirela Anişoara Siminel, Cristian Ovidiu NeamŢu, Damian DiŢescu, Mircea Cătălin ForŢofoiu, Alexandru Cristian Comănescu, Marius Bogdan Novac, Simona Daniela NeamŢu, Adrian Gluhovschi
Apert syndrome - acrocephalosyndactyly - is a rare autosomal dominant disorder representing 1:65 000 cases of living newborns. Characteristic malformations of the Apert syndrome are early craniostenosis, microviscerocranium and II-V finger syndactyly of hand and toes with proximal phalanx of the bilateral thumb "in delta". It is difficult to determine prenatal diagnosis in the second quarter, when examining the morphology of fetal signs; the dysmorphism signs appeared in the third pregnancy quarter. We present here the case of a newborn with Apert syndrome that was born prematurely in our Clinic after a monitored pregnancy, where there was issued a suspicion of cranio-facial dysmorphism, malposition and malformation of the feet and hands in the third quarter of prenatal pregnancy...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/28471818/spectrum-of-diagnosis-and-disposition-of-patients-referred-to-a-pediatric-orthopaedic-center-for-a-diagnosis-of-intoeing
#5
Shawne Faulks, Kaitlyn Brown, John G Birch
BACKGROUND: Orthopaedic surgeons frequently evaluate otherwise healthy children for concern of intoed gait. Intoeing in otherwise healthy young children due to metatarsus adductus, internal tibial torsion, and increased femoral anteversion do not typically require orthopaedic treatment. This study reviewed the actual diagnosis, management, and disposition of patients referred to a pediatric orthopaedic specialty hospital for a diagnosis of intoeing; the efficacy of an Advanced Practice Provider (APP) assessment program to screen and triage patients with a primary complaint of intoeing; and parental satisfaction with that program...
May 3, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28215117/does-the-parental-stretching-programs-improve-metatarsus-adductus-in-newborns
#6
Perajit Eamsobhana, Karn Rojjananukulpong, Thanase Ariyawatkul, Chatupon Chotigavanichaya, Kamolporn Kaewpornsawan
BACKGROUND: Metatarsus adductus (MA) is a common pediatric foot deformity. Current recommendations suggest observation until 4-6 months, then casting if the deformity persists. Based on our review of the literatures, no randomized controlled trial has been conducted to study the effectiveness of parental stretching in the correction of MA in newborn. MATERIAL AND METHODS: Ninety-four newborn feet that were diagnosed as MA by clinical examination were enrolled. Feet were randomized into two groups: observation group and stretching group...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28173718/correction-of-hallux-valgus-deformity-in-association-with-underlying-metatarsus-adductus-deformity
#7
Naohiro Shibuya, Daniel C Jupiter, Britton S Plemmons, Lanster Martin, Jakob C Thorud
Presence of underlying metatarsus deformity is known to negatively affect the outcome of hallux valgus corrective surgery. Yet there are many other factors that also affect final outcomes. In order to address the potential relationships between variables, we attempted to evaluate the association of metatarsus adductus with surgical outcomes, independent of other common factors used in evaluation of hallux valgus deformity. We enrolled 154 patients who had undergone hallux valgus corrective surgery and recorded their pre- and postoperative intermetatarsal (IM12) and hallux valgus (HVA) angles, preoperative Engel's angle, and type of hallux valgus procedure...
February 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27671186/congenital-limb-deficiency-associated-with-intellectual-disability-unusual-presentation-in-two-subjects
#8
Muhammad Ummear Raza, Waheed Ullah, Sajid Malik
Congenital constriction ring (CCR) and symbrachydactyly are two distinct, rare, and heterogeneous limb deficiency conditions which affect the digits. Here, we report on two different individuals with an unusual presentation of limb deficiency accompanying intellectual disability (ID) and certain other malformations. In the first index female, CCR occurred with mild ID, squint eyes, obesity, and metatarsus adductus. The second index male was presented with symbrachydactyly, profound ID, and speech/hearing impairments...
September 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27621266/relationship-of-radiographic-and-clinical-parameters-with-hallux-valgus-and-second-ray-pathology
#9
Caitlin K Gribbin, Scott J Ellis, Joseph Nguyen, Emilie Williamson, Elizabeth A Cody
BACKGROUND: Hallux valgus is frequently associated with additional forefoot pathologies, including hammertoes and midfoot osteoarthritis (OA). However, the pathogenesis of these concurrent pathologies remains to be elucidated. We sought to determine whether there is a relationship between demographic and radiographic parameters and the incidence of secondary pathologies in the setting of a bunion, with an emphasis on second tarsometatarsal (TMT) OA and hammertoes. METHODS: A total of 153 patients (172 feet) who underwent reconstruction for hallux valgus were divided into 3 groups: (1) bunion only (61 patients), (2) bunion with hammertoe without second TMT joint OA (78 patients), and (3) bunion with second TMT joint OA (14 patients)...
January 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27489969/surgical-reconstruction-of-the-forefoot-with-hallux-valgus-associated-with-metatarsus-adductus
#10
Luis M Gordillo-Fernández, Mercedes Ortiz-Romero, Jose Luis S M Salcini Macías, José Valero-Salas, Julia Álvarez-Pérez, Álvaro Fernández-Garzón
Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the second metatarsal that occupies the first intermetatarsal space. We report the case of a 49-year-old man who underwent a scarf osteotomy in the first metatarsal, shortening and abductor oblique distal osteotomies of the lesser metatarsals, and arthrodesis of the central toes with Z-lengthening of the capsule and long extensor tendons of the toes...
July 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27066870/rare-proximal-diaphyseal-stress-fractures-of-the-fifth-metatarsal-associated-with-metatarsus-adductus
#11
MULTICENTER STUDY
Kyle E Wamelink, John T Marcoux, Scott M Walrath
Before the report of English surgeon Robert Jones, who sustained a fracture to his fifth metatarsal while dancing around a tent pole, metatarsal fractures were thought to be the result of direct trauma to the foot. The mechanism of metatarsal fractures, in particular, those involving the fifth metatarsal, is now well understood. Patients with an adducted alignment of their forefoot can overload the fifth metatarsal base, putting them at an increased risk of fractures of this bone. Studies have reported that 2 distinct types of proximal diaphyseal or junctional fractures of the fifth metatarsal occur: the acute proximal diaphyseal or transverse proximal diaphyseal fracture and the proximal diaphyseal stress fracture...
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27064468/hip-click-in-the-neonate-should-i-be-concerned
#12
REVIEW
Philip McClure, David A Podeszwa
Developmental dysplasia of the hip (DDH) requires precise evaluation and rapid treatment/referral to specialists to optimize results. The incidence of DDH ranges between 4/1,000 and 133/1,000 newborns depending on patient risk factors (female gender, breech birth, and family history). Multiple associations have been identified including metatarsus adductus, oligohydramnios, and muscular torticollis. Classic physical examination results are well known by pediatricians, but can be difficult to elicit. Ultrasound screening is a useful test in defining early dysplasia and dislocation, but can generate misleading results if used inappropriately...
April 2016: Pediatric Annals
https://www.readbyqxmd.com/read/27032765/corrigendum
#13
(no author information available yet)
Loh B, Chen JY, Yew AKS, et al. Prevalence of metatarsus adductus in symptomatic hallux valgus and its influence on functional outcome.Foot Ankle Int.2015;36(11):1316-1321. (Original DOI:10.1177/1071100715595618).
April 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26781131/operative-treatment-of-fifth-metatarsal-jones-fractures-zones-ii-and-iii-in-the-nba
#14
Martin O'Malley, Bridget DeSandis, Answorth Allen, Matthew Levitsky, Quinn O'Malley, Riley Williams
BACKGROUND: Proximal fractures of the fifth metatarsal (zone II and III) are common in the elite athlete and can be difficult to treat because of a tendency toward delayed union, nonunion, or refracture. The purpose of this case series was to report our experience in treating 10 NBA players, determine the healing rate, return to play, refracture rate, and role of foot type in these athletes. METHODS: The records of 10 professional basketball players were retrospectively reviewed...
May 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26459012/ultrasound-evaluation-of-foot-deformities-in-infants
#15
REVIEW
Marie-Claude Miron, Guy Grimard
Foot deformity in infants is the most common congenital musculoskeletal condition. A precise diagnosis can sometimes be impossible to establish clinically. Radiologic imaging plays a major role in the evaluation of musculoskeletal abnormalities. However conventional imaging techniques, such as plain radiographs of the foot, are of very little help in this age group because of the lack of ossification of the tarsal bones. US presents a significant advantage because it permits the visualization of cartilaginous structures...
February 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/26388150/preoperative-planning-and-intraoperative-technique-for-accurate-translation-of-a-distal-first-metatarsal-osteotomy
#16
Jacob Wynes, Bradley M Lamm, Bijan J Andrade, D Scot Malay
We used preoperative radiographic and intraoperative anatomic measurements to predict and achieve, respectively, the precise amount of capital fragment lateral translation required to restore anatomic balance to the first metatarsophalangeal joint. Correlation was used to relate the amount of capital fragment translation and operative reduction of the first intermetatarsal angle (IMA), hallux abductus angle (HAA), tibial sesamoid position (TSP), metatarsus adductus angle, and first metatarsal length. The mean capital fragment lateral translation was 5...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26338083/a-retrospective-review-of-the-effect-of-metatarsus-adductus-on-healing-time-in-the-fifth-metatarsal-jones-fracture
#17
Robert M Yoho, Vassilios Vardaxis, Jeffrey Dikis
PURPOSE: The fifth metatarsal Jones fracture is a unique injury. Previous studies have identified possible biomechanical risk factors related to this fracture, as well as potential subsequent effects on bone healing complications. The purpose of this retrospective study was to determine the effect of metatarsus adductus (MAA) on bone healing in patients following intramedullary screw fixation of the Jones fracture. METHODS: This study reviewed 14 Jones fractures that underwent intramedullary screw fixation...
December 2015: Foot
https://www.readbyqxmd.com/read/26202480/prevalence-of-metatarsus-adductus-in-symptomatic-hallux-valgus-and-its-influence-on-functional-outcome
#18
Bryan Loh, Jerry Yongqiang Chen, Andy Khye Soon Yew, Hwei Chi Chong, Malcolm Guan Hin Yeo, Peng Tao, Nicholas Eng Meng Yeo, Kevin Koo, Inderjeet Rikhraj Singh
BACKGROUND: Metatarsus adductus (MA) increases the risk of developing symptomatic hallux valgus (HV). This study aimed to determine the prevalence of MA in patients with symptomatic HV and to evaluate how it affected the functional outcome after scarf osteotomy. METHODS: Between January 2007 and June 2012, a total of 206 patients who underwent scarf osteotomy for symptomatic HV at a tertiary hospital were included. The metatarsus adductus angle (MAA) was determined using the Modified Sgarlato method, and these patients were categorized into 2 groups: MA (MAA > 20 degrees); and Control (MAA ≤ 20 degrees)...
November 2015: Foot & Ankle International
https://www.readbyqxmd.com/read/26160386/algorithm-for-severe-hallux-valgus-associated-with-metatarsus-adductus
#19
Jyoti Sharma, Umur Aydogan
BACKGROUND: Radiographic angles, such as the intermetatarsal angle, hallux valgus angle, and distal metatarsal articular angle, are commonly used to help guide operative planning for soft tissue and osseous treatment options for hallux valgus. Hallux valgus treatment in the setting of associated metatarsus adductus is less common and not well described. The presence of metatarsus adductus reduces the gap between the first and second metatarsals. Consequently, it complicates the measurement of the first-second intermetatarsal angle and can limit the area available for transposition of the first metatarsal head...
December 2015: Foot & Ankle International
https://www.readbyqxmd.com/read/26089041/corrective-bandage-for-conservative-treatment-of-metatarsus-adductus-retrospective-study
#20
Elia Utrilla-Rodríguez, María Jesús Guerrero-Martínez-Cañavete, Manuel Albornoz-Cabello, Pedro V Munuera-Martínez
BACKGROUND: Metatarsus adductus (MA) is the most common congenital foot deformity observed in children. OBJECTIVES: The aims of this study were: (1) to analyze the evolution of a corrective bandage for semirigid MA in newborns and (2) to recommend the age interval at which to start treatment of MA with the corrective bandage alone, without the need of splints. DESIGN: An observational clinical study was conducted. METHODS: The study was conducted at Virgen Macarena University Hospital in Seville, Spain...
January 2016: Physical Therapy
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