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https://www.readbyqxmd.com/read/27909671/endoscopic-resection-of-the-tibialis-anterior-tendon-bursa
#1
Tun Hing Lui
The tibialis anterior tendon bursa is located between the tibialis anterior tendon and the medial cuneiform bone and close to the tendon insertion. Bursitis can occur as a result of excessive local friction, infection, arthritides, or direct trauma. Endoscopic resection of the bursa is indicated in case of symptomatic bursitis that is not responding to conservative treatment or infection is suspected. It is contraindicated if there is skin infection at the portal sites. The purpose of this technical note is to describe a minimally invasive approach of endoscopic resection of the tibialis anterior tendon bursa through anterior tibial tendoscopy...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27900541/tendon-transfer-to-unossified-bone-in-a-porcine-model-potential-implications-for-early-tibialis-anterior-tendon-transfers-in-children-with-clubfeet
#2
Matthew A Halanski, Sam Abrams, Rachel Lenhart, Ellen Leiferman, Teresa Kaiser, Emily Pierce, Rachel Rebekah Franklin, Dayton Opel, Kenneth J Noonan, Thomas D Crenshaw
PURPOSE: Tibialis anterior tendon transfers (TATT) are commonly performed in young children following Ponseti casting for clubfeet. The classic TATT involves advancing the tendon through a hole drilled in the ossified cuneiform. The aim of this study was to determine if tendons transferred through unossified bones have untoward effects on subsequent bone development. METHOD: Twenty-five piglets underwent one of five surgical procedures. An 18-gauge needle was then used to place a tunnel through the bony or cartilaginous portion of the calcaneus (through direct visualization) and isolated slips of the flexor digitorum superficialis (FDS) were placed through the tunnels, as determined by surgical procedure...
November 30, 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27885384/use-of-the-arthroereisis-screw-with-tendoscopic-delivered-platelet-rich-plasma-for-early-stage-adult-acquired-flatfoot-deformity
#3
Youichi Yasui, Ichiro Tonogai, Andrew J Rosenbaum, David M Moore, Masato Takao, Hirotaka Kawano, John G Kennedy
PURPOSE: Early stage adult acquired flatfoot deformity (AAFD) is traditionally treated with osteotomy and tendon transfer. Despite a high success rate, the long recovery time and associated morbidity are not sufficient. This study aims to evaluate the functional and radiological outcomes following the use of the arthroereisis screw with tendoscopic delivered PRP for early stage AAFD. METHODS: Patients with stage IIa AAFD who underwent the use of the arthroereisis screw with tendoscopic delivered PRP with a minimum follow-up time of 24 months were retrospectively evaluated...
November 24, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27881829/biomechanical-comparison-of-fixation-devices-for-first-metatarsocuneiform-joint-arthrodesis
#4
Ashleen R Knutsen, John F Fleming, Edward Ebramzadeh, Nathan C Ho, Tibor Warganich, Thomas G Harris, Sophia N Sangiorgio
: Common surgical treatment of first tarsal-metatarsal arthritis is by first metatarsocuneiform joint arthrodesis. While crossed-screw and locking plate fixation are the most widely used methods, a novel construct was designed to alleviate soft tissue irritation while still providing stable fixation. Using anatomic first metatarsal and medial cuneiform composites, we compared 3 arthrodesis implants (crossed-screw, dorsal locking plate, and IO Fix) under 2 cyclic bending loading scenarios (cantilever and 4-point bending)...
November 23, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27876301/overdrive-and-edge-as-refiners-of-belting-an-empirical-study-qualifying-and-categorizing-belting-based-on-audio-perception-laryngostroboscopic-imaging-acoustics-ltas-and-egg
#5
Julian McGlashan, Mathias Aaen Thuesen, Cathrine Sadolin
OBJECTIVES: We aimed to study the categorizations "Overdrive" and "Edge" from the pedagogical method Complete Vocal Technique as refiners of the often ill-defined concept of "belting" by means of audio perception, laryngostroboscopic imaging, acoustics, long-term average spectrum (LTAS), and electroglottography (EGG). STUDY DESIGN: This is a case-control study. METHODS: Twenty singers were recorded singing sustained vowels in a "belting" quality refined by audio perception as "Overdrive" and "Edge...
November 18, 2016: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/27842935/surgical-treatment-results-for-flexible-flatfoot-in-adolescents
#6
Necip Selcuk Yontar, Tahir Ogut, Mehmet Fatih Guven, Huseyin Botanlioglu, Gokhan Kaynak, Ata Can
OBJECTIVE: Idiopathic flexible pes planus (IFPP) is a common foot problem in adolescents and young adults. Hypothesis for the present study was that combination of procedures for IFPP can achieve results in adolescents and young adults that are as good as those seen in adult-acquired pes planovalgus (AAPP) treatment in adults. METHODS: A total of 21 feet of 18 patients (10 boys, 8 girls) with mean age of 15.6 years underwent surgical reconstruction for flatfoot deformity...
November 11, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27837037/comparison-of-locking-plate-with-interfragmentary-screw-versus-plantarly-applied-anatomic-locking-plate-for-lapidus-arthrodesis-a-biomechanical-cadaveric-study
#7
James M Cottom, Joseph S Baker
: Arthrodesis of the first metatarsal cuneiform joint, or Lapidus procedure, is a widely accepted treatment for hallux valgus. Recent studies have focused on comparing various constructs for this procedure both in the laboratory and clinical settings. The current study compared in a cadaveric model the strength of 2 constructs. The first construct utilized a medially applied low-profile locking plate and an interfragmentary screw directed from plantar-distal to dorsal-proximal. The second construct consisted of a plantarly applied plate with a compression screw placed through the plate from plantar-distal to dorsal-proximal...
November 10, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27824321/metastasis-to-the-medial-cuneiform-bone-from-squamous-cell-carcinoma-of-the-lung-revealed-by-bone-scintigraphy
#8
Wei Li, Wen Li, Rusen Zhang
A 61-year-old man with a history of squamous cell carcinoma of the lung presented with a progressive left foot pain for 7 months. Bone scan was acquired to evaluate possible metastasis, which showed abnormal accumulation of Tc-MDP in the left foot, which was seen in the medial cuneiform bone on SPECT/CT images. Histopathological examination from biopsy specimen confirmed cuneiform bone metastasis from lung squamous carcinoma.
December 2016: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/27821997/acute-plantar-midtarsal-dislocation-with-intercuneiform-dislocation-case-study-diagnosis-and-management
#9
Andrew P Harris, Joseph A Gil, Avi D Goodman, Christopher R Nacca, Todd R Borenstein
The midtarsal joint, also known as the Chopart or the transverse tarsal joint, is composed of the talonavicular and calcaneocuboid articulations.(1) Midtarsal joint dislocations are rare injuries given the strong periarticular ligamentous support.2, 3 Medial, lateral, dorsal, and rarely plantar dislocations have been reported from multiple high-energy mechanisms.4, 5 We describe the case of a 24-year-old male who sustained talonavicular and calcaneocuboid plantar dislocations associated with a middle and lateral intercuneiform dislocation, open proximal 5th metatarsal fracture, 2nd-4th metatarsal base fractures, and lateral cuneiform fracture...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27802849/miliary-tuberculosis-and-acquired-immunodeficiency-syndrome-a-cursed-duet
#10
Atif Tatari, Sahana Ramanujam, Suja Mathai, Nigahus Karabulut, Robert L Moser, Sara L Wallach
Tuberculous osteomyelitis is rare and usually involves the vertebrae but is seldom found in the foot. The uncommon site and ability to mimic other disorders clinically and radiographically leads to diagnostic and therapeutic delays. We report a case of a 40-year-old man who initially presented to his podiatrist with intermittent pain and swelling of his right ankle and foot that lasted for a year. He also started to exhibit significant weight loss and unexplained fevers and was subsequently hospitalized for cellulitis of his right foot...
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/27783281/evaluation-of-serum-reaction-to-low-intensity-laser-exposure-by-its-solid-phase-structure
#11
V V Shabalin, S N Shatokhina
The effects of various modes of low-intensity laser exposure on the sera of healthy subjects and patients are studied. It is shown by the cuneiform dehydration method that the serum structure is liable to change in response to certain modes of low-intensity laser exposure. The structure of patients' sera is more sensitive to low-intensity laser exposure.
October 25, 2016: Bulletin of Experimental Biology and Medicine
https://www.readbyqxmd.com/read/27735080/reconstruction-of-midfoot-bone-and-soft-tissue-loss-with-chimeric-partial-scapula-and-latissimus-dorsi-muscle-flap-and-short-perforator-based-skin-flap-following-gunshot-injuries-report-of-two-cases
#12
Arzu Ozcan Akcal, Kerim Ünal, Tahsin Gorgulu, Mehmet Akif Akcal, Zekiye Bigat
In this report we present two cases of gunshot injury related midfoot defects, reconstructed with a chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap. The first case, a 14 years old male, had 10 × 8 cm medial plantar and 6 × 4 cm dorsal foot defects and the second case, a 55 years old female, had only 8 × 6 cm dorsal foot defect. In both cases the defects were associated with fractures, one with lateral cuneiform and cuboid with 90% bone loss and the other with navicular bone, respectively...
October 2016: Microsurgery
https://www.readbyqxmd.com/read/27718385/tuberculosis-around-the-tarsal-navicular-a-rare-entity
#13
Vipul Vijay, Nishint Gupta, Raju Vaishya
Osteoarticular TB around the tarsal navicular is a chronic, uncommon condition affecting the midfoot, which causes significant morbidity to the patient. Tuberculosis around the tarsal navicular is rarely described in the literature. A series of three cases - two involving the talo-navicular joint and one involving the naviculo-cuneiform joint is described. Biopsy was used in all the cases for achieving diagnosis. All patients had good to fair outcome following medical management with anti-tubercular therapy...
August 2016: Foot
https://www.readbyqxmd.com/read/27649405/type-iv-cell-mediated-hypersensitivity-reaction-caused-by-titanium-implant-following-medial-displacement-calcaneal-osteotomy-and-first-metatarsal-cuneiform-arthrodesis
#14
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
https://www.readbyqxmd.com/read/27622754/sex-estimation-from-the-navicular-bone-in-spanish-contemporary-skeletal-collections
#15
Eduardo Saldías, Assumpció Malgosa, Xavier Jordana, Albert Isidro
Sexual estimation is fundamental to reconstruct the biological profile of individuals, but postdepositional factors can alter the resistance of the bones, thereby preventing accurate diagnosis especially when the skull and the pelvis are absent. Navicular bones are usually well preserved in archeological and forensic contexts and can a good alternative to discriminate sex. On the basis of these aspects, the present investigation analyzed the sexual dimorphism in 231 pairs of navicular bones from documented contemporary collections from Spain...
October 2016: Forensic Science International
https://www.readbyqxmd.com/read/27605662/an-unusual-presentation-of-arteriovenous-malformation-as-an-erosive-midfoot-lesion
#16
Hasan Raza Mohammad, Waqar Bhatti, Anand Pillai
Erosive bony lesions are radiographic findings where localized bone resorption and cortical line breakage occurs. One less common cause of bone erosions is arteriovenous malformations (AVMs). This should always be included in the differentials for foot pain.A 33-year-old gentleman presented with a 5-year history of chronic left foot pain. Clinical examination was unremarkable. Magnetic resonance imaging (MRI) and computerized tomography demonstrated erosive bone changes in the navicular, the intermediate and lateral cuneiforms bones and their corresponding metatarsal bases...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27603187/radiographic-anatomy-of-the-pediatric-lisfranc-joint
#17
Lisa M Knijnenberg, Siem A Dingemans, Maaike P Terra, Peter A A Struijs, Niels W L Schep, Tim Schepers
BACKGROUND: Injuries to the Lisfranc joint in children and adolescents are rare. The incomplete ossification of the bones of the foot makes it difficult to detect injuries.The aim of this study was to determine age-specific radiographic measurements of the Lisfranc joint to provide guidance to the radiologist, emergency physicians, and surgeons to decrease misdiagnosis of Lisfranc injuries and improve detection. METHODS: We retrospectively reviewed all foot radiographs without traumatic injury made between August 2014 and February 2015 in all patients younger than 18...
September 3, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27600487/pedobarographic-and-radiological-analysis-after-treating-a-talus-neck-fracture
#18
Tuğba Kuru Çolak, İlker Çolak, Eren Timurtaş, Güven Bulut, M Gülden Polat
Misalignment of the talar neck after surgical repair can redistribute the load among the posterior, middle, and anterior facets of the subtalar joints, which can change the joint biomechanics, cause arthritis, and impair function. However, we found no studies analyzing the plantar pressures after treatment of talus neck fracture. We determined the dynamic plantar pedobarographic and radiographic characteristics and ankle range of motion, function, and pain among patients after surgical repair of talar neck fractures...
September 2, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27595852/comparison-of-transverse-and-coronal-plane-stability-at-the-first-tarsal-metatarsal-joint-with-multiple-screw-orientations
#19
Mindi Feilmeier, Paul Dayton, Merrell Kauwe, Andrea Cifaldi, Britney Roberts, Hannah Johnk, Rachel Reimer
: Intercuneiform instability has been recognized as a potential cause of hallux valgus recurrence following tarsal-metatarsal joint (TMTJ) fusion. Recommendations have been made for additional screw placement between the metatarsals and/or the cuneiforms to improve stability. The screw orientation that provides the best stability has not been documented. Twelve cadavers with the first TMTJ fixated were used for testing. Using a consistent force application of 15 pounds in both the transverse and coronal planes, we measured the change in intermetatarsal angle on radiographs...
September 5, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27488108/-ponseti-method-for-treatment-of-idiopathic-clubfoot
#20
K Heck, A Heck, R Placzek
OBJECTIVE: Pain-free, plantigrade, functional foot through gentle manipulation without extended surgery and with decreased probability of relapse. INDICATIONS: Idiopathic clubfoot; neurogenic and secondary clubfeet. CONTRAINDICATIONS: None. SURGICAL TECHNIQUE: Simultaneous correction of all components of the clubfoot. Mainly conservative, with serial casts. Slight supination to address the cavus and increasing abduction to align the midfoot bones while putting counter-pressure on the head of the talus...
December 2016: Operative Orthopädie und Traumatologie
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