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Sesamoiditis

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https://www.readbyqxmd.com/read/28444129/return-to-sport-following-stress-fractures-of-the-great-toe-sesamoids-a-systematic-review
#1
G A J Robertson, J S Goffin, A M Wood
Introduction: This review aims to provide information on return rates and times to sport following stress fractures of the great toe sesamoids (SFGTSs). Sources of data: A systematic search of CINAHAL, Cochrane, EMBASE, Google Scholar, Medline, PEDro, Scopus, SPORTDiscus and Web of Science was performed using the keywords 'stress', 'fractures', 'great', 'toe', 'sesamoid', 'athletes', 'sports', 'non-operative', 'conservative', 'operative' and 'return to sport'. Areas of agreement: Fourteen studies were included: three studies reported on the outcome of conservatively-managed SFGTSs; thirteen studies reported on the outcome of surgically-managed SFGTSs...
April 24, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28416969/repeatability-and-agreement-of-ultrasonography-with-computed-tomography-for-evaluating-forefoot-structure-in-the-coronal-plane
#2
Keisuke Matsubara, Tomofumi Matsushita, Yuto Tashiro, Seishiro Tasaka, Takuya Sonoda, Yasuaki Nakayama, Yuki Yokota, Yusuke Suzuki, Mirei Kawagoe, Tomoki Aoyama
BACKGROUND: Forefoot structure is important to understand some foot problems such as hallux valgus and metatarsalgia. Ultrasonography (US) is a highly portable, noninvasive, low cost, and fast imaging method, especially when compared to magnetic resonance imaging (MRI), computed tomography (CT), and radiography. As the use of US for evaluating forefoot bony structure has not been validated, except for the presence of synovitis, erosions and bursitis within the forefoot in people with inflammatory arthritis, the purpose of this study was to determine whether US is a reliable method for evaluating forefoot structure...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28394676/communication-of-contrast-in-the-flexor-hallucis-longus-tendon-with-other-pedal-tendons-at-the-master-knot-of-henry
#3
Sayed Ali, Nicole L Griffin, Whitney Ellis, Andrew J Meyr
It is important to have a full appreciation of lower-extremity anatomical relationships before undertaking diabetic foot surgery. We sought to evaluate the potential for communication of the flexor hallucis longus (FHL) tendon with other pedal tendons and plantar foot compartments at the master knot of Henry and to provide cadaveric images and computed tomographic (CT) scans of such communications. Computed tomography and subsequent anatomical dissection were performed on embalmed cadaveric limbs. Initially, 5 to 10 mL (1:4 dilution) of iohexol and normal saline was injected into the FHL sheath as it coursed between the two hallux sesamoids...
March 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/28391704/effect-of-bipartite-hallucal-sesamoid-on-hallux-valgus-surgery
#4
Young Hwan Park, Chan Dong Jeong, Gi Won Choi, Hak Jun Kim
BACKGROUND: Bipartite hallucal sesamoids are often found in patients with hallux valgus. However, it is unknown whether bipartite hallucal sesamoids affect the results of hallux valgus surgery or not. The purpose of the present study was to evaluate the outcomes of chevron osteotomy for hallux valgus with and without bipartite hallucal sesamoid. METHODS: A total of 152 patients (168 feet) treated with distal or proximal chevron osteotomy for hallux valgus constituted the study cohort...
April 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28382835/severe-hallux-valgus-with-coalition-of-the-hallux-sesamoids-treated-with-modified-lapidus-procedure-a-case-report
#5
Toshinori Kurashige, Seiichi Suzuki
Coalition of the hallux sesamoids is an extremely rare condition. To our knowledge, only 1 case report has been published. We report a case of severe hallux valgus deformities with coalitions of the hallux sesamoids. The coalitions themselves were asymptomatic; however, this severe hallux valgus deformity needed to be surgically treated. The hallux sesamoids in both feet appeared to be fused and heart shaped on anteroposterior radiographs and dumbbell shaped on axial radiographs. It is known that postoperative incomplete reduction of the medial sesamoids can be a risk factor for the recurrence of hallux valgus...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28361192/-malalignment-of-the-first-ray-clinical-and-radiological-diagnostics
#6
M Walther
Clinical and radiological examination of the foot are mandatory before surgical correction of the forefoot. The clinical examination includes leg axis, position of the hind foot, deformity of the first ray as well as skin conditions, pulse status and possible sensitive deficits. A shortening of the gastrocnemius muscle can be identified using the Silfverskiöld test. Discomfort in the midfoot can indicate pathologies of the tarsometatarsal joint and the same applies for osteophyte infiltration around the Lisfranc joint line, whereby the second tarsometatarsal joint often shows more advanced degenerative arthritis than the first tarsometatarsal joint...
March 30, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28361017/lower-limb-stress-fractures-in-sport-optimising-their-management-and-outcome
#7
REVIEW
Greg A J Robertson, Alexander M Wood
Stress fractures in sport are becoming increasing more common, comprising up to 10% of all of sporting injuries. Around 90% of such injuries are located in the lower limb. This articles aims to define the optimal management of lower limb stress fractures in the athlete, with a view to maximise return rates and minimise return times to sport. Treatment planning of this condition is specific to the location of the injury. However, there remains a clear division of stress fractures by "high" and "low" risk. "Low risk" stress fractures are those with a low probability of fracture propagation, delayed union, or non-union, and so can be managed reliably with rest and exercise limitation...
March 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28348891/surface-area-of-patellar-facets-inferential-statistics-in-the-iraqi-population
#8
Ahmed Al-Imam, Zaid Al-Zamili, Rawan Omar
Background. The patella is the largest sesamoid bone in the body; its three-dimensional complexity necessitates biomechanical perfection. Numerous pathologies occur at the patellofemoral unit which may end in degenerative changes. This study aims to test the presence of statistical correlation between the surface areas of patellar facets and other patellar morphometric parameters. Materials and Methods. Forty dry human patellae were studied. The morphometry of each patella was measured using a digital Vernier Caliper, electronic balance, and image analyses software known as ImageJ...
2017: Anatomy Research International
https://www.readbyqxmd.com/read/28344905/evolution-of-the-patellar-sesamoid-bone-in-mammals
#9
Mark E Samuels, Sophie Regnault, John R Hutchinson
The patella is a sesamoid bone located in the major extensor tendon of the knee joint, in the hindlimb of many tetrapods. Although numerous aspects of knee morphology are ancient and conserved among most tetrapods, the evolutionary occurrence of an ossified patella is highly variable. Among extant (crown clade) groups it is found in most birds, most lizards, the monotreme mammals and almost all placental mammals, but it is absent in most marsupial mammals as well as many reptiles. Here, we integrate data from the literature and first-hand studies of fossil and recent skeletal remains to reconstruct the evolution of the mammalian patella...
2017: PeerJ
https://www.readbyqxmd.com/read/28343329/stress-fractures-of-the-foot-and-ankle-part-2-site-specific-etiology-imaging-and-treatment-and-differential-diagnosis
#10
Jacob C Mandell, Bharti Khurana, Stacy E Smith
Stress fractures of the foot and ankle are a commonly encountered problem among athletes and individuals participating in a wide range of activities. This illustrated review, the second of two parts, discusses site-specific etiological factors, imaging appearances, treatment options, and differential considerations of stress fractures of the foot and ankle. The imaging and clinical management of stress fractures of the foot and ankle are highly dependent on the specific location of the fracture, mechanical forces acting upon the injured site, vascular supply of the injured bone, and the proportion of trabecular to cortical bone at the site of injury...
March 25, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28340518/prevalence-and-distribution-of-sesamoid-bones-in-the-hand-determined-using-digital-tomosynthesis
#11
Bon San Koo, Yoonah Song, Yoon-Kyoung Sung, Seunghun Lee, Jae-Bum Jun
The aim of this study was to identify the prevalence and distribution of sesamoid bones in the hand using digital tomosynthesis (DTS) in comparison to previous studies. Using conventional radiography (CR) and DTS, hand images (81 left and 100 right) taken at a tertiary hospital were retrospectively reviewed. The sesamoid bones were identified in the interphalangeal (IP) and metacarpophalangeal (MCP) joints of the thumb (I), and in the distal interphalangeal (DIP) and metacarpophalangeal (MCP) of index (II), middle (III), ring (IV), and little (V) fingers...
March 24, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28258948/distal-oblique-metatarsal-osteotomy-for-hallux-valgus-deformity-a-clinical-analysis
#12
Olcay Guler, Barıs Yilmaz, Serhat Mutlu, Mehmet Halis Cerci, Nurettin Heybeli
We compared the outcomes of the distal oblique metatarsal (DOM) osteotomy, which is parallel to the articulation surface of the proximal phalanx, with those of the Chevron osteotomy and evaluated whether displacement and shortening of the first metatarsal have any effect on the incidence of metatarsalgia and patient satisfaction. Patients treated with the DOM osteotomy (n = 30) or distal Chevron osteotomy (n = 31) were evaluated retrospectively. The Chevron and DOM osteotomies both provided significant improvement in the first intermetatarsal angle (p < ...
February 28, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28215361/osteochondroma-of-the-tibial-sesamoid-a-case-report-and-review-of%C3%A2-the-literature
#13
Kazuo Ouchi, Michiyuki Hakozaki, Shin-Ichi Kikuchi, Shoji Yabuki, Shin-Ichi Konno
Osteochondroma, one of the most common benign bone tumors, frequently occurs in the metaphysis of the long bones. We report an extremely rare case of osteochondroma that occurred in the tibial sesamoid. The patient was a 62-year-old Japanese male. He presented with a 1-year history of pain and a hard mass on the plantar aspect of the right forefoot sole. The osteochondroma protruded toward the sole from the tibial sesamoid, leading to pain on weightbearing. After tibial sesamoidectomy, the patient's symptoms were eliminated, and no pain or complications such as hallux valgus occurred after the surgery...
February 15, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28205669/distal-border-synovial-invaginations-of-the-equine-distal-sesamoid-bone-communicate-with-the-distal-interphalangeal-joint
#14
Julien Olive, Marine Videau
OBJECTIVES: Macroscopic studies have suggested a link between distal border synovial invaginations of the navicular bone and the distal interphalangeal joint. However, many practitioners consider that these invaginations are directly and solely related to navicular disease. The objective was to investigate the communication pattern of these synovial invaginations with the synovial compartments of the distal interphalangeal joint and the navicular bursa, using minimally invasive imaging techniques...
February 16, 2017: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/28169040/os-subtibiale-mimicking-medial-malleolar-fracture-a-report-of-three-cases-and-review-of-literature
#15
Murat Topal, Ahmet Köse, Recep Dinçer, Tuncay Baran, Mehmet Köse, M Çağatay Engin
There are numerous sesamoids and accessory ossicles around the foot which can easily be misdiagnosed as fractures. Os subtibiale is a very rare normal variant of the medial malleolus which is usually diagnosed incidentally in routine ankle radiographs. In this report, we present a case series of 3 patients with os subtibiale who were admitted to the emergency department with ankle sprains and misdiagnosed as medial malleolar fractures. We would like to raise awareness to the very rare and usually asymptomatic os subtibiale as a diagnostic pitfall...
December 31, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28167429/the-relationship-between-the-distal-metatarsal-articular-angle-and-intersesamoidal-crista-an-osteological-study
#16
Megan Maddocks, Shahed Nalla, Bernhard Zipfel
BACKGROUND: As hallux valgus (HV) progresses, the first metatarsal drifts medially and the subsequent lateral drift of the sesamoids results in intersesamoidal crista erosion. This study aimed to provide a novel method of assessing crista erosion and determine if there is a relationship between that erosion and an increase in the distal metatarsal articular angle (DMAA). METHODS: The DMAA and size of the intersesamoidal crista was measured on the first metatarsals of 120 adult modern human individuals...
January 17, 2017: Foot
https://www.readbyqxmd.com/read/28146290/clinical-findings-treatment-and-outcome-in-11-dairy-heifers-with-breakdown-injury-due-to-interosseous-medius-muscle-rupture
#17
Karl Nuss, Jasmin Boppart, Hans Geyer
OBJECTIVE: To describe the diagnosis, treatment, and prognosis of fetlock breakdown due to interosseus medius muscle rupture in cattle. STUDY DESIGN: Retrospective clinical study. ANIMALS: Dairy heifers with unilateral or bilateral interosseus medius muscle rupture (n = 11). METHODS: Breakdown injury due to rupture of the interosseus medius muscle was documented clinically, radiographically, and ultrasonographically...
February 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28124292/injuries-to-the-great-toe
#18
REVIEW
Philip J York, Frank B Wydra, Kenneth J Hunt
PURPOSE OF REVIEW: Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. RECENT FINDINGS: Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28123909/skeletal-pathology-and-variable-anatomy-in-elephant-feet-assessed-using-computed-tomography
#19
Sophie Regnault, Jonathon J I Dixon, Chris Warren-Smith, John R Hutchinson, Renate Weller
Foot problems are a major cause of morbidity and mortality in elephants, but are underreported due to difficulties in diagnosis, particularly of conditions affecting the bones and internal structures. Here we evaluate post-mortem computer tomographic (CT) scans of 52 feet from 21 elephants (seven African Loxodonta africana and 14 Asian Elephas maximus), describing both pathology and variant anatomy (including the appearance of phalangeal and sesamoid bones) that could be mistaken for disease. We found all the elephants in our study to have pathology of some type in at least one foot...
2017: PeerJ
https://www.readbyqxmd.com/read/28119844/effect-of-radial-extracorporeal-shock-wave-therapy-in-patients-with-fabella-syndrome
#20
Pyong-Hwa Seol, Kang Wook Ha, Yun Hee Kim, Ho-Jun Kwak, Seung-Wan Park, Byung-Ju Ryu
The fabella is a small sesamoid bone generally located in the tendon of the lateral head of the gastrocnemius behind the lateral condyle of the femur. Fabella syndrome is the occurrence of posterolateral knee pain associated with the fabella. It is a rare cause of knee pain that is often misdiagnosed. Fabella syndrome can be managed with conservative or surgical treatment. We applied radial extracorporeal shock wave therapy as a new treatment strategy for fabella syndrome and achieved a successful outcome.
December 2016: Annals of Rehabilitation Medicine
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