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Hallux valgus

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https://www.readbyqxmd.com/read/28650765/oldest-mummified-case-of-hallux-valgus-from-ancient-egypt
#1
Albert Isidro, Assumpció Malgosa
Hallux valgus is the most common orthopedic problem of the adult foot. The etiology can be congenital, associated with the occurrence of metatarsus primus varus, or acquired, which is closely related to wearing ill-fitting shoes. Hallux valgus occurs almost exclusively in shod societies and, therefore, is a very uncommon finding in archaeological remains. We present a partial first ray of the left foot belonging to a dismembered Egyptian mummy recovered in the necropolis of Sharuna (Middle Egypt) and dated to the end of the Old Kingdom (circa 2100 BC)...
May 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/28633796/cotton-osteotomy-in-flatfoot-reconstruction-a-case-report-highlighting-surgical-technique-and-modified-incision-to-protect-the%C3%A2-medial-dorsal-cutaneous-nerve
#2
Troy J Boffeli, Katherine R Schnell
The Cotton osteotomy or opening wedge medial cuneiform osteotomy is a useful adjunctive flatfoot reconstructive procedure that is rarely performed in isolation. The Cotton procedure is relatively quick to perform and effectively corrects forefoot varus deformity after rearfoot fusion or osteotomy to achieve a rectus forefoot to rearfoot relationship. Proper patient selection is critical, because preoperative findings of medial column joint instability, concomitant hallux valgus deformity, or degenerative joint disease of the medial column might be better treated with arthrodesis of the naviculocuneiform or first tarsometatarsal joints...
July 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28631280/age-and-sex-associated-morphological-variations-of-metatarsal-torsional-patterns-in-humans
#3
Masateru Kitashiro, Naomichi Ogihara, Tetsuro Kokubo, Morio Matsumoto, Masaya Nakamura, Takeo Nagura
It has been demonstrated that the torsional patterns of the metatarsal heads are associated with the presence or absence of the medial longitudinal arch in hominoid feet. The relatively untwisted second metatarsal is unique in humans, but that of the African apes is much more inverted, suggesting that the torsion of the second metatarsal might represent the overall shape and flatness of the foot. Some clinical studies have recently argued that the onset of foot pathologies such as hallux valgus might be related to the torsional pattern of the metatarsals...
June 20, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28628523/effectiveness-of-surgery-for-adults-with-hallux-valgus-deformity-a-systematic-review
#4
Jitka Klugarova, Victoria Hood, Fiona Bath-Hextall, Miloslav Klugar, Jana Mareckova, Zuzana Kelnarova
BACKGROUND: Hallux valgus (HV) is a common foot deformity. In severe stages of this condition, surgery is often necessary. Currently, there is no systematic review comparing the effectiveness of surgery over conservative treatment. OBJECTIVES: The objective of this review was to establish the effectiveness of surgery compared to conservatory management for adults with HV. INCLUSION CRITERIA TYPES OF PARTICIPANTS: The current review included adults (18 years or over) with HV deformity, excluding adults with neurological problems causing foot deformities, for example, cerebral palsy, neuropathy, stroke and multiple sclerosis...
June 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28624667/schwannoma-and-neurofibroma-of-the-posterior-tibial-nerve-presenting-as-tarsal-tunnel-syndrome-review-of-the-literature-with-two-case-reports
#5
REVIEW
Makgabo John Tladi, Nikiforos Pandelis Saragas, Paulo Norberto Ferrao, Andrew Strydom
BACKGROUND: Hallux valgus is the lateral deviation of the great toe at the MTPJ that has many attributing aetiologies. This study will aim to identify whether hallux valgus progresses over time in the oriental Chinese population in Hong Kong. METHODS: Patients with acquired symptomatic hallux valgus who presented to clinic between 2008 and 2013 were included. The deformities were analysed radiologically at presentation and pre-operative and angles were measured...
March 30, 2017: Foot
https://www.readbyqxmd.com/read/28622578/the-progression-of-hallux-valgus-in-the-oriental-chinese-population-in-hong-kong
#6
Kenneth Kin-Hoo Koo, Lung Fung Tse, Hi Shan Cheng, Kevin Ki Wai Ho
BACKGROUND: Hallux valgus is the lateral deviation of the great toe at the MTPJ that has many attributing aetiologies. This study will aim to identify whether hallux valgus progresses over time in the oriental Chinese population in Hong Kong. METHODS: Patients with acquired symptomatic hallux valgus who presented to clinic between 2008 and 2013 were included. The deformities were analysed radiologically at presentation and pre-operative and angles were measured...
March 31, 2017: Foot
https://www.readbyqxmd.com/read/28608725/driving-after-hallux-valgus-surgery
#7
Elizabeth McDonald, Rachel Shakked, Joseph Daniel, David I Pedowitz, Brian S Winters, Christopher Reb, Mary-Katherine Lynch, Steven M Raikin
BACKGROUND: The purpose of the study was to determine when patients can safely return to driving after first metatarsal osteotomy for hallux valgus correction. METHODS: After institutional review board approval, 60 patients undergoing right first metatarsal osteotomy for hallux valgus correction surgery were recruited prospectively. Patients' brake reaction time (BRT) was tested at 6 weeks and repeated until patients achieved a passing BRT. A control group of twenty healthy patients was used to establish as passing BRT...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28601923/the-accessory-tendon-of-extensor-hallucis-longus-muscle-and-its-correlation-to-hallux-valgus-deformity-a-cadaveric-study
#8
K Natsis, G A Konstantinidis, P D Symeonidis, T Totlis, N Anastasopoulos, P Stavrou
PURPOSE: The accessory tendon (AT) of the extensor hallucis longus (EHL) is a common anatomic variation, whose clinical significance remains debatable. The purpose of this study was to investigate the incidence and morphology of accessory EHL tendons in cadavers and to examine any possible correlation to the occurrence and severity of hallux valgus (HV) deformity. METHODS: We examined any possible correlation between the AT presence and the cadavers' age and the HV deformity in 98 female adult cadaveric feet...
June 10, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28592232/association-of-frontal-plane-knee-alignment-with-foot-posture-in-patients-with-medial-knee-osteoarthritis
#9
Hiroshi Ohi, Hirotaka Iijima, Tomoki Aoyama, Eishi Kaneda, Kazuko Ohi, Kaoru Abe
BACKGROUND: To examine the association of radiographic frontal plane knee alignment with three-dimensional foot posture in patients with medial knee osteoarthritis (OA). METHODS: Participants in orthopedic clinics with Kellgren/Lawrence (K/L) grade ≥1 (88 patients and 88 knees; age, 61-91 years; 65.9% female) were enrolled. An anteroposterior radiographic view was used to assess the anatomical axis angle (AAA) after subtracting a sex-specific correction factor...
June 7, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28580264/correction-of-recurred-hallux-valgus-deformity-by-endoscopic-distal-soft-tissue-procedure
#10
Tun Hing Lui
The underlying reason for recurrence of hallux valgus deformity after bunion surgery is multifactorial and includes surgeon-based and patient-based factors as well as original components of deformity initially unaddressed at the index procedure. Surgical treatment of a recurred hallux valgus deformity should be undertaken using the same guidelines for correction of a primary hallux valgus deformity. It requires correction of bony alignment, restoration of joint congruity, and achievement of soft tissue balance...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28576190/first-metatarsal-phalangeal-joint-arthrodesis-primary-revision-and-salvage-of-complications
#11
REVIEW
Thomas S Roukis
Arthrodesis of the first metatarsal-phalangeal joint has been proposed for treatment of severe hallux valgus, end-stage hallux rigidus, rheumatoid arthritis, and revision of failed surgery due to the perceived safety and efficacy. This article discusses the principles of first metatarsal-phalangeal joint arthrodesis in primary and revision situations, joint preparation, configurations of osteosynthesis, and common complications, including salvage of nonunion and revision of malunion with realignment osteotomy...
July 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28567339/hallux-rigidus-how-do-i-approach-it
#12
REVIEW
Aaron Lam, Jimmy J Chan, Michele F Surace, Ettore Vulcano
Hallux rigidus is a degenerative disease of the first metatarsalphalangeal (MTP) joint and affects 2.5% of people over age 50. Dorsal osteophytes and narrowed joint space leads to debilitating pain and limited range of motion. Altered gait mechanics often ensued as 119% of the body force transmit through the 1(st) MTP joint during gait cycle. Precise etiology remains under debate with trauma being often cited in the literature. Hallux valgus interphalangeus, female gender, inflammatory and metabolic conditions have all been identified as associative factors...
May 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28566782/early-results-of-an-intraosseous-device-for-arthrodesis-of-the-hallux-metatarsophalangeal-joint
#13
Efstathios Drampalos, Shen Hwa Vun, Levent Bayam, Irfan Fayyaz
BACKGROUND: Arthrodesis of the hallux metatarsophalangeal (MTP) joint is commonly done as a primary procedure either to correct severe hallux valgus deformities or for rheumatoid arthritis, hallux rigidus, in patients with neuromuscular disorders and as a salvage procedure for failed bunion surgery or infection. Prominent metalwork frequently can cause soft tissue impingement and thus require removal. In contrast, osteosynthesis with a completely intraosseous implant has the advantage of less damage to the periosteal circulation...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28550794/minimal-resection-interposition-arthroplasty-of-the-first-metatarsophalangeal-joint
#14
Panagiotis K Givissis, Panagiotis D Symeonidis, Dimitrios M Kitridis, Dimitrios N Daskalakis, Anastasios G Christodoulou
BACKGROUND: Interposition arthroplasty of the first metatarsophalangeal (MTP) joint is a viable alternative to fusion in patients with advanced hallux rigidus. The purpose of this study is to evaluate the midterm results of a modification of the technique. METHODS: Case series of 18 interposition arthroplasties were performed on 13 female patients with Grade III-IV hallux rigidus. The technique included cheilectomy, bunionectomy when needed, minimal resection of the base of the proximal phalanx and interposition of a fascia lata allograft in the first metatarsophalangeal joint...
March 23, 2017: Foot
https://www.readbyqxmd.com/read/28539678/evaluation-of-foot-static-disturbances-in-patients-with-rheumatic-diseases
#15
Anna Kuryliszyn-Moskal, Katarzyna Kaniewska, Zofia Dzięcioł-Anikiej, Piotr Adrian Klimiuk
OBJECTIVES: Rheumatic diseases such as osteoarthritis and rheumatoid arthritis constitute the most frequent pathological states leading to the development of foot deformities, which reduce quality of life and cause disability. The aim of the present study was to compare the results of plantoconturographic examinations, obtained by means of a computer podoscope, in osteoarthritis and rheumatoid arthritis patients. Special attention was paid to the differences in the values of each parameter determining the level of foot function...
2017: Reumatologia
https://www.readbyqxmd.com/read/28527835/biomechanical-study-on-surgical-fixation-methods-for-minimally-invasive-treatment-of-hallux-valgus
#16
Rui Mao, Junchao Guo, Chenyu Luo, Yubo Fan, Jianmin Wen, Lizhen Wang
Hallux valgus (HV) was one of the most frequent female foot deformities. The aim of this study was to evaluate mechanical responses and stabilities of the Kirschner, bandage and fiberglass fixations after the distal metatarsal osteotomy in HV treatment. Surface traction of different forefoot regions in bandage fixation and the biomechanical behavior of fiberglass bandage material were measured by a pressure sensor device and a mechanical testing, respectively. A three-dimensional foot finite element (FE) model was developed to simulate the three fixation methods (Kirschner, bandage and fiberglass fixations) in weight bearing...
May 17, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28523314/health-related-quality-of-life-in-patients-with-hallux-valgus
#17
Lavinia Maria Hogea, Bogdan Gheorghe Hogea, Laura Alexandra Nussbaum, Mirela Loredana Grigoraş, Bogdan Corneliu Andor, Codrina Mihaela Levai, Ana Cristina Bredicean
BACKGROUND AND AIMS: No deformity of the forefoot occurs more frequently than hallux valgus (HV), which is considered to be medial deviation of the first metatarsal and lateral deviation and rotation of the hallux, either with or without medial soft tissue enlargement of the metatarsal head. The HV deformity can lead to painful motion of the joint or difficulty in daily joint activity that often requires surgical correction. The aims of this study were to investigate the levels of foot pain and quality of life of patients with HV before and after surgery...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/28501433/responsiveness-of-the-self-administered-foot-evaluation-questionnaire-safe-q-in-patients-with-hallux-valgus
#18
Hisateru Niki, Naoki Haraguchi, Takafumi Aoki, Hiroko Ikezawa, Kazuo Ouchi, Ryuzo Okuda, Masataka Kakihana, Hiroaki Shima, Yasunori Suda, Masato Takao, Yasuhito Tanaka, Kota Watanabe, Shinobu Tatsunami
BACKGROUND: In this study, we investigated the responsiveness of the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) for patient's assessment before and after hallux valgus surgery. METHODS: Patient-reported answers on the SAFE-Q and Short Form-36 (SF-36) before and at a mean of 3-4 and 9-12 months after hallux valgus surgery were analyzed. Data of 100 patients (92 women, eight men) from 36 institutions throughout Japan were used for analysis. RESULTS: In all subscales of the SAFE-Q, the trend of increased scores after surgery was statistically significant (P < 0...
May 10, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28479160/technique-for-preventing-troughing-in-scarf-osteotomy
#19
Su Chan Lee, Seung Hyun Hwang, Chang Hyun Nam, Ji-Hoon Baek, Soon Yong Yoo, Hye Sun Ahn
Scarf osteotomy is a common operative procedure for mild-to-moderate hallux valgus. We describe a simple supportive technique that prevents troughing intraoperatively without additional bony procedures.
July 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28476392/gastrocnemius-recession-leads-to-increased-ankle-motion-and-improved-patient-satisfaction-after-2-years-of-follow-up
#20
Julia Alessandra Holtmann, Norbert P Südkamp, Hagen Schmal, Alexander T Mehlhorn
The isolated gastrocnemius contracture present in neurologic healthy patients results in a significant limitation of ankle dorsiflexion causing pathologic gait patterns and a greater risk of further foot disorders. Gastrocnemius recession is an established procedure to increase ankle dorsiflexion. However, little evidence is available of the use of gastrocnemius recession in these patients. Complication rates, recurrence of gastrocnemius contracture, and the prevalence of additional foot disorders needs further evaluation...
May 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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