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https://www.readbyqxmd.com/read/28706828/accurate-positioning-of-femoral-and-tibial-tunnels-in-single-bundle-anterior-cruciate-ligament-reconstruction-using-the-indigenously-made-bernard-and-hurtle-grid-on-a-transparency-sheet-and-c-arm
#1
Sudeep Kumar, Anup Kumar, Ravi Kumar
Many factors determine the outcome of the anterior cruciate ligament reconstruction surgery. The single most important factor, also well within the control of a surgeon, is tunnel placement. It is difficult to accurately determine the center of the anterior cruciate ligament foot print, and many a times it is also difficult to accurately define the intercondylar and bifurcate ridge. This makes determination of the accurate entry point of the guidewire difficult. We have printed our indigenously formed grid (equidistant boxes) on an old-fashioned transparency sheet...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28705216/surgical-management-of-hawkins-type-iii-talar-neck-fracture-through-the-approach-of-medial-malleolar-osteotomy-and-mini-plate-for-fixation
#2
Hui Liu, Zhida Chen, Wenrong Zeng, Yuanfei Xiong, Yongzhi Lin, Huacheng Zhong, Jin Wu
BACKGROUND: Fractures of the talar neck are relatively uncommon yet current interventions suffer from a high incidence of complications and poor functional outcomes. In the present study, we report a surgical treatment of Hawkins type III talar neck fracture through the approach of medial malleolar osteotomy and mini-plate for fixation and discuss the therapeutic effects after long-term follow-up. METHODS: From January 2010 to January 2015, 21 patients with 22 fractures were treated using this approach within days of sustaining the injury...
July 14, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28698915/surgical-treatment-of-stage-ii-posterior-tibialis-tendon-dysfunction-ten-year-clinical-and-radiographic-results
#3
Alberto Ruffilli, Francesco Traina, Sandro Giannini, Roberto Buda, Fabrizio Perna, Cesare Faldini
INTRODUCTION: Grade II chronic tibialis posterior tendon dysfunction (PTTD) poses a reconstructive challenge to the orthopaedic surgeon. Aim of this retrospective study is to report the clinical and radiographical results of a case series of 63 patients (102 ft) affected by grade II PTTD who underwent tailored surgical treatment at 10-year mean follow-up. MATERIALS AND METHODS: Sixty-three patients (102 ft) were available for clinical and radiological evaluation and were retrospectively reviewed at a mean follow-up of 125...
July 11, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28630763/malignant-tumours-of-the-foot-and-ankle
#4
E Mascard, N Gaspar, L Brugières, C Glorion, S Pannier, A Gomez-Brouchet
Most of tumours of the foot are tumour-like (synovial cyst, foreign body reactions and epidermal inclusion cyst) or benign conditions (tenosynovial giant cells tumours, planta fibromatosis). Malignant tumours of the soft-tissue and skeleton are very rare in the foot and their diagnosis is often delayed with referral to specialised teams after initial inappropriate procedures or unplanned excisions. The adverse effect of these misdiagnosed tumours is the increasing rate of amputation or local recurrences in the involved patients...
May 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28624855/ct-arthrography-visualizes-tissue-growth-of-osteochondral-defects-of-the-talus-after-microfracture
#5
Hong-Geun Jung, Na-Ra Kim, Ji-Young Jeon, Dong-Oh Lee, Jun-Sang Eom, Jong-Soo Lee, Sung-Wook Kim
PURPOSE: Little is known about the arthroscopic or radiographic outcomes after arthroscopic microfracture of osteochondral lesions of the talus (OLTs). The purpose of this study was to investigate tissue growth after arthroscopic microfracture of OLTs using computed tomography arthrography (CTA) and to identify the relationship between CTA findings and clinical outcomes. We hypothesized that the morphology of the repaired tissue would be similar to that of normal anatomy and correlate with the clinical outcomes...
June 17, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28596965/the-fibularis-peroneus-tertius-muscle-in-humans-a-meta-analysis-of-anatomical-studies-with-clinical-and-evolutionary-implications
#6
REVIEW
Kaissar Yammine, Mirela Erić
Being considered an exclusive human structure for a long time, fibularis tertius (FT) is believed to have a secondary function of foot dorsiflexion and eversion. This study is an attempt to approach the issue from an anatomical perspective. A systematic literature search identified 35 studies (7601 legs) which met the inclusion criteria. The weighted results of FT presence were as follows: an "adult cadaveric" frequency of 93.2% and a clinical frequency of 80%. The most common FT origin and insertion sites were the distal half of fibula and the base of the 5th metatarsal, respectively...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28594798/-anatomical-aspects-of-formation-of-corona-phlebectatica
#7
R E Kalinin, I A Suchkov, G A Puchkova, V P Zhelezinskiĭ, I N Shanaev
The data concerning the anatomy of perforant veins of the foot can by no means be referred to as insufficiently known. At the same time, these descriptions are encountered rather rarely in the educational-and-methodical literature. To a certain degree, this may be explained by low pathogenetic significance of perforant veins of the foot; however, these data are required for the surgeon in carrying out both standard phlebectomy and sclerotherapy of subcutaneous varicose veins, especially if the zone of surgical intervention is situated immediately on the foot...
2017: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/28594488/fractures-of-the-calcaneus
#8
Mark R Adams, John W Munz, Kenneth L Koury
Calcaneal fractures are potentially devastating injuries. To effectively manage calcaneal fractures, surgeons must understand the anatomy of the calcaneus as well as the surgical techniques necessary to restore normal biomechanics of the foot. Surgeons also must understand calcaneal fracture patterns and classifications; initial management techniques, surgical indications and rationale, temporizing management techniques, surgical approaches, definitive management techniques, and postoperative management for calcaneal fractures; as well as outcomes and common complications of calcaneal fractures...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594068/chimpanzee-ankle-and-foot-joint-kinematics-arboreal-versus-terrestrial-locomotion
#9
Nicholas B Holowka, Matthew C O'Neill, Nathan E Thompson, Brigitte Demes
OBJECTIVES: Many aspects of chimpanzee ankle and midfoot joint morphology are believed to reflect adaptations for arboreal locomotion. However, terrestrial travel also constitutes a significant component of chimpanzee locomotion, complicating functional interpretations of chimpanzee and fossil hominin foot morphology. Here we tested hypotheses of foot motion and, in keeping with general assumptions, we predicted that chimpanzees would use greater ankle and midfoot joint ranges of motion during travel on arboreal supports than on the ground...
June 8, 2017: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/28579047/surgical-procedures-of-the-distal-limb-for-treatment-of-sepsis-in-cattle
#10
REVIEW
David E Anderson, André Desrochers, Sarel R van Amstel
With a thorough knowledge of the anatomy of the foot, and basic surgical instruments, digit surgery can be performed in field situations. Sepsis of the distal interphalangeal and proximal interphalangeal joints should be treated surgically because conservative treatment is often ineffective. Most of the diseases described in this article are chronic and often the animals have been suffering for some time. Perioperative analgesia is important to alleviate the pain of those animals. All those procedures should be performed under local or regional anesthesia...
July 2017: Veterinary Clinics of North America. Food Animal Practice
https://www.readbyqxmd.com/read/28578836/-contribution-of-histopathology-in-the-diagnosis-of-mycetoma-in-a-cameroonian-trader-and-possibility-of-an-urban-contamination
#11
C R B Mendouga Menye, E A Kouotou, P J A Atangana
BACKGROUND: Mycetoma are rare cutaneous affections caused by pathogens such as fungi or bacteria. They settle preferentially on limb extremities. We are going to talk about an original case of mycetoma in a young Cameroonian trader. OBSERVATION: A cutaneous mass with multiple draining sinuses was received at the anatomy and cytopathology laboratory. That mass was from a 30-year-old male trader, with no particular medical history and living in Yaounde, who was received for a lesion at the sole of the foot, which appeared some months before...
May 31, 2017: Journal de Mycologie Médicale
https://www.readbyqxmd.com/read/28573372/a-survey-of-anatomical-items-relevant-to-the-practice-of-rheumatology-pelvis-lower-extremity-and-gait
#12
Cristina Hernández-Díaz, José Alvarez-Nemegyei, José Eduardo Navarro-Zarza, Pablo Villaseñor-Ovies, Robert A Kalish, Juan J Canoso, Angélica Vargas, Karla Chiapas-Gasca, Joseph J Biundo, Francisco Javier de Toro Santos, Dennis McGonagle, Simon Carette, Miguel Ángel Saavedra
This study aimed to generate a minimum list of structural and functional anatomical items about the pelvis/hip, knee, ankle/foot, gait, and lower limb innervation, which are most relevant to the practice of rheumatology. To determine their perceived relevance to clinical practice, seven members of the Mexican Clinical Anatomy Task Force compiled an initial list of 470 anatomical items. Ten local and international experts according to a 0-10 Likert scale ranked these items. Of the original list, 101 (21.48%) items were considered relevant (global rate >40)...
June 1, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28558939/the-humboldt-penguin-spheniscus-humboldti-rete-tibiotarsale-a-supreme-biological-heat-exchanger
#13
Shaked Kazas, Moran Benelly, Saar Golan
Humans are unable to survive low temperature environments without custom designed clothing and support systems. In contrast, certain penguin species inhabit extremely cold climates without losing substantial energy to self-heating (emperor penguins ambient temperature plummets to as low as -45°C). Penguins accomplish this task by relying on distinct anatomical, physiological and behavioral adaptations. One such adaptation is a blood vessel heat exchanger called the 'Rete Tibiotarsale' - an intermingled network of arteries and veins found in penguins' legs...
July 2017: Journal of Thermal Biology
https://www.readbyqxmd.com/read/28553174/technetium-99m-methylene-diphosphonate-single-photon-emission-computed-tomography-computed-tomography-of-the-foot-and-ankle
#14
REVIEW
Bhavin Upadhyay, Jonathan Mo, Clare Beadsmoore, Tom Marshall, Andoni Toms, John Buscombe
The complex anatomy and function of the foot and ankle can make it difficult to determine the cause of symptoms in patients with foot and ankle pathology. Following initial clinical and radiographic assessment, additional imaging with magnetic resonance imaging may be required, which is often seen as the modality of choice. Although sensitive to pathological changes in bone metabolism and vascularity, technetium-99m (Tc-99m) bone scintigraphy often lacks the specificity and resolution required to evaluate the structures of the foot and ankle...
April 2017: World Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/28549281/defining-excessive-over-or-hyper-pronation-a-quandary
#15
REVIEW
Andrew M Horwood, Nachiappan Chockalingam
Abnormal-pronation, excessive-pronation, over-pronation, or hyper-pronation, are terms with a long historical use in both medical and research terminology pertaining to an abnormal movement of the foot. These terms are commonly used as a potential kinematic aetiology to explain the occurrence of multiple lower limb and foot pathologies. Yet despite this widespread use there is no clear definition to explain what the terms abnormal, excess, over, or hyper-pronation, mean. Without a strict definition the use of these terms as a patho-mechanical explanation of injuries, leaves a distinct lack of clarity and is meaningless in regards to being able to distinguish what movement may need clinical intervention...
June 2017: Foot
https://www.readbyqxmd.com/read/28514214/imaging-of-acute-capsuloligamentous-sports-injuries-in-the-ankle-and-foot-sports-imaging-series
#16
James M Linklater, Catherine L Hayter, Dzung Vu
The ankle and foot are commonly injured during sporting activities. Clinical diagnosis can at times be challenging, due to the complex anatomy and multiple sites of potential injury. In the athlete, there is a reduced threshold for imaging to clarify diagnosis, guide prognosis, and treatment. Diagnostic imaging is also helpful in evaluating ongoing symptoms in the subacute or chronic setting. (©) RSNA, 2017.
June 2017: Radiology
https://www.readbyqxmd.com/read/28384608/segmental-kinematic-analysis-of-planovalgus-feet-during-walking-in-children-with-cerebral-palsy
#17
Karen M Kruger, Katherine A Konop, Joseph J Krzak, Adam Graf, Haluk Altiok, Peter A Smith, Gerald F Harris
Pes planovalgus (flatfoot) is a common deformity among children with cerebral palsy. The Milwaukee Foot Model (MFM), a multi-segmental kinematic foot model, which uses radiography to align the underlying bony anatomy with reflective surface markers, was used to evaluate 20 pediatric participants (30feet) with planovalgus secondary to cerebral palsy prior to surgery. Three-dimensional kinematics of the tibia, hindfoot, forefoot, and hallux segments are reported and compared to an age-matched control set of typically-developing children...
March 23, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28382374/proximal-peroneus-longus-tear-rare-case-in-a-teenage-athlete-and-review-of-the-literature
#18
Matthew Winfeld, Nancy Chauvin
We present the case of a 15-year-old teenager who sustained an ankle inversion injury while playing American football, which yielded only minimal pain, but also foot numbness and a lateral leg bulge. Magnetic resonance imaging evaluation revealed a proximal peroneal tear. These rare injuries are often associated with compartment syndrome, a surgical emergency, which was ultimately excluded clinically in this patient. Relevant anatomy, mechanism of injury, and clinical manifestations are discussed.
July 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28369929/the-plantar-calcaneal-spur-a-review-of-anatomy-histology-etiology-and-key-associations
#19
REVIEW
Joshua Kirkpatrick, Omid Yassaie, Seyed Ali Mirjalili
The plantar calcaneal spur (PCS) is a bony outgrowth from the calcaneal tuberosity and has been studied using various methods including cadavers, radiography, histology and surgery. However, there are currently a number of discrepancies in the literature regarding the anatomical relations, histological descriptions and clinical associations of PCS. Historically, authors have described the intrinsic muscles of the foot and/or the plantar fascia as attaching to the PCS. In this article we review the relationship between the PCS and surrounding soft tissues as well as examining the histology of the PCS...
June 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/28367689/operative-anatomy-of-the-medial-gastrocnemius-recession-vs-the-proximal-medial-gastrocnemius-recession
#20
Nathan Kaplan, Xavier Fowler, Noorullah Maqsoodi, Benedict DiGiovanni, Irvin Oh
BACKGROUND: Isolated gastrocnemius contracture (IGC) is associated with various foot and ankle pathologies. To address the problem of IGC, a number of gastrocnemius lengthening procedures have been described. Although proximal medial gastrocnemius recession (PMGR) has shown to be an effective operative treatment for IGC, it poses risks to various anatomic structures around the knee joint and requires the patient to be positioned prone. As an alternative, we proposed to release the medial gastrocnemius at the division between the proximal one-third and distal two-thirds of the gastrocnemius muscle to correct equinus contracture, while minimizing risk to other structures...
April 2017: Foot & Ankle International
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