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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 15.
Current Concepts for the Use of Platelet-Rich Plasma in the Foot and Ankle
Platelet-rich plasma (PRP) injections have been used and studied since the 1970s. Its use has become more popularized over the last several years in the treatment of foot and ankle injuries. Platelets are a normal product found in the clotting cascade and inflammatory process of healing. They produce granules that release growth factors that promote healing. PRP works by increasing the concentration of platelets, thereby increasing the concentration of growth factors and increasing healing potential. PRP has an advantage over many tissue engineering products in that it is autologous. It has been studied and used for the tr...
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: David J. Soomekh Source Type: research
Dance Medicine of the Foot and Ankle: A Review
This article discusses biomechanics of the foot and the imaging and treatment of dance-related injuries.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Bruce Werber Source Type: research
Acute and Chronic Achilles Tendon Ruptures in Athletes
The Achilles tendon is the most injured tendon of athletes in the lower extremities and is the most common tendon to rupture spontaneously. Operative repair provides earlier return to sporting activities and lesser rate of rerupture. The general goal is to attempt anastomosis of the acute ruptured ends; however, delayed ruptures may require more extensive procedures. New surgical approaches, including percutaneous and mini-open techniques, are being introduced to potentially diminish perioperative complications. Advent of early protective range of motion and rehabilitation has shown a potential for earlier return to sporti...
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Jonathan Thompson, Bob Baravarian Source Type: research
Lateral Ankle Triad: The Triple Injury of Ankle Synovitis, Lateral Ankle Instability, and Peroneal Tendon Tear
Many articles have been published that discuss various lateral ankle injuries and specific lateral ankle pathology. The purpose of this article is to explore and present a specific combination of findings that the author's multiphysician practice has noticed on a frequently recurring basis. The triple injury of ankle synovitis, ankle instability, and peroneal tendon tear can be termed the Lateral Ankle Triad. While it is common to find each of these specific injuries individually, they are often found in combination.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Justin Franson, Bob Baravarian Source Type: research
Chronic Ankle and Subtalar Joint Instability in the Athlete
Chronic ankle and subtalar joint (STJ) instability is a common clinical entity and the physician must be able to determine the exact pathologic condition for proper treatment. There are many diagnostic techniques that can be used to evaluate the ankle joint and STJ. These diagnostic techniques do not take the place of a proper patient history taking. Appropriate and aggressive rehabilitation should be attempted in all cases of chronic ankle and subtalar instability before electing surgical reconstruction.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Matthew J. Hentges, Michael S. Lee Source Type: research
Lisfranc Injury and Jones Fracture in Sports
This article provides an update and overview of Lisfranc injury and Jones fracture in the athletic population. Sports-related Lisfranc sprains or fractures are subtle injuries that can be easily missed. Now, there is greater understanding of midfoot sprains that represent a spectrum of injury to the Lisfranc ligament complex. Most types of fifth metatarsal fractures have a favorable prognosis and can be treated conservatively. The treatment options for Jones fractures in athletes have been much debated. This article discusses issues related to anatomy, mechanism of injury, clinical presentation, imaging, and diagnosis, whi...
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Bora Rhim, Joshua C. Hunt Source Type: research
Plantar Plate Tears: A Review of the Modified Flexor Tendon Transfer Repair for Stabilization
Forefoot pain is one of the most common presenting problems in a foot and ankle practice. One of the most common presenting problems, yet most commonly missed problems, is a plantar plate tear. Often the problem is considered to be potential neuroma, fat pad atrophy, or a generalized diagnosis of metatarsalgia or metatarsal head overload. Unfortunately, not enough attention is placed on the plantar and medial/lateral ligamentous structures of the metatarsal-phalangeal joints. This lack of attention results in poor diagnosis, lack of care, treatment for the wrong condition, and ultimate frustration for the patients and doctor.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Bob Baravarian, Jonathan Thompson, Doron Nazarian Source Type: research
Hallux, Sesamoid, and First Metatarsal Injuries
Hallux, sesamoid, and first metatarsal injuries are common foot injuries and have implications in the biomechanical functionality of the first ray and foot. They are essential for propulsion in normal gait. As part of the first ray, it is an important contributor to normal locomotion. Any structure disruption or injury can create angular changes or arthritis, which can have biomechanical implications, including pain, disability, compensation, swelling, and reduced range of motion.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Daniel K. Lee, Gerit D. Mulder, Alexandra K. Schwartz Source Type: research
New Technology and Techniques in the Treatment of Foot and Ankle Injuries
This article provides an overview of the diagnosis and treatment, including surgical techniques, of common foot and ankle injuries.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: David J. Soomekh Source Type: research
Etiology, Pathophysiology, and Most Common Injuries of the Lower Extremity in the Athlete
This article discusses the etiology of some of the most common foot and ankle sports-related injuries. The authors focus on clinical findings, associated injuries, pathophysiology, and current trends. Many of these factors are discussed in detail elsewhere in this issue.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Patrick R. Burns, Nicholas Lowery Source Type: research
Preface: Athletic Injuries of the Foot and Ankle
Ten years and so much has changed.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Bob Baravarian Source Type: research
Foreword: Athletic Foot and Ankle Injuries
This issue of Clinics in Podiatric Medicine and Surgery is devoted to the overall management of sports-related foot and ankle injuries. Choosing the most effective treatment modalities for restoring normal function following major ligamentous and tendon injuries, fractures, and osteochondral defects requires not only an understanding of the injury but also the sport involved. Dr Baravarian, who has extensive experience in this area, has put together an all-star team, providing us with the most current and rational approaches to treat these challenging athletic injuries.
Source: Clinics in Podiatric Medicine and Surgery - December 31, 2010 Category: Podiatry Authors: Thomas Zgonis Source Type: research
Guidelines for authors.
PMID: 21242476 [PubMed - in process]
Source: Journal of the American Podiatric Medical Association - December 31, 2010 Category: Podiatry Authors: Joseph WS Tags: J Am Podiatr Med Assoc Source Type: research
Le mycétome tumoral du pied
Résumé Les auteurs rapportent l’observation d’un patient âgé de 56 ans qui consulte pour une tumeur du pied droit évoluant depuis 20 ans. L’examen retrouve une masse bourgeonnante, polyfistulisée, mesurant 10–20 cm et intéressant la face dorsale du pied et englobant la plante. La radiographie du pied retrouve une lyse osseuse des troisième, quatrième et cinquième métatarsiens. L’examen histologique retrouve un mycétome actinomycosique du pied. La lésion s’est compliquée d’une gangrène septique du pied qui a nécessité une amputation de celui-ci. Les mycétomes du pied sont des m...
Source: Medecine et Chirurgie du Pied - December 29, 2010 Category: Podiatry Tags: M édecine et Chirurgie du Pied Source Type: research
Foot and Ankle Strength, Range of Motion, Posture, and Deformity Are Associated With Balance and Functional Ability in Older Adults
Conclusions: Foot and ankle characteristics, particularly plantar flexor strength of the hallux and ankle inversion-eversion range of motion, are important determinants of balance and functional ability in older people. Further research is required to establish whether intervention programs that include strengthening and stretching exercises for the foot and ankle may achieve improvements in balance and functional ability and reduce the risk of falls in older people.
Source: Archives of Physical Medicine and Rehabilitation - December 28, 2010 Category: Rehabilitation Authors: Martin J. Spink, Mohammad R. Fotoohabadi, Elin Wee, Keith D. Hill, Stephen R. Lord, Hylton B. Menz Tags: Original Articles Source Type: research
Dr. Lombardi’s Invited Commentary
I just returned from the retirement dinner for Dr. Charles Gibley from his adopted profession of podiatry. Much of the discussion at dinner was about the astounding advancements our profession has made in the past 30 years. There was a time in the not so distant past when we could not practice in most hospitals and only 5% of the profession obtained postgraduate education of any kind. Interestingly, even then we had a certain percentage of our profession interested in research. Although there is certainly excellent podiatry research being performed, the quantity of research in podiatry continues to lag significantly behind...
Source: Journal of Foot and Ankle Surgery - December 28, 2010 Category: Orthopaedics Authors: Charles M. Lombardi Tags: Editorials Source Type: research
The reliability of toe systolic pressure and the toe brachial index in patients with diabetes
Conclusion: Despite the reasonable intra-class correlation results, the range of error (95% LOA) was broad. This raises questions regarding the reliability of using a manual sphygmomanometer and photoplethysmography for the Toe Systolic Pressure and Toe Brachial Indice.
Source: Journal of Foot and Ankle Research - December 21, 2010 Category: Podiatry Authors: Mary RomanosAnita RaspovicByron Perrin Source Type: research
'Foot' and 'surgeon': a tale of two definitions
Recent events in the USA and UK have raised questions about the appropriate definition and application of the terms 'foot' and 'surgeon'. In this editorial, we explore these issues and clarify our use of these terms in the journal.
Source: Journal of Foot and Ankle Research - December 17, 2010 Category: Podiatry Authors: Hylton MenzAlan BorthwickMike PotterKarl LandorfShannon Munteanu Source Type: research
Foot posture in people with medial compartment knee osteoarthritis
Conclusion: People with medial compartment knee OA exhibit a more pronated foot type compared to controls. It is therefore recommended that the assessment of patients with knee OA in clinical practice should include simple foot measures, and that the potential influence of foot structure and function on the efficacy of foot orthoses in the management of medial compartment knee OA be further investigated.
Source: Journal of Foot and Ankle Research - December 15, 2010 Category: Podiatry Authors: Pazit LevingerHylton MenzMohammad FotoohabadiJulian FellerJohn BartlettNeil Bergman Source Type: research
Comparison of foot pain and foot care among rheumatoid arthritis patients taking and not taking anti-TNFα therapy: an epidemiological study
This study is a cross-sectional epidemiological study: a 28-item self-administered questionnaire was posted to 1,040 people with RA throughout the UK. Overall, 585 (55%) useable replies were received, and 120 (20.5%) respondents were currently taking anti-TNFα medication. Prevalence of current foot pain was 99% among the biologics group compared with 76% not treated with biologics. Stiffness, swelling, and numbness in the feet were all significantly more common in the anti-TNFα group (P < 0.05). Most respondents (90%) taking biologics discussed their foot pain with their rheumatologist, but only 70% were...
Source: Rheumatology International - December 14, 2010 Category: Rheumatology Tags: Rheumatology International Source Type: research
Split tendon transfers for the correction of spastic varus foot deformity: a case series study
Conclusion: Overactivity of the anterior tibial tendon produces inversion most prominent in the forefoot and midfoot and similarly overactivity of the posterior tibial tendon produces hindfoot varus. The deformity can be clinically unidentifiable in some cases when Achilles shortening co-exists producing foot equinus. By identifying the muscle causing the deformity and performing the appropriate technique, very satisfying results were achieved in the majority of our cases. In three feet both muscles contributed to a combined deformity and simultaneous SPLATT and SPOTT were considered necessary. For complex foot deformities...
Source: Journal of Foot and Ankle Research - December 13, 2010 Category: Podiatry Authors: Maria VlachouDimitris Dimitriadis Source Type: research
ACCF/AHA/ACR/SCAI/SIR/SVM/SVN/SVS 2010 Performance Measures for Adults With Peripheral Artery Disease: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures, the American College of Radiology, the Society for Cardiac Angiography and Interventions, the Society for Interventional Radiology, the Society for Vascular Medicine, the Society for Vascular Nursing, and the Society for Vascular Surgery (Writing Committee to Develop Clinical Performance Measures for Peripheral Artery Disease) Developed in Collaboration With the American Association of Cardiovascular and Pulmonary Rehabilitation; the American Diabetes Association; the Society for Atherosclerosis Imaging and Prevention; the Society for Cardiovascular Magnetic Resonance; the Society of Cardiovascular Computed Tomography; and the PAD Coalition Endorsed by the American Academy of Podiatric Practice Management
Frederick A. Masoudi, MD, MSPH, FACC, FAHA, Chair Robert O. Bonow, MD, MACC, FAHA
Source: Journal of the American College of Cardiology - December 13, 2010 Category: Cardiology Authors: Jeffrey W. Olin, David E. Allie, Michael Belkin, Robert O. Bonow, Donald E. Casey, Mark A. Creager, Thomas C. Gerber, Alan T. Hirsch, Michael R. Jaff, John A. Kaufman, Curtis A. Lewis, Edward T. Martin, Louis G. Martin, Peter Sheehan, Kerry J. Stewart, Di Tags: PERFORMANCE MEASURES Source Type: research
Maladie de Haglund: place de la résection tubérositaire simple, à propos de 15 cas
Résumé La maladie de Haglund est une affection mécanique rare résultante d’un conflit entre l’angle postérosupérieur du calcanéum très hypertrophié et la chaussure. Les auteurs rapportent une étude rétrospective d’une série de 15 cas opérés pour maladie de Haglund. Il s’agit de sept hommes et de huit femmes. L’âge moyen était de 32 ans. Tous les patients avaient été traités médicalement sans succès. La chirurgie a consisté à la résection tubérositaire simple par chirurgie conventionnelle et par voie para-achilienne externe avec excision des bourses rétrocalcanéenne et ré...
Source: Medecine et Chirurgie du Pied - December 8, 2010 Category: Podiatry Tags: M édecine et Chirurgie du Pied Source Type: research
Le praticien face aux talalgies des spondylarthropathies
Résumé Au cours des spondylarthropathies, la talalgie reflète l’enthésopathie inflammatoire, alors que l’aspect d’orteil en saucisse est corrélé à la synovite. Bien que non spécifique de spondylarthropathie, l’enthésopathie est très caractéristique de l’affection. La talalgie est causée par l’enthésite calcanéenne, la bursite rétrocalcanéenne et la fasciite plantaire. Les critères diagnostiques sont discutés, en tant qu’aide au diagnostic précoce: critères de classification tels les critères d’Amor, les critères de l’ESSG (European Spondylarthropathy Study Group) et de...
Source: Medecine et Chirurgie du Pied - December 8, 2010 Category: Podiatry Tags: M édecine et Chirurgie du Pied Source Type: research
Un cas rare d’histiocytofibrome bénin de la cheville
Résumé Les auteurs rapportent un cas rare d’histiocytofibrome bénin osseux de la cheville chez un sportif de haut niveau, de découverte fortuite, guéri par évidement et comblement par du ciment (PMMA). À partir d’une revue de la littérature, ils rappellent la rareté de ce type de tumeur, ses caractères cliniques et évolutifs, ainsi que l’aspect histologique particulier, permettant de différencier l’histiocytofibrome bénin de l’os, du fibrome non ossifiant auquel il était autrefois assimilé. Content Type Journal ArticleDOI 10.1007/s10243-010-0297-1Authors S. Zizah, Service de tr...
Source: Medecine et Chirurgie du Pied - December 6, 2010 Category: Podiatry Tags: M édecine et Chirurgie du Pied Source Type: research
Diabetes and Hypertension guidelines and the Primary Health Care Practitioner in Barbados: Knowledge, Attitudes, Practices and Barriers - A focus group study
Conclusions: Guidelines need to be promoted repeatedly, and implemented with strategies to overcome barriers. Their development and implementation must be guided by input from all providers on the primary health care team.
Source: BMC Family Practice - December 2, 2010 Category: Primary Care Authors: O AdamsAnne Carter Source Type: research
L’ostéotomie métatarsienne de Weil: à propos d’une série de 34 cas au recul de trois ans
Résumé Les auteurs rapportent une série de 34 cas d’ostéotomies sous-capitales horizontales de Weil suivis pendant une moyenne de trois ans; l’âge des patients était en moyenne de 56,8 ans, à prédominance féminine. La voie d’abord était unique dorsale oblique en zigzag; la synthèse était confiée à des vis classiques non sécables; l’appui était permis à la 48e heure grâce à un chausson postopératoire; un traitement anticoagulant était institué de principe et la rééducation débutée au 15e jour. Le score de Kitaoka est passé de 49,4 à 74,2 points. Le périmètre de marche ét...
Source: Medecine et Chirurgie du Pied - December 1, 2010 Category: Podiatry Tags: M édecine et Chirurgie du Pied Source Type: research
ACCF/AHA/ACR/SCAI/SIR/SVM/SVN/SVS 2010 performance measures for adults with peripheral artery disease: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures, the American College of Radiology, the Society for Cardiac Angiography and Interventions, the Society for Interventional Radiology, the Society for Vascular Medicine, the Society for Vascular Nursing, and the Society for Vascular Surgery (Writing Committee to Develop Clinical Performance Measures for Peripheral Artery Disease) Developed in Collaboration With the American Association of Cardiovascular and Pulmonary Rehabilitation; the American Diabetes Association; the Society for Atherosclerosis Imaging and Prevention; the Society for Cardiovascular Magnetic Resonance; the Society of Cardiovascular Computed Tomography; and the PAD Coalition Endorsed by the American Academy of Podiatric Practice Management
Frederick A. Masoudi, MD, MSPH, FACC, FAHA, Chair, Robert O. Bonow, MD, MACC, FAHA, Elizabeth DeLong, PhD, John P. Erwin, III, MD, FACC, David C. Goff, Jr, MD, PhD, FAHA, FACP, Kathleen Grady, PhD, RN, FAHA, FAAN, Lee A. Green, MD, MPH, Paul A. Heidenreich, MD, FACC, FAHA, Kathy J. Jenkins, MD, MPH, FACC, Ann R. Loth, RN, MS, CNS, Eric D. Peterson, MD, MPH, FACC, FAHA, David M. Shahian, MD, FACC
Source: Journal of Vascular Surgery - November 30, 2010 Category: Surgery Authors: Jeffrey W. Olin, David E. Allie, Michael Belkin, Robert O. Bonow, Donald E. Casey, Mark A. Creager, Thomas C. Gerber, Alan T. Hirsch, Michael R. Jaff, John A. Kaufman, Curtis A. Lewis, Edward T. Martin, Louis G. Martin, Peter Sheehan, Kerry J. Stewart, Di Tags: Society for Vascular Surgery document Source Type: research
Neurofibrome extrait du nerf fibulaire commun (sciatique poplité externe): à propos d’un cas
Résumé Le neurofibrome est une tumeur qui peut siéger le long du trajet d’un nerf, depuis sa racine jusqu’à sa branche terminale. Cependant, le neurofibrome satellite du nerf fibulaire commun ou sciatique poplité externe (SPE) est une entité rare. L’extraction chirurgicale du neurofibrome pourrait compromettre la fonction motrice et sensitive du nerf. Nous présentons un cas rare de neurofibrome intramusculaire extrait du nerf fibulaire commun, avec préservation de la fonction globale du nerf et un résultat satisfaisant. Nous présentons, à travers cette observation et une revue de la littéra...
Source: Medecine et Chirurgie du Pied - November 29, 2010 Category: Podiatry Tags: M édecine et Chirurgie du Pied Source Type: research
Management of diabetes in the community
Abstract: Achieving the best health outcomes for people with diabetes requires approaches that tackle the care of a known population, not just the individual. Most care for people with diabetes can be managed outside hospitals. The core components of community diabetes care are identification, prevention, registration and registry management, call and recall for review, patient and carer education, screening for diabetes complications, and risk factor management. Multidisciplinary teams within general practice can deliver these components for most people, but must be supported by diabetes specialists. Ambulatory specialist...
Source: Medicine - November 24, 2010 Category: Internal Medicine Authors: John D. Dean Tags: Diabetes in practice Source Type: research
168th ENMC International Workshop: Outcome measures and clinical trials in Charcot–Marie–Tooth disease (CMT)
Development of treatments for Charcot–Marie–Tooth disease (CMT) is now an exciting and fast moving field. Improvement of the current only CMT specific outcome measure, the CMT Neuropathy Score (CMTNS), evaluation of secondary outcome measures and the development of paediatric scoring are all critical to develop high quality clinical trials. To address these issues a workshop, with a total of 21 researchers (10 adult neurologists, 5 paediatric neurologists, 1 physiotherapist, 1 podiatrist, 1 basic scientist, 1 geneticist, 2 ENMC representatives) and 2 patient representatives from Australia, Belgium, France, Germany, Ita...
Source: Neuromuscular Disorders - November 24, 2010 Category: Neurology Authors: M.M. Reilly, M.E. Shy, F. Muntoni, D. Pareyson Tags: Workshop reports Source Type: research
Diagnostic accuracy of existing methods for identifying diabetic foot ulcers from inpatient and outpatient datasets
Conclusions: Our results indicate that the Harrington and New methods are highly comparable and accurate. We recommend the Harrington method for its accuracy and the New method for its simplicity and comparable accuracy.
Source: Journal of Foot and Ankle Research - November 23, 2010 Category: Podiatry Authors: Min-Woong SohnElly Budiman-MakRodney StuckFarah SiddiquiTodd Lee Source Type: research
Trigger point therapy and plantar heel pain: A case report
Abstract: The cause of plantar heel pain and fasciitis has continued to be a diagnostic challenge even though it is one of the most common musculoskeletal disorders of the foot and ankle. The subject has evoked strong emotions and sparked intense debate regarding the likely causes and effective treatment options. Myofascial trigger point as a treatment option for plantar heel pain and fasciitis has been inconspicuous. The full extent of its significance and potential is largely unexplored in podiatric literature and medicine. Myofascial trigger point may offer an alternative explanation of the etiology of plantar heel pain and fasciitis.
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Bang M. Nguyen Tags: Case Reports Source Type: research
Reconstruction of bilateral spontaneous chronic idiopathic Achilles tendon rupture using LARS ligament: Case report
We report a case of idiopathic bilateral Tendo-Achilles (TA) rupture with no obvious disease process, which was initially neglected, and subsequently reconstructed with LARS polyester ligament. The patient could be mobilized early despite bilateral involvement, but developed bilateral wound dehiscence which needed debridement and local flap coverage; aggressive rehabilitation finally leads to an excellent functional outcome. Despite the fact that artificial ligaments allow biointegration and can withstand stresses of early weight bearing, they often lead to wound related problems. Judicious use is advocated and good cases ...
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Mandeep S. Dhillon, Devender Chauhan, Vishal Kumar, Uttam C. Saini Tags: Case Reports Source Type: research
Plantar fasciitis and impaired vision: A case report
We report a case of acute bilateral central serous chorioretinopathy in a patient who received a local injection of triamcinolone for the treatment of plantar fasciitis. Central serous chorioretinopathy is a serious, though rare, ocular complication of steroid treatment and it may occur even when the steroid is administered at a site as remote from the eye as the foot. This case report highlights the need for greater awareness of this complication amongst all medical personnel who prescribe steroids. It is advisable that patients, undergoing steroid treatment for any cause, be alerted to the risk of sudden visual impairment.
Source: The Foot - November 22, 2010 Category: Podiatry Authors: B. Anupama, N. Puthran, V. Hegde, S. Andrews Tags: Case Reports Source Type: research
Upward tibiotalar dislocation without fracture: A case report
Abstract: Pure tibiotalar dislocations without associated fracture are rare. The authors report a case of an unusual closed tibiotalar dislocation without fracture involving proximal ascension of the talus. Immediate closed reduction was performed. Repair of the disrupted medial ligament was performed and one syndesmosis screw inserted, followed by 6 weeks of immobilization. After 1 year of follow-up, functional results were excellent.
Source: The Foot - November 22, 2010 Category: Podiatry Authors: M. Alami, R. Bassir, M. Mahfoud, M.O. Lamrani, A. Elbardouni, M.S. Berrada, M. El yaacoubi Tags: Case Reports Source Type: research
Tuberculosis infection of the talonavicular joint
We report the case of a 41-year-old female who presented with a 7-month history of a painful hindfoot following a minor ankle sprain. Inflammatory markers were mildly raised and initial radiographs showed only some mild narrowing of the talonavicular joint. MRI scanning suggested osteomyelitis centred over the talonavicular joint. Open biopsy confirmed areas of caseous necrosis but no acid-fast bacilli were seen. The final diagnosis was confirmed with culture of mycobacterium tuberculosis. A good recovery was seen following debridement and commencement of anti-tuberculosis chemotherapy.Unless an awareness of this condition...
Source: The Foot - November 22, 2010 Category: Podiatry Authors: C.J. Brew, V. Rao, J. Shanker Tags: Case Reports Source Type: research
Algorithm for the management of antibiotic prophylaxis in onychocryptosis surgery
Conclusion: Current evidence does not support the use of preoperative antibiotic prophylaxis in onychocrytosis surgery except in special patients with infective onychocryptosis.
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Antonio Córdoba-Fernández, Gloria Ruiz-Garrido, Ángela Canca-Cabrera Tags: Original Articles Source Type: research
The effectiveness of therapeutic ultrasound for musculoskeletal conditions of the lower limb: A literature review
Conclusion: This literature review found that there is currently no high quality evidence available to suggest that therapeutic ultrasound is effective for musculoskeletal conditions of the lower limb.
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Pippa Shanks, Michael Curran, Paul Fletcher, Richard Thompson Tags: Original Articles Source Type: research
Reliability of the intelligent stretching device for ankle stiffness measurements in healthy individuals
This study investigated the reliability of the Intelligent (Intel) stretch device to measure bilateral ankle joint stiffness during passive range of motion (ROM).Methods: The reliability of the device was investigated based on torque and angle by establishing the consistency of measurements between examiners on different testing days. In addition, demographic variables were analyzed to investigate the degree of stiffness. Forty-six gender-matched subjects completed the test.Results: The reliability ICC2,1 coefficient of ankle stiffness between-day for both examiners was 0.77 for the right ankle and 0.76 for the left ankle ...
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Paul S. Sung, Ju-Yeoul Baek, Yoon Hyuk Kim Tags: Original Articles Source Type: research
Endoscopic plantar fascia release, calcaneal drilling and calcaneal spur removal for management of painful heel syndrome
Abstract: Background: The pathogenesis of painful heel syndrome is multifactorial including plantar fasciitis, increased intra-osseous pressure of the os calcis, calcaneal periostitis and presence of calcaneal spur. The currently used endoscopic treatment of painful heel syndromes involves endoscopic plantar fascia release alone without addressing other pathological changes.Objectives: To evaluate the clinical outcome of endoscopic plantar fascia release, calcaneal drilling and calcaneal spur removal.Methods: The study was conducted on 22 cases/24 feet with idiopathic painful heel syndrome resistant to conservative treatme...
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Ossama El Shazly, Atef El Beltagy Tags: Original Articles Source Type: research
The early results of minimally invasive technique for hallux valgus repair
Hallux valgus deformity is a common disorder, affecting about 2–4% of the population (Myerson ). Coughlin and Thompson estimated that more than 200,000 hallux valgus corrections are performed in the United States each year . The indication for surgical correction is pain associated with deformity. A distal osteotomy of the first metatarsal can be used to achieve correction in mild-to-moderate hallux valgus, with a first intermetatarsal angle of 10–20° . There are many procedures described in the literature for distal osteotomies of the first metatarsus, most of which require soft tissue procedure combined with extensi...
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Tal Luria, Israel Dudkiewicz, Alon Burg, Snir Heller, Moshe Salai, Yehezkel Tytiun Tags: Original Articles Source Type: research
An assessment of peripheral vascular disease in patients with diabetic foot ulcer
Abstract: Background: Peripheral vascular disease (PVD) is a chronic limb ischaemia caused by atherosclerosis of the peripheral arteries. Diabetes mellitus is a risk factor for this disease. The most common symptom of PVD is muscle pain in the lower limbs on exercise. In diabetes, pain perception may be blunted by the presence of peripheral neuropathy. Therefore, a patient with diabetes and PVD is more likely to present with an ischaemic ulcer or gangrene than a patient without diabetes. The use of ankle-brachial-pressure index (ABI) in the clinic and bedside provide a measure of blood flow to the ankle. This could help ea...
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Rosemary Ikem, Innocent Ikem, Olorunfemi Adebayo, David Soyoye Tags: Original Articles Source Type: research
A pilot study to explore if the age that women undergo hallux valgus surgery influences the post-operative range of motion and level of satisfaction
Conclusions: The outcome of this pilot study suggests that age does not have an effect on the range of motion of the first metatarsophalangeal joint, the AOFAS score or the level of patient satisfaction 2 years following Scarf and Akin osteotomies.
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Helen L. Milnes, Timothy E. Kilmartin, Gloria Dunlop Tags: Original Articles Source Type: research
Evaluation of two self-referent foot health instruments
This article demonstrates how such evaluations might be conducted.
Source: The Foot - November 22, 2010 Category: Podiatry Authors: Robert Trevethan Tags: Original Articles Source Type: research
Microbiological contamination of cubicle curtains in an out-patient podiatry clinic
Conclusion: This work suggests current laundry procedures may not be 100% effective in killing all microorganisms found on curtains, although a delayed decrease in total colony counts was evident. Cubicle curtains may act as a reservoir for microorganisms creating potential for cross contamination. This highlights the need for additional cleaning methods to decrease the risk of cross infection and the importance of maintaining good hand hygiene.
Source: Journal of Foot and Ankle Research - November 17, 2010 Category: Podiatry Authors: Ria WoodlandDeborah WhithamBill O'NeillSimon Otter Source Type: research