International Journal of

Foot and AnkleISSN: 2643-3885


 Open Access DOI:10.23937/2643-3885/1710038

Foot Care Education, Health-Seeking Behaviour and Disease Outcome in Patients with Diabetic Foot Ulcer: Results from the Multi-Centre Evaluation of Diabetic Foot Ulcer in Nigeria Study

Innocent Okpe, Ejiofor Ugwu, Olufunmilayo Adeleye, Ibrahim Gezawa, Marcelina Enamino and Ignatius Ezeani

Article Type: Research article | First Published: December 16, 2019

Considerable advances have been made in the field of diabetic foot care over the past 25 years in developed countries. On the contrary, diabetes foot ulceration (DFU) still remains a common diabetes related complication of substantial public health importance in sub-Saharan Africa. Diabetic foot outcome in Nigeria is reportedly poor, with high amputation and mortality rates. Proper foot care education is known to impact positively on both DFU prevention and outcome in the developed societies. Ho...

 Open Access DOI:10.23937/2643-3885/1710037

Orthotic Intervention on Flexible Flat Feet and Lower Extremity Exertional Pain during Normal Overland Walking

Bruce N Elliott, PT, EdD, DPT, MS, COMT and Juan C Garbalosa, PhD, PT

Article Type: Rese arc h art icle | First Published: December 04, 2019

A biomechanical foot orthosis is commonly used for the management of lower extremity injuries that are related to flexible flat feet. The purpose of this study was to document the effect of a maximal arch supination stabilization (MASS) orthosis on foot motion in individuals with flexible flat feet who experience lower extremity exertional pain. 30 subjects with flexible flat feet and lower extremity exertional pain received a pair of custom orthoses. Intersegmental foot kinematics were recorded...

 Open Access DOI:10.23937/2643-3885/1710036

Surgical Management of Foot Macrodystrophia Lipomatosa in Adults: Case Report of Surgical Technique

Reema Alhussein and Mohammed Alshouli

Article Type: Case Report | First Published: October 02, 2019

Macrodystrophia lipomatosa is a rare congenital anomaly causing localized or generalized gigantism. Characterized by an abnormal excessive growth of mesenchymal elements in particularly fibro-adipose tissue, bone, tendon, nerves and vessels. We report our experience in surgical management of a case with Macrodystrophia lipomatosa involving the second toe of the left foot. A through clinical and radiological assessment followed by surgical second ray amputation and soft tissue debulking of the le...

 Open Access DOI:10.23937/2643-3885/1710035

A Novel Approach to Post-Traumatic Foot and Ankle Pains using Percutaneous Ultrasound Guided Cryoneurolysis: A Case Report

David H Sherwood, DO, Jason-Flor V Sisante, PhD and Neil A Segal, MD, MS

Article Type: Case Report | First Published: September 20, 2019

Cryoneurolysis is a minimally invasive, low side effect profile, evidence-supported intervention currently with FDA approval to produce lesions in peripheral nervous tissue, including for relief of pain associated with knee osteoarthritis. The mechanism of action on a peripheral nerve is temporary axonal signal disruption via Wallerian degeneration. While the axon and myelin sheath degenerate, the endoneurium, perineurium and epineurium are unaffected. Schwann cells and macrophages clear debris,...

 Open Access DOI:10.23937/2643-3885/1710034

Extreme Thrombocytosis Resulting from Minimally Invasive Foot Surgery with Forefoot Necrosis: A Rare Case Report

Cuervas-Mons Manuel, Alvarez Baena Lucia, Garcia Ruano Angela and Arnal Burro Javier

Article Type: Case Report | First Published: September 19, 2019

Essential thrombocythemia is a chronic myeloproliferative syndrome characterised by excessive proliferation of platelets and megakaryocytes, with a relatively favourable course. We present a case of extreme thrombocytosis resulting from minimally invasive foot surgery with forefoot necrosis. A 72-year-old female patient presented with hallux valgus and metatarsalgia. A platelet count of 560,000/ µL was detected as an unexpected finding. Minimally invasive surgery was performed, and in the first...

 Open Access DOI:10.23937/2643-3885/1710033

Investigating the Validity of Soft Tissue Signs on Lateral Ankle X-Ray to Aid Diagnosis of Achilles Tendon Rupture in the Emergency Department

Lowri Bowen, Rhodri Evans, Owen Bodger, Joshua Howard and Anne-Marie Hutchison

Article Type: Review Article | First Published: September 14, 2019

We retrospectively identified two groups of patients; Group A consisted of patients with an Achilles tendon rupture and Group B included patients with a clinically intact Achilles tendon but with a lateral ankle ligament sprain. Three clinicians independently reviewed all patients’ x-rays for each of the radiological features under investigation to determine whether a rupture was present or not. Inter-rater and Intra-rater reliability were calculated using the Kappa coefficient (Kc.) To determ...

 Open Access DOI:10.23937/2643-3885/1710032

Plantar Fasciitis Rupture - Who is the Culprit?

Fairuz Suhaimi

Article Type: Case Report | First Published: August 26, 2019

The plantar fascia is an important structure in the foot, which helps, stabilizes the arch of the foot during motion and provides shock absorption when the foot hits the ground. Inflammation of the plantar fascia has been high in incidence, with multiple factors attributed to it. However, occurrence of the plantar fascia rupturing is not common. Corticosteroid injection to the plantar fascia has long been advocated as the major cause of this. Nonetheless, in recent literatures, corticosteroid in...

 Open Access DOI:10.23937/2643-3885/1710031

Freiberg's Infraction in a Geriatric Patient - A Case Report

Daniel Pollack, DPM, FACFAS

Article Type: Case Report | First Published: August 17, 2019

Foot pain is debilitating and common, especially in the geriatric population. It causes difficulty, or an inability, to ambulate which may lead to further issues such as weight gain, reliance on others for assistance, and imbalance which can lead to falls. It is important to consider Freiberg's infraction as a cause of foot pain in the elderly, even if it normally occurs in younger patients. Freiberg's infraction (also known as Freiberg's disease) is premature bone death, or osteonecrosis, of mo...

 Open Access DOI:10.23937/2643-3885/1710030

Surgical Repair of an Unstable Third Metatarsophalangeal Joint Dislocation via Direct Plantar Plate Repair: A Simple and Effective Technique

Christopher W Kinter, MD, Kevin J Kinter, MS and Christopher W Hodgkins, MD

Article Type: Case Report | First Published: August 12, 2019

Traumatic dislocation of a lesser metatarsophalangeal (MTP) joint is a rare case for a foot and ankle surgeon to encounter. These dislocations can be difficult to reduce due to the surrounding connective tissues that may be interposed in the joint space. These include the plantar plate, deep transverse metatarsal ligament, flexor tendons, and lumbricals. When the clinician is unable to reduce the phalanx, surgery is required to prevent sequelae such as further swelling, ecchymosis, joint damage,...

Volume 3
Issue 2