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...
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...
Midfoot Charcot Neuroarthropathy
Mohamad Alqubaisi and Carlo Ross
Article Type: Review Article | First Published: December 29, 2018
Charcot neuroarthropathy (CN) is a syndrome that was first described over 300 years ago. Sir William Musgrave was the first person to define neuropathic osteo-arthropathy in 1703 as an arthralgia whereby he described that syphilis was the supreme cause. 178 years later, Jean-Martin Charcot, (1825-1893) gave a thorough description on the condition in the year 1886. Consequently, the condition was named after him. Charcot defined the condition as a continuous, denervation-induced decadence of the ...
Herpes Zoster: An Atypical Cause of Foot Drop - Case Report and Review of the Literature
Coogan MK, Mobley T, Hagemeijer NC, Abbott B, Guss D, Johnson AH and DiGiovanni CW
Article Type: Case Report | First Published: December 14, 2018
We report on an 81-year-old female who presented with acute, atraumatic right foot drop four weeks after developing herpes zoster in the ipsilateral L4 and L5 dermatomes treated with valacyclovir. Lumbar MRI revealed no explanatory abnormality, and the etiology of her right foot drop was presumed to be due to an outbreak of herpes zoster. After three months of physical therapy and bracing, her right lower extremity weakness greatly improved. We present a comprehensive literature review of atraum...
Total Ankle Replacement: Indications, Rehabilitation and Results
Marco Massobrio, Giovanni Pellicano, Valter Santilli and Lucrezia Tognolo
Article Type: Research Article | First Published: November 22, 2018
Even though fusion is the main form of treatment for end-stage osteoarthritis (OA) of the ankle, total ankle replacement (TAR) is increasingly being recognized as an effective alternative procedure, with favorable clinical results and improved quality of life. However, the results have been disappointing compared to those of hip and knee arthroplasty. In fact, the ankle is a more complex joint and its biomechanics and kinematics are strongly influenced by neighboring joints. The ankle joint comp...
Does the Screw Grip Affect the Outcome of Screw Fixation of Malleolar Fractures?
Stamatios A Papadakis, Athanasios Koutroufinis, Dimitrios Pallis, Athanasios Badekas, Konstantinos Kateros, Olga Savidou and George A Macheras
Article Type: Research Article | First Published: November 21, 2018
The study -which is the first clinical according to the literature- included 136 patients with surgical fractures of the ankle. Patients presenting any evident factors influencing porosis as well as open fractures were excluded. Fibula reduced anatomically and fixed by a 1/3 tubular plate placed laterally. Proximal screws had bicortical fixation grip strength while distal screws had only unicortical. Screws with a reduced fixation grip strength during insertion were left in place. Numbers were a...
Acute Achilles Tendon Rupture Associated with Medial Malleolar Fracture: Is it Still a Rare Injury? Case Report and Review of the Literature
Nicolas Fontecilla Cornejo, Hube Laurent Maximiliano, Bastias Bedoya Gonzalo, Fuentes Carvajal Patricio and Arancibia Mettais Mauricio
Article Type: Case Report | First Published: November 05, 2018
A 57-year-old male with unremarkable previous medical history, presented to the emergency department after a motorcycle accident. He described having suffered a violent ankle dorsiflexion with external rotation as the mechanism of injury resulting with pain and functional impairment localized in the left calf and ankle. He was unable to bear weight after injury. Clinically, he had a palpable defect at the midpoint of the Achilles tendon and a positive Thompson test. In addition, the patient comp...
Suture Anchor Construct for an Exogenous Ligament Repair for Subtalar Joint Instability-A Novel Technique
Paul J Carroll and Jonathan J Sharpe
Article Type: Case Report | First Published: October 10, 2018
Subtalar joint ligament sprains are often missed in the setting of chronic inversion ankle injuries. This can lead to pain and instability of the subtalar joint. In many cases, without proper identification, the patient may eventually undergo an unnecessary subtalar joint fusion rather than a ligament reconstruction. Achilles, peroneus brevis, and gracilis tendon grafts have been described to repair subtalar ligament instability in the literature. To our knowledge, the use of exogenous ligament ...
Relationship between Toe Flexion Movement and Center of Pressure Position
Y Otake, A Yozu, T Fukui, M Sumitani and N Haga
Article Type: Original Article | First Published: September 29, 2018
In humans, the toes are important for stability while standing. We aim to elucidate the role of the toes in posture control by examining the relationship between the action of the flexor muscles and the center of pressure (COP) positions in the standing posture. The subjects were 16 healthy young adults who were free of musculoskeletal and neurological disorders. We measured the toe plantarflexion movements, COP positions, and floor reaction force components in the standing and forward loading ...
First Metatarsophalangeal Arthrodesis Malunion Revision to Silicone Implant Arthroplasty
Paul J Carroll and Jonathan J Sharpe
Article Type: Case Report | First Published: September 29, 2018
A shortened first metatarsophalangeal joint (MTPJ) fusion can be a debilitating complication of arthrodesis surgery. The most commonly accepted treatment is revision of the first MTPJ revisional arthrodesis with lengthening utilizing bone graft. To our knowledge, there is no published literature on first MTPJ short malunion correction using monorail distraction and arthroplasty with a silastic implant. A case is presented of a young active 32-year-old individual who presented to our office follo...
Common Anomalies Associated To Congenital Vertical Talus: A Single Center Experience
Article Type: Research Article | First Published: August 29, 2018
Congenital vertical talus is defined as a foot deformity in which the calcaneus is in equinus, the talus is plantarflexed, and there is a rigid and irreducible dislocation of the talonavicular joint complex, with the navicular articulating on the dorsolateral aspect of the talar neck. It is often associated with systemic involvement. To identify the most common anomalies accompanying to CVT (Congenital Vertical Talus). No literature investigating similar clinical data was found in the literature...
Novel Ways to Save the Foot in Malignant Melanoma
Laoise Coady, Khalid Merghani Salih Mohamed, Denis Evoy and Robert Flavin
Article Type: Case Report | First Published: July 28, 2018
The incidence of malignant melanoma is increasing rapidly. Following clinical diagnosis, excisional biopsy is performed to confirm the diagnosis. Wide local excision down to the deep fascia must be performed in order to completely remove the melanoma. Large plantar soft tissue defects are often a consequence of resection for oncological purposes. In order to reconstruct the weight bearing sole of the foot, the tissue used must be resistant to weight, shear stress and pressure....
A Minimally Invasive Modified Procedure for Ankle Chronic Instability Repair: A Case Series Report
Jose Cymet-Ramirez and Julio Cesar Vazquez-Mondragon
Article Type: Case Series | First Published: July 21, 2018
A number of surgical procedures for treating chronic ankle instability have been described. Most of them are only to repair the anterior talofibular ligament (ATL) without considering the calcaneofibular ligament (CFT) injury and both chondral injuries of talus and tibia. We aim to describe a modified procedure as an alternative to already described surgical techniques that offer some advantages that we have observed....
Playing Basketball on Wooden and Asphalt Courts-Does Court Surface Affect Foot Loading?
PW Kong, DZ Nin, RKK Quek and YK Chua
Article Type: Original Article | First Published: July 20, 2018
This study aimed to examine the influence of court surface on foot loading when executing typical basketball tasks. Thirteen male basketball players performed three basketball-related tasks: Layup, jump shot, and maximal effort sprint on wooden and asphalt courts. In-shoe plantar loading was recorded during the basketball movements and peak force (normalised to body weight) was extracted from eight-foot regions. Perceptions of discomfort at the ankle, knee, and back were surveyed using a 10-cm v...