3,132 results match your criteria Congenital Vertical Talus


[Research on classification and treatment of talocalcaneal bridge].

Authors:
Yi-Yuan Sun Qi Li

Zhongguo Gu Shang 2022 Jun;35(6):589-94

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.

Talocalcaneal bridge mostly occurs on the inner side of heel-talar joint, and accounts for the highest proportion of foot tarsal deformities. Most of patients have no obvious symptoms, and manifested as pain and subtalar joint dysfunction at the onset. There are many types of calcaneal talus bridge, and different types have different clinical guiding significance. Read More

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Operative Management: Spring Ligament.

Clin Podiatr Med Surg 2022 Jul;39(3):503-519

West Penn Hospital Foot & Ankle Surgery, Section Chief of Podiatry, Department of Orthopedic Surgery, Allegheny Health Network, 4800 Friendship Avenue N1, Pittsburgh, PA 15224, USA. Electronic address:

Pes planovalgus is a multiplanar deformity consisting of a combination of hindfoot valgus, collapse of the medial longitudinal arch, forefoot varus, and forefoot abduction. This deformity is often associated with posterior tibial tendon dysfunction. Collapse of the medial longitudinal arch increases stress to the static stabilizers of the medial column including the deltoid ligament, spring ligament, plantar fascia, plantar and talocalcaneal interosseous ligaments, as well as the talonavicular and naviculocuneiform capsules. Read More

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Injuries to the Spring Ligament: Nonoperative Treatment.

Authors:
Douglas H Richie

Clin Podiatr Med Surg 2022 Jul;39(3):461-476

California School of Podiatric Medicine at Samuel Merritt University, 450 30th Street Suite 2860, Oakland, CA 94609, USA. Electronic address:

The fibrocartilage within the superomedial calcaneonavicular (spring) ligament is part of an interwoven complex of ligaments that span the ankle, subtalar, and talonavicular joints. Acute isolated rupture of the spring ligament has been reported in association with an eversion ankle sprain. Attenuation and failure of the spring ligament causes complex 3D changes called the progressive collapsing foot deformity (PCFD). Read More

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The Spring Ligament Complex-Anatomy and Function.

Clin Podiatr Med Surg 2022 Jul;39(3):393-403

Orthopedic Center of Florida, 12670 Creekside Lane, Suite 202, Fort Myers, FL 33919, USA.

This article provides an overview of the soft tissue contributions to the normal structures that surround the talo-calcaneal-navicular (TCN) joint of the human arch. The TCN joint has a multiplanar range of motion that makes it essential to the kinetic coupling that links the forefoot and hindfoot. The soft tissue connection surrounding this joint is known as the spring ligament complex. Read More

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Radiographic Cutoff Values for Predicting Lateral Bony Impingement in Progressive Collapsing Foot Deformity.

Foot Ankle Int 2022 Jun 14:10711007221099010. Epub 2022 Jun 14.

Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.

Background: Lateral bony impingement is a major cause of lateral foot pain in progressive collapsing foot deformity (PCFD). Weightbearing computed tomography (WBCT) provides better sensitivity than standard radiographs for detecting impingement. However, many orthopaedic centers have not yet acquired WBCT imaging. Read More

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Proximal Medial Gastrocnemius Release: Surgical Technique.

JBJS Essent Surg Tech 2022 Jan-Mar;12(1). Epub 2022 Feb 28.

Parc de Salut Mar, Universitat Autonoma Barcelona, Barcelona, Spain.

Proximal medial gastrocnemius release (PMGR) is a technique that is performed to relieve tension in the Achilles-calcaneus-plantar system when a biomechanical overload is present. One of the main indications for this technique is recalcitrant plantar fasciitis. This procedure may also be useful in second-rocker metatarsalgia or midportion Achilles tendinitis. Read More

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February 2022

A Novel Anatomic Reconstruction for Posterior Tibialis Tendon in Treatment of Flexible Adult-Acquired Flatfoot Deformity.

Orthop Surg 2022 Jun 10. Epub 2022 Jun 10.

Department of Foot and Ankle Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji'nan, P. R. China.

Objective: To present a novel approach for the anatomic reconstruction of the posterior tibialis tendon (PTT) in restoring plantar insertions and evaluate its efficiency in treating flexible adult-acquired flatfoot deformity (AAFD) caused by PTT dysfunction.

Methods: For AAFD treatment, a novel PTT reconstruction method was presented. The current study involved 16 patients, including three men, and 13 women, from August 2017 to July 2019. Read More

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Surgical Management of the Undercorrected and Overcorrected Severe Club Foot Deformity.

Foot Ankle Clin 2022 Jun 11;27(2):491-512. Epub 2022 May 11.

Department of Orthopaedic Surgery, University of Colorado School of Medicine; Steps2Walk.

Managing complications of clubfoot deformities can be very challenging. Some patients present with recurrent clubfoot and residual symptoms, and some present with overcorrection leading to a severe complex flatfoot deformity. Both can lead to long-term degenerative changes of the foot and ankle joints owing to deformity caused by unbalanced loading. Read More

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Managing Complications of Foot and Ankle Surgery: Reconstruction of the Progressive Collapsing Foot Deformity.

Foot Ankle Clin 2022 Jun 11;27(2):303-325. Epub 2022 May 11.

Department of Orthopaedic Surgery, Washington University in St. Louis, 660 S Euclid Ave CB8233 St. Loiuis, MO 63110, USA. Electronic address:

Our understanding of the cause and principles of treatment of progressive collapsing foot deformity (PCFD) has significantly evolved in recent decades. The goals of treatment remain improvement in symptoms, correction of deformity, maintenance of joint motion, and return of function. Although notable advancements in understanding the deformity have been made, complications still occur and typically result from (1) poor decision making, (2) technical errors, and (3) patient-related conditions. Read More

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Grice extra-articular subtalar fusion for spastic pes planovalgus.

Int Orthop 2022 Jun 6. Epub 2022 Jun 6.

Excellence Center for Gait and Motion, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, 10330, Thailand.

Introduction: A pes planovalgus deformity, an unstable foot deformity, affects the gait of children with cerebral palsy (CP). Treatments, including subtalar fusion, were proposed. The Grice procedure maintains foot stability, but bone graft non-union poses a challenge. Read More

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Impact of Asymptomatic Flatfoot on Clinical and Radiographic Outcomes of the Modified Lapidus Procedure in Patients With Hallux Valgus.

Foot Ankle Orthop 2022 Apr 19;7(2):24730114221099922. Epub 2022 May 19.

Hospital for Special Surgery, New York, NY, USA.

Background: Patients with hallux valgus commonly present with concomitant flatfoot deformity. First-ray hypermobility, among other biomechanical factors, has been suggested as a potential link between these deformities. However, not all hallux valgus patients exhibit symptoms associated with flatfoot deformity, and the necessity of correcting the asymptomatic flatfoot at the time of hallux valgus correction is unclear. Read More

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The Effect of Progressive Lateral Column Lengthening in a Novel Stage II-B Flatfoot Cadaveric Model Evaluated Using Software-Guided Radiographic Measurements of Foot Alignment.

Foot Ankle Int 2022 May 24:10711007221091817. Epub 2022 May 24.

University of Iowa, Iowa City, IA, USA.

Background: This work used software-guided radiographic measurement to assess the effects of progressive lateral column lengthening (LCL) on restoring alignment in a novel cadaveric model of stage II-B flatfoot deformity.

Methods: A stage II-B flatfoot was created in 8 cadaveric specimens by transecting the spring ligament complex, anterior deltoid, and interosseous talocalcaneal and cervical ligaments. Weightbearing computed tomographic (WBCT) scans were performed with specimens under 450 N of compressive load in the intact, flat, and 6-, 8-, and 10-mm lateral column-lengthening conditions. Read More

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Radiographic Analysis of the Lateral Column Lengthening Procedure in Stage II Adult Acquired Flatfoot Deformity.

J Foot Ankle Surg 2022 Apr 29. Epub 2022 Apr 29.

Director of Residency Training, Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Adult acquired flat foot deformity (AAFD) is a progressive, tri-planar deformity involving collapse of the medial longitudinal arch, valgus deformity of the rear foot, and abduction of the mid-foot on the rear foot. There are a wide variety of surgical treatment options for this deformity, including lateral column lengthening (LCL) which results in tri-planar correction of AAFD. We retrospectively reviewed weightbearing preoperative radiographs and weight-bearing 6-week postoperative radiographs of 34 patients with stage II AAFD who underwent LCL (with and without concurrent procedures) with a minimum of 1-year of follow up. Read More

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Assessment of Flatfoot Deformity Using Digitally Reconstructed Radiographs: Reliability and Comparison to Conventional Radiographs.

Foot Ankle Int 2022 May 19:10711007221089260. Epub 2022 May 19.

Hospital for Special Surgery, New York, NY, USA.

Background: Digitally reconstructed radiographs (DRRs) generated from weightbearing computed tomography (WBCT) may potentially substitute for weightbearing plain radiographs (XRs) but have not been clinically validated. This study aims to test the reliability of 6 radiographic parameters of progressive collapsing foot deformity (PCFD) as measured on DRR, to investigate whether DRR represents comparably to XR through the same measurements, and to compare agreement of DRR and XR measurements of a standardized arch height parameter with reference measurements made on WBCT.

Methods: DRR generated from preoperative WBCT of 71 patients (72 feet) treated surgically for PCFD were retrospectively compared with preoperative weight-bearing XR after exclusion criteria were applied. Read More

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A computational model of force within the ligaments and tendons in progressive collapsing foot deformity.

J Orthop Res 2022 May 17. Epub 2022 May 17.

Department of Orthopaedic Surgery, University of Arizona, Tucson, Arizona, USA.

Progressive collapsing foot deformity results from degeneration of the ligaments and posterior tibial tendon (PTT). Our understanding of the relationship between their failures remains incomplete. We sought to improve this understanding through computational modeling of the forces in these soft tissues. Read More

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Do different foot types affect the 6-min walk test capacity of younths with Charcot-Marie-Tooth neuropathy ?

BMC Pediatr 2022 May 13;22(1):277. Epub 2022 May 13.

Laboratory of Musculoskeletal Structure and Function, Department of Health Science of Ribeirão Preto Medical School (FMRP-USP), Ribeirão Preto, São Paulo, Brazil.

Background: The present study aimed to assess the gait capacity of youths with Charcot Marie Tooth disease (CMT), considering the different foot postures as a grouping variable.  METHODS: The total distance, the predicted distance, and gait velocity obtained during the six-minute walking test (6MWT) were compared between participants with and without CMT. In addition, part of the CMT group completed a 12-month follow-up. Read More

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Tendinopathies of the Foot and Ankle.

Am Fam Physician 2022 May;105(5):479-486

The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Tendinopathies of the foot and ankle, including posterior tibial, peroneal, and tibialis anterior, are commonly overlooked by primary care physicians. The posterior tibial tendon is the main dynamic stabilizing muscle of the medial longitudinal arch. Patients who have posterior tibial tendinopathy present with medial ankle pain, pes planovalgus deformity, and a positive too many toes sign. Read More

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Migration of Subtalar Implants in Paediatric Flatfoot Correction: A Pilot Study in Synthetic Bone Models.

Ortop Traumatol Rehabil 2022 Apr;24(2):121-132

Klinika Chirurgii i Urologii Dziecięcej, Uniwersytet Medyczny w Białymstoku, Polska / Department of Pediatric Surgery and Urology, Medical University of Białystok, Poland.

Background: Subtalar implant migration as a complication following subtalar arthroeresis has been described in the scientific literature. However, clinical studies do not allow for unequivocally determining the underlying causes. The aim of the study is to determine the risk of migration of two geometric types of subtalar implants. Read More

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HyProCure for Pediatric Flexible Flatfoot: What Affects the Outcome.

Front Pediatr 2022 14;10:857458. Epub 2022 Apr 14.

Foot & Ankle Section, Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth Peoples Hospital, Shanghai, China.

Background: The high success rate, minimal invasion, and safety of subtalar arthroereisis (SA) have made it a primary mode of surgical management for pediatric flexible flatfoot. The HyProCure procedure is a new surgery for SA, However, very few available studies reported the therapeutic effects of the HyProCure procedure, especially in pediatric flexible flatfoot. The main aim of the present study was to investigate the clinical and radiological outcomes of the HyProCure procedure for pediatric flexible flatfoot and analyze the risk factors for therapeutic outcomes and sinus tarsi pain. Read More

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[A pedigree study of Loeys-Dietz syndrome type 4 with skeletal deformity related to a novel TGFβ2 mutation].

Zhonghua Nei Ke Za Zhi 2022 May;61(5):552-558

Shanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Diseases, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China.

Loeys-Dietz syndrome is a rare type of hereditary connective tissue disease. This study was aimed to analyze the clinical characteristics and gene mutations in a family of Loeys-Dietz syndrome with skeletal deformity. Clinical data of the proband and family members were collected and biochemical measurements and radiological examinations were conducted. Read More

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Diagnostic yield of exome sequencing in congenital vertical talus.

Eur J Med Genet 2022 Jun 27;65(6):104514. Epub 2022 Apr 27.

Department of Neurology, Washington University in St Louis, St Louis, MO, USA. Electronic address:

Background: Congenital vertical talus (CVT), also known as "rocker-bottom foot", is a rare foot deformity associated with a dislocation of the talonavicular joint. Although genetic causes of CVT have been described in single isolated and syndromic families, whole-exome sequencing (WES) of large cohorts have not yet been reported.

Methods: In this study, 62 probands with CVT were evaluated for likely causative single nucleotide variants (SNVs) and copy number variants (CNVs) using WES. Read More

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Evaluation and Management of Adolescents With a Stiff Flatfoot.

J Am Acad Orthop Surg 2022 Apr 26. Epub 2022 Apr 26.

From the OrthoCarolina Foot and Ankle Institute, Charlotte, NC (Ford), Orthopedic Associates of Dallas, Baylor Scott & White, Dallas, TX (Zide), and the Texas Scottish Rite Hospital for Children, Dallas, TX (Zide and Riccio).

While flatfeet are normal in children, persistence into adolescence with associated pain or asymmetry warrants additional evaluation. Rigidity of a flatfoot deformity, whether a clinical report or evident on examination, should raise suspicion for pathology. The differential diagnosis includes tarsal coalition, neurogenic planovalgus, and peroneal spasticity. Read More

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Meary angle for the prediction of mitral valve prolapse risk in non-syndromic patients with pes planus, a cross-sectional study.

BMC Res Notes 2022 Apr 25;15(1):145. Epub 2022 Apr 25.

Radiology Department, Faculty of Medicine, Cairo University, Giza, Egypt.

Objectives: Mitral Valve Prolapse (MVP) is a common valvular abnormality accounting for 2% of the population. There is a reported association between pes planus (PP) and MVP in some syndromes such as Marfan. However, this association has not been tested in non-syndromic cases. Read More

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Relationship Between Preoperative PROMIS Scores and Postoperative Outcomes in Hallux Rigidus Patients Undergoing Cheilectomy.

Foot Ankle Int 2022 Apr 25:10711007221088822. Epub 2022 Apr 25.

Attending, Hospital for Special Surgery, New York, NY, USA.

Background: Previous studies have demonstrated that preoperative patient-reported outcome measures are associated with postoperative outcomes in foot and ankle surgery, and also in specific procedures such as bunionectomy, flatfoot reconstruction, and total ankle replacement. The primary purpose of this study was to determine if preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function, pain interference, pain intensity, and depression scores were associated with the ability of patients undergoing cheilectomy for hallux rigidus to achieve a minimal clinically important difference (MCID) of improvement.

Methods: This retrospective study included preoperative and ≥2-year postoperative PROMIS physical function, pain interference, pain intensity, and depression scores for 125 feet in 118 patients undergoing cheilectomy collected from an institutional review board (IRB)-approved foot and ankle registry database. Read More

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Subtalar dislocation: a narrative review.

Musculoskelet Surg 2022 Apr 18. Epub 2022 Apr 18.

Department of Orthopaedics and Traumatology, Rovereto Hospital, Rovereto, Italy.

Background: Subtalar joint dislocation (1% of all dislocations) is the permanent loss of articular relationships in the talonavicular and talocalcaneal joints, without other involvement of the foot. Dislocation can occur medially (85%), laterally (15%), posteriorly (2.5%) and anteriorly (1%). Read More

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Using a modified nominal group technique to develop complex interventions for a randomised controlled trial in children with symptomatic pes planus.

Trials 2022 Apr 11;23(1):286. Epub 2022 Apr 11.

York Trials Unit, Department of Health Sciences, University of York, York, UK.

Background: Children with symptomatic flat feet (pes planus) frequently present for care but there remains uncertainty about how best to manage their condition. There is considerable variation in practice between and within professions. We intend to conduct a three-arm trial to evaluate three frequently used interventions for pes planus (exercise and advice, exercise and advice plus prefabricated orthoses, and exercise and advice plus custom made orthoses). Read More

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An association between excessive valgus hindfoot alignment and postural stability during single-leg standing in adolescent athletes.

BMC Sports Sci Med Rehabil 2022 Apr 11;14(1):64. Epub 2022 Apr 11.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan.

Background: Diminished balance is associated with the incidence of ankle and lower extremity injuries in adolescents. Although flexible flatfoot is a common foot condition in pediatric and adolescent populations, the association between balance control and foot morphology remain unclear in adolescent athletes.

Methods: Rearfoot angle in the double-limb standing position, body mass index (BMI), and isometric muscle strength related to the knee joint were retrospectively reviewed in 101 adolescent athletes (75 boys and 26 girls) with a mean age of 14. Read More

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What is New in Pediatric Orthopaedic Foot and Ankle.

J Pediatr Orthop 2022 May-Jun 01;42(5):e448-e452

Department of Orthopaedic Surgery, Stanford University, Redwood City, CA.

Background: This paper aims to report on the last 5 years of relevant research on pediatric foot and ankle pathology with specific focus on clubfoot, congenital vertical talus, toe walking, tarsal coalitions, pes planovalgus with or without accessory navicular, foot and ankle trauma, and talar dome osteochondritis dessicans.

Methods: The Browzine platform was used to review the table of contents for all papers published in the following target journals related to the treatment of pediatric foot and ankle conditions. Search results were further refined to include clinical trials and randomized controlled trials published from March 1, 2015 to November 15, 2021. Read More

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Effects of integrative neuromuscular training on the gait biomechanics of children with overweight and obesity.

Scand J Med Sci Sports 2022 Jul 29;32(7):1119-1130. Epub 2022 Apr 29.

Musculoskeletal Rehabilitation Research Group, Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, Leuven, Belgium.

Objective: To analyze whether 13 weeks of integrative neuromuscular training can benefit spatiotemporal and kinematic parameters of gait in children with overweight/obesity.

Methods: This is a non-randomized controlled trial. Fifty children (10. Read More

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Evans Calcaneal Osteotomy: Assessment of Multiplanar Correction.

J Foot Ankle Surg 2021 Nov 14. Epub 2021 Nov 14.

Deformity Correction Fellow, The Paley Institute at St. Mary's Medical Center and Palm Beach Children's Hospital, West Palm Beach, FL.

Flatfoot deformity consists of collapse of the medial arch, forefoot abduction, increased talonavicular uncoverage, and hindfoot valgus. Although numerous soft tissue and bony procedures have been proposed to correct each plane of deformity, there is a lack of objective data in the literature quantifying the amount of structural correction. The purpose of this study was to quantify the multiplanar deformity correction of the lateral column lengthening osteotomy (Evans) on hindfoot alignment through objective, reproducible, radiographic measurements. Read More

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November 2021