2,911 results match your criteria Congenital Vertical Talus


Radiographic Outcomes of Cotton Osteotomy in Treatment of Adult-Acquired Flatfoot Deformity.

Foot Ankle Int 2021 Jun 10:10711007211015175. Epub 2021 Jun 10.

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA.

Background: We investigated the long-term radiographic outcomes of the Cotton osteotomy performed at our institution by the 2 senior authors in conjunction with other reconstruction procedures to correct adult-acquired flatfoot deformity (AAFD).

Methods: We retrospectively studied patients who underwent Cotton osteotomy between 2005 and 2010 with minimum 4-year follow-up. Radiographic assessment was made on weightbearing radiographs taken at 4 different time intervals: preoperative, early (first postoperative full weightbearing), intermediate (between 1 and 4 years postoperatively), and final (over 4 years postoperatively). Read More

View Article and Full-Text PDF

Impact of the Subtle Lisfranc Injury on Foot Structure and Function.

Foot Ankle Int 2021 Jun 10:10711007211012956. Epub 2021 Jun 10.

Department of Traumatology and Orthopaedic Surgery, Clínico San Carlos Hospital, Madrid, Spain.

Background: The subtle Lisfranc injury is the disruption of the osteoligamentary complex between the first cuneiform and the second metatarsal, resulting in minor widening of this space that is often difficult to detect with plain radiographs. In this study, we assessed the results after treatment of the different stages of subtle Lisfranc injuries, focusing on their impact on foot arch anatomy and functionality at short- to midterm follow-up.

Methods: A retrospective study including patients treated in our center for a subtle Lisfranc injury between 2012 and 2019 was conducted. Read More

View Article and Full-Text PDF

Results of the Italian Pediatric Orthopedics Society juvenile flexible flatfoot survey: diagnosis and treatment options.

J Pediatr Orthop B 2021 Jun 7. Epub 2021 Jun 7.

Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico-San Marco, University of Catania, Catania Pediatric Orthopedic Surgery Department, 'Buzzi' Children's Hospital Department of Paediatric Orthopaedics and Traumatology, Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan Pediatric Orthopaedic Unit, Department of Woman and Child Health, Padua General Hospital, Padua Department of Orthopaedics Surgery, University of Rome "Tor Vergata", Rome Department of Pediatric Orthopedic Surgery, Jeanne de Flandre Hospital, Lille University Centre, Lill Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Bari Pediatric Orthopedic and Traumatology Unit, San Raffaele Hospital, Milan, Italy.

Objectives: To collect and analyze current diagnosis and treatment options of symptomatic flexible flatfoot (FFF), as well as to identify treatment expectations, among the members of the Italian Pediatric Orthopedics Society (SITOP).

Methods: Diagnosis and treatment preferences were recorded according to a web-based survey. The survey was divided into six main sections: (1) general clinical parameters; (2) foot aspects; (3) X-ray angles (or lines); (4) expectations; (5) standard clinical assessment; (6) treatment options. Read More

View Article and Full-Text PDF

Plantar load transfer in children: a descriptive study with two pathological case studies.

BMC Musculoskelet Disord 2021 Jun 7;22(1):521. Epub 2021 Jun 7.

School of Allied Health Sciences, Griffith University, Gold Coast, QLD, 4222, Australia.

Background: Typical gait is often considered to be highly symmetrical, with gait asymmetries typically associated with pathological gait. Whilst gait symmetry is often expressed in symmetry ratios, measures of symmetry do not provide insight into how these asymmetries affect gait variables. To fully understand changes caused by gait asymmetry, we must first develop a normative database for comparison. Read More

View Article and Full-Text PDF

Treatment for Flexible Flatfoot in Children With Subtalar Arthroereisis and Soft Tissue Procedures.

Front Pediatr 2021 21;9:656178. Epub 2021 May 21.

Department of Orthopedics, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

Children with flexible flatfoot is common in clinics and there is no unified conclusion on surgical treatment. And for some patients with severe deformities, the correction of the subtalar joint arthroereisis combine the release of the Achilles tendon or gastrocnemius muscle release is still not satisfactory. The main aim of the present study was to investigate the therapeutic outcomes of subtalar arthroereisis combined with Achilles tendon or gastrocnemius recession and medial soft tissue (spring ligament, talonavicular joint capsule, tibionavicular ligaments and tibiospring ligaments) tightening for treating flexible flatfoot with severe deformities. Read More

View Article and Full-Text PDF

Clinical and Radiographic Results of Ankle Joint Preservation Surgery in Posterior Ankle Arthritis.

Foot Ankle Int 2021 Jun 6:10711007211011182. Epub 2021 Jun 6.

Seoul Foot and Ankle Center, Dubalo Orthopaedic Clinic, Dongjak Daero, Seoul, Republic of Korea.

Background: Little information is available about how to manage ankles with eccentric arthritis in the sagittal plane. This study aimed to report clinical and radiographic outcomes following joint preservation surgery for ankles with eccentric arthritis at the posterior tibiotalar joint and a plantarflexed talus in the sagittal plane, which we named posterior ankle arthritis.

Methods: Ten ankles with posterior ankle arthritis were treated with realignment surgery between 2017 and 2018. Read More

View Article and Full-Text PDF

Foot Pain and Morphofunctional Foot Disorders in Patients with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study.

Int J Environ Res Public Health 2021 May 10;18(9). Epub 2021 May 10.

Department of Podiatry, University of Seville, 41004 Seville, Spain.

Foot problems are highly prevalent in people with rheumatoid arthritis. This study aims to explore the foot morphology, pain and function in rheumatoid arthritis patients and the relation with the time of disease debut. A cross-sectional study was designed. Read More

View Article and Full-Text PDF

Anti-pronator components are essential to effectively alter lower-limb kinematics and kinetics in individuals with flexible flatfeet.

Clin Biomech (Bristol, Avon) 2021 May 23;86:105390. Epub 2021 May 23.

École de Kinésiologie et des Sciences de l'Activité Physique, Université de Montréal, Campus Laval, 1700 rue Jacques Tétreault, Laval, QC H7N 0B6, Canada; Laboratoire Orthopédique Médicus, 2520 Boul. St-Joseph, Montréal, QC H1Y 2A2, Canada.

Background: Foot orthoses are commonly used to correct for foot alterations and especially address excessive foot pronation in individuals with flatfeet. In recent years, 3D printing has taken a key place in orthotic manufacturing processes as it offers more options and can be patient specific. Hence, the purpose of this study was to evaluate whether stiffness of 3D printed foot orthoses and a newly designed rearfoot posting have an effect on lower limb kinematics and kinetics in individuals with flatfeet. Read More

View Article and Full-Text PDF

The investigation of foot structure within children who have attention-deficit hyperactivity disorder: a case-controlled study.

J Pediatr Orthop B 2021 May 20. Epub 2021 May 20.

Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul Medeniyet University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Yeditepe University Department of Child and Adolescent Psychiatry, Başakşehir Çam and Sakura City Hospital Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Biruni University, Istanbul, Turkey.

Objectives: The impairments in motor performance could be related to the foot structure in children with attention-deficit/hyperactivity disorder (ADHD) while considering the close relationship between foot structure and lower extremity alignment. This study aimed to investigate the foot structure and its relationships between disease severity, physical activity and psychiatric traits in children with ADHD.

Methods: Children with ADHD (n = 50; mean age: 12. Read More

View Article and Full-Text PDF

Multimodality imaging of the paediatric flatfoot.

Skeletal Radiol 2021 May 17. Epub 2021 May 17.

Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, Middlesex, UK.

Flatfoot is commonly encountered in the paediatric population and describes a spectrum of clinical and radiological presentations which encompass both normally developing and pathological feet. Flatfoot can be categorised as flexible or rigid, a distinction which has important implications when considering the potential underlying aetiology and treatment options, and therefore imaging is an important component of the diagnostic workup. Weight-bearing plain radiographs are established initial investigations, although the significance of a number of the commonly derived quantitative parameters in children remains unclear. Read More

View Article and Full-Text PDF

Biomechanical Evaluation of a Cadaveric Flatfoot Model and Lateral Column Lengthening Technique.

J Foot Ankle Surg 2021 Apr 11. Epub 2021 Apr 11.

Department of Orthopaedic Surgery, University of California, Irvine, CA; Orthopaedic Biomechanics Laboratory, Congress Medical Foundation, Pasadena, CA.

Patients with adult acquired flatfoot have progressive worsening of bony alignment with many being unable to perform a heel rise. Following reconstruction, pathologic skeletal alignment is corrected and the ability to perform a heel rise is often restored. The purpose of this study was to evaluate the relationship between forefoot liftoff forces and skeletal alignment in a cadaveric flatfoot model by assessing the effect of sequential lengthening of the lateral column using an Evans-type calcaneal osteotomy. Read More

View Article and Full-Text PDF

[The assessment of physical fitness level, the functional status and the social features of the elderly that decided to engage in physical exercises.]

Adv Gerontol 2021 ;34(1):122-127

Siberian State Medical University, 2 Moskovskij trakt, Tomsk 634050, Russian Federation, e-mail:

For the sake of maintaining active longevity of the elderly the adequate, individually selected physical activity, that was get after the integrated assessment of physical fitness level, the functional status and the social features, is necessary. 121 women (mean age 66,77±5,37) who decided to engage in physical exercises were included in the study. For every participant professional, social and sport anamnesis, the presence of illnesses, the clinical information and the functional tests (Stange, orthostatic, «6 minutes walking», «Up and go») were evaluated. Read More

View Article and Full-Text PDF

Peroneus Longus overload caused by soft tissue deficiencies associated with early adult acquired flatfoot: A finite element analysis.

Clin Biomech (Bristol, Avon) 2021 May 11;86:105383. Epub 2021 May 11.

Applied Mechanics and Bioengineering Group (AMB), Arag'on Institute of Engineering Research (I3A), Universidad de Zaragoza, Spain.

Background: Peroneus Longus tendinopathy has been related to overload from cavus and ankle instability. The etiology of isolated Peroneus Longus tendon synovitis has not been elucidated. Loss of foot arch integrity as a cause of isolated Peroneus Longus overload is difficult to establish using cadaver modeling. Read More

View Article and Full-Text PDF

Extrinsic foot muscle forces and joint contact forces in flexible flatfoot adult with foot orthosis: A parametric study of tibialis posterior muscle weakness.

Gait Posture 2021 May 10;88:54-59. Epub 2021 May 10.

Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region; The Hong Kong Polytechnic University Shenzhen Research Institute, Shenzhen, China. Electronic address:

Background: The posterior tibialis tendon dysfunction (PTTD) is typically associated with progressive flatfoot deformity, which could be alleviated with foot orthosis. However, the evaluation of tibialis posterior (TP) weakness on lower limb mechanics of flatfoot adults with foot orthoses is scarce and requires further investigation.

Research Question: This study aimed to examine the effects of TP weakness on lower limb mechanics in flatfoot adults with foot orthosis through gait analysis and musculoskeletal modelling. Read More

View Article and Full-Text PDF

Current Concepts in Treatment of Ligament Incompetence in the Acquired Flatfoot.

Foot Ankle Clin 2021 Jun;26(2):373-389

Universidad del Desarrollo, Clinica Alemana de Santiago, Vitacura 5951, Santiago, Chile.

Flatfoot deformity consists of a loss of medial arch, hindfoot valgus, and forefoot abduction. Historically considered a posterior tendon insufficiency, multiple ligament damage and subsequent incompetence explain the different clinical presentations with varying degrees of deformity. When surgery is deemed necessary, depending on the apex of the deformity, skeletal and soft tissue procedures are considered to keep motion and restore function. Read More

View Article and Full-Text PDF

Current Trends in Treatment of Injuries to Spring Ligament.

Foot Ankle Clin 2021 Jun;26(2):345-359

Department of Locomotor Apparatus, Federal University of Minas Gerais, Av. Prof. Alfredo Balena, 190 - Belo Horizonte, MG CEP 30130-100, Brazil.

The spring ligament is the main static supporter of the medial longitudinal arch. Identifying every detail of the pathophysiology of each condition in which these structures are involved is the key to an appropriate approach and treatment. Isolated reconstruction of the posterior tibial tendon present long-term results with a high failure rate. Read More

View Article and Full-Text PDF

Imaging of Peritalar Instability.

Foot Ankle Clin 2021 Jun 17;26(2):269-289. Epub 2021 Apr 17.

Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA; Department of Orthopaedics, Trauma and Reconstructive Surgery, University of Hamburg, Martinistr. 52, Hamburg 20246, Germany. Electronic address:

Undiagnosed medial ankle instability can be a prerequisite for pathogenic progression in the foot, particularly for adult acquired flatfoot deformity. With the complex anatomy in this region, and the limitations of each individual investigational method, accurately identifying peritalar instability remains a serious challenge to clinicians. Performing a thorough clinical examination aided by evaluation with advanced imaging can improve the threshold of detection for this condition and allow early proper treatment to prevent further manifestations of the instability. Read More

View Article and Full-Text PDF

Talus morphology differs between flatfeet and controls, but its variety has no influence on extent of surgical deformity correction.

Arch Orthop Trauma Surg 2021 May 10. Epub 2021 May 10.

Orthopaedic Department, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

Background: Progressive collapsing foot deformity (PCFD) is a complex 3-dimensional (3-D) deformity with varying degrees of hindfoot valgus, forefoot abduction, and midfoot varus. The first aim of this study was to perform a 3-D analysis of the talus morphology between symptomatic PCFD patients that underwent operative flatfoot correction and controls. The second aim was to investigate if there is an impact of individual talus morphology on the success of operative flatfoot correction. Read More

View Article and Full-Text PDF

Double hindfoot arthrodesis using a single-incision medial approach in the correction of adult-acquired flatfoot deformity: a case series.

Int Orthop 2021 May 8. Epub 2021 May 8.

Head of Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil.

Background: Hindfoot arthrodesis is used in patients with advanced-stage acquired flatfoot, usually associated with degenerative joint disease. The objective of the present study was to evaluate the clinical and radiographic results of hindfoot arthrodesis using the single-incision medial approach.

Methods: A case series of 18 consecutive patients undergoing surgical correction between 2015 and 2018 with hindfoot arthrodesis using the medial approach was evaluated. Read More

View Article and Full-Text PDF

An unusual presentation of acute isolated spring ligament injury in an adolescent: A case report.

Foot (Edinb) 2021 Jun 19;47:101807. Epub 2021 Apr 19.

Oasis Orthopaedic & Sonography Clinic, Hadapsar, Pune, Maharashtra, 411028, India. Electronic address:

Spring ligament is an important stabilizing soft tissue structure on the plantar aspect of calcaneo-navicular joint. It is principal stabilizing structure to maintain the medial longitudinal arch during weight bearing. Attenuation of spring ligament along with tibialis posterior tendon deficiency usually results in adult acquired flat foot. Read More

View Article and Full-Text PDF

Medial displacement calcaneal osteotomy versus lateral column lengthening to treat stage II tibialis posterior tendon dysfunction, a prospective randomized controlled study.

Foot (Edinb) 2021 Jun 7;47:101798. Epub 2021 Apr 7.

Orthopedic Department, Assiut University Hospital, Assiut, Egypt. Electronic address:

Purpose: Adult-acquired flatfoot deformity (AAFD) requires optimum planning that often requires several procedures for deformity correction. The objective of this study was to detect the difference between MDCO versus LCL in the management of AAFD with stage II tibialis posterior tendon dysfunction regarding functional, radiographic outcomes, efficacy in correction maintenance, and the incidence of complications.

Patient And Methods: 42 Patients (21 males and 21 females) with a mean age of 49. Read More

View Article and Full-Text PDF

Paediatric Flatfeet - a 2020 guide for clinicians to identify the 'Boomerangs'.

Authors:
Angela M Evans

J Am Podiatr Med Assoc 2021 May 5. Epub 2021 May 5.

The paediatric flatfoot has long occupied a place in the medical literature, with concerns about the significance of its appearance. At the end of the first decade of the 21st century, a paper in this journal provoked active debate about the paediatric flatfoot as part of development, and proposed a considered titration of presenting cases in effort to justify treatment and appreciated the range and expected change in normal foot posture with growth. A decade later, the availability of normative paediatric foot posture data, and the prospective findings to confirm lessening flatfeet with age, encourage a structured and considered approach to this frequent primary care presentation. Read More

View Article and Full-Text PDF

Commentary on "Paediatric Flatfeet: a 2020 Guide for Clinicians to Identify the Boomerangs".

Authors:
Russell G Volpe

J Am Podiatr Med Assoc 2021 May 5. Epub 2021 May 5.

Commentary on "Paediatric Flatfeet: a 2020 Guide for Clinicians to Identify the Boomerangs" (http://doi.org/10.7547/20-103). Read More

View Article and Full-Text PDF

Subtalar Arthroereisis for Flexible Flatfoot in Children-Clinical, Radiographic and Pedobarographic Outcome Comparing Three Different Methods.

Children (Basel) 2021 Apr 30;8(5). Epub 2021 Apr 30.

Pediatric Orthopedics, Deformity Reconstruction and Foot Surgery, University Hospital Muenster, 48149 Muenster, Germany.

Subtalar arthroereises (STA) is a minimally invasive and reversible surgery to correct symptomatic flexible flatfoot (FFF) in children. Various techniques were described either applying expandable sinus tarsi implants or lateral calcaneus stop screws. Studies comparing the outcome of STA with different devices are rare. Read More

View Article and Full-Text PDF

Paediatric flat foot and foot dimension in Central Anatolia.

BMC Pediatr 2021 04 27;21(1):200. Epub 2021 Apr 27.

Department of Anesthesiology and Reanimation, Faculty of Medicine, Ankara University, Ankara, Turkey.

Background: Information on the foot structures of Central Anatolian children is limited. Foot structures of children aged 6-10 years were shown to be different according to sex and increasing age.

Objective: This study aimed to compare the foot anthropometric values by age and sex and collect the foot anthropometric data to reveal the relationship between pes planus and pes cavus in the arches of children according to age. Read More

View Article and Full-Text PDF

Double versus triple arthrodesis for adult-acquired flatfoot deformity due to stage III posterior tibial tendon insufficiency: a prospective comparative study of two cohorts.

Int Orthop 2021 Apr 25. Epub 2021 Apr 25.

Orthopedic Department, Assiut University, Assiut, Egypt.

Purpose: The study aims to prospectively compare double and triple arthrodesis in terms of functional outcomes and deformity correction. To the best of our knowledge, this is the first prospective comparative study in the literature to date.

Methods: This is a prospective comparative cohort study carried out between May 2017 and May 2019. Read More

View Article and Full-Text PDF

Predicting Postoperative Sagittal Plane Alignment of the Foot Using Intraoperative Simulated Weightbearing Lateral Imaging During Flatfoot Reconstructive Surgery: A Short-Term Retrospective Analysis.

J Foot Ankle Surg 2021 Mar 6. Epub 2021 Mar 6.

Resident, Foot and Ankle Surgical Residency Program, Regions Hospital, HealthPartners Institute for Education and Research, St. Paul, MN. Electronic address:

The sagittal plane relationship of the hindfoot and midfoot joints is a primary determinant of proper alignment in flatfoot reconstructive surgery as assessed both clinically and on postoperative weightbearing (WB) lateral radiographs. The traditional approach to intraoperative radiographic imaging allows for accurate assessment of fixation placement but only a crude evaluation of final sagittal plane alignment. Surgeons employ various methods in an attempt to load the foot during lateral imaging. Read More

View Article and Full-Text PDF

Trends in hospitalisation of Subtalar Joint Arthroereisis in Italy from 2009 to 2016.

Foot Ankle Surg 2021 Apr 5. Epub 2021 Apr 5.

Department of Orthopedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

Background: Subtalar Joint Arthroereisis (SJA) is the most used technique for the treatment of flexible flatfoot. Limited data are reported to trends of hospitalisation for SJA. This study aimed to estimate annual admissions and the geographical distribution of SJA in young Italian patients from 2009 to 2016. Read More

View Article and Full-Text PDF

Relationships Between Relative Ankle Muscle Ratios, Severity of Symptoms, and Radiologic Parameters in Adolescent Patients With Symptomatic Flexible Flat Feet.

Ann Rehabil Med 2021 Apr 14;45(2):123-130. Epub 2021 Apr 14.

Department of Rehabilitation Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.

Objective: To investigate differences in the relative sizes of the ankle-stabilizing muscles in individuals with versus without flexible flat feet and to determine predictors of symptom severity.

Methods: This cross-sectional study included 30 patients with symptomatic flexible flat feet and 24 normal controls. The following were evaluated: foot posture index, resting calcaneal stance position angle, radiographic findings (calcaneal pitch, Meary's angle, talocalcaneal angle, talonavicular coverage angle [TNCA]), foot function index (FFI), and cross-sectional areas (CSA) of the tibialis anterior (TA), tibialis posterior (TP), and peroneus longus (PL) upon ultrasonographic examination. Read More

View Article and Full-Text PDF

Triad of foot deformities and its conservative treatment: With a 3D customized insole.

Proc Inst Mech Eng H 2021 Jul 12;235(7):780-791. Epub 2021 Apr 12.

Medical School Orthopaedia and Traumatology Department, Faculty of Medicine, Kafkas University, Kars, Turkey.

The coexisting of three deformities as hallux valgus, flatfoot, and the calcaneal spur is an undefined medical condition, and it may be called triad of foot deformities (TFD) as a definition for a new disease entity. A customized 3D insole prototype was created by postprocessing of MRI data, and printed by 3D printer technology for the purpose of providing effective and innovative treatment for TFD. A 42 years-old female was clinically examined for TFD findings. Read More

View Article and Full-Text PDF