41 results match your criteria Intractable Plantar Keratosis

Diagnosis, imaging, and potential morbidities of the hallux interphalangeal joint os interphalangeus.

Skeletal Radiol 2022 Jun 26;51(6):1143-1151. Epub 2021 Oct 26.

Department of Radiology, Temple University Hospital, Philadelphia, PA, USA.

Hallux pain is a common entity with a differential diagnoses including hallux valgus, hallux limitus/rigidus, and gout and specifically at the interphalangeal joint (IPJ), flexor hallucis longus (FHL) tenosynovitis, and joint arthrosis. An under-recognized source of pain is the os interphalangeus, an ossicle typically located at the plantar aspect of the hallucal interphalangeal joint. This ossicle is radiographically visible in its ossified form in 2-13% of individuals, but can also be present as an ossified or non-ossified nodule in patients. Read More

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Arthroscopic Sesamoidectomy for Hallux Sesamoid Disorders.

J Foot Ankle Surg 2022 Jan-Feb;61(1):175-180. Epub 2021 Jun 18.

Department of Orthopedic Surgery, Yashio Central General Hospital, Saitama, Japan. Electronic address:

In this retrospective case series, we aimed to study arthroscopic sesamoidectomy, including surgical methods, clinical outcomes, and complications. We retrospectively reviewed the medical records of patients with hallux sesamoid disorders who underwent arthroscopic sesamoidectomy from July 2015 to July 2017. The visual analog scale for rating pain, Japanese Society for Surgery of the Foot scale scores, number of days taken to return to normal daily living, number of months taken to return to playing sports, and complications were analyzed. Read More

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January 2022

A Predictive Model for Gastrocnemius Tightness in Forefoot Pain and Intractable Plantar Keratosis of the Second Rocker.

J Am Podiatr Med Assoc 2021 May;111(3)

Background: Many people experience gastrocnemius tightness. Few studies demonstrate the relationship between gastrocnemius tightness and forefoot pathology. This study aimed to define the association between intractable plantar keratosis of the second rocker (IPK2) (also known as well-localized IPK or discrete keratosis) and metatarsalgia. Read More

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Effectiveness of saline water and lidocaine injection treatment of intractable plantar keratoma: a randomised feasibility study.

J Foot Ankle Res 2021 Apr 13;14(1):30. Epub 2021 Apr 13.

Department of Physical Activity Sciences and Podiatric Medicine, Université du Québec à Trois-Rivières, 3351, boul. des Forges, C.P. 500, Trois-Rivières, G9A 5H7, Canada.

Background: An intractable plantar keratoma (IPK) is a conical thickening of the epidermis' stratum corneum and a common cause of foot pain which can have a significant, detrimental impact on the mobility, quality of life and independence of individuals. Conservative treatments are currently offered to patients with IPK, but they are unsatisfactory since they do not offer a sufficient or permanent reduction of symptoms. The purpose of this study was the evaluation of the feasibility, safety and effectiveness of innovative treatments for intractable plantar keratoma (IPK). Read More

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Management guideline for Werner syndrome 2020. 7. Skin ulcer associated with Werner syndrome: Dermatological treatment.

Geriatr Gerontol Int 2021 Feb 3;21(2):160-162. Epub 2020 Nov 3.

Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan.

Skin ulcers in Werner's syndrome often arise from hyperkeratotic lesions and trauma to pressure points such as the plantar region, and are more difficult to treat than wound healing in healthy individuals. Multiple factors contribute to the intractable skin ulcers in Werner's syndrome, including skin thinning, sclerosis, fatty tissue loss, impaired blood flow, calcification, and excessive pressure due to osteoarticular deformity. Treatment includes topical application of a keratolytic agent for keratosis around the ulcer. Read More

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February 2021

Zombie Cells, Composite Cells of Fungal-Human Keratinocytes of Plantar Hyperkeratosis-Like Lesions.

Mycopathologia 2019 Oct 2;184(5):597-605. Epub 2019 Aug 2.

Medicalbio Corporation, 33 Zique Road, Room 3239, Beijing, 100086, China.

Foot hyperkeratosis is common. They often coincide with fungal infections, are difficult to cure and relapse rates are high. In this case study, longstanding and intractable plantar hyperkeratotic lesions were investigated for potential causative agents by histological examinations, by using human cell culture medium to grow the infected skin tissue, by sequencing ribosomal DNA and whole genome. Read More

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October 2019

Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Learning Curve.

Foot Ankle Spec 2018 Jun 3;11(3):263-268. Epub 2018 Jan 3.

Orthopaedic Hospital Speising Vienna, Vienna, Austria (SK, PB, CM, MC, HJT).

Background: Minimally invasive surgery has a shorter surgical time, and in this study we focus on minimally invasive distal metatarsal metaphyseal osteotomy (DMMO). The operation seems to be less complex but requires a high learning curve. We report on our first patients to underline the need for extensive training and great awareness for the risks in the early learning stages. Read More

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A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis.

Foot (Edinb) 2018 Mar 28;34:23-27. Epub 2017 Sep 28.

Department of Podiatric Surgery, Nottinghamshire Healthcare NHS Foundation Trust, Park House Health and Social Care Centre, 61 Burton Road, Carlton, Nottinghamshire NG3 4DQ, United Kingdom.

Aim: The purpose of this study was to evaluate the treatment of plantar skin lesions by excision and rotation skin flap closure with reference to patient satisfaction; patient reported outcomes and complication rates.

Method: A retrospective audit of 54 consecutive patients who had undergone plantar lesion excision with rotation skin flap between May 2011 and November 2015 under the care of experienced consultant podiatric surgeons. A total of 36 patients were included in this study, 16 were lost to follow up, 2 patients were excluded due to non-related pathology. Read More

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Clinical photographic observation of plantar corns and callus associated with a nominal scale classification and inter- observer reliability study in a student population.

J Foot Ankle Res 2017 12;10:45. Epub 2017 Oct 12.

Spire Hospital Little Aston, Little Aston Hall Lane, B7 3UP, Sutton Coldfield, West Midlands UK.

Background: The management of plantar corns and callus has a low cost-benefit with reduced prioritisation in healthcare. The distinction between types of keratin lesions that forms corns and callus has attracted limited interest. Observation is imperative to improving diagnostic predictions and a number of studies point to some confusion as to how best to achieve this. Read More

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February 2018

Use of hyaluronic acid gel filler versus sterile water in the treatment of intractable plantar keratomas: a pilot study.

J Am Podiatr Med Assoc 2015 Jan-Feb;105(1):22-6

Background: Intractable plantar keratoma is a common concern in the podiatric medical office. Different treatment options are available, ranging from trimming and padding to surgery. We sought to investigate the use of hyaluronic acid gel injections as a possible minimally invasive alternative in the treatment of intractable plantar keratomas. Read More

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November 2016

The diagnostic value of pedobarography.

Orthopedics 2014 Dec;37(12):e1063-7

Pedobarography can quantify static and dynamic foot pressure. Despite an increase in the clinical use of pedobarography, the results and the clinical diagnosis do not always correlate, leading to confusion and misdiagnosis. The authors evaluated the potential of pedobarography to diagnose several diseases associated with abnormal pressure across the plantar surface. Read More

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December 2014

Plantar epidermoid inclusion cyst as a possible cause of intractable plantar keratosis lesions.

J Am Podiatr Med Assoc 2009 Mar-Apr;99(2):148-52

Universidad Complutense de Madrid, Enfermería, Madrid, Spain.

Inclusion cysts are benign lesions that appear as a consequence of traumatic inclusion of epidermal cells into the dermis. They can be painful if they appear under pressure areas, especially the metatarsal heads. We report a case of a 36-year-old woman with an intractable plantar keratosis lesion under the third metatarsal head of 3 years' duration. Read More

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Geometric analysis of the Weil osteotomy.

Foot Ankle Int 2006 Nov;27(11):985-92

Texas Tech University Health Sciences, Lubbock, TX 79430-9436, USA.

Background: The Weil osteotomy has been reported to be a clinically effective treatment of metatarsalgia and intractable plantar keratosis. The plantar inclination of the metatarsal influences the effect of the osteotomy but has never been studied in detail.

Methods: This study examined five fresh or fresh-frozen cadaver specimens. Read More

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November 2006

Hypermobility of the first ray.

Foot Ankle Clin 2000 Sep;5(3):469-84

Foot and Ankle Service, Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, Maryland, USA.

Hypermobility of the first ray is one of the causative components in common foot problems (such as hallux valgus) with a large intermetatarsal angle and metatarsus primus varus. Although not always associated with hallux valgus, hypermobility is a predisposing factor for this deformity, especially in conjunction with extrinsic factors, such as disruption of the plantar first metatarsal cuneiform ligament and tendon-muscle imbalance. Hypermobility is also frequently found in adolescents with hallux valgus, especially when associated with a large intermetatarsal angle. Read More

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September 2000

Study of straight metatarsal osteotomy for the treatment of plantar callosities.

Ann Chir Gynaecol 2000 ;89(4):309-12

Department of Diagnostic Radiology, Oulu University Hospital, Finland.

Background And Aims: [corrected] To evaluate the outcome of transverse distal metatarsal osteotomies for intractable plantar callosity without hammer toe deformity and associated toe corns.

Material And Methods: Twenty-five plantar callosities were treated in 19 feet of 13 patients (mean age 48 years, 5 male, 8 female) with transverse distal metatarsal osteotomy.

Results: Twenty-four of the osteotomies united primarily, one after revision. Read More

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Salvage first MTP arthrodesis utilizing ICBG: clinical evaluation and outcome.

Foot Ankle Int 2000 Apr;21(4):290-6

Baylor University Medical Center, Orthopaedic Associates of Dallas, Texas 75246, USA.

Twelve patients (12 feet) underwent salvage first metatarsalphalangeal (MTP) arthrodesis with structural, interposition autologous iliac crest bone graft (ICBG). Eight patients had a bony defect secondary to failed first MTP joint implant arthroplasties, two had avascular necrosis (AVN) after failed bunion surgery, one had a nonunion of an attempted arthrodesis for failed bunion surgery, and one had been treated for osteomyelitis after cheilectomy. Eleven of the cases had a single dorsal plate secured by screws and one case had two plates, one dorsal and one medial. Read More

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Lesser metatarsal V-osteotomy for chronic intractable plantar keratosis. Retrospective analysis of 40 procedures.

J Am Podiatr Med Assoc 1998 Jul;88(7):323-31

Department of Surgery, Pennsylvania College of Podiatric Medicine Temple University School of Podiatric Medicine, Philadelphia, USA.

The authors studied 40 V-osteotomies of the lesser metatarsal performed for chronic intractable plantar keratosis. They discuss the effectiveness of the V-osteotomy for this deformity as well as other findings such as whether or not fixation of the osteotomy yields a better result (i.e. Read More

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Oblique metatarsal osteotomy for intractable plantar keratosis: 10-year follow-up.

Foot Ankle Int 1998 Jun;19(6):351-5

Mayo Graduate School of Medicine, Rochester, Minnesota, USA.

Twenty patients (14 women and 6 men) (23 feet) had a single oblique osteotomy operation of the 2nd, 3rd, or 4th metatarsal without fixation during an 8-year period. The mean age was 46 years (range, 21-64 years). Each patient had a painful intractable plantar keratosis preoperatively. Read More

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Chevron osteotomy of lesser metatarsals for intractable plantar callosities.

J Bone Joint Surg Br 1998 May;80(3):516-8

Department of Orthopaedics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.

We performed distal chevron osteotomy of the second, third, or fourth metatarsal for painful plantar callosities in 19 non-rheumatoid patients (16 women, 3 men; 21 feet); their mean age was 59 years (32 to 85). The mean follow-up was four years (2 to 7). The overall results were good in 16 feet, fair in two, and poor in three, with four patients still having painful plantar callosities. Read More

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The plantar incision for procedures involving the forefoot. An evaluation of one hundred and fifty incisions in one hundred and fifteen patients.

J Bone Joint Surg Am 1993 May;75(5):726-31

Department of Orthopaedic Surgery, Campbell Clinic-University of Tennessee, Memphis.

Between 1984 and 1990, 172 plantar incisions were used in 137 patients. Eighty-nine of these patients returned for a personal interview and examination, twenty-six were interviewed by telephone, and twenty-two were lost to follow-up. Of the eighty-nine patients (124 incisions) who returned for follow-up examination at an average of twenty-five months (range, six to seventy-seven months), eighty-five (96 per cent) were pleased with the result of the plantar incision. Read More

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Tibial sesamoid shaving for treatment of intractable plantar keratosis.

R A Mann K L Wapner

Foot Ankle 1992 May;13(4):196-8

Foot Surgery, Samuel Merritt Hospital, Oakland, California.

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Hallux valgus repair. DuVries modified McBride procedure.

Clin Orthop Relat Res 1991 Nov(272):213-8

The DuVries modification of the McBride procedure was investigated in 72 feet in 47 patients with hallux valgus deformity. Overall, the patient satisfaction rate was 92%. The hallux valgus averaged 32 degrees preoperatively, and 16 degrees postoperatively. Read More

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November 1991

Basal osteotomy of the fifth metatarsal for the bunionette.

P F Diebold

Foot Ankle 1991 Oct;12(2):74-9

Head of the Foot and Ankle Department, Clinique du Montet, Nancy, France.

A proximal basal chevron osteotomy was carried out on 20 patients (22 feet) with a Tailor's bunion deformity. The follow-up was of a minimum of 3 years for all patients. Direct surgery on the fifth metatarsophalangeal joint for bunionette treatment has often been unsuccessful and there have been recurrences due to metatarsophalangeal instability. Read More

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October 1991

Tibial sesamoid planing for intractable plantar keratoses.

Clin Podiatr Med Surg 1991 Jan;8(1):41-7

Partial tibial sesamoidectomy or sesamoid planing is an alternative to complete sesamoidectomy or nonoperative maintenance of a plantar keratosis. It can be performed through a very small incision and is a relatively uncomplicated, yet effective, procedure for relieving the effects of abnormal shearing forces from a prominent or malpositioned medial sesamoid. A retrospective study of 13 patients extending for 10 years representing 17 procedures was conducted. Read More

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January 1991

Proximal metatarsal segmental resection: a treatment for intractable plantar keratoses.

Orthopedics 1990 Jul;13(7):741-7

Division of Orthopedic Surgery, Painful Foot Center, University of Maryland, Baltimore 21201.

For the past 15 years, a procedure the authors have termed proximal metatarsal segmental resection has been used for the treatment of intractable, painful, submetatarsal plantar keratoses which have failed nonoperative treatments. This simple procedure basically is the resection of a cylindrical segment of proximal metatarsal bone approximately 0.5 cm long. Read More

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Distal metatarsal osteotomy for intractable plantar keratoses.

Foot Ankle 1990 Apr;10(5):247-51

University of California, Los Angeles.

A relatively simple distal osteotomy of the metatarsal necks is presented. Twenty-one feet were followed for an average of 31 months with a diagnosis of intractable plantar keratosis causing metatarsalgia. A treatment plan is given that indicates which metatarsals to osteotomize, depending on location of the keratosis. Read More

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Medial displacement metatarsal osteotomy for treatment of painful bunionette.

Clin Orthop Relat Res 1989 Jun(243):172-9

Division of Orthopaedic Surgery, UCLA School of Medicine.

A medial displacement metatarsal osteotomy was performed in 23 feet of 16 patients who had painful bunionette deformities. The mean follow-up period was 22 months. Relief of symptoms, e. Read More

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Distal metatarsal osteotomy for bunionette deformity.

J Foot Surg 1988 Nov-Dec;27(6):493-6

Department of Orthopedic Surgery, County Hospital, Hillerød, Denmark.

Surgical treatment of a bunionette deformity was carried out in 54 feet (36 patients) using the Hohmann displacement osteotomy modified by Thomasen on the fifth metatarsal. Forty-eight operated feet (32 patients) were evaluated 69 months postoperatively (median). The patients were fully satisfied in 88% of the cases and partly satisfied or unsatisfied in 12%. Read More

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Silicone implant arthroplasty for second metatarsophalangeal joint disorders with and without hallux valgus deformities.

Foot Ankle 1988 Aug;9(1):10-8

University of California, UCLA Medical Center 90024.

Subluxation or dislocation of the second metatarsophalangeal joint (MTPJ) is usually associated with a hammertoe deformity and, frequently, with a significant hallux valgus deformity. Although the joint itself may be painful, there is also pain in the hammertoe deformity, especially when the patient is wearing closed shoes. A painful intractable plantar keratosis is usually present. Read More

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Distal oblique osteotomy for intractable plantar keratosis of the middle three metatarsals.

W J Pedowitz

Foot Ankle 1988 Aug;9(1):7-9

On the middle metatarsals of 49 patients with symptomatic intractable plantar keratosis, 69 distal oblique osteotomies were performed. With an average follow-up time of 16 months, 83% of the results were rated good. This procedure is contraindicated for an intractable plantar keratosis with an associated fixed metatarsphalangeal joint deformity, however. Read More

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