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Foot Ankle Surg 2019 Apr 2. Epub 2019 Apr 2.

Dept. of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences - Prasanthigram, Puttaparthi, Andhra Pradesh, 515134 India. Electronic address:

Background: Diagnosis and classification of chronic osteomyelitis is not based on any objective criteria. None of the available methods for this is completely reliable. Tienmann et al. Read More

J Bone Joint Surg Am 2019 Apr;101(8):722-729

Departments of Orthopaedic Surgery (F.T.F, T.D.G., P.G.T., and J.R.H.), Surgery (H.M.H. and J.F.W.), and Anesthesiology (C.M.B.), University of Michigan, Ann Arbor, Michigan.

Background: Orthopaedic surgeons are the fourth highest on the list of top prescribers of opioid analgesics by specialty and have a direct impact on opioid-related morbidity in the United States. Operative bunion correction is one of the most commonly performed elective foot surgical procedures in this country. We sought to determine the rate of new persistent opioid use following exposure to opioids after surgical treatment of hallux valgus (bunionectomy) and to identify associated risk factors. Read More

Foot Ankle Int 2019 Apr 17:1071100719842800. Epub 2019 Apr 17.

1 Saint Alphonsus Medical Group, Coughlin Foot & Ankle Clinic, Boise, ID, USA.

Background: The purpose of this study was to evaluate outcomes utilizing a low-profile titanium plate and screw construct for rigid fixation of first ray proximal crescentic osteotomies in the treatment of hallux valgus.

Methods: Forty-eight patients (53 feet) with mild to severe hallux valgus were prospectively enrolled and completed 12-month follow-up. All were treated with a proximal crescentic osteotomy, fixed with a low-profile titanium plate, distal soft tissue correction, with or without an Akin osteotomy. Read More

J Orthop Surg Res 2019 Apr 16;14(1):107. Epub 2019 Apr 16.

Center for Statistical Research and Methodology, U.S. Census Bureau, Washington, D.C., USA.

Background: Previous research has identified separate sagittal plane instantaneous centers of rotation for the metatarso-phalangeal and metatarso-sesamoid joints, but surprisingly, it does not appear that any have integrated the distinctive morphological characteristics of all three joints and their respective axes into a model that collectively unifies their functional motions. Since all joint motion is defined by its centers of rotation, establishing this in a complicated multi-dimensional structure such as the metatarso-phalangeal-sesamoid joint complex is fundamental to understanding its functionality and subsequent structural failures such as hallux abducto valgus and hallux rigidus.

Methods: Based on a hypothesis that it is possible to develop an instantaneous center of rotation common to all four osseous structures, specific morphometrics were selected from a sequential series of 0. Read More

Altern Ther Health Med 2019 Mar;25(2):36-41

Objectivest: The purpose of this study was to examine the effects of 8 wk of moderate intensity aerobic exercise on vibration perception threshold (VPT) in type 2 diabetic peripheral neuropathy (DPN).

Methods: Single blind parallel group randomized controlled trial was done in a tertiary center. Stratified block randomization was used for selecting participants. Read More

Clin Anat 2019 Apr 16. Epub 2019 Apr 16.

Department of Radiology, Keio University, Tokyo, Japan.

Purpose: To evaluate the rotational change in the first metatarsal bone (1MT) of the foot during natural standing using an upright computed tomography (CT) scanner with 320-detector rows.

Material And Methods: A total of 52 feet of 28 asymptomatic subjects (aged 23-39 years) were evaluated in the natural standing position with or without weight-bearing. A foot pressure plate was used to determine the non-weight-bearing (NWB) or single leg full-weight-bearing (s-FWB) conditions. Read More

Exp Ther Med 2019 May 12;17(5):3299-3306. Epub 2019 Mar 12.

Department of Emergency, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310005, P.R. China.

The current study aimed to investigate the inhibitory effect of tanshinone IIA (Tan IIA) on the inflammatory response in patients with rheumatoid arthritis (RA) and explore its mechanism. A total of 50 patients with RA were randomly separated into the control group (15 cases) and the research group (35 cases). The tumor necrosis factor (TNF)-α and interleukin (IL)-6 levels in serum were determined, and peripheral blood mononuclear cells (PBMCs) were separated from patients with RA and cultured . Read More

Anat Cell Biol 2019 Mar 29;52(1):87-89. Epub 2019 Mar 29.

Department of Anatomy, Yeungnam University College of Medicine, Daegu, Korea.

The medial and lateral plantar nerves are branched from the tibial nerve and move to the tip of the toes. A variation of medial plantar nerve was found on the left side of a 78-year-old Korean male cadaver. The tibial nerve was divided into the lateral and medial plantar nerves beneath the plantar flexor. Read More

Foot (Edinb) 2019 Mar 15;39:72-75. Epub 2019 Mar 15.

Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, United Kingdom.

Following 1st metatarsophalangeal joint replacement, there is a normalisation of foot pressure distribution as demonstrated by peak pressures of the 1st and 5th metatarsal heads and their ratio as measured by pedobarographs. This compares favourably with the unaffected foot. Functional dorsiflexion range of motion is maintained and there is a significant improvement in the reported patient outcome measure. Read More

Foot (Edinb) 2019 Mar 14;40:1-7. Epub 2019 Mar 14.

Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan.

Introduction: Calcaneal pitch angle and Meary's angle are commonly used to assess longitudinal foot arches on lateral-view radiographs. However, the methods used to obtain the talar, first metatarsal, calcaneal, and plantar axes differ across multiple reports, and no study has evaluated the reproducibility of these approaches. The aim of this study was to determine the most reproducible methods for radiographically evaluating longitudinal axes. Read More

Nature 2019 Apr 10;568(7751):181-186. Epub 2019 Apr 10.

National Museum of the Philippines, Manila, The Philippines.

A hominin third metatarsal discovered in 2007 in Callao Cave (Northern Luzon, the Philippines) and dated to 67 thousand years ago provided the earliest direct evidence of a human presence in the Philippines. Analysis of this foot bone suggested that it belonged to the genus Homo, but to which species was unclear. Here we report the discovery of twelve additional hominin elements that represent at least three individuals that were found in the same stratigraphic layer of Callao Cave as the previously discovered metatarsal. Read More

Foot Ankle Int 2019 Apr 11:1071100719840814. Epub 2019 Apr 11.

1 Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Background: Rheumatoid arthritis (RA) can cause significant forefoot disorders. If forefoot deformity and pain are severe, surgical treatment can be considered. The aim of this study was to analyze the long-term outcomes of surgical forefoot correction per Tillmann, which involves resection of the metatarsal heads through a transverse plantar approach for the lesser toes and a dorsomedial approach to the great toe. Read More

J Am Podiatr Med Assoc 2019 Jan;109(1):80-86

Plantar plate repairs are challenging procedures because of the small anatomy of the plantar plate. This can make them daunting, time-consuming procedures to perform. Advances in technology, such as interference screws and small suture passers, have created improved technique possibilities to decrease difficulty, correct multiple planes of deformity, create stronger constructs, and improve patient results. Read More

J Foot Ankle Surg 2019 Apr 6. Epub 2019 Apr 6.

Clinical Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania. Electronic address:

The so-called obliquity of the first metatarsal-medial cuneiform articulation has been described as an atavistic trait of human foot morphology, and it is commonly proposed as a relative risk factor for development of the hallux abductovalgus (HAV) deformity. The objectives of this investigation were to 1) provide descriptive normative radiographic data on a series of first metatarsal-medial cuneiform articulations and 2) correlate these findings to other common radiographic parameters used to define the HAV deformity. We measured radiographic parameters including the first intermetatarsal angle, hallux abductus angle, tibial sesamoid position, Engel's angle, and 2 measures of obliquity in the transverse and sagittal planes on a consecutive series of 136 weightbearing foot radiographic projections from subjects without a history of foot/ankle surgery or fracture/dislocation. Read More

BMC Musculoskelet Disord 2019 Apr 9;20(1):149. Epub 2019 Apr 9.

Department of Orthopaedic Surgery, University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Background: The aim of the study was to evaluate changes in plantar pressure distribution in feet affected by hallux valgus compared with their contralateral non-affected feet and with the feet of healthy control subjects.

Methods: Thirty-six patients with unilateral hallux valgus who were indicated for surgery and 30 healthy subjects were assessed on a pedobarographic instrumented treadmill for step length and width, mean stance phase, and plantar foot pressure distribution. Plantar pressure distribution was divided into eight regions. Read More

Foot Ankle Spec 2019 Apr 8:1938640019835301. Epub 2019 Apr 8.

Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas (VP, J Cordova, J Chen, CJ).

Background: Hallux valgus has been associated with a widened forefoot. Most surgical procedures for the correction of hallux valgus have the potential to reduce forefoot width. Success after hallux valgus surgery is correlated with relief of toe pain in conventional shoes and improvement in the appearance of the foot. Read More

Ann Anat 2019 Mar 28;224:47-53. Epub 2019 Mar 28.

Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Poland. Electronic address:

Purpose: The fibularis longus muscle (FLM) is located in the lateral compartment of the leg. Although the FLM presents high morphological variability, particularly the tendon, little is known of its insertion. Similarly, little information exists regarding the great diversity of the Frenular ligament. Read More

Int J Paleopathol 2019 Mar 27;25:9-19. Epub 2019 Mar 27.

California State University, 5151 State University Drive, Los Angeles, CA 90032-8220, United States. Electronic address:

From 2005-2006 the Institute of Cultural Relics and Archaeology, Henan Province, excavated the Xuecun cemetery as part of a salvage archaeology project associated with the South to North Water Diversion Project. This gave a unique opportunity to examine burials from the Ming-Qing Dynasties (1360-1911). Burials from this period are seldom excavated as the Chinese, do not want to disturb their direct ancestors. Read More

Mod Rheumatol 2019 Mar 29:1-8. Epub 2019 Mar 29.

a Department of Rheumatology/Orthopaedics , National Hospital Organization, Osaka Minami Medical Center , Osaka , Japan.

Objectives: Joint-preserving rheumatoid forefoot surgery improves clinical outcomes, but postoperative range of motion (ROM) of the metatarsophalangeal (MTP) joint remains an issue. The objective of this study was to evaluate the effect of ROM exercise from the early period after lesser toe MTP joint-preserving surgery.

Methods: A retrospective, observational study of 22 rheumatoid arthritis patients who underwent modified metatarsal shortening offset osteotomy was completed. Read More

Osteoporos Int 2019 Mar 26. Epub 2019 Mar 26.

Health Sciences Centre Winnipeg, Winnipeg, Canada.

Hypophosphatasia (HPP) is a rare inherited disorder of bone and mineral metabolism caused by loss of function mutations in the ALPL gene. The presentation in children and adults can be extremely variable and natural history is poorly understood particularly in adults. Careful patient evaluation is required with consideration of pharmacologic intervention in individuals meeting criteria for therapy. Read More

Pol Merkur Lekarski 2019 Mar;46(273):122-124

Sub-Department of Orthopedics, Department of Neuroorthopedics, Mazovian Centre of Rehabilitation STOCER, Konstancin-Jeziorna, Poland.

The Stoffella surgical method is a reverse Chevron distal metatarsal osteotomy, typically used in younger patients, with good bone quality. The technique is suitable for a variety of cases, from mild to severe, since the head of the first metatarsal may be moved laterally to the edge of the first metatarsal bone, thereby allowing for a significant degree of correction.

Aim: The aim of the paper is to review the radiological results of patients suffering from hallux valgus who underwent Stoffella metatarsal I osteotomy. Read More

J Biomech 2019 Mar 18. Epub 2019 Mar 18.

Physical Therapy, Speech and Occupational Therapy Dept., School of Medicine, University of Sao Paulo, SP, Brazil.

The medial-longitudinal arch (MLA) is perhaps the most important feature characterizing foot morphology. While current skin-markers based models of the MLA angle used in stereophotogrammetry allow to estimate foot arch shape and deformation, these do not always appear consistent with foot anatomy and with standard clinical definitions. The aim of this study was to propose novel skin-markers based measures of MLA angle and investigate their reliability during common motor tasks. Read More

BMC Musculoskelet Disord 2019 Mar 25;20(1):121. Epub 2019 Mar 25.

Committee on Emergency Medicine, Intensive Care and Trauma Management, (Sektion NIS) of the German Trauma Society (DGU), Cologne, Germany.

Background: Missed or underestimated injuries are one of the central problems in trauma care. Foot injuries can easily be missed because they lay beyond the regularly screened field of a trauma computer tomography scan (CT scan). During primary and secondary survey a careful examination of the extremities often becomes of secondary interest in the severely injured patient. Read More

J Foot Ankle Surg 2019 Mar 19. Epub 2019 Mar 19.

Associate, Main Line Foot and Ankle Center, Ardmore, PA.

Plantar dislocation of the first metatarsophalangeal joint is a possible, albeit rare, injury to the foot. The mechanism has been attributed to a hyperflexion motion, with the hallux situated plantar to the first metatarsal head. In this article, we provide a case example of an open, plantar dislocation of the first metatarsophalangeal and perform a literature review of this rare injury. Read More

J Foot Ankle Surg 2019 Mar 19. Epub 2019 Mar 19.

Orthopedic Surgery Consultant, Department of Orthopedic Surgery, Security Forces Hospital, Riyadh, Saudi Arabia.

Tarsal coalition is an abnormal connection between 2 or more tarsal bones, with the most common sites being between the talus and the calcaneus and between the navicular and the calcaneus. The occurrence of multiple and massive tarsal coalitions is rare. We describe a rare case of nonsyndromic bilateral tarsal coalition involving most of the tarsal bones and extending to the metatarsal bones in a 4-year-old female. Read More

Foot Ankle Int 2019 Mar 22:1071100719839692. Epub 2019 Mar 22.

2 Michaud Chiropractic Center, Newton, MA, USA.

Despite evidence that instability of the first ray (first metatarsal and medial cuneiform) alters the loading mechanics of the foot, surprisingly few studies have linked the condition with disorders of the foot. A factor limiting this research is the difficulty associated with measuring first ray mobility (FRM). To quantify dorsal FRM, clinicians and researchers have devised a variety of methods that impose a dorsally directed load, and record displacement. Read More

Foot Ankle Int 2019 Mar 22:1071100719839176. Epub 2019 Mar 22.

1 Department of Orthopaedics and Rehabilitation, University of Rochester, Rochester, NY, USA.

Background:: A spring ligament tear is commonly present in advanced stages of adult acquired flatfoot deformity (AAFD). Previous anatomic studies have demonstrated that the superficial deltoid ligament blends with the superomedial spring ligament, forming the tibiocalcaneonavicular ligament (TCNL). Adding allograft TCNL reconstruction to osseous correction has been suggested to augment medial peritalar stability in advanced AAFD with large spring ligament tears. Read More

Arthrosc Tech 2019 Feb 7;8(2):e105-e109. Epub 2019 Jan 7.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong SAR, China.

Tuberosity avulsion fractures of the fifth metatarsal are common and the lateral band of the plantar aponeurosis as the structure more likely to cause these fractures. Most tuberosity avulsion fractures heal by 8 weeks with conservative treatment. Symptomatic nonunion can occasionally occur. Read More

Zhonghua Shao Shang Za Zhi 2019 Mar;35(3):205-208

Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China.

To investigate the effects of free mini-flap on tibial side of third toe on repairing skin and soft tissue defect of finger pulp at the end of finger. From August 2013 to May 2017, 18 patients with skin and soft tissue defect of finger pulp at the end of finger were admitted to our unit, with 12 men and 6 women aged 16 to 54 years. As the skin and soft tissue defect sites, there were 3 cases of thumb, 8 cases of index finger, 4 cases of middle finger, and 3 cases of ring finger. Read More

Sensors (Basel) 2019 Mar 16;19(6). Epub 2019 Mar 16.

Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry,Universidade da Coruña, 15403 Ferrol, Spain.

Hallux abductus valgus (HAV) is a forefoot condition produced by extrinsic and intrinsic factors. Shoes with a high heel height and a typical narrow tip toe box can induce deviations in both the proximal phalanx of the hallux (PPH) and the first metatarsal (IMTT) bones. Nevertheless, the isolated role of heel height remains unclear in the development of HAV pathology. Read More

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Divison of Plastic and Reconstructive Surgery, University of the Study of Naples "Federico II".

Background: In the multidisciplinary treatment of obesity, the role of a plastic surgeon is to remove the excess of skin after weight loss to obtain cosmetic, functional, and psychological benefits. Obesity modifies body geometry, increases the mass of different segments, and imposes functional limitations in life activities that may predispose the obese to injury. The authors evaluated the postural conditions of obese patients, before and 12 months after surgery. Read More

Foot Ankle Int 2019 Mar 17:1071100719837524. Epub 2019 Mar 17.

1 Department of Orthopedics, University of Colorado, Aurora, CO, USA.

Background:: Open metatarsophalangeal (MTP) arthrodesis using locked plates produces good clinical outcomes. However, arthroscopic fusion with new-generation fully threaded compression screws is emerging as an alternative. The purpose of this study was to compare low-profile contoured locked plates with fully threaded compression screws for first MTP fusion, in a biomechanical cadaveric model. Read More

Clin Anat 2019 Mar 15. Epub 2019 Mar 15.

Department of Anatomy, Sungkyunkwan University School of Medicine, Suwon, Gyeonggi-do, Korea.

This study investigated the morphological variations of the plantar tarsometatarsal ligaments of the foot by classifying them based on their ligamentous components. Fifty embalmed feet from 27 adult Korean cadavers were used. The plantar tarsometatarsal ligaments comprised nine components (medial cuneiform-first metatarsal, pCn1-M1; medial cuneiform-second metatarsal, pCn1-M2; medial cuneiform-second and third metatarsals, pCn1-M2,3; median cuneiform-second metatarsal, pCn2-M2; lateral cuneiform-third metatarsal, pCn3-M3; lateral cuneiform-fourth metatarsal, pCn3-M4; lateral cuneiform-third and fourth metatarsals, pCn3-M3,4; cuboid-fourth metatarsal, pCb-M4; and cuboid-fifth metatarsal, pCb-M5). Read More

Foot Ankle Surg 2019 Feb 27. Epub 2019 Feb 27.

Family Medicine Chair, Department of Clinical Medicine, Miguel Hernandez University, San Juan de Alicante, Spain.

Background: Hallux valgus (HV) is widely treated by Chevron osteotomy (CO); however, a modified CO may improve patient outcomes and recovery.

Methods: A prospective study was designed to analyze plantar pressure measurements and clinical and radiographic outcomes of a modified CO for HV. Recruitment was between February 2016 and February 2017. Read More

J Am Anim Hosp Assoc 2019 May/Jun;55(3):e55304. Epub 2019 Mar 14.

From the Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, Missouri (K.A.S., J.C.L., G.M.); and Associated Veterinary Specialists, St. Louis, Missouri (W.H.).

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Foot Ankle Int 2019 Mar 13:1071100719835464. Epub 2019 Mar 13.

1 Department of Orthopedic Surgery, Hannover Medical School, Hannover, Germany.

Background:: Evans (E) and Hintermann (H) lateral lengthening calcaneal osteotomies (LLCOTs) are commonly used to correct flexible flatfoot deformities. Both methods are well accepted and produce good clinical results. The aim of this study was to compare the postoperative outcomes of both osteotomies. Read More

Med Eng Phys 2019 Mar 9. Epub 2019 Mar 9.

Institute of Health and Sport (IHES), Victoria University, Melbourne, Australia. Electronic address:

Toe flexor strength is a pivotal biomechanical contributor for effecting balance and gait. However, there are limited reports that evaluate measurement accuracy and repeatability of this important attribute. Dynamometers are designed to measure force which can be used to derive joint torque if the perpendicular distance to the joint axis is known. Read More

Foot (Edinb) 2019 Jan 17;39:15-21. Epub 2019 Jan 17.

Southwestern Academic Limb Salvage Alliance (SALSA), Keck School of Medicine of University of Southern California, 1520 San Pablo Street, Suite 4300, Los Angeles, CA, United States. Electronic address:

Background: The total contact cast has been recognized as the "gold standard" for treatment of Charcot neuro-osteoarthropathy (CN). However, removable cast walkers (RCWs) became an alternative option especially after resolution of the acute stage. RCWs with an elevated sole construction often induce leg length discrepancy (LLD) that could significantly affects plantar pressure (PP) distribution in diabetic patients with neuropathy. Read More

J Foot Ankle Surg 2019 Mar;58(2):291-294

Professor, Department of Surgical Sciences (DISC), Orthopaedic and Traumatologic Clinic, University of Genova, Genoa, Italy.

Few studies reporting long-term results of surgical treatment of hallux rigidus have been published. The aim of this study is to assess the clinical outcome of Valenti procedures in a series of patients with hallux limitus/rigidus with a minimum 10-year follow-up time. We retrospectively evaluated 38 patients (40 feet) who underwent a Valenti procedure with a mean follow-up of 132 ± 19. Read More

Unfallchirurg 2019 Apr;122(4):309-322

Abteilung für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Metatarsal and toe fractures are the most frequent injuries of the foot skeleton. Nondislocated fractures can be conservatively treated with good success. Long-term relief and immobilization including the ankle joint are unnecessary. Read More

Foot Ankle Int 2019 Mar 7:1071100719835520. Epub 2019 Mar 7.

1 Department of Orthopedic Surgery, Osaka Medical College, Takatsuki, Osaka, Japan.

Background:: Operative treatment is indicated for patients who have symptomatic hallux valgus (HV) with moderate to severe metatarsus adductus (MA). However, there is limited information available on the operative procedures and outcomes for the treatment of HV with MA. We aimed to investigate the average 10-year follow-up clinical and radiologic outcomes. Read More

Acta Chir Orthop Traumatol Cech 2019 ;86(1):51-57

Ortopedická klinika Fakultní nemocnice a Lékařské fakulty Univerzity Karlovy, Hradec Králové.

PURPOSE OF THE STUDY The aim of this study was to evaluate the mid-term outcomes of the surgical reconstruction of Charcot Foot Neuroarthropathy in diabetic patients with failed conservative treatment and indicated for a below-knee amputation. MATERIAL AND METHODS In the period from 2010 to 2015 the surgical reconstruction of inactive, chronic Charcot Foot Neuroarthropathy classified as type II and III by Sanders and Frykbeg was performed in 16 patients with failed conservative treatment. All these patients were by the diabetes centres initially indicated for a below-knee amputation. Read More

Foot Ankle Int 2019 Mar 6:1071100719834539. Epub 2019 Mar 6.

2 Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Background:: Minimum clinically important difference (MCID) defines a threshold when determining clinically significant treatment improvement. Visual analog scale (VAS) and Foot and Ankle Ability Measure activities of daily living (FAAM-ADL) are commonly used for measuring hallux valgus correction. This study aimed to determine MCID in VAS pain and FAAM-ADL scores for hallux valgus correction and additionally, to identify variables influencing achievement of the VAS pain MCID. Read More

J Orthop Res 2019 Mar 6. Epub 2019 Mar 6.

Orthopaedic Bioengineering Research Laboratory, Department of Mechanical Engineering and School of Biomedical Engineering, Colorado State University, 1374 Campus Delivery, Fort Collins, ColoradoColorado, 80523-137.

Diagnostic monitoring and prediction of bone fracture healing is critical for the detection of delayed union or non-union and provides the requisite information as to whether therapeutic intervention or timely revision are warranted. A promising approach to monitor fracture healing is to measure the mechanical load-sharing between the healing callus and the implanted hardware used for internal fixation. The objectives of this study were to evaluate a non-invasive measurement system in which an antenna electromagnetically couples with the implanted hardware to sense deflections of the hardware due to an applied load and to investigate the efficacy of the system to detect changes in mechanical load-sharing in an ex vivo fracture healing model. Read More

Front Vet Sci 2019 19;6:25. Epub 2019 Feb 19.

Faculty of Agriculture, University of Applied Sciences Osnabrueck, Osnabrueck, Germany.

Currently, there is no consistent approach to on-farm and post-mortem foot pad (FP) assessment in turkey husbandry in sampling of both feet, sample sizes of birds and scoring schemes during the production period. Therefore, in a field study, 11,400 turkeys, i.e. Read More

J Child Orthop 2019 Feb;13(1):107-113

Rainbow and Babies Hospital at Case Western Reserve University, Cleveland, Ohio, USA.

Purpose: The variables causing symptomatic accessory navicular are largely unknown and may inform management of symptomatic patients. The purpose of this study was to examine patient specific factors associated with the development of accessory navicular symptoms.

Methods: A total of 71 patients with clinical and radiographic evidence of accessory navicular syndrome were evaluated. Read More

Foot Ankle Int 2019 Mar 1:1071100719828373. Epub 2019 Mar 1.

1 Department of Orthopaedic Surgery, Penn State Hershey Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.

Background:: The structural importance of the spring ligament complex in arch stability has been described. Furthermore, the pathology of this complex is often noted in patients with posterior tibial tendon dysfunction. The purpose of this biomechanical study was to evaluate spring ligament repair alone versus augmentation with the FiberTape device in a cadaveric flatfoot model. Read More

PLoS One 2019 28;14(2):e0212921. Epub 2019 Feb 28.

Department of Translational Medicine-Hand Surgery, Lund University, Malmö, Sweden.

Aims: To investigate whether multi-frequency measurement of vibration perception thresholds (VPTs) can identify individuals with a high risk of developing diabetic foot ulcer or neuropathic symptoms.

Methods: VPTs were measured at six different frequencies (4, 8, 16, 32, 64 and 125 Hz) on metatarsal heads 1 and 5 on the sole of the foot using a standard VibroSense Meter device in 535 type 1 diabetic (T1DM) patients and 717 non-diabetic control subjects. VPTs in control subjects were used to establish normal values for five different age groups for male and female subjects respectively. Read More

Skeletal Radiol 2019 Feb 27. Epub 2019 Feb 27.

Medical Faculty, Department of Anatomy, Akdeniz University, Antalya, Turkey.

Os vesalianum pedis is a rare accessory ossicle located at the 5th metatarsal base. This anatomic variation is typically asymptomatic and usually detected incidentally on routine foot radiographs. However, it may be a source of lateral foot pain and rarely become symptomatic following traumatic ankle injuries such as an inversion ankle sprain. Read More