8,397 results match your criteria Metatarsal Fracture Imagings


Modified Proximal Scarf Osteotomy for Hallux Valgus.

Clin Orthop Surg 2018 Dec 21;10(4):479-483. Epub 2018 Nov 21.

Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University, Seoul, Korea.

Background: We developed a modified proximal scarf osteotomy technique for moderate to severe hallux valgus in an attempt to obtain better correction of the deformity. In addition, we compared the clinical and radiographic results of this modified technique with those of the classic scarf osteotomy reported in other studies.

Methods: Between December 2004 and July 2009, 44 cases of modified proximal scarf osteotomy was performed in 35 patients with moderate hallux valgus. Read More

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December 2018

Hallux valgus correction with a new percutaneous distal osteotomy: Surgical technique and medium term outcomes.

Foot Ankle Surg 2018 Nov 14. Epub 2018 Nov 14.

Department of Orthopaedics and Traumatology, Santa Maria Hospital, Borgo Val di Taro, PR, Italy.

Background: Many procedures and different osteotomies have been described for percutaneous hallux valgus correction. Percutaneous techniques may lead to reduced morbidity, surgery, and recovery time. The aim of this study is to evaluate the clinical and radiographic outcome of a new percutaneous procedure (PBS-Percutaneous Bianchi System). Read More

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November 2018

Pseudoarthrosis of second metatarsal fracture.

Pediatr Med Chir 2018 Oct 19;40(2). Epub 2018 Oct 19.

Clinical Surgical Department, Diagnostic and Pediatric Sciences, Locomotor System Diseases Unit, University of Pavia, Pavia.

Metatarsal fractures make up the greatest portion of foot fractures in children. Most of them are treated with closed reduction and non-weightbearing cast immobilization.Usually, these fractures heal uneventfully and delay union and pseudoarthrosis are rare. Read More

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October 2018

Rapid decrease of cast-induced forces during the treatment of clubfoot using the Ponseti method.

Bone Joint J 2018 Dec;100-B(12):1655-1660

Department of Orthopaedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Aims: The Ponseti method is an effective evidence-based treatment for clubfoot. It uses gentle manipulation to adjust the position of the foot in serial treatments towards a more physiological position. Casting is used to hold the newly achieved position. Read More

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December 2018

[Clinical analysis of the double-wing flap for treatment of toe syndactyly].

Zhonghua Wai Ke Za Zhi 2018 Dec;56(12):906-909

Orthopedics Department, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To explore the clinical effect of double-wing flap for the treatment of toe syndactyly. Retrospective analysis of 47 patients (60 syndactyly toes) who underwent double-wing flap to reconstruct toe web space in orthopedics department of the Third Affiliated Hospital of Zhengzhou University from February 2010 to October 2017.There were 21 males and 26 females, with an average age of 18. Read More

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December 2018
1 Read

Guideposts for Inserting Intercuneiform Joint Arthrodesis Screws: Analysis Using Multiplanar Reconstructed Computed Tomography.

Foot Ankle Spec 2018 Nov 28:1938640018816373. Epub 2018 Nov 28.

Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.

Intercuneiform arthrodesis is often required for various midfoot pathologies; however, intercuneiform screw insertion is not easy due to the complicated anatomical structure of cuneiforms. This study aimed to determine the advisable screw entry point and direction using intraoperatively detectable landmarks. The computed tomography (CT) scan data of feet were reformatted using OsiriX software multiplanar reconstruction. Read More

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November 2018

Long term results of the revisited Meary closing wedge tarsectomy for the treatment of the fixed cavo-varus foot in adolescent with Charcot-Marie-Tooth disease.

Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Pediatric Orthopedic Department, Necker Enfants Malades Hospital, Assistance Publique - Hôpitaux de Paris, Paris Descartes University, 149 Rue de Sevres, 75015 Paris, France; Pediatric Orthopedic Department, Saint Vincent de Paul Hospital, Assistance Publique - Hôpitaux de Paris, Paris Descartes University, 74 Avenue Denfert-Rochereau, 75015 Paris, France.

Background: Various techniques have been proposed for the treatment of cavovarus feet (CVF). The aim of this study was to report outcomes of the revisited Meary's dorsal closing wedge tarsectomy for fixed CVF secondary to Charcot-Marie-Tooth (CMT) disease.

Methods: All CVF operated on between 1977 and 2011 were included. Read More

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November 2018

Tibialis Anterior Tendon Transfer for Relapsing Idiopathic Clubfoot.

JBJS Essent Surg Tech 2015 Sep 26;5(3):e16. Epub 2015 Aug 26.

Ponseti Clubfoot Treatment Center, Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242.

Introduction: A relapsed idiopathic clubfoot can be effectively treated with transfer of the entire tibialis anterior tendon to the mid-dorsum of the foot following repeated manipulations and serial casts.

Step 1 Preoperative Planning: Ensure that the foot has been adequately corrected for tendon transfer by performing both clinical and radiographic evaluation.

Step 2 Prepare The Patient: Position the patient supine, induce general anesthesia, and perform a caudal block for postoperative pain management. Read More

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September 2015
1 Read

Surgical Treatment of Severe Cavovarus Foot Deformity in Charcot-Marie-Tooth Disease.

JBJS Essent Surg Tech 2015 May 10;5(2):e11. Epub 2015 Jun 10.

Foot Surgery and Pediatric Orthopaedics, ATOS Clinic Heidelberg, Bismarckstraße 9-15, 69115 Heidelberg, Germany.

Introduction: A successful adjusted treatment algorithm for the correction of cavovarus foot deformity requires soft-tissue balancing procedures, in particular total split posterior tibial tendon transfer (T-SPOTT), in combination with adjunctive corrective procedures depending on the degree of deformity.

Step 1 Surgical Preparation: Place the patient in a supine position and follow a standard aseptic surgical disinfection and draping protocol, allowing access to the iliac crest.

Step 2 Steindler Release Of The Plantar Aponeurosis: Use a medial approach to access and transect the plantar aponeurosis. Read More

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May 2015
6 Reads

Static Range of Motion of the First Metatarsal in the Sagittal and Frontal Planes.

J Clin Med 2018 Nov 21;7(11). Epub 2018 Nov 21.

Department of Podiatry, University of Seville, 41009 Seville, Spain.

The first metatarsal and medial cuneiform form an important functional unit in the foot, called "first ray". The first ray normal range of motion (ROM) is difficult to quantify due to the number of joints that are involved. Several methods have previously been proposed. Read More

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November 2018

Trabecular bone functional adaptation and sexual dimorphism in the human foot.

Am J Phys Anthropol 2019 Jan 21;168(1):154-169. Epub 2018 Nov 21.

Department of Archaeology, University of Cambridge, McDonald Institute for Archaeological Research, Cambridge, United Kingdom.

Objectives: Trabecular bone adapts to the strains placed upon the skeleton during life. Anthropological research has largely focused on linking variation in primate trabecular bone to locomotor mode, to provide a context for interpreting fossil morphology. However, intraspecific variation and its underlying mechanisms are still poorly understood. Read More

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January 2019
2 Reads

Phenotypic and genotypic features of a pair of Chinese identical twins with congenital insensitivity to pain and anhidrosis: A case report.

Medicine (Baltimore) 2018 Nov;97(47):e13209

Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Rationale: Congenital insensitivity to pain with anhidrosis (CIPA) is a rare autosomal recessive genetic disorder characterized by insensitivity to noxious stimulus and the absence of sweating. Fractures and joint destruction are common complications, but detailed studies on mineral and skeletal homeostasis are not available. Mental retardation is often reported, but detailed observations during childhood are lacking. Read More

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November 2018
2 Reads
5.720 Impact Factor

Analyzing the effect of an arch support functional insole on walking and jogging in young, healthy females.

Technol Health Care 2018 Nov 9. Epub 2018 Nov 9.

Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China.

Background And Objective: The aim of this study was to explore the effectiveness of arch support functional insoles to prevent metatarsalgia.

Method: Twenty-five healthy females participated in the study. A Vicon motion capture system was used to collect kinematics data of the lower limb. Read More

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November 2018
2 Reads

Structures at Risk From an Intermetatarsal Screw for Lapidus Bunionectomy: A Cadaveric Study.

J Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Fellowship-Trained Foot and Ankle Surgeon, Orthopedic Foot and Ankle Center, Westerville, OH; Fellowship Director, Orthopedic Foot and Ankle Center, Westerville, OH. Electronic address:

The Lapidus bunionectomy is performed to treat hallux valgus. Recurrence of the deformity remains a concern. A transverse intermetatarsal screw spanning the base of the first metatarsal to the base of the second can increase stability. Read More

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November 2018

Reliability, Surgeon Preferences, and Eye-Tracking Assessment of the Stress Examination of the Tarsometatarsal (Lisfranc) Joint Complex.

J Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

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

The primary objective of this investigation was to determine the level of agreement and reliability of the stress examination of the Lisfranc tarsometatarsal joint complex. Secondary objectives were to determine surgeon preferences with respect to this testing and to use gaze recognition software to perform an eye-tracking assessment during the performance of the test. Twelve foot and ankle surgeons, 12 residents, and 12 students were shown 2 intraoperative fluoroscopic still images and 1 video of the stress examination of the tarsometatarsal joint complex using stress abduction of the forefoot on the rearfoot. Read More

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November 2018
9 Reads

Hallux Valgus Surgery in the Athlete: Current Evidence.

J Foot Ankle Surg 2018 Nov 14. Epub 2018 Nov 14.

Professor, Orthopedic Surgery, Department of Musculoskeletal Disorders, University of Salerno School of Medicine and Dentistry, Salerno, Italy; Professor, Centre for Sports and Exercise Medicine, Bart's and London School of Medicine and Dentistry, Queen Mary School of Medicine, London, UK.

Hallux valgus is a common disorder characterized by a medial deviation of the 1st metatarsal, eventually leading to subluxation and pain of the 1st metatarsophalangeal joint. This can inhibit sports activity. Despite being a common forefoot pathology, debate exists regarding the appropriate surgical approach in the athletic population. Read More

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November 2018
2 Reads

Congenital Great Toe Hypoplasia Equivalent to a Grade 3 Hypoplastic Thumb in a Patient with VACTERL Association.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):605-606

1 Department of Hand Surgery & Peripheral Nerve Surgery, Royal North Shore Hospital, The Children's Hospital at Westmead, University of Sydney, St Leonards, Sydney, Australia.

Lower limb malformations in VACTERL patients are extremely rare and the most common anomalies are found in the tibial ray. We present the case of a 15 month old male with VACTERL and, additionally, a hypoplastic hallucal ray of the right foot in conjunction with a floating preaxial polydactyly. The great toe hypoplasia is similar to a grade 3b thumb hypoplasia with absence of the proximal two-thirds of the first metatarsal on the plain X-ray. Read More

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December 2018
3 Reads

Jumping mechanics of desert kangaroo rats.

J Exp Biol 2018 Nov 12;221(Pt 22). Epub 2018 Nov 12.

Department of Biological Sciences, University of Idaho, Moscow, ID 83844, USA.

Kangaroo rats are small bipedal desert rodents that use erratic vertical jumps to escape predator strikes. In this study we examined how individual hind limb joints of desert kangaroo rats () power vertical jumps across a range of heights. We hypothesized that increases in net work would be equally divided across hind limb joints with increases in jump height. Read More

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November 2018
4 Reads

Magnetic resonance imaging of the Lisfranc ligament.

J Orthop Surg Res 2018 Nov 12;13(1):282. Epub 2018 Nov 12.

People's Hospital of Rizhao, Xinjiang Medical University, No. 136 of Tai'an Road, Rizhao, 276800, Shandong Province, China.

Background: The Lisfranc joint has complex structures, and articular surfaces overlap on conventional X-ray radiographs. Hence, there is no available auxiliary examination for diagnosing related injuries. At present, few studies on the imaging of Lisfranc ligaments have been reported, and related imaging data are rare. Read More

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November 2018
1 Read

[Short-term effectiveness of Scarf osteotomy and Akin osteotomy combined with soft tissue procedures in treatment of hallux valgus associated with mild to moderate metatarsus adductus].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Nov;32(11):1392-1396

Department of Foot and Ankle Surgery, Honghui Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To evaluate the short-term effectiveness of Scarf osteotomy and Akin osteotomy combined with soft tissue procedures for hallux valgus associated with mild to moderate metatarsus adductus.

Methods: The clinical data of 30 patients (48 feet) who were diagnosised hallux valgus associated with mild to moderate metatarsus adductus and treated by Scarf osteotomy and Akin osteotomy combined with soft tissue procedures between February 2013 and May 2015 were analyzed retrospectively. There were 2 males (2 feet) and 28 females (46 feet) with an average age of 29. Read More

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November 2018
1 Read

[Effectiveness comparison between Scarf osteotomy combined with Akin osteotomy fixed by absorbable screws and fixed by metal screws for the treatment of moderate to severe hallux valgus].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Nov;32(11):1386-1391

Department of Foot and Ankle Surgery, Honghui Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an Shaanxi, 710054,

Objective: To evaluate the effectiveness of Scarf osteotomy combined with Akin osteotomy in the treatment of moderate to severe hallux valgus with absorbable screws or metal screws fixation by clinical and radiological data.

Methods: Between March 2014 and May 2016, the Scarf osteotomy combined with Akin osteotomy was used to treat 62 patients (83 feet) with moderate to severe hallux valgus. Twenty-five patients (35 feet) were fixed by absorbable screws (group A) and 37 patients (48 feet) were fixed by metal screws (group B). Read More

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November 2018
1 Read

Generalized hypermobility syndrome (GHS) alters dynamic plantar pressure characteristics.

J Back Musculoskelet Rehabil 2018 Nov 2. Epub 2018 Nov 2.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandırma On Yedi Eylul University, Bandırma, Turkey.

Background: In the relevant literature generalized hypermobility syndrome (GHS) has been shown to alter the kinetic and kinematic patterns of the human movement system. Although GHS affects the general body biomechanics of individuals, the body of knowledge in plantar pressure distribution in GHS is far from sufficient.

Purpose: The aim of this study was to determine whether individuals with joint hypermobility syndrome have abnormal plantar pressure distribution during normal gait compared to healthy individuals. Read More

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November 2018
4 Reads

Radiographic Analysis of National Football League Players' Fifth Metatarsal Morphology Relationship to Proximal Fifth Metatarsal Fracture Risk.

Foot Ankle Int 2018 Nov 7:1071100718809357. Epub 2018 Nov 7.

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

Background:: Fractures of the proximal fifth metatarsal are one of the most common foot injuries in athletes. Repetitive stresses endured by the fifth metatarsal can lead to stress fracture, delayed union, and refracture, making optimal treatment challenging. A radiographic analysis of fifth metatarsal morphology and foot type in National Football League (NFL) players was performed to investigate morphologic risk factors for these injuries. Read More

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November 2018
2 Reads

FAM92A Underlies Nonsyndromic Postaxial Polydactyly in Humans and an Abnormal Limb and Digit Skeletal Phenotype in Mice.

J Bone Miner Res 2018 Nov 5. Epub 2018 Nov 5.

Center for Statistical Genetics, Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.

Polydactyly is a common congenital anomaly of the hand and foot. Postaxial polydactyly (PAP) is characterized by one or more posterior or postaxial digits. In a Pakistani family with autosomal recessive nonsyndromic postaxial polydactyly type A (PAPA), we performed genomewide genotyping, linkage analysis, and exome and Sanger sequencing. Read More

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November 2018
11 Reads

Novel insole design for diabetic foot ulcer management.

Proc Inst Mech Eng H 2018 Dec 2;232(12):1182-1195. Epub 2018 Nov 2.

Department of Aerospace Engineering and Mechanics, University of Alabama, Tuscaloosa, AL, USA.

Around the world, over 400 million people suffer from diabetes. In a chronic diabetic condition, the skin underneath the foot often becomes extremely soft and brittle, resulting in the development of foot ulcers. In literature, a plethora of footwear designs have been developed to reduce the induced stresses on a diabetic foot and to consequently prevent the incidences of foot ulcers. Read More

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December 2018
1 Read

The success rate of first metatarsophalangeal joint lateral soft tissue release through a medial transarticular approach: A cadaveric study.

Foot Ankle Surg 2018 Oct 17. Epub 2018 Oct 17.

Department of Orthopaedics, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA.

Background: The objective of this study was to evaluate the success rate of first metatarsophalangeal joint (MTPJ) lateral soft tissue release through a medial transarticular approach.

Methods: Ten cadaveric specimens were used (6 females/4 males, mean age, 73.4years). Read More

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October 2018
2 Reads

Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity - a Review of 60 Cases.

Acta Chir Orthop Traumatol Cech 2018 ;85(5):325-330

Golhisar State Hospital, Burdur, Turkey.

PURPOSE OF THE STUDY To evaluate the clinical and radiological results of a new modification of relatively less-known Lindgren-Turan osteotomy technique in HV deformity that is performed by combining bunionectomy and capsuloplasty. MATERIAL AND METHODS 60 feet of 52 patients with moderate and heavy deformity who were operated between 2009 and 2014 were included in the study. The patients had clinically severe pain, did not respond to at least 6-month conservative treatment and had moderate and severe deformity before Hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal joint angle (DMAA), proximal phalangeal joint angles (PPAA) and shortening amount in the first metatarsus were measured through preoperative and follow-up radiography. Read More

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January 2018
1 Read

Musculoskeletal Ultrasonography to Detect a Displaced Fracture of the Fifth Metatarsal.

J Orthop Sports Phys Ther 2018 Nov;48(11):903

A 27-year-old man presented to an outpatient physical therapy clinic with left lateral foot pain after playing lacrosse 1 day prior. Ultrasound imaging was performed immediately by the physical therapist, focusing on the fifth metatarsal distal shaft. Images obtained with a 13- to 6-MHz linear transducer demonstrated cortical bone disruption. Read More

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November 2018
1 Read

The Influence of Percentage Weight-Bearing on Foot Radiographs.

Foot Ankle Spec 2018 Oct 31:1938640018810412. Epub 2018 Oct 31.

Department of Orthopaedics (TJS, CDK, EG), University of California, Davis, Sacramento, California.

Introduction: Clinical decisions are often made on weight-bearing radiographs. However, it is unknown whether various weight-bearing conditions alter specific radiographic measurements. The purpose of this study was to determine whether percentage weight-bearing influences radiographic measurements of the normal foot. Read More

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October 2018

Loss of Correction After Chevron Osteotomy for Hallux Valgus as a Function of Preoperative Deformity.

Foot Ankle Int 2018 Oct 31:1071100718807699. Epub 2018 Oct 31.

2 Orthopedic Department, Medical University of Innsbruck, Innsbruck, Austria.

Background:: Recurrence is relatively common after surgical correction of hallux valgus. Multiple factors are discussed that could have an influence in the loss of correction. The aim of this study was to determine preoperative radiological factors with an influence on loss of correction after distal chevron osteotomy for hallux valgus. Read More

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October 2018
3 Reads

[Headless pressure screw with local complication of PRP for the treatment of intra-articular fracture of old metatarsal].

Zhongguo Gu Shang 2018 Oct;31(10):953-956

The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China.

Objective: To discuss clinical effects of headless pressure screw with local complication of PRP in treating old metatarsal intra-articular fracture.

Methods: From January 2010 to June 2016, 7 patients with old metatarsal intra-articular fracture treated by open reduction headless compression screw internal fixation by local application PRP, including 5 males and 2 females, aged from 21 to 52 years old, 5 patients injured by falling down and 2 patients caused by crushing, the time from injury to operation ranged from 3 to 6 weeks. Preoperative anteroposterior, lateral and oblique X-ray film and three-dimensional CT reconstruction were examined, and the results showed 2 patients on the second metatarsal, 2 patients on the third metatarsal, 3 patients on the fourth metatarsal. Read More

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October 2018
5 Reads

Mechanical Testing of Maximal Shift Scarf Osteotomy with Inside-Out Plating Compared to Classic Scarf Osteotomy With Double Screw Fixation.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1056-1058

Orthopaedic Surgeon, Department of Orthopaedics and Traumatology, HFR-Hôpital cantonal Fribourg, Fribourg, Switzerland.

The purpose of the present study was to biomechanically compare the primary stability of our formerly described inside-out plate fixation to the classic double screw fixation for scarf osteotomy in the treatment of hallux valgus. We performed 20 scarf osteotomies on first metatarsal composite bone models. One half were fixed using a double screw technique and the other half using a locking plate inside-out technique. Read More

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Pathology and management of flexible flat foot in children.

J Orthop Sci 2018 Oct 23. Epub 2018 Oct 23.

Department of Rehabilitation Medicine, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan. Electronic address:

We describe the pathology and treatment of flexible flat foot in children. The flexible flat foot is seen in the overly flexible foot and usually involves hypermobility of the subtalar joint. It typically occurs in childhood and may continue to adulthood. Read More

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October 2018
2 Reads

Cartilage Stiffness Effect on Foot Biomechanics of Chinese Bound Foot: A Finite Element Analysis.

Front Physiol 2018 11;9:1434. Epub 2018 Oct 11.

Faculty of Sports Science, Ningbo University, Ningbo, China.

The purpose of this study is to investigate the effect of cartilage stiffness on inner foot biomechanics of Chinese bound foot while balanced standing using finite element method. A three-dimensional FE model of bound foot involving 28 bones, 72 ligaments, 5 plantar fascia, cartilages, and encapsulated soft tissue was constructed and validated. To conduct the sensitivity analysis of cartilage stiffness, the incremental Young's modulus of 1, 5, 10, and 15 MPa were assigned to the cartilage. Read More

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October 2018
6 Reads

Joint and plantar loading in table tennis topspin forehand with different footwork.

Eur J Sport Sci 2018 Oct 26:1-9. Epub 2018 Oct 26.

d School of Mechanical, Materials, Mechatronic and Biomedical Engineering , University of Wollongong , Wollongong , Australia.

Table tennis players often execute one-step, side-step or cross-step to move to an appropriate position for topspin forehand. However, to our knowledge, no studies have investigated the footwork effects on lower-limb kinetics and kinematics, which are related to playing performance and injury prevention. This study examined the ground reaction forces, joint kinetics and in-shoe plantar pressure distribution during topspin forehand with three typical footwork patterns. Read More

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October 2018
7 Reads

Distances from the deep plantar arch to the lesser metatarsals at risk during osteotomy: a fresh cadaveric study.

J Foot Ankle Res 2018 16;11:57. Epub 2018 Oct 16.

1Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima, 770-8503 Japan.

Background: The deep plantar arch is formed by anastomosis of the lateral and deep plantar arteries. Osteotomy of the lesser metatarsals is often used to treat metatarsalgia and forefoot deformity. Although it is known that some blood vessels supplying the lesser metatarsals are prone to damage during osteotomy, there is little information on the distances between the deep plantar arch and the three lesser metatarsals. Read More

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October 2018
6 Reads

Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap.

J Int Med Res 2018 Oct 23:300060518801461. Epub 2018 Oct 23.

Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.

The patient was a 26-year-old man who fell while riding a motorcycle and friction led to defects in the lateral malleolus and soft tissue of the ankle. Although the wound surface healed with scarring and skin grafting, the patient had symptoms of ankle joint instability 4 months after the injury. Using a second metatarsal composite tissue flap with a dorsalis pedis artery pedicle, we repaired the soft tissue defect of the ankle and reconstructed the lateral malleolus. Read More

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October 2018
1 Read

Comparison of Radiographic and Clinical Results After Extended Distal Chevron Osteotomy With Distal Soft Tissue Release With Moderate Versus Severe Hallux Valgus.

Foot Ankle Int 2018 Oct 21:1071100718807893. Epub 2018 Oct 21.

2 Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, South Korea.

Background: We compared the radiographic and clinical outcomes of moderate and severe hallux valgus treated by extended distal chevron osteotomy (EDCO) and distal soft tissue release (DSTR).

Methods: We performed a retrospective analysis comparing the utility of EDCO for the treatment of moderate (36 patients, 46 feet) and severe (36 patients, 42 feet) hallux valgus. The radiologic outcomes were evaluated based on the preoperative and 3-year follow-up x-rays. Read More

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October 2018
9 Reads

Proximal Opening Wedge Osteotomy With Distal Chevron Osteotomy of the First Metatarsal for the Treatment of Moderate to Severe Hallux Valgus.

Foot Ankle Int 2018 Oct 21:1071100718799079. Epub 2018 Oct 21.

1 Department of Orthopedic Surgery, Medical University of Innsbruck, Innsbruck, Austria.

Background: The aim of this study was to assess radiographic and clinical outcomes after double osteotomy with proximal opening wedge first metatarsal osteotomy and first metatarsal distal chevron osteotomy in the treatment of moderate to severe hallux valgus.

Methods: 33 patients (4 male, 29 female; 36 feet; average age 60.7 years) were included in the study. Read More

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October 2018

[Revision of Pelvic Rotation Angle and One Idea for Improving Reproducibility of Hip Joint Radiographic Images (False Profile View)].

Nihon Hoshasen Gijutsu Gakkai Zasshi 2018 ;74(10):1163-1169

Department of Radiology, Saitama Prefecture Saiseikai Kurihashi Hospital.

Radiographic images of the hip joint can include a false profile view when the foot of the affected side is positioned parallel to the detector plane and the pelvic rotation angle is 65°. However, to the best of our knowledge, pelvic rotation angle has yet to be adequately investigated. The present study aimed to improve radiographic imaging reproducibility by testing pelvic rotation angles using the pubic symphysis and greater trochanter as a guide. Read More

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January 2018
3 Reads

Radiological assessment of congenital talipes equinovarus (clubfoot): Is it worthwhile?

Foot (Edinb) 2018 Jun 8;37:91-94. Epub 2018 Jun 8.

Department of Orthopaedic Surgery, Kasturba Medical College, Mangalore, 575001, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India. Electronic address:

The lack in consensus with regard to qualitative use of standard radiographs and their predictive value in evaluating congenital talipes equinovarus among infants continues to be apparent in clinical practice. Since standard radiographs continue to play a role in the assessment of clubfoot it is essential to ensure that the values measured are reliable and reproducible keeping in mind acceptable tolerances for clinical application. This study was undertaken to assess the inter-observer and the intra-observer reliability in estimation of talocalcaneal and talo-first metatarsal angles on standard radiographs done according to Simon's method. Read More

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June 2018
9 Reads

[Treatment of osteomyelitis in diabetes mellitus. Case report].

Orv Hetil 2018 10;159(42):1727-1730

Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Semmelweis u. 8., 6721.

The authors summarize the medical history of a patient with impaired healing of a wound in the sole of foot. The 63-year-old male patient had a second-degree burn in the sole of the left foot as he stepped on the hot concrete after taking off his slipper. On admission to our department, local wound management had already been started, his wound showed no healing tendency. Read More

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October 2018
2 Reads

First ray mobility and posterior tibial tendon dysfunction (PTTD) in persons with flat foot: A case control study.

Foot (Edinb) 2018 Aug 3;37:57-60. Epub 2018 Aug 3.

Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, 637616, Singapore. Electronic address:

Background: While posterior tibial tendon dysfunction (PTTD) commonly presents with flat feet and has been thought to be associated with first ray mobility, many flat-footed individuals are asymptomatic and do not experience any symptoms of PTTD. Thus, there is a need to control for foot type when studying factors related to PTTD. This study aimed to clarify if first ray mobility differed between flat-footed individuals with and without symptoms of PTTD. Read More

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Anatomical considerations for minimally invasive osteotomy of the fifth metatarsal for bunionette correction - A pilot study.

Foot (Edinb) 2018 Mar 1;36:39-42. Epub 2018 Mar 1.

Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy and Embryology Unit), University of Barcelona, Barcelona, Spain; Foot and Ankle Unit, Hospital Quiron Barcelona, Barcelona, Spain.

Introduction: Operative correction of symptomatic bunionette by means of minimally invasive (MI) osteotomies of the 5th metatarsal (M5) has gained popularity. This study aims to investigate the safe zones of commonly used techniques and the risk of injury to neurological structures.

Materials And Methods: Ten human fresh frozen cadaveric feet were dissected and branches of the sural nerve were identified. Read More

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March 2018
4 Reads

Single incision lateral release for hallux valgus using a cervical biopsy blade: A cadaveric study.

Foot (Edinb) 2018 May 1;36:35-38. Epub 2018 May 1.

Health Education North West, 3 Piccadilly, Manchester M1 3BN, United Kingdom; Pennine Acute Hospitals NHS Trust, Rochdale Rd., Oldham, Manchester OL1 2JH, United Kingdom.

The role of lateral release is widely accepted and regarded as a key step in the management of hallux valgus. There remains however debate in the literature in regards to which structures should be divided and the method of approach. As such, a technique of lateral release using a curved blade placed inferior to the metatarsal head to divide the lateral metatarsosesamoid suspensory ligament and incise the lateral joint capsule has been developed. Read More

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Distraction osteogenesis for brachymetatarsia using initial circular fixator and early trans-fixation metatarsal K-wires-a series of three cases.

J Surg Case Rep 2018 Oct 11;2018(10):rjy269. Epub 2018 Oct 11.

Wythenshawe Hospital, Manchester, UK.

Brachymetatarsia is a rare forefoot deformity predominantly affecting the fourth metatarsal. Current treatment include gradual lengthening by distraction osteogenesis using an external fixator or single-stage lengthening with bone grafting or a combination of the above two procedures. Our aim was to assess outcomes and complications of a novel technique for gradual metatarsal lengthening using a circular fixator. Read More

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October 2018
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Turf Toe: An Update and Comprehensive Review.

Radiol Clin North Am 2018 Nov 17;56(6):847-858. Epub 2018 Sep 17.

Radiology and Biomedical Imaging, Yale School of Medicine, 20 York Street, New Haven, CT 06510, USA. Electronic address:

Turf toe is a spectrum of injury involving the first metatarsophalangeal joint originally described in football players on artificial surfaces. A detailed description of the complex anatomy and pathology involved in the turf toe injury is presented. We highlight potential pitfalls of image interpretation and emphasize what the referring physician needs to know. Read More

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November 2018
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Natural progression of radiographic indices in juvenile hallux valgus deformity.

Foot Ankle Surg 2018 Feb 10. Epub 2018 Feb 10.

Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Republic of Korea. Electronic address:

Background: This study aimed to estimate the annual change in radiographic indices for juvenile hallux valgus (JHV) and to analyze the factors that influence deformity progression.

Methods: Patients aged <15 years who had JHV and were followed up for at least 1 year were included. Hallux valgus angle (HVA), hallux interphalangeal angle, intermetatarsal angle, metatarsus adductus angle, distal metatarsal articular angle, anteroposterior talo-first metatarsal angle, and lateral talo-first metatarsal angle were evaluated. Read More

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February 2018