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Clin Anat 2019 Feb 13. Epub 2019 Feb 13.

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

Background: Although the tendon of the tibialis posterior muscle (TPT) high morphological variability, its insertion is not well defined in anatomy discussions. The aim of the work is to systematize the classification of TPT insertion by anatomical dissection.

Methods: Classical anatomical dissection was performed on 80 lower limbs (40 female, 40 male) fixed in 10 % formalin solution. Read More

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopedic Oncology, Azienda Ospedaliera Universitaria Careggi, Largo Brambilla 3, 50134, Florence, Italy.

Introduction: Tarsometatarsal joint complex (TMC) is the anatomical structure of midfoot composed by metatarsals, tarsometatarsal (TMT) joints, cuneiforms, cuboid and navicular. TMC lesion are rare but critical since they cause severe disability if misdiagnosed. The knowledge of anatomic pattern of the lesion and biomechanics of the midfoot is the key for a successful diagnosis and treatment. Read More

J Am Podiatr Med Assoc 2018 Nov;108(6):532-534

Metatarsalgia is characterized by pain in the forefoot, which is associated with increased stress over the metatarsal head region. Despite the availability of a variety of conservative or surgical treatments for this condition, a few cases have demonstrated relapse or poor response to treatment. Pulsed radiofrequency (PRF) can provide pain relief in patients with diverse chronic conditions without causing neural injury. Read More

J Am Podiatr Med Assoc 2018 Nov;108(6):472-477

Background:: Magnetic resonance imaging (MRI) is both sensitive and specific in the diagnosis of osteomyelitis, and it is an important imaging modality in preoperative planning of resection of infected bone. In many cases, however, the extent of osseous infection is evident on plain radiographs, and little additional information is gained from the MRI. The goal of this study was to assess the accuracy of radiographs against MRIs in assessing the spread of suspected osteomyelitis from one phalanx to another or to a metatarsal. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):219-222

Department of orthopedics, the Joint Service Support Force 920 th Hospital of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To investigate the effectiveness of self-made limb chronic wound closure device in the treatment of scarred lower limbs and complex skin and soft tissue defects.

Methods: Between January 2014 and January 2017, 29 patients with complex fractures of the lower extremities and skin and soft tissue defects were treated. There were 19 males and 10 females with an average age of 31. Read More

J Foot Ankle Res 2019 1;12. Epub 2019 Feb 1.

1Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Lodz, Poland.

Background: The tibialis anterior tendon (TAT) presents little morphological variation. The tibialis anterior muscle originates at the lateral condyle of the tibia, the proximal one-third to two-thirds of the lateral surface of the tibia shaft, and the anterior surface of the interosseous membrane and inserts to the medial cuneiform bone and first metatarsal. The aim of our work is to classify types of TAT insertion by two complimentary methods - anatomical dissection and ultrasound examination. Read More

Appl Bionics Biomech 2019 14;2019:7048345. Epub 2019 Jan 14.

Faculty of Sports Science, Ningbo University, Ningbo 315211, China.

Most of the previous studies have been focused on the upper limb biomechanical characteristic in the clear stroke among different level badminton players, but research on the lower limb is limited. The aim of this study is to explore the lower limb kinematics and foot pressure in the backcourt forehand clear stroke among badminton players to give theoretical reference in teaching and answer the questions occurring in the process of learning the actions. Ten professional badminton players (PP) and ten amateur players (AP) were recruited in this study. Read More

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

Clinic of General and Clinical Pathology, University Hospital Saint Marina-Varna, Medical Universiry of Varna, Varna, Bulgaria.

Gout is a disease characterized by abnormal metabolism of the uric acid, leading to undesired buildup of monosodium urate crystals affecting mainly the first metatarsal-phalangeal joint of the foot and less commonly other joints or the soft tissues of the body. The prevalence of the disease increases with age, and it is statistically more observed in men than in women.We present the case of a 62-year-old male patient diagnosed as having gout 20 years ago. Read More

Methods Mol Biol 2019 ;1914:199-215

Roslin Institute and R(D)SVS, The University of Edinburgh, Edinburgh, UK.

The ex vivo organ culture of bone provides many of the advantages of both the whole organism and isolated cell strategies and can deliver valuable insight into the network of processes and activities that are fundamental to bone and cartilage biology. Through maintaining the bone and/or cartilage cells in their native environment, this model system provides the investigator with a powerful experimental protocol to address specific facets of skeletal growth and development. In this chapter, we outline the basic protocols and possible readouts of organ culture models to replicate; (a) linear bone growth (murine metatarsal culture model), (b) bone and cartilage metabolism (murine femoral head culture model), (c) bone response to mechanical stimulation (bovine trabecular core culture model), and (d) bone resorption and formation (murine calvaria culture model). Read More

J Exp Orthop 2019 Feb 7;6(1). Epub 2019 Feb 7.

Department of Orthopaedics, Trauma and Hand Surgery, Klinikum Osnabrück, Osnabrück, Germany.

Background: It is frequently observed that overloading the foot can impair bone and soft tissue healing and can lead to harmful sequelae (i.e. ulcers, stress reactions) in context of pre-existing tissue disabilities. Read More

Curr Diabetes Rev 2019 Feb 6. Epub 2019 Feb 6.

Department of Nursing, University of Extremadura, Avda. Virgen del Puerto s/n. Spain.

Background: Diabetes mellitus is a public health problem worldwide. The diabetic foot has a degenerate vascular structure, and its patients present neurological problems, which require the earliest possible identification.

Introduction: The objective of the research was to use infrared thermography to analyze the temperature difference of the feet of users with diabetes mellitus with neuropathy, vasculopathy, neurovascular disease, or none of them, segmenting the sole of the foot in four areas for the study. Read More

Med Sci Monit 2019 Feb 2;25:938-945. Epub 2019 Feb 2.

Key Laboratory of Exercise and Health Science of the Ministry of Education, Shanghai University of Sports, Shanghai, China (mainland).

BACKGROUND We recently reported age and gender differences in foot shape and size in Chinese school children aged between 7-12 years. This study aimed to analyze age and gender differences in foot shape and size in Chinese adolescents aged between 13-18 years. MATERIAL AND METHODS The study included 1,252 adolescent boys and 1274 adolescent girls from seven regions in China. Read More

Skeletal Radiol 2019 Jan 31. Epub 2019 Jan 31.

Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

Subchondral insufficiency fracture (SIF) is a non-traumatic condition that has historically been associated with elderly, osteoporotic women and patients with systemic conditions. There has been much work done to determine the pathogenesis of SIF, which has previously been regarded as idiopathic, rapid-progressive osteoarthritis or osteonecrosis of the hip, spontaneous osteonecrosis of the knee (SONK), osteochondral defect (OCD) of the talus and adult-onset Freiberg infraction of the metatarsal head. Early diagnosis and management are crucial to prevent subchondral collapse, secondary osteonecrosis and early-onset osteoarthritis. Read More

Int Orthop 2019 Jan 30. Epub 2019 Jan 30.

Department of Orthopaedic Surgery, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-Gu, Ansan-si, Gyeonggi-do, 15355, South Korea.

Purpose: This systematic review aimed to compare radiographic correction, clinical outcomes, complications, and re-operations between lateral column lengthening (LCL) and arthroereisis (AR) for treating symptomatic flatfoot in children.

Methods: We conducted a comprehensive search on MEDLINE, EMBASE, and Cochrane Library databases. Literature search, data extraction, and quality assessment were conducted by two independent reviewers. Read More

Int J Mol Sci 2019 Jan 29;20(3). Epub 2019 Jan 29.

Raymond Purves Research Laboratory, Institute of Bone & Joint Research, North Sydney Area Health Authority, Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St. Leonards, NSW 2065, Australia.

Background: Cartilage regeneration requires a balance of anabolic and catabolic processes.

Aim: To examine the susceptibility of fibromodulin (FMOD) and lumican (LUM) to degradation by MMP-13, ADAMTS-4 and ADAMTS-5, the three major degradative proteinases in articular cartilage, in cartilage development and in osteoarthritis (OA).

Methods: Immunolocalization of FMOD and LUM in fetal foot and adult knee cartilages using an FMOD matrix metalloprotease (MMP)-13 neoepitope antibody (TsYG11) and C-terminal anti-FMOD (PR184) and anti-LUM (PR353) antibodies. Read More

ANZ J Surg 2019 Jan 30. Epub 2019 Jan 30.

Department of Orthopaedic Surgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia.

PLoS One 2019 30;14(1):e0209423. Epub 2019 Jan 30.

Museo delle Civiltà, Servizio di Bioarcheologia, Rome, Italy.

Sex estimation of human remains is one of the most important research steps for physical anthropologists and archaeologists dealing with funerary contexts and trying to reconstruct the demographic structure of ancient societies. However, it is well known that in the case of cremations sex assessment might be complicated by the destructive/transformative effect of the fire on bones. Osteometric standards built on unburned human remains and contemporary cremated series are often inadequate for the analysis of ancient cremations, and frequently result in a significant number of misclassifications. Read More

Foot Ankle Int 2019 Jan 28:1071100718818577. Epub 2019 Jan 28.

2 Center for Foot and Ankle Surgery, Hirslanden Clinic Zürich, Switzerland.

Background:: Stiffness after open hallux valgus surgery affects 7% to 38% of patients. Minimally invasive surgery (MIS) is thought to decrease this rate by reducing soft tissue trauma. MIS, now in its third generation, is advertised as delivering results superior to open surgery. Read More

Foot Ankle Clin 2019 Mar;24(1):69-82

Department of Orthopedic Surgery, University of Colorado School of Medicine, 12631 E. 17th Avenue, Aurora, CO 80045, USA. Electronic address:

Freiberg disease is characterized as osteochondrosis of the second metatarsal head. It is the fourth most common form of primary osteochondrosis with a significant predilection to the adolescent athletic female population, although it has been seen over a wide age range. If treated early, osteochondroses such as Freiberg disease are essentially self-limiting, often resolving with nonoperative management. Read More

J Orthop Surg Res 2019 Jan 24;14(1):28. Epub 2019 Jan 24.

College of Medicine, King Saud bin Abdulaziz University for Health Sciences,, Riyadh, Saudi Arabia.

Background: SERI (Simple, Effective, Rapid, and Inexpensive) osteotomy is an accepted minimally invasive distal first metatarsal osteotomy performed to correct hallux valgus (HV). In the absence of reports of efficacy of the SERI technique in the Middle East, we studied 1-year outcomes of SERI osteotomy performed at our hospital in Saudi Arabia.

Methods: We reviewed the medical charts of patients aged 20 to 60 years who underwent SERI osteotomy for HV between August 2013 and September 2016 and identified 29 patients, 2 (6. Read More

Anat Histol Embryol 2019 Jan 21. Epub 2019 Jan 21.

Department of Veterinary Surgery and Theriogenology, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.

The aim of this study was to provide the detailed normal gross osteology and radiographic anatomy of the pelvic limb in adult small East African goats as a reference for clinical use, biomedical research and teaching. Radiography of the pelvic limb was performed in five adult small East African goats. Bone specimens of four skeletally mature small East African goats were used for gross osteological study. Read More

Osteoarthritis Cartilage 2019 Jan 17. Epub 2019 Jan 17.

Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK; Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Haywood Hospital, Staffordshire, UK.

Objective: To investigate the demographic, symptomatic, clinical and structural foot characteristics associated with potential phenotypes of midfoot osteoarthritis (OA).

Design: Cross-sectional study of 533 community-dwelling adults aged ≥50 years with foot pain in the past year. Health questionnaires and clinical assessments of symptoms, foot structure and function were undertaken. Read More

Ecotoxicol Environ Saf 2019 Apr 15;171:631-637. Epub 2019 Jan 15.

Federal University of Uberlândia, Institute of Biology, Laboratory of Ornithology and Bioacoustics, Umuarama Campus, Rua Ceará, s/n, 38400-902 Uberlândia, Minas Gerais, Brazil.

The urbanization contributes to environment contamination, mainly by the increased vehicle traffic. This intense traffic releases in the air chemical compounds with mutagenic properties that can affect the entire ecosystem. The birds for the flight accumulate air, absorbing gases or particles. Read More

FASEB J 2019 Jan 18:fj201801741R. Epub 2019 Jan 18.

Department of Women's and Children's Health, Karolinska Institutet and Pediatric Endocrinology Unit, Karolinska University Hospital, Solna, Sweden.

Glucocorticoids (GCs) are frequently used to treat chronic disorders in children, including inflammation and cancer. Prolonged treatment with GCs is well known to impair bone growth, an effect linked to increased apoptosis and suppressed proliferation in growth plate chondrocytes. We hypothesized that the endogenous antiapoptotic protein humanin (HN) may prevent these effects. Read More

Foot Ankle Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Orthopaedics, Foot and Ankle Surgery, Hospital for Special Surgery, 523 East 72nd Street, New York, NY 10023, USA. Electronic address:

Background: The use of synthetic polyvinyl alcohol hydrogel (PVAH) implants for treatment of lesser toe metatarsophalangeal joint (MTPJ) arthritis is promising and currently limited by the size of implants available. The primary objective of this cadaveric study was to investigate the maximum drilling size and largest PVAH implant dimension that could be safely introduced while still preserving an intact bone rim of the lesser metatarsal heads.

Methods: Height and width of all lesser metatarsals were measured on CT and during anatomic dissection. Read More

J Clin Densitom 2018 Dec 21. Epub 2018 Dec 21.

Center for Metabolic Bone Diseases, University Hospitals Leuven, Leuven, Belgium; Department of Chronic Diseases, Metabolism and Aging (CHROMETA), KU Leuven, Leuven, Belgium. Electronic address:

Background: Hypophosphatasia (HPP) is a rare metabolic bone disorder caused by mutations in the alkaline phosphatase (ALPL) gene, and characterized by low circulating alkaline phosphatase (ALP) levels and bone, muscle, dental and systemic manifestations. In this case series we investigate the clinical spectrum, genetic and biochemical profile of adult HPP patients from the University Hospitals Leuven, Belgium.

Methodology: Adults with HPP were identified through medical record review. Read More

Foot Ankle Int 2019 Jan 18:1071100718821631. Epub 2019 Jan 18.

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

Background:: Proximal crescentic osteotomy (PCO) in patients with moderate-to-severe hallux valgus (HV) is a well-established and effective procedure for correcting the deformity. However, there are no published studies comparing plantar pressure in postoperative HV feet with healthy feet. This study aimed to compare the plantar pressure distribution in postoperative HV feet with healthy feet. Read More

Zootaxa 2019 Jan 9;4543(4):549-580. Epub 2019 Jan 9.

Asian Turtle Program-Indo-Myanmar Conservation, R.1806, 18th F., CT1 Bac Ha C14 Building To Huu St., Dist. Nam Tu Liem, Ha Noi, Vietnam..

We describe a new species of Microhyla from Tram Lap forest, Gia Lai Province, Central Vietnam based on morphological, molecular, and acoustic data. The new species resembles M. butleri morphologically, but differs from all congeners by a combination of the following morphological attributes: (1) medium-sized adult snout-vent length 25. Read More

JBJS Essent Surg Tech 2018 Dec 24;8(4):e27. Epub 2018 Oct 24.

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

Background: Arthrodesis of the first metatarsophalangeal (MTP) joint has been recommended for severe hallux valgus deformity in patients with rheumatoid arthritis. We developed an alternative procedure that preserves motion of the first MTP joint while restoring alignment and balance to the forefoot. This procedure was shown to be effective in a series of 60 patients with a 3-year follow-up. Read More

Appl Ergon 2019 Apr 24;76:122-129. Epub 2018 Dec 24.

School of Human Kinetics, University of Ottawa, 75 Laurier Ave E, Ottawa, Ontario, K1N 6N5, Canada. Electronic address:

Manual materials handling is often performed in hazardous environments where protective footwear must be worn; however, workers can wear different types of footwear depending on the hazards present. Therefore, the goal of this study was to investigate how three-dimensional lifting mechanics and trunk local dynamic stability are affected by different types of protective footwear (i.e. Read More

Acta Orthop Traumatol Turc 2019 Jan 9. Epub 2019 Jan 9.

School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.

Objective: The aim of study was to analyze the association between Quadriceps Angle (QA) and plantar pressure, navicular height (NH), and calcaneo-tibial angle (CTA).

Methods: A total of 64 volunteers (mean age: 22.25 ± 2. Read More

Foot (Edinb) 2018 Dec 21;38:43-49. Epub 2018 Dec 21.

Foot and Ankle Unit, West Hertfordshire Hospitals NHS Trust, Vicarage Road, Watford WD18 0HB, UK.

Background: Minimally invasive distal metaphyseal metatarsal osteotomy (DMMO) may be used to treat metatarsalgia and forefoot pathology. Few large series report its results or examine the degree of metatarsal shortening with this technique. The clinical and radiographic results of a cohort of patients treated with DMMOs at our unit are reported. Read More

J Cutan Pathol 2019 Jan 10. Epub 2019 Jan 10.

Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee.

Low-grade fibromyxoid sarcoma (LGFMS) is a rare soft tissue sarcoma that usually presents as a deep-seated tumor in young adults; however, they can occur on superficial sites, mostly documented in pediatric age groups. LGFMS presenting on acral sites is not highly emphasized in the general pathology or dermatopathology literature. The case presented is that of a 30-year-old man with a foot mass that was removed 15 years earlier and subsequently recurred as two masses, the first occurring between the third and fourth toes/metatarsal region and the second over the lateral tarsal region. Read More

Case Rep Orthop 2018 6;2018:8205285. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1, Takara-machi, Kanazawa 920-8641, Japan.

The treatment methods used for Blauth type IIIB hypoplastic thumbs are controversial. We performed a nonvascularized, hemilongitudinal metatarsal bone transfer on a 5-year-old boy with a type IIIB hypoplastic thumb. Despite the child's age, the growth of the thumb was confirmed and the thumb had stabilized. Read More

Case Rep Orthop 2018 3;2018:4521841. Epub 2018 Dec 3.

Loyola University Medical Center, 2160 S 1st Ave. Maywood, IL 60153, USA.

Case: Giant cell tumor of bone is a benign, aggressive neoplasm commonly arising in the femur, tibia, and distal radius and less commonly in the hands and feet. We describe a 22-year-old woman who underwent wide resection of multiply recurrent first metatarsal giant cell tumor and reconstruction with iliac crest arthrodesis.

Conclusion: To our knowledge, there have been no previous reports of managing multiply recurrent giant cell tumor of the first metatarsal. Read More

Foot Ankle Surg 2018 Dec 24. Epub 2018 Dec 24.

The Orthopaedic Foot and Ankle Unit, Department of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa; The Orthopaedic Foot and Ankle Unit, Netcare Linksfield Hospital, Johannesburg, South Africa.

Background: The aetiology of hallux valgus interphalangeus (HVI) is not well understood. First metatarsophalangeal joint stability, influenced by first metatarsal head shape, may be linked to HVI. We hypothesised that first metatarsal head shape is a risk factor for HVI. Read More

Eur J Trauma Emerg Surg 2019 Jan 7. Epub 2019 Jan 7.

Orthopedic Surgery and Traumatology Department, La Fe Hospital, Valencia, Spain.

Ankle torque is the most frequent injury mechanism encountered in traumatology. It usually develops as an ankle sprain, and often produces an ankle fracture. Signs and symptoms are very unspecific on the differential diagnosis, and conventional radiographs must be obtained to confirm it. Read More

Am J Phys Anthropol 2019 Mar 5;168(3):566-581. Epub 2019 Jan 5.

Department of Archaeology, University of Cambridge, Cambridge, United Kingdom.

Objectives: To systematically characterize intra-limb patterns of skeletal plasticity to loading among living women, in order to better understand regional complexity in structural adaptation within the lower limb and more accurately infer behavior in the past.

Materials And Methods: We used peripheral quantitative computed tomography imaging of the femur, tibia, first and second metatarsals to quantify bone morphology among female controls and athletes representative of either terrestrial or marine mobility, grouped by loading category (odd-impact, repetitive low-impact, and high-magnitude). Parameters included midshaft bone density, areas, rigidity, and shape, epiphyseal bone densities and areas. Read More

J Foot Ankle Surg 2019 Jan 3. Epub 2019 Jan 3.

(1)Professor, Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, South Korea(2)Surgeon, Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, South Korea. Electronic address:

To correct hallux valgus deformities in patients with advanced arthritis of the first metatarsophalangeal joint, we designed a new reverse chevron-type shortening osteotomy technique that could be used to correct valgus deformities at the proximal metatarsal level, as well as shorten and lower the metatarsal, in a 1-time procedure. Sixteen feet in 16 patients with a minimum of 18 months follow-up who underwent a shortening proximal chevron metatarsal osteotomy for a hallux valgus deformity with advanced arthritic change between January 2014 and March 2016 were reviewed in this study. Double chevron osteotomies with 20° of plantar-ward obliquity at the proximal metatarsal level were made at 5-mm intervals for simultaneous valgus correction and metatarsal shortening. Read More

Foot Ankle Surg 2018 Aug 24. Epub 2018 Aug 24.

Ain Shams University, Egypt. Electronic address:

Background: The aim of this prospective non randomized case series study was to assess the intermediate-term outcomes of double calcaneal osteotomy (lateral column lengthening and medial slide calcaneal osteotomy) use in ambulatory cerebral palsy with flexible planovalgus feet.

Methods: 16 cases with planovalgus feet were surgically treated by double calcaneal osteotomy and observed over an average of 33.5months. Read More

Foot Ankle Surg 2018 Dec 31. Epub 2018 Dec 31.

Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-Gu, Seongnam, Gyeonggi 13620, South Korea. Electronic address:

Background: This study evaluate the radiographic changes in the mid-tarsal joint, including the calcaneocuboid and talonavicular (TN) joints after calcaneal lengthening for planovalgus deformity in children.

Methods: This study included 38 patients (68 feet) who underwent calcaneal lengthening for planovalgus deformity. Radiographic osteoarthritic changes at the CC or TN joint were defined as modified Kellgren-Lawrence grade of ≥1. Read More

Pathol Int 2019 Jan 3;69(1):42-47. Epub 2019 Jan 3.

Department of Pathology, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Republic of Korea.

Intraosseous myoepithelial tumors are very rare. Due to the low incidence and diverse histologic features, accurate diagnosis is challenging, necessitating ancillary immunohistochemistry. Moreover, genetic abnormality in this tumor was not revealed until recently. Read More

Foot Ankle Surg 2018 Dec 21. Epub 2018 Dec 21.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. Electronic address:

Background: Pediatric flexible flatfoot is sometimes asymptomatic but it can rarely cause physical impairment, pain, and difficulty walking. We evaluated the radiographic effectiveness of intervention of subtalar arthroereisis with endorthesis for pediatric flexible flatfoot with final follow-up at skeletal maturity.

Methods: This is a retrospective cross-sectional study. Read More

Ann Intern Med 2019 Jan 1. Epub 2019 Jan 1.

Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts (S.C.K., S.S., D.K., E.P.).

Background: Sodium-glucose cotransporter-2 inhibitors promote glycosuria, resulting in possible effects on calcium, phosphate, and vitamin D homeostasis. Canagliflozin is associated with decreased bone mineral density and a potential increased risk for fracture.

Objective: To estimate risk for nonvertebral fracture among new users of canagliflozin compared with a glucagon-like peptide-1 (GLP-1) agonist. Read More

Orthop Traumatol Surg Res 2019 Feb 24;105(1):153-158. Epub 2018 Dec 24.

Université Lille-Nord-de-France, Lille, France; Service d'orthopédie B, hôpital Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France; Laboratoire d'anatomie, faculté de médecine Henri-Warembourg, université de Lille 2, 59045 Lille cedex, France.

Background: Tibialis posterior transfer (TPT) is the treatment most widely used to palliate foot drop due to dorsiflexor palsy. TPT has been extensively studied in patients with peripheral neurological causes of foot drop. In contrast, data are scarce on central foot drop, in which TPT is often blamed for causing flattening of the arches. Read More

Int Wound J 2018 Dec 26. Epub 2018 Dec 26.

Diabetic Foot Unit, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.

The aim of this study was to evaluate the recovery time and the development of complications in the dorsal and plantar approach to metatarsal head resections (MHR) in patients with diabetic foot ulcers complicated by osteomyelitis. A retrospective study was carried out involving 108 patients who underwent MHRs for the treatment of diabetic foot osteomyelitis. Two cohorts were defined: dorsal approach with incision closed with sutures and plantar approach with ulcer healed using conservative treatment. Read More

Injury 2018 Dec 18. Epub 2018 Dec 18.

Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China; The First Clinical College, Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China. Electronic address:

Background: This study assessed the surgical outcomes of Lisfranc injuries accompanied by multiple metatarsal fractures. Metatarsal fractures here refers to metatarsal head, neck, and shaft (including shaft fractures accompanied by fractures of the base) fractures, as well as mixed (i.e. Read More

J Orthop Sci 2018 Dec 21. Epub 2018 Dec 21.

Department of Orthopaedic Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.

Background: Distal first metatarsal osteotomy is an option for operative treatment of mild to severe hallux valgus (HV) deformities. Minimally invasive distal linear metatarsal osteotomy (DLMO) provides good outcomes without avascular necrosis (AVN) of the metatarsal head. However, no reports have described the in vivo blood flow changes in the metatarsal head after osteotomy. Read More