703 results match your criteria Pes Cavus


A novel frameshift deletion in autosomal recessive SBF1-related syndromic neuropathy with necklace fibres.

J Neurol 2020 May 22. Epub 2020 May 22.

Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK.

Objective: To identify the genetic cause of complex neuropathy in two siblings from a consanguineous family.

Methods: The patients were recruited from our clinic. Muscle biopsy and whole-exome sequencing (WES) were performed. Read More

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http://dx.doi.org/10.1007/s00415-020-09827-yDOI Listing

Interventions for congenital talipes equinovarus (clubfoot).

Cochrane Database Syst Rev 2020 05 15;5:CD008602. Epub 2020 May 15.

Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.

Background: Congenital talipes equinovarus (CTEV), also known as clubfoot, is a common congenital orthopaedic condition characterised by an excessively turned-in foot (equinovarus) and high medial longitudinal arch (cavus). If left untreated it can result in long-term disability, deformity and pain. Interventions can be conservative (such as splinting or stretching) or surgical. Read More

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http://dx.doi.org/10.1002/14651858.CD008602.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265154PMC

Mutational and phenotypic expansion of ATP1A3-related disorders: Report of nine cases.

Gene 2020 Jul 25;749:144709. Epub 2020 Apr 25.

Division of Medical Genetics and Metabolism, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand; Excellence Center for Genomics and Precision Medicine, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok 10330, Thailand.

Background: Mutations in the ATP1A3 gene are known to be the cause of three distinct neurological syndromes including alternating hemiplegia of childhood (AHC), rapid-onset dystonia parkinsonism (RDP) and cerebellar ataxia, arefexia, pes cavus, optic atrophy and sensorineural hearing impairment (CAPOS). Recent studies have suggested the broader diversity of ATP1A3-related disorders. This study aimed to investigate the clinical spectrum in patients carrying causative mutations within the ATP1A3 gene. Read More

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http://dx.doi.org/10.1016/j.gene.2020.144709DOI Listing

Medial Soft-Tissue Release for Lateralising Calcaneal Osteotomy: A Cadaveric Study.

Indian J Orthop 2020 Feb 13;54(1):49-54. Epub 2020 Jan 13.

4Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow, G81 4DY Scotland UK.

Background: Lateralising calcaneal osteotomy for pes cavus is generally regarded to be harder to shift than a medialising calcaneal osteotomy for pes planus. The aim of our study was to determine the structures which restrain a lateral shift.

Methods: Lateralising calcaneal osteotomy was performed on four soft-embalmed cadavers via a standard lateral approach and the lateral calcaneal shift was measured before and after the release of flexor retinaculum. Read More

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http://dx.doi.org/10.1007/s43465-019-00017-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093652PMC
February 2020

[Hereditary Polyneuropathies].

Authors:
A Ferbert C Roth

Fortschr Neurol Psychiatr 2020 Mar 31;88(3):198-209. Epub 2020 Mar 31.

Hereditary neuropathies are a group of diseases of which the most prevalent is Charcot Marie Tooth disease (CMT). From the clinical point of view pes cavus is a typical yet not specific sign for CMT. Motor signs like bilateral foot drop are dominant over sensory signs. Read More

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http://dx.doi.org/10.1055/a-1009-2270DOI Listing

The relationship of body mass index and body fat composition with the foot arch among osteoarthritis patients.

Enferm Clin 2020 Mar;30 Suppl 2:168-171

Physiotherapy Study Program, Faculty of Nursing, Universitas Hasanuddin, Indonesia.

Objective: To identify the relationship between the body mass index and body fat composition with foot arch among osteoarthritis patients.

Methods: A cross-sectional study involved 30 patients with Osteoarthritis.

Results: The test results show that there is a significant correlation between body mass index and body structure and arch composition in osteoarthritis people (p=0. Read More

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http://dx.doi.org/10.1016/j.enfcli.2019.07.070DOI Listing

Hereditary Spastic Paraplegia and Intellectual Disability: Clinicogenetic Lessons From a Family Suggesting a Dual Genetics Diagnosis.

Front Neurol 2020 14;11:41. Epub 2020 Feb 14.

Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.

Hereditary spastic paraplegias (HSPs) are a heterogeneous group of genetic disorders with spastic paraparesis as the main clinical feature. Complex forms may co-occur with other motor, sensory, and cognitive impairment. A growing number of loci and genes are being identified, but still more than 50% of the patients remain without molecular diagnosis. Read More

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http://dx.doi.org/10.3389/fneur.2020.00041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7033498PMC
February 2020

Stiffness of the human foot and evolution of the transverse arch.

Nature 2020 03 26;579(7797):97-100. Epub 2020 Feb 26.

Mathematics Institute, University of Warwick, Coventry, UK.

The stiff human foot enables an efficient push-off when walking or running, and was critical for the evolution of bipedalism. The uniquely arched morphology of the human midfoot is thought to stiffen it, whereas other primates have flat feet that bend severely in the midfoot. However, the relationship between midfoot geometry and stiffness remains debated in foot biomechanics, podiatry and palaeontology. Read More

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http://dx.doi.org/10.1038/s41586-020-2053-yDOI Listing

Assessment and Management of the Pediatric Cavovarus Foot.

Authors:
Maryse Bouchard

Instr Course Lect 2020 ;69:381-390

The cavovarus foot is challenging to treat. The deformity is typically progressive with an unpredictable natural history. There are concurrent deformities in the fore-, mid-, and hindfoot: the medial arch is elevated, the first ray is plantarflexed, and the heel is in varus. Read More

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February 2020

Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study.

Sudan J Paediatr 2019 ;19(2):101-109

Department of Paediatrics and Child Health, Faculty of Medicine University of Gezira, Wad Medani, Sudan.

Club foot or congenital talipes equinovarus (CTEV) is a common developmental disorder of the foot, affecting 1 per 1,000 live births. The main goal of this study is to evaluate the anatomical bony arrangement of the clubfoot deformity radiologically and to correlate this arrangement with the Pirani clinical scoring system. This descriptive, analytical study was conducted in three centres in Sudan. Read More

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http://dx.doi.org/10.24911/SJP.106-1573461977DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6962271PMC
January 2019

ATP1A3-related epilepsy: Report of seven cases and literature-based analysis of treatment response.

J Clin Neurosci 2020 Feb 17;72:31-38. Epub 2020 Jan 17.

Division of Pediatric Neurology, Developmental Medicine and Social Pediatrics, Department of Pediatrics, Dr. von Haunersches Childrens Hospital, Ludwig-Maximilian-University of Munich, Germany; Comprehensive Epilepsy Center, Ludwig-Maximilian- University of Munich, Germany; Paracelsus Medical University Salzburg, Salzburg, Austria. Electronic address:

ATP1A3 related disease is a clinically heterogeneous condition currently classified as alternating hemiplegia of childhood, rapid-onset dystonia-parkinsonism and cerebellar ataxia, areflexia, pes cavus, optic atrophy, and sensorineural hearing loss. Recently, it has become apparent that a remarkably large subgroup is suffering from often difficult-to-treat epilepsy. The aim of the present study was to assess the prevalence and efficacy of commonly used anti-epileptic-drugs (AEDs) in patients with ATP1A3 related seizures. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.01.041DOI Listing
February 2020

Clinical and Genetic Spectrum of -Related Disorders in a Korean Pediatric Population.

J Clin Neurol 2020 Jan;16(1):75-82

Department of Pediatrics, Seoul National University College of Medicine, Pediatric Clinical Neuroscience Center, Seoul National University Children's Hospital, Seoul, Korea.

Background And Purpose: The aim of this study was to expand the understanding of the genotype-phenotype spectrum of -related disorders and to evaluate the therapeutic effect of a ketogenic diet in patients with alternating hemiplegia of childhood (AHC).

Methods: The clinical information of 13 patients with mutations was analyzed by performing retrospective chart reviews. Patients with the AHC phenotype who consented to ketogenic diet were included in the trial. Read More

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http://dx.doi.org/10.3988/jcn.2020.16.1.75DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974827PMC
January 2020

Recurrent episodes of reversible posterior leukoencephalopathy in three Chinese families with GJB1 mutations in X-linked Charcot-Marie-tooth type 1 disease: cases report.

BMC Neurol 2019 Dec 16;19(1):325. Epub 2019 Dec 16.

Department of Neurology, First Affiliated Hospital, Guangxi Medical University, #6 Shuangyong Road, Nanning, Guangxi, People's Republic of China, 530021.

Background: The X-linked form of Charcot-Marie-Tooth disease type 1 (CMTX1) is an inherited peripheral neuropathy that arises in patients with mutations in the gap-junction beta-1 gene (GJB1).

Case Presentation: Three young male patients from Southern China with pes cavus experienced multiple episodes of transient central nervous system (CNS) dysfunction. Three patients all had reversible posterior leukoencephalopathy as detected by brain diffusion-weighted magnetic resonance imaging (MRI-DWI). Read More

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http://dx.doi.org/10.1186/s12883-019-1563-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6912941PMC
December 2019

Genotype-phenotype associations in hereditary spastic paraplegia: a systematic review and meta-analysis on 13,570 patients.

J Neurol 2019 Nov 19. Epub 2019 Nov 19.

Department of Medical Genetics, School of Medicine, Shahid Beheshti University of Medical Sciences, Velenjak St., Shahid Chamran Highway, Tehran, IR, Iran.

Aims: The hereditary spastic paraplegias (HSPs) are a heterogeneous group of inherited neurodegenerative disorders. Although, several genotype-phenotype studies have carried out on HSPs, the association between genotypes and clinical phenotypes remain incomplete since most studies are small in size or restricted to a few genes. Accordingly, this study provides the systematic meta-analysis of genotype-phenotype associations in HSP. Read More

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http://dx.doi.org/10.1007/s00415-019-09633-1DOI Listing
November 2019
4 Reads

Immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation in adults with cavus foot: A randomized controlled trial.

Medicine (Baltimore) 2019 Nov;98(46):e18018

Department of Podiatry, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain.

Background: Cavus foot is a deformity represented by an increased and rigid medial longitudinal arch, and it is often associated with persistent pain and gait disturbances. None of the conservative conventional treatments for cavus foot have shown conclusive evidence of effectiveness, and so further is research needed to understand how to manage this condition better. This study aimed to assess the immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation of the plantar fascia in adults with idiopathic cavus foot. Read More

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http://dx.doi.org/10.1097/MD.0000000000018018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867773PMC
November 2019

Management of pediatric foot deformities: an imaging review.

Pediatr Radiol 2019 11 4;49(12):1678-1690. Epub 2019 Nov 4.

Mount Joy Foot and Ankle Associates, Mount Joy, PA, USA.

Abnormalities of foot alignment can be a cause of significant morbidity in children, and some require complex surgical intervention to improve functionality and decrease pain. Imaging plays a key role in management decisions. We address some of the most common surgical strategies for selected diagnoses including pes planus, congenital vertical talus, pes cavus, and clubfoot, with a focus on imaging findings. Read More

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http://dx.doi.org/10.1007/s00247-019-04503-4DOI Listing
November 2019

Genotype-Phenotype Correlations in Charcot-Marie-Tooth Disease Due to Mutations and Implications in Membrane Trafficking.

Front Neurosci 2019 14;13:974. Epub 2019 Oct 14.

Department of Pediatrics, University Hospital Cologne, Cologne, Germany.

Charcot-Marie-Tooth type 4 (CMT4) is an autosomal recessive severe form of neuropathy with genetic heterogeneity. CMT4B1 is caused by mutations in the myotubularin-related 2 ( gene and as a member of the myotubularin family, the MTMR2 protein is crucial for the modulation of membrane trafficking. To enable future clinical trials, we performed a detailed review of the published cases with mutations and describe four novel cases identified through whole-exome sequencing (WES). Read More

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http://dx.doi.org/10.3389/fnins.2019.00974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6807680PMC
October 2019
4 Reads

Giant axonal neuropathy: a multicenter retrospective study with genotypic spectrum expansion.

Neurogenetics 2020 Jan 26;21(1):29-37. Epub 2019 Oct 26.

Biology and Pathology Department, Hospices Civils, Lyon, Bron, France.

Giant axonal neuropathy (GAN) is an autosomal recessive disease caused by mutations in the GAN gene encoding gigaxonin. Patients develop a progressive sensorimotor neuropathy affecting peripheral nervous system (PNS) and central nervous system (CNS). Methods: In this multicenter observational retrospective study, we recorded French patients with GAN mutations, and 10 patients were identified. Read More

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http://dx.doi.org/10.1007/s10048-019-00596-zDOI Listing
January 2020
1 Read

Prevalence and Associates of Foot Deformities among Patients with Diabetes in Jordan.

Curr Diabetes Rev 2020 ;16(5):471-482

National Centre of Diabetes, Endocrinology and Genetics, Amman, Jordan.

Objectives: To determine the prevalence of, and factors associated with, people with foot deformities, among patients with diabetes in Jordan.

Methods: A cross-sectional study was conducted on 1000 diabetic participants recruited from the National Center for Diabetes, Endocrinology, and Genetics in Jordan. Participants had their feet clinically examined to detect the following foot deformity outcomes: Hallux valgus, claw/hammer toe, prominent metatarsal heads, limited joint mobility, pes cavus, Charcot foot, and amputations. Read More

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http://dx.doi.org/10.2174/1573399815666191001101910DOI Listing
June 2020
7 Reads

A Case Report on Charcot-Marie-Tooth Disease with a Novel Periaxin Gene Mutation.

Cureus 2019 Jul 9;11(7):e5111. Epub 2019 Jul 9.

Neurology, University of Missouri, Columbia, USA.

Charcot-Marie-Tooth (CMT) disease is one of the most common primary hereditary neuropathies causing peripheral neuropathies. More than 60 different gene mutations are causing this disease. The gene codes for Periaxin proteins that are expressed by Schwann cells and are necessary for the formation and maintenance of myelination of peripheral nerves. Read More

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http://dx.doi.org/10.7759/cureus.5111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6741374PMC
July 2019
1 Read

The Biplanar Effect of the Medial Cuneiform Osteotomy.

Foot Ankle Spec 2020 Jun 15;13(3):250-257. Epub 2019 Sep 15.

University of Saskatchewan, Saskatoon, Saskatchewan, Canada (JAM).

The "foot-CORA" (center of rotation of angulation) method confirms the medial cuneiform as the site of deformity in most forefoot/midfoot deformities and is therefore the ideal location to correct those deformities. It has been consistently observed intraoperatively by the senior author that there is a secondary, unintentional deformity created in the transverse plane when dorsiflexion and plantar flexion osteotomies of the medial cuneiform are performed to correct pronation and supination forefoot deformities, respectively. These effects may not be desirable. Read More

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http://journals.sagepub.com/doi/10.1177/1938640019868061
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http://dx.doi.org/10.1177/1938640019868061DOI Listing
June 2020
1 Read

[Hindfoot-centred X-ray technique for the evaluation of cavovarus deformity : A proposal for the optimization of radiologic delineation].

Orthopade 2020 Jun;49(6):531-537

Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, München, Deutschland.

In surgical correction of cavovarus deformity bony hindfoot procedures are required in most cases. For treatment planning X‑rays in two or more planes are usually used. In conventional X‑ray-techniques the hindfoot and ankle joint are presented in a more or less outward rotated position. Read More

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http://dx.doi.org/10.1007/s00132-019-03800-yDOI Listing
June 2020
1 Read

Clinical Reasoning: Pes cavus and neuropathy: Think beyond Charcot-Marie-Tooth disease.

Neurology 2019 08;93(8):e823-e826

From the Department of Neurology (J.A), Beth Israel Deaconess Medical Center; and Department of Neurology (P.S.G.), Boston Children's Hospital, MA.

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http://www.neurology.org/lookup/doi/10.1212/WNL.000000000000
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http://dx.doi.org/10.1212/WNL.0000000000007976DOI Listing
August 2019
5 Reads

Novel mutation in the periaxin gene causal to Charcot-Marie-Tooth disease type 4F.

J Int Med Res 2019 Aug 20:300060519862064. Epub 2019 Aug 20.

Neurology Department, Beijing Hospital, National Center of Gerontology, Beijing 100730, P. R. China.

Charcot-Marie-Tooth (CMT) disease is the most common hereditary neuropathy. Mutations in the periaxin gene () can cause CMT type 4F, an autosomal recessive neuropathy, which is clinically characterized by slowly progressive distal muscle atrophy and weakness, with pes cavus deformity of the foot, and the absence of deep tendon reflexes. To date, dozens of reports of mutations have been published worldwide, but none have been reported in Chinese patients. Read More

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http://journals.sagepub.com/doi/10.1177/0300060519862064
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http://dx.doi.org/10.1177/0300060519862064DOI Listing
August 2019
3 Reads

Fever-related ataxia: a case report of CAPOS syndrome.

Cerebellum Ataxias 2019 8;6. Epub 2019 Feb 8.

8Department of Neurology, Drammen Hospital, Vestre Viken Health Trust, Drammen, Norway.

Background: CAPOS (erebellar ataxia, reflexia, es cavus, ptic atrophy and ensorineural hearing loss) syndrome is caused by the heterozygous mutation, c.2452G > A, in the gene. Other mutations in this gene can cause a spectrum of overlapping phenotypes including alternating hemiplegia of childhood, rapid onset dystonia parkinsonism, early infantile epileptic encephalopathy and fever induced paroxysmal weakness and encephalopathy. Read More

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https://cerebellumandataxias.biomedcentral.com/articles/10.1
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http://dx.doi.org/10.1186/s40673-019-0096-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368810PMC
February 2019
2 Reads

The cerebellar phenotype of Charcot-Marie-Tooth neuropathy type 4C.

Cerebellum Ataxias 2019 15;6. Epub 2019 Jul 15.

1Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.

Background: Friedreich ataxia (FRDA) is the most common familial ataxia syndrome in Central and Southern Europe but rare in Scandinavia. Biallelic mutations in SH3 domain and tetratricopeptide repeats 2 ( cause Charcot-Marie-Tooth disease type 4C (CMT4C), one of the most common autosomal recessive polyneuropathies associated with early onset, slow disease progression and scoliosis. Beyond nystagmus reported in some patients, neither ataxia nor cerebellar atrophy has been documented as part of the CMT4C phenotype. Read More

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http://dx.doi.org/10.1186/s40673-019-0103-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631598PMC
July 2019
8 Reads

[Phenotypic and genotypic characteristics of fever-induced paroxysmal weakness and encephalopathy caused by ATP1A3 pathogenic variants].

Zhonghua Er Ke Za Zhi 2019 Jul;57(7):543-547

Department of Neurology, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.

To characterize fever-induced paroxysmal weakness and encephalopathy (FIPWE) caused by ATP1A3 gene pathogenic variant. Phenotypic and genotypic characteristics of 4 FIPWE patients (3 boys and 1 girl), who were ascertained from October 2016 to March 2018 in Beijing Children's Hospital due to ATP1A3 heterozygous variants, were retrospectively analyzed. The whole exsome sequencing was used for genetic testing. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2019.07.010DOI Listing
July 2019
5 Reads

The Cole Midfoot Osteotomy: Clinical and Radiographic Retrospective Review of Five Patients (Six Feet) with Different Etiologies.

J Am Podiatr Med Assoc 2019 May;109(3):180-186

Background: Cole osteotomy is performed in patients having a cavus deformity with the apex of the deformity in the midfoot. Correction of the deformity at this midfoot level improves foot and ankle stability by creating a plantigrade foot. We retrospectively reviewed the clinical and radiographic results of six feet (five patients) that underwent Cole midfoot osteotomy (2011-2015). Read More

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http://dx.doi.org/10.7547/17-056DOI Listing
May 2019
5 Reads

Evaluation of the paediatric foot using footprints and foot posture index: A cross-sectional study.

J Paediatr Child Health 2020 Feb 2;56(2):201-206. Epub 2019 Jul 2.

Discipline of Podiatry, College of Science, Health, and Engineering, La Trobe University, Melbourne, Victoria, Australia.

Aim: Footprints have long been used as proxy measures of foot morphology, yet there is little consensus regarding footprints versus measures of foot posture, which address foot anatomy directly. Foot posture in children can be a confusing clinical presentation, with previous studies both supporting and refuting the relationship between childhood obesity and flat feet. The aim of this study was to determine the relationship between footprints and foot posture in children. Read More

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http://dx.doi.org/10.1111/jpc.14558DOI Listing
February 2020
1 Read

Affected Children of Healthy Parents: Multiple Pediatric Cases of Autosomal Recessive Charcot-Marie-Tooth Disease in a Pakistani Family.

Cureus 2019 Apr 9;11(4):e4417. Epub 2019 Apr 9.

Pediatrics, Dow University of Health Sciences (DUHS), Karachi, PAK.

Charcot-Marie-Tooth (CMT) disease, also referred to as hereditary motor and sensory neuropathy (HMSN), is a heterogeneous group of disorders which primarily affects the peripheral nervous system. Clinically, the main features are progressive muscle weakness seen distally, along with wasting seen predominantly in the anterior compartments of the lower legs. The disease can broadly be classified into two groups, CMT1 and CMT2-based on inheritance patterns, paired with anatomical or electrophysiological findings. Read More

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http://dx.doi.org/10.7759/cureus.4417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559384PMC
April 2019
6 Reads

Exome sequencing detects compound heterozygous nonsense LAMA2 mutations in two siblings with atypical phenotype and nearly normal brain MRI.

Neuromuscul Disord 2019 05 10;29(5):376-380. Epub 2019 Apr 10.

Muscle Cell Biology Lab, Neuromuscular Diseases and Neuroimmunology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Temolo 4, 20126 Milano, Italy. Electronic address:

LAMA2 mutations cause the most frequent congenital muscular dystrophy subtype MDC1A and a variety of milder phenotypes, characterized by total or partial laminin-α2 deficiency. In both severe and milder cases brain MRI invariably shows abnormal white matter signal intensity. We report clinical, histopathological, imaging and genetic data on two siblings with very subtle, and at first undetected, reduction in laminin-α2 expression, and brain MRI showing minor non-specific abnormalities. Read More

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http://dx.doi.org/10.1016/j.nmd.2019.04.001DOI Listing
May 2019
13 Reads

The Cavus Foot.

Authors:
Alexej Barg

Foot Ankle Clin 2019 Jun 2;24(2):xiii-xiv. Epub 2019 Apr 2.

Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA. Electronic address:

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http://dx.doi.org/10.1016/j.fcl.2019.02.013DOI Listing

Failure of Surgical Treatment in Patients with Cavovarus Deformity: Why Does This Happen and How Do We Approach Treatment?

Foot Ankle Clin 2019 Jun 6;24(2):361-370. Epub 2019 Apr 6.

Steps2Walk, 1209 Harbor Island Walk, Baltimore, MD 21230, USA.

Recurrent deformity after surgical treatment of the cavus foot occurs because a procedure is not performed at the apex of the deformity. In many instances there are multiple apices and, in addition to hindfoot osteotomy or arthrodesis, the midfoot must be corrected. There is not much of a role for the Coleman block test to determine flexibility of the foot, and this has led to many failures where the foot was believed flexible and an osteotomy was insufficient treatment. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.008DOI Listing
June 2019
5 Reads

Cavus Foot: Deciding Between Osteotomy and Arthrodesis.

Foot Ankle Clin 2019 Jun 5;24(2):347-360. Epub 2019 Apr 5.

Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA. Electronic address:

Mild to moderate cavus deformity creates a dilemma in terms of surgical decision-making. The decision to pursue osteotomy or arthrodesis is not always clear. This article provides a framework for guiding management of these deformities, followed by a detailed surgical approach to correcting moderate cavus deformities, which emphasizes the use of a midfoot osteotomy-arthrodesis. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.007DOI Listing

Hindfoot Injuries: How to Avoid Posttraumatic Varus Deformity?

Foot Ankle Clin 2019 Jun 5;24(2):325-345. Epub 2019 Apr 5.

Department of Orthopaedic Surgery, Sirindhorn Hospital, Bangkok Metropolitan Administration, 20 Onnuch 90, Prawet, Bangkok 10250, Thailand.

Posttraumatic hindfoot varus may result from nonoperative treatment or inadequate reduction and fixation of talar and calcaneal fractures. Adequate visualization of the talar neck via bilateral approaches is essential in avoiding malreduction. In cases of medial comminution of the talar neck, lag screws must be avoided and the use of single or double plates should be considered. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.006DOI Listing
June 2019
10 Reads

Two-Stage Varus Correction.

Foot Ankle Clin 2019 Jun 6;24(2):281-304. Epub 2019 Apr 6.

Illinois Bone and Joint Institute, LLC, 2401 Ravine Way, Glenview, IL 60025, USA. Electronic address:

Coronal plane deformity following total ankle arthroplasty has been associated with poor clinical outcomes and early prosthesis failure. Neutral mechanical alignment and prosthetic joint stability must be achieved through meticulous surgical planning and precise technical execution. Cavovarus foot deformity and varus malalignment of the lower extremity is reviewed, with particular emphasis as it relates to total ankle arthroplasty. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.012DOI Listing
June 2019
3 Reads

Inframalleolar Varus Deformity: Role of Calcaneal Osteotomies.

Foot Ankle Clin 2019 Jun 5;24(2):219-237. Epub 2019 Apr 5.

C.A.S.C.O. Foot and Ankle Unit, IRCCS Galeazzi, Via Riccardo Galeazzi, 20161 Milan, Italy.

The cavo varus foot is a complex pathology due to skeletal deformity and neuro-muscular unbalance. The key concept for a successful treatment is to consider the whole foot and ankle complex from a bone and soft tissue perspective. Undercorrection is the main issue in cavo varus foot management, which may be attributed to intrinsic correction defects of the described calcaneal osteotomies or to a lack of understanding about the pathology and the subsequent algorithm of treatment. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.011DOI Listing
June 2019
3 Reads

Updates in Pediatric Cavovarus Deformity.

Foot Ankle Clin 2019 Jun 5;24(2):205-217. Epub 2019 Apr 5.

Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, 3010 Berne, Switzerland. Electronic address:

The treatment goal for pediatric cavovarus deformities is to neutralize plantar pressure distribution, reduce hindfoot varus deformity, and avoid or postpone ankle, midfoot, and hindfoot arthritis. If nonoperative treatment is not sufficient, surgical realignment must be discussed. Promising improvements in decision making and operative techniques have been published. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.010DOI Listing
June 2019
12 Reads

Neurologic Disorders and Cavovarus Deformity.

Foot Ankle Clin 2019 Jun 3;24(2):195-203. Epub 2019 Apr 3.

University of Utah Orthopaedic Department, University Orthopaedic Center, 590 Wakara Way, Salt Lake City, UT 84108, USA.

A cavovarus deformity results from muscle imbalances in the foot. There are several etiologies of a cavovarus foot including congenital, neurologic, post-traumatic, and idiopathic. Charcot-Marie-Tooth disease is a common genetic cause of cavovarus foot. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.003DOI Listing
June 2019
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Clinical Examination and Radiographic Assessment of the Cavus Foot.

Foot Ankle Clin 2019 Jun 2;24(2):183-193. Epub 2019 Apr 2.

Tri-State Specialists, LLP, 2730 Pierce Street, Suite 300, Sioux City, IA 51104, USA.

The purpose of the clinical examination is to detect subtle cavus or cavovarus deformity, assess the severity and type of deformity, differentiate between idiopathic versus secondary etiologies of cavus foot deformity, and evaluate for other associated abnormalities. The clinical examination should begin with a gait analysis. The neurologic examination reveals peripheral neuropathy or central nervous system etiology for the foot deformity. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.002DOI Listing
June 2019
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Anatomy and Biomechanics of Cavovarus Deformity.

Foot Ankle Clin 2019 Jun 2;24(2):173-181. Epub 2019 Apr 2.

Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.

A high longitudinal plantar arch, varus position of the heel, forefoot equinus, and pronation of the first ray are characteristic of a cavovarus deformity. Forefoot-driven and hindfoot-driven deformities are distinguished based on pathomechanics. In first ray strong plantarflexion, the forefoot touches the ground first. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.02.001DOI Listing
June 2019
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Accelerated Ponseti method: First experiences in a more convenient technique for patients with severe idiopathic club feet.

Foot Ankle Surg 2020 Apr 16;26(3):254-257. Epub 2019 Mar 16.

Faculty of Medicine and Health Sciences, An-Najah National University, Palestine. Electronic address:

Background: Congenital Idiopathic Talipes Equinovarus (CTEV), or clubfoot, is a complex deformity that involves pathological anatomy in the foot with ankle equinus, hindfoot varus, midfoot cavus and forefoot adductus [1]. Universal agreement is established about Ponseti technique as the initial management for this deformity. This preliminary study aims to investigate the possibility of having a braceable foot through a proposed accelerated Ponseti method by which, manipulations, 5 castings and Achilles tendon tenotomy are implemented in a week. Read More

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http://dx.doi.org/10.1016/j.fas.2019.03.003DOI Listing
April 2020
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A novel 3D evaluation method for assessing bone to bone relationships in clubfoot.

Eur Rev Med Pharmacol Sci 2019 Mar;23(5):1882-1890

School of Biomedical Engineering, FEIT, University of Technology Sydney, Ultimo, NSW, Australia.

Objective: Clubfoot is a complex congenital three-dimensional foot deformity, which affects 150,000-200,000 newborn babies annually around the world. A good understanding of the alignment of the two osseous columns and the lower leg of the ankle and foot complex is essential for evaluating the severity of clubfoot. The purposes of this study were to (1) develop an automated three-dimensional (3D) surface model of severe clubfoot based on two-dimensional (2D) slices of computed tomography (CT) images, (2) evaluate the alignment of foot bones relative to the ankle in severe clubfoot, and (3) examine the structural changes in the shape of the clubfoot. Read More

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http://www.europeanreview.org/article/17225
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http://dx.doi.org/10.26355/eurrev_201903_17225DOI Listing
March 2019
26 Reads