18,567 results match your criteria foot deformities


Correlation of medial longitudinal arch morphology with body characteristics and locomotive function in community-dwelling older women: A cross-sectional study.

J Orthop Surg (Hong Kong) 2021 May-Aug;29(2):23094990211015504

School of Rehabilitation, Osaka Kawasaki Rehabilitation University, Osaka, Japan.

Purpose: This cross-sectional study aimed to investigate the effects of foot arch deformities on physical characteristics, muscular strength, and motor function in older women depending on the presence or absence of pain.

Methods: Overall, 145 community-dwelling women aged 65 to 90 years were included in this study. We measured the foot arch height ratio (AHR, dorsal height/truncated foot length) and classified participants with AHR values above, below, or within 1. Read More

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The Impact of Coronal Plane Deformity on Ankle Arthrodesis and Arthroplasty.

Foot Ankle Int 2021 Jun 10:10711007211015185. Epub 2021 Jun 10.

University of Washington, Seattle, WA, USA.

Background: Ankle coronal plane deformity represents a complex 3-dimensional problem, and comparative data are lacking to guide treatment recommendations for optimal treatment of end-stage ankle arthritis with concomitant coronal plane deformity.

Methods: In total, 224 patients treated for end-stage ankle arthritis were enrolled in an observational trial. Of 112 patients followed more than 2 years, 48 patients (19 arthrodesis, 29 arthroplasty) had coronal plane deformity and were compared to 64 patients without coronal plane deformity (18 arthrodesis, 46 arthroplasty) defined as greater than 10 degrees of varus or valgus. Read More

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Prevalence, Characteristics, and Prognosis of Peripheral Arterial Disease in Patients With Diabetic Charcot Foot.

J Foot Ankle Surg 2021 May 8. Epub 2021 May 8.

Attending Physician, Department of Endocrinology and Nutrition, Cliniques Universitaires Saint-Luc, Brussels, Belgium.

Charcot foot (CF) is a rare complication of diabetes associated with foot deformities and foot ulcers. Peripheral arterial disease (PAD) is a factor of poor prognosis in patients with diabetic foot ulcers (DFUs). However, PAD has infrequently been studied in CF. Read More

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Plantar load transfer in children: a descriptive study with two pathological case studies.

BMC Musculoskelet Disord 2021 Jun 7;22(1):521. Epub 2021 Jun 7.

School of Allied Health Sciences, Griffith University, Gold Coast, QLD, 4222, Australia.

Background: Typical gait is often considered to be highly symmetrical, with gait asymmetries typically associated with pathological gait. Whilst gait symmetry is often expressed in symmetry ratios, measures of symmetry do not provide insight into how these asymmetries affect gait variables. To fully understand changes caused by gait asymmetry, we must first develop a normative database for comparison. Read More

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A Foot to Last a Lifetime-Is Hindfoot Fusion Ever Appropriate for Pediatric Orthopaedic Conditions?

Authors:
Derek M Kelly

J Pediatr Orthop 2021 Jul;41(Suppl 1):S39-S46

Campbell Clinic Orthopaedics, Memphis, TN.

Introduction: Hindfoot deformities in the pediatric population can be painful and result in severe limitations. Although arthrodesis is known to relieve pain, there are concerns over its use because of the risk that adjacent joint degenerative disease could result, leading to a new source of pain, dysfunction, and additional surgical procedures later in life.

Methods: A literature review of hindfoot fusions in children focused on articles with the highest levels of evidence and those of particular historical significance. Read More

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Treatment for Flexible Flatfoot in Children With Subtalar Arthroereisis and Soft Tissue Procedures.

Front Pediatr 2021 21;9:656178. Epub 2021 May 21.

Department of Orthopedics, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

Children with flexible flatfoot is common in clinics and there is no unified conclusion on surgical treatment. And for some patients with severe deformities, the correction of the subtalar joint arthroereisis combine the release of the Achilles tendon or gastrocnemius muscle release is still not satisfactory. The main aim of the present study was to investigate the therapeutic outcomes of subtalar arthroereisis combined with Achilles tendon or gastrocnemius recession and medial soft tissue (spring ligament, talonavicular joint capsule, tibionavicular ligaments and tibiospring ligaments) tightening for treating flexible flatfoot with severe deformities. Read More

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Anatomic Description of the Distal and Intercuneiform Articulations: A Cadaveric Study.

J Foot Ankle Surg 2021 Apr 30. Epub 2021 Apr 30.

Assistant Professor, Department of Basic Medical Sciences, Barry University School of Podiatric Medicine, Miami Shores, FL.

The medial, intermediate, and lateral cuneiforms play a pivotal role in foot biomechanics. When correcting deformities of this joint complex understanding the clinical anatomy remains imperative to provide both anatomic reduction and appropriately sized fixation. This study qualitatively and quantitatively describes the distal and intercuneiform articulations and their clinical implications. Read More

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Foot Pain and Morphofunctional Foot Disorders in Patients with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study.

Int J Environ Res Public Health 2021 May 10;18(9). Epub 2021 May 10.

Department of Podiatry, University of Seville, 41004 Seville, Spain.

Foot problems are highly prevalent in people with rheumatoid arthritis. This study aims to explore the foot morphology, pain and function in rheumatoid arthritis patients and the relation with the time of disease debut. A cross-sectional study was designed. Read More

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Assessment of the Foot's Longitudinal Arch by Different Indicators and Their Correlation with the Foot Loading Paradigm in School-Aged Children: A Cross Sectional Study.

Int J Environ Res Public Health 2021 May 13;18(10). Epub 2021 May 13.

Institute of Health Sciences, Collegium Medicum, Jan Kochanowski University, Zeromskiego 5, 25-369 Kielce, Poland.

Background: There are numerous studies assessing the morphological structure of the foot, but there is a notable scarcity of those focused on juxtaposing various longitudinal arch indices with foot loading paradigm. The present study aimed to determine the overall reliability, diagnostic accuracy of respective variables, and their correlation with the foot loading paradigm.

Methods: The study group consisted of 336 children, aged 10-15 years (girls 49. Read More

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Hallux valgus deformity and postural sway: a cross-sectional study.

BMC Musculoskelet Disord 2021 May 31;22(1):503. Epub 2021 May 31.

Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Gunma, 371-8511, Maebashi, Japan.

Background: Hallux valgus deformity has been reported to be associated with increased postural sway. However, the direction and magnitude of postural sway associated with hallux valgus remain inconclusive. We assessed the association between hallux valgus deformity and postural sway using a force plate. Read More

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Consideration for Total Ankle Replacement in the Varus Ankle and Cavovarus Foot Type.

Clin Podiatr Med Surg 2021 Jul;38(3):497-504

Professional Education and Research Institute, 222 Walnut Avenue, Roanoke, VA 24016, USA. Electronic address:

The varus ankle and cavus foot pose challenges in surgical correction with regard to total ankle replacement surgery. Etiology of cavus foot type and varus ankle must be evaluated and confirmed. Pes cavus is increased height of the arch with metatarsus adductus and increased calcaneal inclination angle. Read More

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The Cavovarus Ankle: Approaches to Ankle Instability and Inframalleolar Deformity.

Clin Podiatr Med Surg 2021 Jul;38(3):461-481

East Liverpool City Hospital, East Liverpool, OH, USA.

Pathologic affects from a cavus foot deformity range from flexible subtle to rigid severe deformities and are related to many pathologic conditions of the foot and ankle. Understanding the underlying deformity and the deforming force is essential in treating the cavus ankle and foot. Every deformity is different and unique to a given patient; therefore, surgical plans should be modified to each patient. Read More

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Tendon Transfers and Their Role in Cavus Foot Deformity.

Clin Podiatr Med Surg 2021 Jul;38(3):427-443

SSM Health DePaul Hospital, Foot and Ankle Surgery Residency, 12303 DePaul Drive, Suite 701, St Louis, MO 63044, USA.

Management of the cavus foot is a difficult task for the foot and ankle surgeon. Tendon transfers have been a longstanding accepted treatment for the flexible cavus foot. Performing tendon transfers requires an in-depth understanding of the patient's medical history, factors leading to the development of deformity, as well as the deforming forces contributing to the deformity. Read More

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Hallux and Lesser Digits Deformities Associated with Cavus Foot.

Clin Podiatr Med Surg 2021 Jul 15;38(3):343-360. Epub 2021 May 15.

East Liverpool City Hospital, 425 W 5th Street, East Liverpool, OH 43920, USA.

It is important to identify the level of the deformity or deformities. It is important to get the limb as close to anatomic alignment as possible. Many levels and multiple procedures may be involved with this reconstruction. Read More

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Neurologic Conditions Associated with Cavus Foot Deformity.

Clin Podiatr Med Surg 2021 Jul;38(3):323-342

Foot and Ankle Surgery Residency, SSM Health DePaul Hospital, 12303 DePaul Drive, Suite 701, St Louis, MO 63044, USA.

The cavus foot deformity is an often less understood deformity within the spectrum of foot and ankle conditions. The hallmark concern is the possibility of an underlying neurologic or neuromuscular disorder. Although a proportion of these deformities are idiopathic, a significant majority do correlate with an underlying disorder. Read More

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Imaging of the Pes Cavus Deformity.

Clin Podiatr Med Surg 2021 Jul;38(3):303-321

Adjunct Faculty, St. Vincent Charity Medical Center, Cleveland, OH, USA.

Direct-type cavus foot deformities are most commonly encountered and are primarily sagittal plane deformities. Direct deformities should be delineated from rarer triplane pes cavovarus deformities. The lateral weight-bearing radiograph is the cornerstone of imaging evaluation of direct pes cavus foot deformity. Read More

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Complications Associated with the Surgical Management of Hallux Rigidus.

Orthop Clin North Am 2021 Jul 6;52(3):291-296. Epub 2021 May 6.

Department of Orthopaedic Surgery, Emory University School of Medicine, 59 Executive Park South, Suite 2000, Atlanta, GA 30329, USA. Electronic address:

Hallux rigidus is the most common arthritic pathology of the foot. This review article discusses the pathophysiology and common clinical presentation of hallux rigidus. Furthermore, we discuss multiple classification systems that categorize the arthritic process and guide management. Read More

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Development of foot length in children with congenital clubfoot up to 7 years of age: a prospective follow-up study.

BMC Musculoskelet Disord 2021 May 27;22(1):487. Epub 2021 May 27.

Department of Clinical Sciences, Lund University, Orthopedics, 221 85, Lund, Sweden.

Background: Clubfeet are typically shorter than normal feet. This study aimed first to describe the development of foot length in a consecutive series of children with congenital clubfoot and second to relate foot length to development of relapse and motion quality.

Methods: Foot length was measured every 6 months in 72 consecutive children with congenital clubfoot (29 bilateral) aged from 2 to 7 years. Read More

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[Minimally invasive osteotomy and manual reduction for hallux valgus].

Zhongguo Gu Shang 2021 May;34(5):467-71

Department of Orthopaedics, Beijing Fengsheng Traditional Chinese Medicine Orthopaedics Hospital, Beijing 100033, China.

Objective: To explore clinical effects of minimally invasive osteotomy and manual reduction in treating hallux valgus.

Methods: From January 2018 to May 2019, 31 patients (42 feet) with hallux valgus were treated with minimally invasive osteotomy and manual reduction, including 3 males and 28 females aged from 18 to 76 years old with an average of (50.1± 4. Read More

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TARP syndrome associated with renal malformation and optic nerve atrophy.

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Department of Pediatrics at Fundación Santa Fé de Bogotá, Hospital Universitario de la Fundacion Santa Fe de Bogota, Bogota, Colombia.

Talipes equinovarus, atrial septal defect, Robin sequence and persistent left superior vena cava (TARP) syndrome is a congenital disease caused by mutations in the RBBM10 gene. It has a low prevalence and a high rate of mortality in the neonatal stage. In this case report, we present a case of a 32-week gestational age preterm newborn with a prenatal diagnosis of intrauterine growth restriction, with a persistent left superior vena cava, interatrial communication and a horseshoe kidney. Read More

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From the ground up: recognising risk of frailty syndromes and functional decline through foot examination.

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

New England Geriatric Research, Education and Clinical Centers, Division of Geriatrics & Palliative Care, Veteran Affairs Boston Healthcare System, Boston, MA, USA.

Foot pathologies in older adults are associated with falls and complications such as amputations and ulcers. We report a case of an older man who presented to the geriatric medicine outpatient clinic. History taking revealed a fall, recent episode of delirium and decline in functional status with the patient reporting he was no longer able to cut his own toenails. Read More

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Two-Year Outcomes After Total Ankle Replacement With a Novel Fixed-Bearing Implant.

Foot Ankle Int 2021 May 22:10711007211005781. Epub 2021 May 22.

Unity Health Toronto-St Michael's Hospital, Toronto, Ontario, Canada.

Background: The Integra Cadence total ankle replacement (TAR) is a fourth-generation anatomic, fixed-bearing implant requiring minimal tibial and talar resection, which has been in clinical use since June 2016. The primary purpose of this study is to assess its short-term clinical and radiographic outcomes after TAR using this prosthesis.

Methods: This is a prospective case series of consecutive patients that underwent TAR using this novel fourth-generation prosthesis between June 2016 and November 2017. Read More

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[Correction of the pre- and post-surgical rotational component of the first metatarsal secondary to modified Chevron osteotomy].

Acta Ortop Mex 2020 Nov-Dec;34(6):354-358

Departamento de Anatomía Humana, Facultad de Medicina y Hospital Universitario «Dr. José E González», Universidad Autónoma de Nuevo León. Monterrey, Nuevo León, México.

Introduction.: (HV) is a complex forefoot pathology, in which interest has recently been shown in the distal rotational component (CR) of the first metatarsal due to its relationship with postsurgical relapses of the deformity. The selection of surgical technique is controversial with little current literature on the correction of rotation with common osteotomies. Read More

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Self-assessed foot health in older people with rheumatoid arthritis-A cross-sectional study.

Int J Older People Nurs 2021 May 18:e12380. Epub 2021 May 18.

Department of Nursing Science, University of Turku, Turku, Finland.

Background: Foot and ankle problems are especially common in patients with RA, causing significant disability and limitation in daily activities. Previous studies have mainly focussed on foot problems in the adult population whilst the evidence of foot health in the older population is scarce.

Objectives: The aim of the study was to analyse self-assessed foot health and associated factors in older people with rheumatoid arthritis (RA). Read More

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Surgical Procedures Based on the Arthrographic Findings of the Fifth MTP Joint With Proximal Phalanx Duplication in Postaxial Polydactyly of the Foot.

J Foot Ankle Surg 2021 Apr 20. Epub 2021 Apr 20.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Radiographic findings in several atypical cases of postaxial polydactyly of the foot do not provide sufficient information to assess the cartilaginous structures or duplicated digit connections at the MTP joint. The purpose of this study was to demonstrate the surgical procedures using arthrography for the cartilaginous structures of the MTP joint in postaxial polydactyly of the foot. We performed arthrography in 7 feet of 7 patients with postaxial polydactyly of the foot in which duplication of the proximal phalanx was observed at the fifth MTP joint on the basis of radiographic evaluation. Read More

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[Hallux Rigidus: first metatarsophalangeal arthrosis Symptoms and current treatments].

Rev Med Suisse 2021 May;17(738):943-947

Service d'horthopédie et traumatologie, Hôpital Riviera-Chablais, 1847 Rennaz.

Metatarsophalangeal arthritis of the first ray of the foot, also known as hallux rigidus, is an invalidating cause of walking that is still underestimated. It is associated to a local deformation of the first ray with a limitation of the dorsal mobilization of the joint, affecting thus the propulsion of the foot. Several stages of the disease exist, and symptoms as well as the treatment will depend on the moment of the consultation. Read More

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Lower extremity postaxial polydactyly: Current literature status and future avenues.

J Plast Reconstr Aesthet Surg 2021 Apr 18. Epub 2021 Apr 18.

Division of Plastic and Reconstructive Surgery, McGill University Health Center, Montreal, Canada.

Background: Despite lower extremity polydactyly (LEP) representing the most common congenital foot anomaly with functional and psychosocial implications, the literature is devoid of comprehensive, synthesizing reviews. The purpose of the current review is to identify an evidence-based approach to guide clinical management and shed light on reported functional and esthetic outcomes for postaxial polydactyly.

Methods: A scoping systematic review of primary clinical studies was performed. Read More

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Anatomy of the Deltoid-Spring Ligament Complex.

Foot Ankle Clin 2021 Jun 20;26(2):237-247. Epub 2021 Apr 20.

Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain; MIFAS By GRECMIP (Minimally Invasive Foot and Ankle Society), Merignac, France. Electronic address:

A thorough knowledge of the anatomy of the deltoid and spring ligament complex is important for treatment of deformities that impact the foot and ankle. Both ligaments are interconnected, and the study of their anatomic characteristics is better performed together than in isolation. The deltoid ligament is a group of ligaments that derives its origin from the medial malleolus, and the spring ligament complex consist of a group of ligaments that connects the navicular and the sustentaculum tali of the calcaneus. Read More

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Orthopaedic Manifestations of Transverse Myelitis in Children.

J Pediatr Orthop 2021 May 13. Epub 2021 May 13.

Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE Seton Hall Orthopaedics, St. Joseph's University Medical Center, Paterson, NJ Icahn School of Medicine at Mount Sinai, New York, NY Department of Orthopaedic Surgery, Nemours Children's Specialty Care, Jacksonville, FL.

Background: Transverse myelitis (TM) is a rare inflammatory disorder of the spinal cord. It can have a heterogeneous presentation with sensory, motor, and autonomic dysfunction. Neurological sequelae of TM include autonomic dysfunction, motor weakness, and/or spasticity. Read More

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Relative Strengths of Intramedullary K-Wire Techniques for Digital Deformities.

J Foot Ankle Surg 2021 Apr 20. Epub 2021 Apr 20.

PGY-3, Podiatric Medicine and Surgery Resident, Saint Vincent Charity Medical Center, Cleveland, OH.

Hammertoe deformity correction surgery is one of the most common procedures performed by foot and ankle surgeons. Recent foot and ankle medical literature presents conflicting opinions regarding the optimal intramedullary fixation device and techniques for use in digital deformity correction. There are a number of varying fixation constructs of intramedullary Kirschner wire fixation reported for proximal interphalangeal joint arthrodesis; however, there are no reports of relative loading strength of the fixations. Read More

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