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Clinical and radiological outcomes of corrective exercises and neuromuscular electrical stimulation in children with flexible flatfeet: A randomized controlled trial.

Gait Posture 2021 Jun 12;88:297-303. Epub 2021 Jun 12.

Department of Physical Therapy For Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt.

Background: Flexible flatfeet are common among children being scarcely symptomatic requires no specific treatment and resolves spontaneously. However, flexible flatfoot tends to advance and deteriorate overtime and eventually resulting in significant impairments such as plantar fasciitis and patellofemoral pain syndrome.

Research Question: What is the effect of corrective exercises and neuromuscular electrical stimulation in children with flexible flatfeet?

Method: This is a randomized controlled trial with 72 children, seven to twelve yearsold, randomly assigned to either intervention or control group (36 children for each group) and engaged in a four months (3 sessions/week) of corrective exercise and neuromuscular electrical stimulation or corrective exercise and sham neuromuscular electrical stimulation respectively. Read More

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Effects of Different External Supports on Plantar Pressure-Time Integral and Contact Area in Flexible Flatfoot.

J Am Podiatr Med Assoc 2021 May;111(3)

Background: Flexible flatfoot disturbs the load distribution of the foot. Various external supports are used to prevent abnormal plantar loading in flexible flatfoot. However, few studies have compared the effects of different external supports on plantar loading in flexible flatfoot. Read More

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Rare Intramuscular Lipoma of the Foot: A Case Report.

Peter Awad

J Am Podiatr Med Assoc 2021 May;111(3)

Intramuscular lipoma is a rare subset of a more common soft-tissue tumor, lipoma. The etiology is unknown. It is a rare soft-tissue tumor with an overall incidence of less than 1% of all lipomas. Read More

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Intraneural ganglion cyst of the lumbosacral plexus mimicking L5 radiculopathy: A case report.

World J Clin Cases 2021 Jun;9(17):4433-4440

Department of Physical Medicine and Rehabilitation, College of Medicine, Chung-Ang University, Seoul 06973, South Korea.

Background: Intraneural ganglion cysts are benign gelatinous masses that form within the epineurium of a peripheral nerve. Only few cases of intraneural ganglion cyst arising from the hip joint have been reported.

Case Summary: A previously healthy 65-year-old woman who had been experiencing left buttock pain radiating to the dorsum of the foot for 2 years visited our clinic. Read More

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Tuberculosis of the Left Calcaneum and Collapsed Right Femoral Head: A Case Report.

J Orthop Case Rep 2021 ;11(1):55-58

Department of Radiology, Kigali University Teaching Hospital, Rwanda.

Introduction: Tuberculosis (TB), one of the oldest diseases known to affect humans, is caused by the bacteria Mycobacterium tuberculosis. The disease usually affects the lungs, although, in up to one-third of cases, other organs are involved. TB of the bone mimics other clinical conditions such as chronic osteomyelitis, Madura mycosis and actinomycosis. Read More

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January 2021

[Methods and effects of high-frequency color Doppler ultrasound assisted reverse island flap of dorsal digital artery of ulnar thumb for repairing skin and soft tissue defects of the same finger in the distal end].

Zhonghua Shao Shang Za Zhi 2021 May 28;37:1-7. Epub 2021 May 28.

Orthopaedics, Traditional Chinese Medicine Hospital of Qingzhou, Weifang 262500, China.

To explore the methods and effects of high-frequency color Doppler ultrasound assisted reverse island flap of dorsal digital artery of ulnar thumb for repairing skin and soft tissue defects of the same finger in the distal end. The retrospective cohort study method was applied. From March 2014 to January 2020, 43 patients with skin and soft tissue defects in the distal end of thumb were hospitalized in the Hand and Foot Surgery of Yidu Central Hospital of Weifang, including 28 males and 15 females, aged 19-58 years. Read More

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Long-term effects of asymmetrical posture in boxing assessed by baropodometry.

J Sports Med Phys Fitness 2021 Jun 17. Epub 2021 Jun 17.

Department of Sport Sciences and Wellness, University of Naples Parthenope, Naples, Italy.

Background: Asymmetrical posture maintained over long training periods may affect phenotypic plasticity, resulting functional to sporting goal but negative to the locomotor system. Aim of this study was to quantitatively evaluate these long-term effects in competitive boxers.

Methods: Baropodometric analysis was used to assess 20 competitive boxers and 20 non-sportsmen in upright bipedal posture for 5 s and for 51. Read More

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Recurrence of renal cell carcinoma after three decades in an octogenarian: Small molecules adding life to years.

J Cancer Res Ther 2021 Apr-Jun;17(2):584-586

Department of Medical Oncology and Hematology, Amrita Institute of Medical Sciences, Ponekkara, Kochi, Kerala, India.

Renal cell carcinoma (RCC) is the most common primary renal neoplasm. About a half of our patients relapse after primary treatment. We present here a case of RCC with solitary metastasis to the pleura which occurred 32 years after nephrectomy. Read More

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Increase in foot arch asymmetry after full marathon completion.

J Sports Sci 2021 Jun 12:1-7. Epub 2021 Jun 12.

Faculty of Sport Sciences, Waseda University, Saitama, Japan.

Long-distance running results in lowering of the foot medial longitudinal arch, but it is unknown whether the left and right arches decrease equally. This study aimed to determine whether foot arch asymmetry increases upon completion of a full marathon and to identify factors capable of explaining the degree of asymmetry of navicular height and navicular height displacement. The three-dimensional foot posture data of 74 collegiate runners were obtained using an optical foot scanner system before (PRE) and immediately after (POST) a full marathon. Read More

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The Immediate Effect of Routine Hoof Trimming and Shoeing on Horses' Gait.

J Equine Vet Sci 2021 Jul 28;102:103633. Epub 2021 Apr 28.

Virginia-Maryland College of Veterinary Medicine, Marion duPont Scott Equine Medical Center, Leesburg, VA.

Evaluation of the effect of changes in the horses' feet after routine trimming and shoeing on gait at the trot is needed improve routine foot care. Evaluate changes in foot conformation and gait after routine farriery. Correlate alterations in a horse's gait before and after routine hoof trimming and shoe application. Read More

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Follow the Shoestring: A Unique Case of Bullet Extraction.

Cureus 2021 May 5;13(5):e14862. Epub 2021 May 5.

Emergency Medicine, Saint Louis University School of Medicine, St. Louis, USA.

Firearm-related injuries and deaths remain a major issue in the United States. Gunshot injuries to the foot can be particularly difficult to manage when they occur as they can cause fractures or devastating neurovascular damage. There are limited reasons for routine bullet removal in most cases. Read More

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A unique case of adamantinoma-like Ewing sarcoma in the calcaneus, exhibiting prominent squamous differentiation and displaying EWSR1 gene rearrangement.

Skeletal Radiol 2021 Jun 10. Epub 2021 Jun 10.

Sparsh Orthopedic Oncology, Ahmedabad, Gujrat, India.

Adamantinoma-like Ewing sarcoma is uncommonly reported in the skeletal sites, including small bones of the feet.A 15-year-old girl presented with pain and swelling in her left foot, leading to difficulty in walking for 8 months. Plain radiograph revealed an ill-defined, lytic-sclerotic lesion without significant periosteal reaction in her left calcaneus. Read More

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Concordance between sudomotor disorder and the clinical diagnosis of diabetic peripheral neuropathy, according to various clinical guidelines.

Prim Care Diabetes 2021 Jun 6. Epub 2021 Jun 6.

Department of Nursing, University of Malaga, Spain; Biomedical Research Institute (IBIMA), Malaga, Spain.

Aim: To assess the concordance between variations in Neuropad® results and the those in different diagnostic criteria of Diabetic Peripheral Neuropathy, according to various clinical guidelines.

Methods: A descriptive observational study was conducted of 111 patients with a confirmed diagnosis of diabetes mellitus. The criteria for inclusion in the study were that patients should be aged 18 years or more and have at least 10 years' history of diabetes mellitus. Read More

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Abnormal foot angles has an association with ingrown toenail.

Int J Clin Pract 2021 Jun 9:e14474. Epub 2021 Jun 9.

Department of Dermatology, Ufuk University School of Medicine, Ankara, Turkey.

Background: Onychocryptosis, frequently termed ''ingrown toenail'' is a common foot problem in routine dermatology and orthopaedic clinical practice which leads to pain and disability. Although the aetiology of ingrown toenail is not well understood various associated risk factors have been identified with the pathogenesis.

Material And Methods: This study was a retrospective investigation of 170 patients with hallux valgus and lateral border ingrown toenail of all stages. Read More

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[Early clinical efficacy analysis of personalized three-dimensional printing talus prosthesis in the treatment of collapse talus necrosis].

Zhonghua Wai Ke Za Zhi 2021 Jun;59(6):470-476

Orthopaedic Sports Medicine Center, the First Affiliated Hospital to Army Medical University, Chongqing 400038, China.

To examine the preliminary clinical efficacy of custom-made three-dimensional(3D) printed talus prosthesis in the treatment of collapse talus necrosis. The clinical data of 8 patients who received 3D printed custom-made talus prostheses replacement for severe collapsed necrosis of the talus at the Orthopaedic Sports Medical Center, the First Affiliated Hospital to Army Medical University were analyzed retrospectively.All patients were male,with an average age of 38. Read More

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Utility of the 50% stenosis criterion for patients undergoing stenting for chronic iliofemoral venous obstruction.

J Vasc Surg Venous Lymphat Disord 2021 Jun 5. Epub 2021 Jun 5.

The RANE Center for Venous and Lymphatic Diseases, St Dominic Hospital, Jackson, Miss.

Objective: The criterion for venous stenting in symptomatic chronic iliofemoral venous obstruction has been the arbitrary use of stenosis of ≥50%. In the present study, we evaluated the intravascular ultrasound (IVUS)-determined degree of stenosis in patients who had undergone stenting for quality of life (QOL)-impairing symptoms and assessed the utility of the 50% stenosis cutoff.

Methods: A retrospective review of contemporaneously entered electronic medical record data from 480 continuous patients (480 limbs) with initial iliofemoral stents placed (2014 to 2017) for symptomatic chronic iliofemoral venous obstruction impairing their QOL was performed. Read More

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Relationship between the order of permanent tooth eruption and the predominance of motor function laterality: a cross-sectional study.

An Pediatr (Engl Ed) 2021 Jun 22;94(6):396-402. Epub 2021 Jan 22.

Área de Ortodoncia y Ortopedia Dentofacial, Facultad de Odontología, Universitat Internacional de Catalunya, Barcelona, Spain. Electronic address:

Objectives: To assess whether the order of permanent tooth eruption may be a useful indicator of motor function laterality.

Methods: We conducted a cross-sectional study in schoolchildren aged 6-8 years old evaluated in the annual school-based routine dental health examinations conducted by the staff of the primary care centre of an urban district in Barcelona, Spain. We also evaluated hand, foot, eye, and auditory lateralities using a battery of simple exercises. Read More

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Three-dimensional analysis of the characteristics of joint motion and gait pattern in a rodent model following spinal nerve ligation.

Biomed Eng Online 2021 Jun 5;20(1):55. Epub 2021 Jun 5.

Department of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi, 755-8505, Japan.

Background: The spinal nerve ligation (SNL) rat is well known as the most common rodent model of neuropathic pain without motor deficit. Researchers have performed analyses using only the von Frey and thermal withdrawal tests to evaluate pain intensity in the rat experimental model. However, these test are completely different from the neurological examinations performed clinically. Read More

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Investigation of Foot Sensor Insoles for Measuring Functional Outcome After Total Knee Replacement.

Bull Hosp Jt Dis (2013) 2021 Jun;79(2):115-123

Background: To measure functional outcome, patient reported outcome measures (PROMs) are most often used but biomechanical tests can provide valuable supplementary data. The objective of this study was to investigate instrumented insoles for measuring ground-to-foot forces during basic activities.

Methods: Three groups were evaluated: normal controls, preoperative, and postoperative total knees. Read More

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Effective Connectivity Analysis of Brain Activated Regions during Distracted Driving.

Brain Sci 2021 May 24;11(6). Epub 2021 May 24.

Department of Biomedical Engineering, BK21+ Research Institute of Biomedical Engineering, School of ICT Convergence Engineering, College of Science & Technology, Konkuk University, Chungju 27478, Korea.

This study aims to use functional magnetic resonance imaging (fMRI) to assess the effective connectivity between the regions of the brain activated when driving and performing a secondary task (addition task). The subjects used an MR-compatible driving simulator ㅊ to manipulate the driving wheel with both hands and control the pedals (accelerator and brake) with their right foot as if they were driving in an actual environment. Effective connectivity analysis was performed for three regions of the right and the left hemispheres with the highest z-scores, and six of the regions of the entire brain (right and left hemisphere) activated during driving by dynamic causal modeling (DCM). Read More

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Arthroscopic Treatment Results of Triangular Fibrocartilage Complex Tears in Adolescents: A Systematic Review.

J Clin Med 2021 May 27;10(11). Epub 2021 May 27.

Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic Hospital Speising, Speisingertrasse 109, A-1130 Vienna, Austria.

Introduction: Injury to the triangular fibrocartilage complex (TFCC) may cause chronic wrist pain and instability if left untreated. The current literature of adult cases suggests that arthroscopic treatment offers favorable outcomes and is associated with a low complication rate. This systematic review evaluated the outcomes of arthroscopic TFCC surgery in adolescents. Read More

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In Pursuit of the Perfect Dancer's Ballet Foot. The Footprint, Stabilometric, Pedobarographic Parameters of Professional Ballet Dancers.

Biology (Basel) 2021 May 14;10(5). Epub 2021 May 14.

Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, 41-800 Zabrze, Poland.

This work aims to assess footprint parameters in a group of professional ballet dancers and to determine the correlation between the aforementioned parameters and lateralization, stabilometric parameters, pedobarographic parameters and work environment conditions. A group subjected to tests consisted of 44 elite professional ballet dancers and the reference group was composed of 44 students. The test of balance and thrust under feet involved 30 s-long free standing with open eyes on a podographic platform. 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 05 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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IMU-Based Effects Assessment of the Use of Foot Orthoses in the Stance Phase during Running and Asymmetry between Extremities.

Sensors (Basel) 2021 May 10;21(9). Epub 2021 May 10.

Sport Performance Analysis Research Group, University of Vic-Central University of Catalonia, 08500 Vic, Spain.

The objectives of this study were to determine the amplitude of movement differences and asymmetries between feet during the stance phase and to evaluate the effects of foot orthoses (FOs) on foot kinematics in the stance phase during running. In total, 40 males were recruited (age: 43.0 ± 13. Read More

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Biomechanical Aspects of the Foot Arch, Body Balance and Body Weight Composition of Boys Training Football.

Int J Environ Res Public Health 2021 05 10;18(9). Epub 2021 May 10.

Department of Tourism, Recreation and Ecology, University of Warmia and Mazury, 10-719 Olsztyn, Poland.

The aim of the study is to assess the body balance and podological parameters and body composition of young footballers in the context of the control of football training. The study examined the distribution of the pressure of the part of the foot on the ground, the arch of the foot, and the analysis of the body composition of the boys. The pressure center for both feet and the whole body was also examined. Read More

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Exploration of Driver Posture Monitoring Using Pressure Sensors with Lower Resolution.

Sensors (Basel) 2021 May 12;21(10). Epub 2021 May 12.

Univ Lyon, Univ Gustave Eiffel, Université Claude Bernard Lyon 1, LBMC UMR_T9406, F69622 Lyon, France.

Pressure sensors are good candidates for measuring driver postural information, which is indicative for identifying driver's intention and seating posture. However, monitoring systems based on pressure sensors must overcome the price barriers in order to be practically feasible. This study, therefore, was dedicated to explore the possibility of using pressure sensors with lower resolution for driver posture monitoring. Read More

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Towards Machine Learning-Based Detection of Running-Induced Fatigue in Real-World Scenarios: Evaluation of IMU Sensor Configurations to Reduce Intrusiveness.

Sensors (Basel) 2021 May 15;21(10). Epub 2021 May 15.

Roessingh Research and Development, 7522 AH Enschede, The Netherlands.

Physical fatigue is a recurrent problem in running that negatively affects performance and leads to an increased risk of being injured. Identification and management of fatigue helps reducing such negative effects, but is presently commonly based on subjective fatigue measurements. Inertial sensors can record movement data continuously, allowing recording for long durations and extensive amounts of data. Read More

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Hip and Core Muscle Activation During High-Load Core Stabilization Exercises.

Sports Health 2021 Jun 1:19417381211015225. Epub 2021 Jun 1.

Department of Cardiology, Fellowship of Electrophysiology, Medical University of Babol, Babol, Republic of Iran.

Background: There is some evidence that high-load lumbar stabilization exercises, such as back bridge, can recruit both local and global muscles.

Hypothesis: Therapeutic exercises would optimize gluteus maximus (GMax), gluteus medius (GMed), multifidus (MF), and transversus abdominis (TrA) activation, while minimizing the activation of the tensor fascia latae (TFL) and erector spinae (ES) muscles in healthy individuals.

Design: Cross-sectional study. Read More

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Risk factors associated with lower extremity amputation in Sudanese individuals with diabetes: The need for improvement in primary health care system.

J Family Med Prim Care 2021 Feb 27;10(2):985-990. Epub 2021 Feb 27.

Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eagelstone, Milton Keynes, Buckinghamshire, UK.

Background: Lower extremity amputation (LEA) in individuals with diabetes is a serious health issue with a considerable physical and social burden. The aim of this study was to assess the prevalence and risk factors associated with LEA in diabetic foot ulcer (DFU) patients.

Materials And Methods: This was a cross-sectional health facility-based study that recruited 315 diabetes individuals with foot ulcers from the diabetes center in Khartoum, Sudan. Read More

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February 2021

Displacement of center of mass in dogs in response to foot sensory stimulation.

Vet Surg 2021 May 26. Epub 2021 May 26.

Laboratory of Physiology II, School of Veterinary Medicine, Azabu University, Sagamihara, Kanagawa, Japan.

Objective: Evaluate center of mass (CoM) displacement values during four-limb and three-limb standing with limb suspension in dogs before and after applying sensory stimulation to a forelimb or hindlimb.

Study Design: Experimental study.

Animals: Six clinically normal beagles. Read More

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