1,344 results match your criteria third toe

Long-term Outcomes after Toe-To-Thumb Transfers for Burn Reconstruction in Children.

J Burn Care Res 2021 Jun 5. Epub 2021 Jun 5.

Department of Orthopedic Surgery and Division of Plastic Surgery, University of California Los Angeles, Los Angeles, CA, UCLA Medical Plaza Suite, Los Angeles, CA.

Children are one of the most vulnerable populations to burns, and hands are frequently burned anatomical structures. Restoring function in a severely burned pediatric hand is challenging. We present our experience with pediatric toe-to-thumb transfers for burn reconstruction. Read More

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Medical management of an osseous sequestrum in an alpaca cria.

J Am Vet Med Assoc 2021 Jun;258(12):1394-1397

Case Description: A 2-month-old 12.0-kg (26.4-lb) sexually intact male alpaca was evaluated for a 1-week history of progressive forelimb lameness with no known history of trauma. 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

Effects of running-induced fatigue on plantar pressure distribution in runners with different strike types.

Gait Posture 2021 May 19;88:132-137. Epub 2021 May 19.

Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran. Electronic address:

Background: Running induced-fatigue is an important factor in running related injuries. Runners with different strike types have different running mechanics and suffer from different injury patterns. Underlying mechanism of this difference is not well understood. Read More

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Physician skin cancer screening among U.S. military veterans: Results from the National Health Interview Survey.

PLoS One 2021 18;16(5):e0251785. Epub 2021 May 18.

Department of Health, Behavior & Society, University of Kentucky College of Public Health, Lexington, KY, United States of America.

Introduction: Although military veterans are at increased risk for skin cancer, little is known about the extent to which they have been screened for skin cancer. The study objective was to examine the prevalence and correlates of physician skin cancer screening among U.S. Read More

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A Rare Sequela of Constriction Band Syndrome: Case Report.

Plast Reconstr Surg Glob Open 2021 May 10;9(5):e3564. Epub 2021 May 10.

Plastic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.

The patient in this case report is a 19-year-old man who presented with left foot cauliflower lesion. He complained of an inability to wear proper shoes, in addition to an unpleasant appearance of his foot. The lesion was present since his birth. Read More

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Non-subungual presentation of osteochondroma in toes-A case report with review of literature.

Foot (Edinb) 2021 Jun 27;47:101783. Epub 2021 Jan 27.

Department of Orthopedics, Institute of Medical Sciences (IMS), BHU, Varanasi, India. Electronic address:

A 23-year-old male presented with long-standing swelling in the middle of the third toe right side with difficulty in wearing footwear. Clinical examination revealed it as bony hard fixed swelling moving with interphalangeal joint movements. Clinical diagnosis of benign bony swelling was made and radiological investigation demonstrated features suggestive of osteochondroma. Read More

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Clinical Characteristics and Transmission of COVID-19 in Children and Youths During 3 Waves of Outbreaks in Hong Kong.

JAMA Netw Open 2021 05 3;4(5):e218824. Epub 2021 May 3.

Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.

Importance: Schools were closed intermittently across Hong Kong to control the COVID-19 outbreak, which led to significant physical and psychosocial problems among children and youths.

Objective: To compare the clinical characteristics and sources of infection among children and youths with COVID-19 during the 3 waves of outbreaks in Hong Kong in 2020.

Design, Setting, And Participants: This cross-sectional study involved children and youths aged 18 years or younger with COVID-19 in the 3 waves of outbreaks from January 23 through December 2, 2020. Read More

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Wearable Sensor-Based Real-Time Gait Detection: A Systematic Review.

Sensors (Basel) 2021 Apr 13;21(8). Epub 2021 Apr 13.

ONWARD, EPFL Innovation Park Building C, 1015 Lausanne, Switzerland.

Gait analysis has traditionally been carried out in a laboratory environment using expensive equipment, but, recently, reliable, affordable, and wearable sensors have enabled integration into clinical applications as well as use during activities of daily living. Real-time gait analysis is key to the development of gait rehabilitation techniques and assistive devices such as neuroprostheses. This article presents a systematic review of wearable sensors and techniques used in real-time gait analysis, and their application to pathological gait. Read More

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[Characteristics and related factors of plantar pressure in the chronic ankle instability individuals].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Mar;53(2):279-285

Institute of Sports Medicine, Peking University Third Hospital, Beijing 100191, China.

Objective: To analyze characteristics and related factors of the plantar pressure during the level walking and single leg standing in the chronic ankle instability (CAI) individuals.

Methods: From April 2019, 75 CAI individuals and 40 healthy individuals were enrolled in this study. Both of the static and dynamic plantar pressure were measured during six times level walking and three times single leg standing testing. Read More

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Echocardiographic evaluation of paravalvular aortic regurgitation of a patient with recurrent aortic valve replacements.

Monaldi Arch Chest Dis 2021 Apr 21. Epub 2021 Apr 21.

Cardiac Rehabilitation Division, ICS Maugeri IRCCS, Gattico-Veruno.

Paravalvular regurgitation (PVR) is a serious complication after surgical valve replacement. Echocardiography is the gold standard technique to assess the severity of PVR with an integrated approach. A 48-year-old male underwent aortic valve replacement due to infective endocarditis (IE). Read More

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Foot deformities in patients with diabetic mellitus (with and without peripheral neuropathy).

J Tissue Viability 2021 04 16. Epub 2021 Apr 16.

Department of Nursing, University of Malaga, Spain; Biomedical Research Institute (IBIMA), 29010, Malaga, Spain.

Background: Diabetic peripheral neuropathy (DPN) is one of the most common complications in diabetes mellitus. It is the disorder that most commonly affects the feet of people with diabetes. The aim of the present study is to determine the relationship between DPN and the presence of deformities in the foot. Read More

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Minimally invasive resection of benign cardiac tumors.

J Thorac Dis 2021 Mar;13(3):1993-1999

Department of Cardiothoracic Surgery, Lancashire Heart Centre, Blackpool Teaching Hospital, Blackpool, UK.

Primary cardiac tumours for which surgical resection is the main stay of treatment are rare and present both diagnostic and management challenges. The majority of patients are asymptomatic and one third of those who have symptoms present with vague constitutional symptoms which further complicates the process of early diagnosis. The current state-of-the art multi-modality imaging, routine use of intra-operative transoesophageal echocardiogram (TOE) in most cardiac centres and the tremendous advances of endoscopic adjuncts greatly enhances both the diagnosis and management of those group of patients. Read More

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Hallux Valgus With Second Brachymetatarsia Discovered Accidentally: A Case Report.

J Foot Ankle Surg 2021 Mar 18. Epub 2021 Mar 18.

Professor, Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Hallux valgus deformity is one of the most common foot and ankle diseases, while brachymetatarsia is a rare foot anomaly with pathological shortening of a metatarsal bone. We present a case of hallux valgus deformity possibly due to second brachymetatarsia. As the hallux valgus was associated with dorsal dislocation of the second toe that made it difficult to evaluate the length of the second toe, the patient was unaware of the second metatarsal shortening until the lengths of the toes compared by manual reposition of the second MTP joint. Read More

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Hirudotherapy for neonatal limb ischemia during ECMO support: A word of caution.

J Card Surg 2021 Jul 3;36(7):2549-2557. Epub 2021 Apr 3.

Department of Pediatric Critical Care, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota, USA.

Introduction: Disordered coagulation, clot formation and distal limb ischemia are complications of extracorporeal membrane oxygenation (ECMO) with significant morbidity and mortality. Medicinal leech therapy (hirudotherapy) has been attempted in plastic and orthopedic surgeries to improve venous congestion and salvage ischemic flaps. To our knowledge this has not been reported in pediatric cardiac surgery or during ECMO support. Read More

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[Therapeutic effect of acupoint catgut embedding on balance function and plantar pressure in hemiplegic patients].

Zhen Ci Yan Jiu 2021 Feb;46(2):152-7

Department of Acupuncture-moxibustion and Rehabilitation, Quanzhou Hospital of Traditional Chinese Medicine, Quanzhou 362000, Fujian Province, China.

Objective: To investigate the therapeutic effect of acupoint catgut embedding on balance function and plantar pressure in hemiplegic patients.

Methods: A total of 98 hemiplegic patients were equally randomly assigned to routine treatment group and acupoint catgut embedding group. The patients in the routine treatment group were given routine medical treatment, routine acupuncture and rehabilitation training. Read More

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February 2021

Distal Radio-Ulnar Joint Reconstruction after failed Darrach operation using free autogenous second toe Metatarso-phalangeal joint transfer. Development of the technique and a long-term (over 25 year) follow-up.

Simo K Vilkki

Injury 2021 Mar 12. Epub 2021 Mar 12.

Department of Hand and Micro Surgery, Tampere University Hospital, Tampere, Finland. Electronic address:

During the development of microvascular surgery in 1980-95 many new methods to overcome different traumatic disorders were studied. Previously unsolved problems could be treated using free tissue transfer. Typical problems in wrist surgery were the painful complications from ulna head resection. Read More

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Claw Toe: Anatomic Guide for Injection of Botulinum Toxin into Foot Muscles.

Can J Neurol Sci 2021 Mar 26:1-7. Epub 2021 Mar 26.

Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.

Background: Poor response to injection of botulinum toxin (BoNT) into the flexor digitorum longus (FDL) muscle has been reported especially in patients with claw foot deformity. We previously advocated BoNT injection into the flexor hallucis longus (FHL) muscle in such patients. Here, we determined the functional and anatomical relationships between FHL and FDL. Read More

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Phalangectomy combination double-pedicled digital artery flap for second-toe macrodactyly reconstruction: A case report.

Int J Surg Case Rep 2021 Apr 13;81:105767. Epub 2021 Mar 13.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia; Division of Plastic and Reconstructive Surgery, Department of Surgery, Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia. Electronic address:

Introduction: Pedal macrodactyly is a rare form of congenital deformity in which the toes and underlying structures are enlarged. The goal of most macrodactyly reconstruction surgeries is to reconstruct the affected toes to resemble the normal size such that the patient is able to wear shoes of the same size.

Case Presentation: We report a three-year-old female patient presenting with an enlargement of the right foot index and middle toes. Read More

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Insulin, Insulin Everywhere: A Rare Case Report of Rabson-Mendenhall Syndrome.

Cureus 2021 Feb 4;13(2):e13126. Epub 2021 Feb 4.

Internal Medicine, Jagadguru Jayadeva Murugarajendra (JJM) Medical College, Davangere, IND.

Rabson-Mendenhall syndrome (RMS) is a rare autosomal recessive disorder characterized by severe insulin resistance, a condition in which the body's tissues and organs do not respond appropriately to the hormone insulin. Insulin resistance impairs blood sugar regulation and ultimately leads to diabetes mellitus. A 19-year-old male presented with joint pain, blurring of vision, and generalized weakness. Read More

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February 2021

[Sudden convulsion with multiple pulmonary nodules in a girl aged 15 years].

Zhongguo Dang Dai Er Ke Za Zhi 2021 Mar;23(3):288-293

Department of Pediatrics, Peking University Third Hospital, Beijing 100191, China.

A girl, aged 15 years, was admitted due to sudden convulsion once and multiple pulmonary nodules on lung CT. Acrocyanosis or acropachy/toe deformity was not observed. Laboratory examinations showed an increase in hemoglobin (162 g/L) and a reduction in arterial partial pressure of oxygen (61. Read More

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Third Toe Pulp Reconstruction Using the Contralateral Second Toe Hemi-pulp Free Flap.

Plast Reconstr Surg Glob Open 2021 Feb 18;9(2):e3435. Epub 2021 Feb 18.

Department of Plastic and Reconstructive Surgery, Kindai University Faculty of Medicine, Osaka, Japan.

A hemi-pulp flap is widely known as a flap useful for aesthetic and functional reconstruction of the fingers, and rarely used for toe reconstruction. We performed third toe pulp reconstruction using a free hemi-pulp flap harvested from the contralateral second toe to repair the tissue defect following toe replantation. An 18-year-old woman was injured with complete left third toe amputation and open fracture of the proximal phalanx of the left second toe in a traffic accident. Read More

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February 2021

Salvage Reconstruction of a Congenital Hypoplastic Thumb Due to Constriction Ring Syndrome Using a Third Toe Transfer, When the Usual Donor Sites of Index Finger, Great and Second Toes Are Not Available.

Hand (N Y) 2021 Mar 7:1558944721998003. Epub 2021 Mar 7.

University of California, Los Angeles, USA.

Isolated third toe-to-thumb transfers have been rarely reported and none in the pediatric population. We describe a third toe-to-thumb transfer for reconstruction of a congenital hypoplastic thumb with excellent functional results and no morbidity in the donor foot. Read More

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Sarcoidosis-associated acro-osteolysis.

BMJ Case Rep 2021 Mar 2;14(3). Epub 2021 Mar 2.

Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, Florida, USA.

Sarcoidosis is characterised by the formation of noncaseating granulomas classically affecting lungs, lymph nodes and skin. Osteoarticular involvement affects up to 15% of patients; however, acro-osteolysis, destruction involving distal phalanges of fingers and toes, associated with sarcoidosis, is extremely rare. A 44-year-old woman with a history of biopsy-proven sarcoidosis managed with prednisone and methotrexate presented with swelling and pain in the distal fingers of her right hand without skin manifestations. Read More

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Maggot Treatment of Necrotic Toe Developed After Traumatic Subtotal Amputation.

Int J Low Extrem Wounds 2021 Feb 24:1534734621997283. Epub 2021 Feb 24.

Istanbul University-Cerrahpasa, Istanbul, Turkey.

Maggot debridement therapy (MDT) has been used for years in the treatment of chronic wounds and necrotic tissues. We report a case of subtotally amputated third toe that was treated with MDT after reattachment and developing complete necrosis. The necrotic toe was replaced with viable tissue and the wound healed completely after 2 weeks of MDT application. Read More

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February 2021

Head, Shoulders, Knees, and Toes: Placement of Wearable Passive Samplers Alters Exposure Profiles Observed.

Environ Sci Technol 2021 03 24;55(6):3796-3806. Epub 2021 Feb 24.

Department of Environmental Health Sciences, Yale School of Public Health, 60 College Street, New Haven, Connecticut 06510, United States.

Chemical exposures are a major risk factor for many diseases. Comprehensive characterization of personal exposures is necessary to highlight chemicals of concern and factors that influence these chemical exposure dynamics. For this purpose, wearable passive samplers can be applied to assess longitudinal personal exposures to airborne contaminants. Read More

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Common Peroneal Nerve Palsy Due to Giant Fabella After Total Knee Arthroplasty.

Orthop Surg 2021 Apr 23;13(2):669-672. Epub 2021 Feb 23.

Department of Orthopaedic Surgery, Third Hospital, Hebei Medical University, Shijiazhuang, China.

Background: Common peroneal nerve palsy (CPNP) is a rare but serious complication following primary total knee arthroplasty (TKA). The common peroneal nerve is one of the main molecules of the sciatic nerve. CPNP is a series of symptoms caused by common peroneal nerve injury due to paralysis and atrophy of the fibula and tibia muscles. Read More

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Retiform hemangioendothelioma: a case series and review of the literature.

J Med Case Rep 2021 Feb 17;15(1):69. Epub 2021 Feb 17.

Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi, Pakistan.

Background: Retiform Hemangioendothelioma (RH) is an extremely rare vascular tumor of intermediate biological behavior, which is prone to local recurrence but rarely shows metastasis to distant sites. It may harbor areas resembling Dabska tumor in some cases and angiosarcoma, which in its well differentiated form may exhibit similar pathological appearance in some areas, making it problematic to rule out a possibility of a malignant diagnosis on a core biopsy. Therefore, complete surgical resection with negative margins is essential for accurate diagnosis and local control. Read More

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February 2021

Presence of Neovascularization in Torn Plantar Plates of the Lesser Metatarsophalangeal Joints.

Foot Ankle Int 2021 Feb 9:1071100721990038. Epub 2021 Feb 9.

Department of Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, MI, USA.

Background: Recent surgical techniques have focused on anatomic repair of lesser toe metatarsophalangeal (MTP) plantar plate tears, yet it remains unknown whether the plantar plate has the biological capacity to heal these repairs. Therefore, a better understanding of the plantar plate vasculature in response to injury may provide further insight into the potential for healing after anatomic plantar plate repair. Recently, a study demonstrated that the microvasculature of the normal plantar plate is densest at the proximal and distal attachments. Read More

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February 2021

Vascularized Toe Joint Transfer for Hypoplastic Thumb Type IV.

Tech Hand Up Extrem Surg 2021 Feb 2. Epub 2021 Feb 2.

Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok Department of Orthopaedics, Kasemrad Chachoengsao Hospital, Chachoengsao, Thailand.

Vascularized toe joint transfer can be an alternative treatment for children who have hypoplastic thumb with unstable carpometacarpal joint and refuse thumb ablation with index pollicization. This procedure can reconstruct a 5-digit hand with stable thumb for opposition. As the viable epiphyseal plate is included in this transfer, the potential for future growth can be expected from this type of reconstruction. Read More

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February 2021