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There is minimal published research on outcomes and satisfaction with foot and ankle surgery.To investigate patient-reported outcomes and satisfaction, and investigate which factors influence satisfaction at 9 months following foot or ankle surgery.Prospective study of 671 adult patients having foot or ankle surgery. Pre-and post-surgery, patients self-completed MOXFQ, SF-36 and EQ-5D questionnaires...
Type II diabetic patients easily develop ulcers over their feet which heal with great difficulties and not infrequently, end up in amputations. In the quest for innovative means to avoid amputation, herbal medicine has been used in China to heal ulcers.A randomized placebo controlled clinical trial involving 80 patients was conducted to test whether a herbal formula taken orally could help to preserve...
The accessory deep peroneal nerve (ADPN) is a common variant branch of the superficial peroneal nerve. It unrarely participates in the innervation of the extensor digitorum brevis muscle and interferes with the differential diagnosis of peroneal nerve lesions. Several electrophysiological and anatomical studies have been conducted in order to document the topography, characteristics and prevalence...
The diagnosis of tarsal tunnel syndrome (TTS) lacks objectivity and consistency.A new test was designed, called triple compression stress test (TCST), to elicit stress on posterior tibial nerve and its branches, in an attempt to provoke signs of its entrapment. In this test, the ankle is placed in full planter flexion and the foot in inversion, with even, constant digital pressure applied over the...
Isolated involvement of calcaneus with Paget's disease of bone is highly unusual, with very few cases reported in the world literature. We present herein a unique 69-year-old male patient with monostotic Paget's disease of the left calcaneus discovered incidentally during a whole body bone scintigraphy. Since most bone scans are performed for evaluating osseous metastases, differentiating Paget's...
The causes and mechanisms of tarsometatarsal (TMT) dislocations are poorly characterized. Unfortunately, the rarity of these injuries makes it difficult and costly to gather the epidemiological data needed to better understand the populations at risk and the circumstances under which injury is most likely to occur.To address this issue, literature reports of TMT dislocations were identified and analyzed...
Diabetic foot, characterized by a pronounced inflammatory reaction, decreased collagen content and biosynthesis and accelerated degradation are crucial in wound healing. Cathepsin D, an aspartic endopeptidases implicated in cell growth, apoptosis, and its inhibitor has been reported to reverse the inhibition of collagen biosynthesis in wounded rat skin with diabetes. To date, the increased proteolytic...
Hallux valgus is a common condition and surgical correction has remained a challenge.To evaluate the results of distal soft tissue realignment and proximal 1st metatarsal countersinking osteotomy for the treatment of moderate to severe hallux valgus deformity.This prospective study included 33 ft in 28 patients. The deformity was moderate in 27 ft (23 patients), severe in six ft (five patients) and...
Ankle dislocation without concomitant fracture is a rare phenomenon with only a few cases reported in literature.Our case report presents a male who sustained a closed anterolateral ankle dislocation without fractures following a road traffic accident. The patho-anatomy, principles of management and probable complications of this injury have been discussed.
Shoe contact dermatitis is common in both the pediatric and the adult populations. Severity of the reaction can vary greatly by patient.Health Care Professionals of all types should be familiar with shoe related dermatitis and aware of potential antigens that can precipitate a shoe contact dermatitis.This article reviews one of the most common patch test, the T.R.U.E., Thin-layer Rapid Use of Epicutaneous...
We read with interest the recent paper by Groarke et al. (Quality of life in individuals with chronic foot conditions: a cross sectional observational study. The Foot (2012) doi:10.1016/i.foot.2011.11.007).The paper ended by stating that ‘there is no scoring system for the foot and ankle that is valid, repeatable and reliable’. This statement is misleading.The authors could have made reference to...
We present a series of six cases of macrodystrophia lipomatosa (MDL) and their outcome after debulking surgery.The study was conducted from 2002 to 2005; the cases are selected from outpatients department of postgraduate institute of medical education and research. The patients were in the age group of 2–5 years of age with the complaints of progressive increase in size of the toe, difficulty in walking...
A Nodular Melanoma of the foot is a relatively uncommon disease, which accounts for the dearth of literature. The anatomical location of a primary malignant melanoma is of prognostic importance as primary lesions of the foot and ankle have poorer prognostic outcomes. This single case reports a life-threatening presentation, of a primary nodular melanoma of the foot with associated distant metastases...
Radiographic charted values are widely applied in the assessment of paediatric flat foot and as quantitative markers of intervention success. Nearly all literature pertaining to the reliability of these measures relates to the adult foot. In view of the importance placed on these charted values we assessed the inter and intra-rater reliability of 10 key radiographic measures in children aged 7–14...
Calcanei are the most common sites for bony spurs. Although calcaneal enthesophytes have been extensively researched, many unknowns remain. Whether biological factors, such as age, weight and genetics, play a greater role in calcaneal spur etiology than activity is still unknown.The current study examines 121 adults from a prehistoric hunter-gatherer population to aid in understanding bony spur etiology...
Foot pathology presents a diagnostic challenge in diabetic patients with co-existent peripheral neuropathy. Pain is a key feature that assists in accurate diagnosis of disease and monitoring response to treatment.We present a 71-year-old gentleman with peripheral neuropathy who reported mild midfoot pain that was associated with bony erosions throughout the midfoot. He had recently undergone amputation...
Congenital vertical talus, also known as congenital convex pes valgus, is a complex, rare, foot deformity that is resistant to conservative treatment. We report a case of bilateral congenital vertical talus with severe lower extremity external rotational deformity that was treated by means of a method of serial manipulations and casts. Although the initial manipulation and casting before surgical...
Charcot neuroarthropathy is a devastating joint condition that affects persons with neuropathy. With HIV/AIDS treatments prolonging the lives of these persons, it is likely that long-term sequelae of the disease will become more evident in the near future. Patients with this disease frequently develop peripheral neuropathy. A high index of suspicion must be raised in any patient with peripheral neuropathy...
In people with diabetes and peripheral neuropathy (DM+PN), injury risk is not clearly known for weight bearing (WB) vs. non-weight bearing (NWB) exercise. In-shoe peak plantar pressures (PPP) often are used as a surrogate indicator of injury to the insensitive foot.Compare PPPs in people with DM+PN during selected WB and NWB exercises.Fifteen subjects with DM+PN participated. PPPs were recorded for...
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