The Foot
Very little literature has examined the symmetry of left and right foot progression angles. The lack of standardization between gait angle measurement techniques also make reliable comparison of different gait angle studies difficult. This study examined foot progression angles in random samples of children (aged 3, 6 and 9 years) and adults, to establish if in-toeing is a developmental stage in children...
Multiple factors are involved in chronic lateral instability of the foot. In the present study, a possible relationship between the way the foot is placed on the ground during walking and instability complaints was searched for. This position is determined by both passive and active factors. Examination was performed under different walking conditions, in order to examine the effect of walking speed...
Two very rare primary tumours of bone, an intraosseous lipoma and a desmoplastic fibroma, are reported. The tumours occurred in the os calcis. The clinical, radiological and histological features of these tumours are discussed.
Multiple factors are involved in chronic lateral instability of the ankle. The geometry of the foot may be of importance. A cavovarus foot may predispose to lateral ligament injuries. In the present study, standardized lateral X-rays were obtained of the feet of patients with chronic instability and of a control group. Four parameters were used: (1) the tarsal index as described by Benink; (2) the...
We report a child with the clinical and biochemical features of Hurler-Scheie's syndrome who developed plantar fibromatosis. The association of the mucopolysaccharidoses with carpal tunnel syndrome is well recognized. The finding of plantar fibromatosis has not, to our knowledge, been reported previously.
Bilateral and simultaneous Achilles tendon rupture is an uncommon complication of long-term corticosteroid therapy and other systemic disorders. Its occurrence in a previously healthy individual is extremely rare and such a case is presented, with the clinical findings and possible mechanism of injury.
It has been shown that surgery on the hallux can result in sensory nerve damage in up to 45% of patients. An incision has been described previously which is designed to avoid injury to the sensory nerves. This study discusses the effects of employing this incision prospectively on 50 hallux procedures. Altered sensation was found in only 20% of these patients at final out patient review. It is concluded...
In-toeing gait in children is a common cause for parental concern. 30% of children in-toe at the age of 4 years but the condition persists in only 4% of adults. In conditions causing in-toeing, the lower limb may compensate at a number of levels; the knee joint; within the tibial bone; or within the subtalar joint of the foot. Resolution of in-toeing usually occurs spontaneously between the ages of...
Apert's syndrome (acrocephalosyndactyly type 1) is an autosomal dominant condition characterized by the progressive synostoses of the skull, spine, hands and feet. 1 It is caused by a mutation affecting the fibroblastic growth factor type 2 receptors. 2 While there are many descriptions of the hands in this conditions, 3 there are few previous reports concerning the anatomy...
Arthrodesis of the first metatarsophalangeal joint may be a difficult operation to perform. A simple technique is described, which allows accurate alignment in the ideal position for arthrodesis of the metatarsophalangeal joint, and also ensures good contact at the bony interfaces.
Spontaneous bilateral tendo Achillis rupture is an extremely rare occurence and is exceptionally uncommon in healthy individuals. We present a case of bilateral rupture occurring in a healthy 66-year-old man who was not taking any medication. Non-operative management was successful on one leg only and the other leg required surgical repair.
A sample of 248 individuals aged 75 years or more were assessed to ascertain their opinions and attitudes with regards to palliative podiatric care. 48% of the sample received no formal podiatric care. The podiatric service provision offered to the remaining 52% is reported.
Squamous cell carcinoma is a rare finding in the foot. This paper summarizes the history of seven patients who were treated for primary foot squamous cell carcinoma.
Magnetic resonance imaging (MRI) was performed on 29 feet in 28 patients with suspected tibialis posterior tendon dysfunction, prior to treatment. The MRI scan enabled classification of tendon pathology and defined associated lesions. Hypertrophic longitudinal tears were classified as type I (5 cases, 17%), atrophic partial ruptures were classified as type II (3 cases, 10%), and complete ruptures...
Fifteen swellings of the interdigital nerve of 12 patients with Morton's metatarsalgia and 3 controls were studied by routine histology and immunohistochemical technique employing monoclonal antibodies against neurofilaments, human epithelial membrane antigen and a polyclonal antibody anti S-100 for the myelinic sheath. With the latter methods, individual nerve fasciculi were accurately identified...