Journal of the American Podiatric Medical Association最新文献

{"title":"A Novel Approach to Plantar Fasciitis Treatment.","authors":"Christopher Bromley, Caitlyn McManus, Daniel McManus","doi":"10.7547/24-136","DOIUrl":"https://doi.org/10.7547/24-136","url":null,"abstract":"<p><strong>Background: </strong>Pulsed electromagnetic field (PEMF) therapy is a conservative, noninvasive, nonpharmacological option for treatment of plantar fasciitis that accelerates the body's anti-inflammatory and healing responses.</p><p><strong>Methods: </strong>In this case series, adult patients presenting with more than 2 weeks of heel pain due to plantar fasciitis were treated with the OrthoCor Active System (OrthoCor Medical Inc, Blaine MN) PEMF device for 12 weeks. Efficacy was measured at 0 (baseline), 4, 8, and 12 weeks of treatment. Ultrasound was used to measure plantar fascia maximal thickness and hypoechoic region width. Function was evaluated using Foot and Ankle Disability Index (FADI) and Patient Specific Functional Scale (PSFS) survey scores.</p><p><strong>Results: </strong>Repeated measures ANOVA showed a statistically significant improvement in all assessments with PEMF therapy. The mean plantar fascia thickness decreased by 34%, the mean hypoechoic region width decreased by 79%, the mean FADI score improved by 46%, and the mean PSFS score improved by 166%. Compared to historical control data from other studies, PEMF and stretching therapy reduced plantar fascia thickness by 34% compared to 16% for dexamethasone injection and 6% for placebo saline injection; FADI improved by 46% after 12 weeks of PEMF compared to 43% after 1 year of treatment with indomethacin, heat and shoe pads, plantar facia stretching, or calf stretching; and PSFS improved by 166% with PEMF compared to 96% after primal reflex release treatment.</p><p><strong>Conclusion: </strong>Pulsed Electromagnetic Field (PEMF) therapy was effective for stimulating healing and improving function for patients with plantar fasciitis, demonstrated by significant improvement in ultrasound measures and functional scores. This study suggests that PEMF therapy is an effective conservative, nonpharmacologic treatment option for plantar fasciitis.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-21"},"PeriodicalIF":0.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Evaluate Efficacy of Intralesional Platelet Rich Plasma in Patients with Plantar Fasciitis.","authors":"Sanjiv Kumar, Chethan Channaveera, Satyaranjan Sethi, Ranjan Kumar Wadhwa, Vijender Anand","doi":"10.7547/24-161","DOIUrl":"https://doi.org/10.7547/24-161","url":null,"abstract":"<p><strong>Background: </strong>Plantar fasciitis (PF) is one of the most common causes of heel pain that affecting 10 % of the general population. Platelet rich plasma (PRP) has been demonstrated to be helpful in managing PF and reducing plantar facia thickness (PFT). This study objective was to know the effect and efficacy of ultrasound (USG) guided intralesional PRP in PF in relation to pain, PFT and foot function index (FFI).</p><p><strong>Methods: </strong>A prospective interventional study was conducted in a tertiary care hospital on eighty-five diagnosed cases of unilateral PF. All patients had undergone pain intensity assessment by visual analogue scale (VAS), FFI, and USG examination of PFT after USG guided intralesional PRP injection was assessed at baseline (0 weeks), 2 weeks and 6 weeks.</p><p><strong>Results: </strong>Following USG guided intralesional PRP injection, a statistically significant decrease was noted in plantar fascia thickness (PFT) from baseline 0 (week) 6.592mm ± 0.51mm to 5.169mm ± 0.39mm and reduced to 4.07mm ± 0.39mm at 2nd week and 6th week, respectively (P value < 0.001). A statistically significant reduction of VAS score was noted which reduced from 8.647 ± 0.55 to 5.588 ± 1.13 (2nd week) and further reduced to 1.21 ± 1.06 at the end of 6 weeks (p value < 0.001). Mean FFI in our study at baseline was 85.494 ± 6.55, at 2 weeks mean FFI was 49.341 ± 7.277 and the end of 6 week it reduced to 24.235 ± 1.608 (P value < 0.001) statistically significant decrease was noted.</p><p><strong>Conclusions: </strong>PRP injection helps in the reduction of heel pain (VAS), reduction in PFT, and improvement in all domains of FFI, leading to enhancement of quality of life.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-24"},"PeriodicalIF":0.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation Analysis Between Hip Internal Rotation Range and Plantar Pressure During Standing And Walking.","authors":"Ziyang Yang, Chen Yan, Xiaocong Yan, Chanchan Ge, Desheng Jiang, Niyuan Hu, Zhenghao Xue, Ying Qin","doi":"10.7547/24-144","DOIUrl":"https://doi.org/10.7547/24-144","url":null,"abstract":"<p><strong>Context: </strong>Different studies on football players with fifth metatarsal stress fractures have found that hip internal rotation (HIR) range of motion is significantly reduced, while lateral forefoot pressure is significantly increased; therefore, the purpose of this study was to determine whether HIR range of motion is related to lateral plantar pressure.</p><p><strong>Methods: </strong>The study included 120 college students (60 males and 60 females). HIR was measured using a smartphone inclinometer app in the prone position and a compass app in the supine position. Plantar pressure was assessed using the Gaitview® AFA-50 system during standing and walking. Correlation analysis was performed using SPSS 27.0.</p><p><strong>Results: </strong>Among all subjects, HIR activity in the prone position was significantly negatively correlated with standing second through fourth metatarsophalangeal joints (MTPJ2-4), fifth metatarsophalangeal joint (MTPJ5), and midfoot (FM) pressures and significantly positively correlated with standing first toe (T1) pressure. During walking, there is a significant negative correlation between HIR in the prone position and MTPJ2-4, MTPJ5, FM, and lateral heel (LH). Similarly, in the supine position, HIR is significantly negatively correlated with MTPJ2-4, MTPJ5, FM, medial heel (MH), and LH.</p><p><strong>Conclusion: </strong>There is a significant negative correlation between HIR and lateral plantar pressure, indicating that reduced HIR is associated with increased lateral plantar pressure. Improving HIR through targeted rehabilitation may reduce lateral plantar pressure, offering new approaches for non-surgical treatment of little toe capsulitis and reducing the risk of fifth metatarsal stress fractures.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-28"},"PeriodicalIF":0.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bipartite Os Trigonum Fracture A Rare Variation With A Rare Fracture.","authors":"Ekrem Demirci, Arın Celayir, Abdisalam Mutaj Shafaj Nur, Mehmet Emir Sah, Baran Suat Sevgil, Muhammed Yusuf Afacan, Mete Özer, Bedri Karaismailoglu","doi":"10.7547/24-154","DOIUrl":"https://doi.org/10.7547/24-154","url":null,"abstract":"<p><p>This case report describes a bipartite os trigonum fracture in a 21-year-old female patient following an pedestrian traffic accident. The os trigonum, a rare accessory bone located posterolaterally in the talus, can sometimes lead to symptoms. In this case, a fracture of the bipartite os trigonum was identified, along with an anterior talofibular ligament (ATFL) rupture. Radiological examinations revealed both the bipartite variation of the os trigonum and the associated fracture, with diagnosis confirmed through computed tomography (CT) and magnetic resonance imaging (MRI). Treatment involved a short leg splint and joint range-of-motion exercises, resulting in symptom improvement and functional recovery. This case highlights the importance of recognizing the rare occurrence of os trigonum fractures, particularly the even rarer bipartite variant, and underscores the significance of CT and MRI in detailed diagnosis.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-8"},"PeriodicalIF":0.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Markers of Inflammation and Bone Turnover in Type 2 Diabetic Patients at Risk of Charcot Arthropathy.","authors":"Salini Dharmadas, Harish Kumar, Minnie Pillay, Thacho Sukumaran Mangalanandan, Lakshmanan Vivek, Valiyaparambil Pavithran Praveen, Arun Bal","doi":"10.7547/24-116","DOIUrl":"https://doi.org/10.7547/24-116","url":null,"abstract":"<p><strong>Background: </strong>Recent research indicates that inflammation-induced changes in the RANKL/RANK/OPG pathway play a significant role in the development of Charcot arthropathy. Considering the severe implications of Charcot arthropathy, cost-effective screening of patients at risk of the disease could prove to be an effective preventative strategy. As an initial endeavour in our attempt to identify a predictive biomarker for Charcot arthropathy, we conducted an analysis of inflammation and bone turnover markers in diabetic patients at risk of Charcot arthropathy. We then compared these markers with those of patients in the acute stage of Charcot arthropathy and healthy controls.</p><p><strong>Methods: </strong>In this cross-sectional study, 45 subjects were carefully selected and categorized into three groups, with 15 individuals in each group. Group 1 encompassed patients over 50 years of age, with more than 10 years of type 2 diabetes and severe neuropathy (DN). Group 2 consisted of patients diagnosed with acute-stage Charcot arthropathy (aCA), while Group 3 consisted of healthy, non-diabetic, age-matched controls (N). Serum inflammatory markers and bone turnover markers were analyzed across these groups.</p><p><strong>Results: </strong>Significant differences were only noted in the median values of HbA1c (P=0.000), VPT (P=0.000), and OPG (P=0.009) among the groups under study. No notable increase was observed in the serum levels of the inflammatory marker IL6 (P value - 0.071), the bone resorption marker TRAP5B (P value - 0.066), or the bone formation marker BALP (0.251) across the groups. However, a positive correlation was identified between IL-6 and OPG in the aCA group (r=0.900, P=0.001).</p><p><strong>Conclusion: </strong>In alignment with the existing literature, serum OPG levels were found to be elevated in the aCA group compared to the control groups. The observed similarities in serum levels of IL6 and TRAP5B across the groups are noteworthy and warrant further investigation.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-21"},"PeriodicalIF":0.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foot and Ankle Ability Measure (FAAM) Questionnaire: A Systematic Review.","authors":"Ana Belen Ortega-Avila, Sandra Sanchez-Morilla, Maria Hermas Galan-Hurtado, Pablo Cervera-Garvi, Jorge Garcia-Medina, Ana Marchena-Rodriguez","doi":"10.7547/24-070","DOIUrl":"https://doi.org/10.7547/24-070","url":null,"abstract":"<p><strong>Background: </strong>The Foot and Ankle Ability Measure is frequently used by clinicians and researchers to assess the effectiveness of therapeutic interventions for patients with foot and ankle pathologies. To review different versions of the FAAM and to evaluate the methodological quality of studies published in this respect.</p><p><strong>Methods: </strong>Systematic review.</p><p><strong>Setting: </strong>A search was conducted in the PubMed, SCOPUS, PEDro, PROSPERO and SPORTDiscus databases, applying the following inclusion criteria: validation studies of the Foot and Ankle Ability Measure, in different languages, with no time limit, in a population aged ≥18 years. Two of the present authors independently assessed the quality of the studies located and extracted the relevant data. The COSMIN checklist was employed to assess methodological quality.</p><p><strong>Results: </strong>Thirteen instruments met the inclusion criteria for this review. In many cases, significant methodological flaws were detected, mostly regarding criterion validity and measurement error.</p><p><strong>Conclusion: </strong>Only the Spanish-language cultural adaptation of the FAAM presents adequate methodological quality. Further studies, with greater methodological rigour, are required of the cultural adaptations of this measurement instrument.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-36"},"PeriodicalIF":0.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking Economy in Individuals with Pes Planus.","authors":"Figen Dağ, Orhan Güvener, Özlem Bölgen Çimen","doi":"10.7547/22-182","DOIUrl":"https://doi.org/10.7547/22-182","url":null,"abstract":"<p><strong>Background: </strong>Biomechanical changes in individuals with pes planus may lead to unusual gait and increased muscle activity. This study aimed to investigate and compare walking oxygen consumption in individuals with pes planus and control participants.</p><p><strong>Methods: </strong>The study included 60 individuals (18-33 years old): 30 in the pes planus group (21 females) and 30 in the normal arch group (23 females) based on the navicular drop test and the Foot Posture Index. Individuals walked on a treadmill for 7 min at preferred walking speed and 30% above preferred walking speed, and oxygen consumption was measured through walking trials with an indirect calorimeter. The Borg scale was applied to determine perceived exertion during both walking trials. The Foot Function Index (FFI) and the Foot and Ankle Outcome Score (FAOS) were used to evaluate the clinical/functional status of the individuals with pes planus.</p><p><strong>Results: </strong>There were no significant differences in preferred walking speed and oxygen consumption parameters for both walking trials between groups (P > .05). The median (range) FFI score of the individuals with pes planus was 9.13 (0-44.35) for the right foot and 8.70 (0-40.87) for the left foot. Perceived exertion rates of both walking trials were not significantly different between groups (P > .05). The median total FAOS score of the participants with pes planus was 94 (range, 65-99). There were no relationships between oxygen consumption and FAOS and FFI scores (P > .05).</p><p><strong>Conclusions: </strong>No differences in walking speed and walking economy parameters were observed between individuals with pes planus and control participants.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Müller-Weiss Disease.","authors":"Sixu Lang, Brandon Maggen","doi":"10.7547/22-193","DOIUrl":"10.7547/22-193","url":null,"abstract":"<p><p>Müller-Weiss disease is a rare condition of osteonecrosis of the lateral navicular with dorsal midfoot pain. The predominant treatment discussed in the literature is surgery. This report focuses on a single case using conservative treatment, including pain medication, ethylene vinyl acetate custom orthotics, motion control shoes, physiotherapy for strengthening intrinsic foot muscles, and weight management. The primary complaint from the patient was midfoot pain limiting activities of daily living. After application of conservative treatment modalities and 10 months of follow-up, bilateral midfoot pain decreased from 9/10 to 2/10. To the authors' knowledge, this is the first case report of successful conservative treatment of bilateral Müller-Weiss disease in a patient with multiple comorbidities using pain medication, ethylene vinyl acetate custom orthotics, motion control shoes, physiotherapy, and weight management.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contact Characteristics of Metatarsophalangeal Joint Osteochondral Defect Repairs Following a Novel Hybrid Procedure With a Subchondral Implant and Dermal Allograft.","authors":"Aaron T Hui, Derek T Dee, Michelle H McGarry, Thay Q Lee","doi":"10.7547/23-218","DOIUrl":"https://doi.org/10.7547/23-218","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to quantify metatarsophalangeal (MTP) joint contact characteristics before and after reconstruction of osteochondral defects using a novel hybrid procedure.</p><p><strong>Methods: </strong>The MTP joint contact areas, mean contact pressures, and peak contact pressures were measured using Tekscan pressure sensors with 50, 100, and 150-N compressive loads. Five conditions were tested: intact, 8-mm osteochondral defect, 8-mm repair, 10-mm defect, and 10-mm repair. Defects were created at the center and perpendicular to the metatarsal head by drilling. Defects were repaired with titanium fenestrated threaded implants countersunk in the subchondral bone. An acellular dermal allograft was placed and made flush with the surface of the metatarsal head.</p><p><strong>Results: </strong>Repair of the 8-mm defect significantly increased MTP joint contact area by 24.1 ± 3.2 mm2 and significantly decreased contact pressure at all compressive loads by 97.9 ± 12.1 kPa compared with the defect condition. Repair of the 8-mm defect also significantly decreased peak contact pressure compared with the intact condition at 100 and 150 N an average of 510.6 ± 215.5 kPa (P < .041). Repair of the 10-mm defect significantly increased contact area at 100 and 150 N by 42.0 ± 8.3 mm2 (P < .001) and significantly decreased contact pressures at all compressive loads by 214.5 ± 30.7 kPa compared with the defect (P < .003).</p><p><strong>Conclusions: </strong>The MTP joint contact areas, contact pressures, and peak pressures were restored to intact conditions and contact pressures decreased following reconstruction of both 8- and 10-mm osteochondral defects using subchondral implants with dermal allografts.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subtalar Arthroereisis for Peroneal Spastic Flatfoot in Adolescents With Accessory Anterolateral Talar Facet Impingement.","authors":"Tao Youlun, Bu Xiangbo, Zhao Deyong, Zhang Zaiyi, Wang Aiguo","doi":"10.7547/24-009","DOIUrl":"https://doi.org/10.7547/24-009","url":null,"abstract":"<p><p>This is a case of an 11-year-old boy who experienced pain and peroneal spastic flatfeet due to the accessory anterolateral talar facet impingement (AATFI). Multiple conservative treatments have been used, but with poor results. Finally, he was referred to our department, and the lidocaine injection test in the sinus tarsi area was used to assist the diagnosis. The patient was effectively treated with subtalar arthroereisis. To our knowledge, using subtalar arthroereisis to treat peroneal spastic rigid flatfoot associated with AATFI has not been previously reported. This method can not only prevent AATFI progression but also correct flatfoot deformity, thus breaking the vicious cycle of AATFI and peroneal spasm from its source. With flatfoot correction, proprioceptive or nociceptive receptors receive normal stimuli, transmit normal proprioceptive signals, and eliminate abnormal reflexes. After a 41-month follow-up period, the clinical outcomes were excellent.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}