{"title":"Treatment of a Damaged Posterior Tibialis Tendon Through Reconstruction Using a Hamstring Autograft.","authors":"Mustafa Alper Incesoy, Gokcer Uzer","doi":"10.7547/24-025","DOIUrl":"https://doi.org/10.7547/24-025","url":null,"abstract":"<p><p>This case report presents the unique clinical history of a 26-year-old male patient who experienced a posterior tibial tendon (PTT) rupture following the Kidner procedure for a symptomatic accessory navicular bone. The subsequent reconstruction utilized a hamstring autograft. The patient, unresponsive to conservative treatments, underwent the Kidner procedure, resulting in PTT rupture at the eleventh postoperative week. Surgical intervention involved hamstring autograft retrieval, creating a bone tunnel in the navicular, and securing the autograft to the proximal PTT stump along with an Evans procedure. The case contributes to the discourse on PTT reconstruction methods, emphasizing the distinctive choice of autograft, specifically the hamstring, and its efficacy. At the 28-month follow-up, the patient did not complain of any residual pain and he was able to perform normal daily activities without any limitations. This case sheds light on PTT complications after the Kidner procedure, and emphasizes the role of autograft reconstruction, while contributing to the ongoing discussions about optimal strategies.</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":"143968988","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":"Tarsal Tunnel Release Using a Mini-Incision and Single-Portal Endoscopy.","authors":"Michael H Wynn","doi":"10.7547/22-147","DOIUrl":"https://doi.org/10.7547/22-147","url":null,"abstract":"<p><strong>Background: </strong>This retrospective study aimed to describe the decompression of the tarsal tunnel and porta pedis using a mini-incision and single-portal endoscopy.</p><p><strong>Methods: </strong>Thirty-one feet were evaluated and conservatively treated for tarsal tunnel syndrome between December 2013 and February 2019. Age, sex, medical history, and test results (those of nerve conduction studies, magnetic resonance imaging, and provocation tests) were compared. Foot-related quality of life assessments included subjective improvement and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot-ankle score.</p><p><strong>Results: </strong>Twenty women (77%) and six men (23%) (age range, 30-77 years) were included in the study. Overall, 26 feet (83.9%) underwent decompression of the tibial nerve, medial plantar nerve, and lateral plantar nerves; five of these feet (19.2%) underwent bilateral nerve decompression. The length of clinical follow-up ranged from 2 to 64 months (mean, 27.3 months). During postoperative evaluations, the average AOFAS score was 85.9 (range, 70-100). No significant difference between the AOFAS scores of healthy and unhealthy patients was found. The percentage of perceived improvement as reported by patients ranged from 50% to 100%.</p><p><strong>Conclusions: </strong>The mini-incision approach is a viable option for tarsal tunnel surgery. With reduced dissection, the chances of complications and pain are minimized without compromising adequate external neurolysis. Therefore, patients may be able to perform early weightbearing/ambulation on the operated extremity.</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":"143998709","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":"How Much Do We Know About Foot Pronation in Judokas?","authors":"Dávid Líška, Erika Liptaková, Claudia Hladiková, Agnė Slapšinskaitė-Dackevičienė","doi":"10.7547/22-023","DOIUrl":"https://doi.org/10.7547/22-023","url":null,"abstract":"<p><strong>Background: </strong>Regular evaluation of foot posture should be performed to determine whether foot-level interventions are necessary because changes in foot posture may contribute to lower-limb overuse injuries. This pilot study aims to test the level of pronation in judokas.</p><p><strong>Methods: </strong>A total of 61 judokas from Slovakia and the Czech Republic participated in the study, including 36 members of the youth team. Based on sex, the sample was composed of 42 males and 19 females with a mean ± SD age of 16.82 ± 2.41 years. Pronation was measured by the navicular drop test on the foot.</p><p><strong>Results: </strong>According to the data, the mean ± SD pronation in males was 0.86 ± 0.34 cm on the right foot and 0.89 ± 0.34 cm on the left foot. The mean ± SD navicular drop measurement for the right foot was 0.874 ± 0.20 cm and 0.878 ± 0.23 for the left foot. No correlation between pronation and age (r = 0.29), height (r = 0.04), body mass index (r = 0.02), or years of judo training (r = 0.22) was found.</p><p><strong>Conclusions: </strong>This study of judoka pronation values is the first of its kind, providing novel insights into the biomechanics of judo athletes. The findings indicate that sex and age do not significantly influence pronation, suggesting that training and technique may play a more critical role in movement patterns.</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":"144031845","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":"Effect of Repetitive Loading from 5 km of Running on Plantar Pressure in Healthy Young Participants.","authors":"Momoka Takahashi, Tomoya Takabayashi, Hajime Kamijo, Takanori Kikumoto, Masayoshi Kubo","doi":"10.7547/23-113","DOIUrl":"10.7547/23-113","url":null,"abstract":"<p><strong>Background: </strong>Repetitive loading during running is associated with the occurrence of running injuries. Several previous studies have assessed plantar pressure before, during, and after running. However, the difference in plantar pressure before and after 5 km of running has not been investigated. A 5-km running distance can be easily achieved by novice and recreational runners. There is evidence that novice runners are more likely to experience injuries from running compared with experienced runners. This study aimed to examine changes in plantar pressure before and after 5 km of running.</p><p><strong>Methods: </strong>Ten healthy adult men were asked to run 5 km on a treadmill. The foot plantar pressure area was measured before and after running. Plantar pressure data were divided according to the following areas: toe, metatarsal, heel, medial, lateral, anterior, and posterior. The peak values of each area during the stance phase were compared before and after 5 km of running using paired t test or Wilcoxon signed rank test.</p><p><strong>Results: </strong>The peak value of plantar pressure on the hallux (P = .01), first metatarsal (P < .01), toe (hallux, second-fifth toes) (P = .04), and medial (metatarsal, first metatarsal, medial heel) (P = .04) areas was significantly lower after running than before running.</p><p><strong>Conclusions: </strong>Plantar pressure of the medial and anterior foot areas after 5 km of running decreased. This may be because the participants were adopting a strategy that avoided overloading the medial and anterior foot area throughout 5 km of running. To elucidate this involved mechanism, future research should focus on related muscle activity.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515881","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":"A Nonhealing, Painful, Exophytic, Eroded Nodule on the Left Fifth Toe.","authors":"Adina R Greene, Neil Vigil, Dathan Hamann","doi":"10.7547/24-088","DOIUrl":"https://doi.org/10.7547/24-088","url":null,"abstract":"<p><p>A 34-year-old male with no significant past medical history presented for evaluation of a 15-year, growing, 8-mm, red eroded nodule with collarette of scale on his left fifth toe that appeared after a distant history of trauma. On initial examination, the lesion was clinically suspected to be a pyogenic granuloma. At this visit, a shave biopsy was performed revealing a soft white subcutaneous mass that was easily removed from the surrounding dermis. Histology revealed a soft-tissue mass with biphasic proliferation of elongated spindle cells with tapered nuclei occurring in compact cellular foci with palisading (Antoni A) and fewer paucicellular myxoid foci (Antoni B) consistent with a schwannoma. Schwannoma of the foot is rare, with the dorsum or interdigital space of the foot being the least reported manifestation on the foot. Podiatrists and dermatologists alike may consider schwannoma of the foot when evaluating chronic, non-healing, painful nodules, and papules.</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":"144023989","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}
Deniz Tuncer, H Nilgun Gurses, Hakan Senaran, Gokcer Uzer, Ibrahim Tuncay
{"title":"Postural Control and Muscle Endurance in Children With Idiopathic Toe-Walking.","authors":"Deniz Tuncer, H Nilgun Gurses, Hakan Senaran, Gokcer Uzer, Ibrahim Tuncay","doi":"10.7547/24-105","DOIUrl":"https://doi.org/10.7547/24-105","url":null,"abstract":"<p><strong>Background: </strong>Children with idiopathic toe-walking (ITW) may experience difficulty during postural tasks and are more likely to perceive physical activity as difficult and challenging. This study aimed to compare postural control and muscle endurance in children with ITW and healthy controls.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with 16 children with ITW (age, 10.88 ± 2.06) and 16 age-matched controls (age, 11.69 ± 1.99). Postural control was evaluated with the tests of the Biodex Balance System (postural stability, limits of stability, and modified clinical test of sensory interaction in balance) and the Balance Error Scoring System, which assesses static balance in six different conditions. Muscle endurance tests were the 1-min sit-to-stand test, the 30-sec sit-up test, and the Biering-Sorenson test.</p><p><strong>Results: </strong>There was a significant difference between the two groups in the postural stability (P < .05), limits of stability (P < .01), and modified clinical test of sensory interaction in balance (P < .01) tests of the Biodex Balance System as well as the firm surface (P = .032), foam surface (P < .001), and total surface (P < .001) scores of the Balance Error Scoring System. Although there was a significant difference between the two groups in the 1-min sit-to-stand test (P = .016), no differences were found in the 30-sec sit-up test (P = .896) or the Biering-Sorenson test (P = .506).</p><p><strong>Conclusions: </strong>This comparative study showed that children with ITW had decreased postural control compared with their healthy peers. Although the lower-extremity muscle endurance of children with ITW was weaker than that of their peers, no difference was observed in terms of trunk muscle endurance.</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":"144017147","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}
Yuya Ezawa, Yuta Koshino, Masanori Yamanaka, Takumi Okunuki, Mina Samukawa, Takeo Maruyama, Harukazu Tohyama
{"title":"Foot Flexibility and Alignment Are Weakly Correlated with Multisegment Foot Kinematics During the Landing Task.","authors":"Yuya Ezawa, Yuta Koshino, Masanori Yamanaka, Takumi Okunuki, Mina Samukawa, Takeo Maruyama, Harukazu Tohyama","doi":"10.7547/23-117","DOIUrl":"https://doi.org/10.7547/23-117","url":null,"abstract":"<p><strong>Background: </strong>Flat feet show increased foot motion during dynamic tasks. Although the increased motion is one of the risk factors for sports-related injuries, few studies have investigated how foot flexibility affects foot kinematics during landing. This study aimed to investigate the relationship between foot alignment, foot flexibility, and multisegment foot kinematics during a double-leg landing task in healthy participants.</p><p><strong>Methods: </strong>Thirty-eight healthy volunteers (50% female) participated in this study. Their mean ± SD age was 22.0 ± 1.3 years; height, 166.1 ± 8.9 cm; and mass, 57.5 ± 8.8 kg. Foot alignment and flexibility were assessed using normalized navicular height truncated (NNHt) and the navicular drop (ND) test, respectively. A multisegment foot model was used to record shank, rearfoot, midfoot, and forefoot motion during drop landing from a height of 30 cm. Peak angle and range of motion were measured for each segment from the initial contact to 200 msec after landing. The relationships between NNHt, ND, and foot kinematics were explored.</p><p><strong>Results: </strong>The NNHt was significantly correlated with peak rearfoot eversion angle (r = -0.353). The ND test values were significantly correlated with midfoot dorsiflexion and forefoot inversion excursion (r = 0.364 and 0.356, respectively). No significant correlation was found for the other kinematic outcomes.</p><p><strong>Conclusions: </strong>Foot alignment and flexibility should be evaluated separately because these foot measurements were correlated with different foot motions. However, it may be difficult to predict foot motion during the landing task by evaluating foot alignment and flexibility.</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":"144010547","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}
Robyn L Carter-Wale, Trevor D Prior, Deborah J Coleman
{"title":"Forefoot Surgery for the Management of Diabetes-Related Foot Infections.","authors":"Robyn L Carter-Wale, Trevor D Prior, Deborah J Coleman","doi":"10.7547/23-085","DOIUrl":"https://doi.org/10.7547/23-085","url":null,"abstract":"<p><strong>Background: </strong>Surgery is often required to manage acute soft-tissue or chronic bone infection of the foot and can include aggressive incision and drainage and debridement of nonviable tissue and bone to eradicate infection. Achieving a stable plantigrade foot for weightbearing can be challenging, and limb salvage is deemed successful if the patient can bear weight on the plantar aspect of the foot without further ulceration.</p><p><strong>Methods: </strong>A retrospective outcomes evaluation for patients who underwent forefoot surgery for diabetic foot infection in an integrated consultant-led podiatric surgery service was performed. Fifty-six patients met the inclusion criteria, and their electronic and paper records were reviewed to establish patient demographics, dates and levels of limb salvage surgery, and mortality rates.</p><p><strong>Results: </strong>Ninety-one procedures were performed. The mean patient age at first procedure was 60.34 years. The most commonly performed procedure was whole hallux amputation (n = 12), with a reoperation rate of 41.66%. First procedures had a total reoperation rate of 44%; 37.5% in the ipsilateral limb and 7% in the contralateral limb within 407.03 days. The mortality rate was 25%, and the average age at death was 68.43 years. Average time from first surgery to death was 2.83 years.</p><p><strong>Conclusions: </strong>This study indicates the range of procedures that can be performed by the podiatric surgery team in the event of deteriorating forefoot infection, and we acknowledge that the level of surgery influences the distribution of weightbearing forces and the risk of further ulceration. We highlight the contribution of our speciality to this patient group with good long-term results.</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":"144021048","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":"Sarcoid Tenosynovitis in the Foot.","authors":"Devon Niewohner, Cody Blazek, Karen Arispe-Angulo, Heath Blankenship","doi":"10.7547/24-003","DOIUrl":"10.7547/24-003","url":null,"abstract":"<p><p>Sarcoidosis is a systemic granulomatous disease that affects various organs, including the musculoskeletal system. Tenosynovitis is a common manifestation of sarcoidosis involving the synovial sheaths surrounding the tendons. Sarcoid tenosynovitis is a rare form of tenosynovitis that has been reported in different locations, including the hand, wrist, and ankle. However, only a few foot cases have been reported in the literature. This report presents a case of sarcoid tenosynovitis in the foot and reviews the existing literature on this rare entity.</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":"143968987","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":"Results of Bioabsorbable Screws for the Fixation of Chevron Osteotomy in the Treatment of Hallux Valgus Deformities.","authors":"Hanyang Zhang, Zhaoyan Li, Zhuan Zhong, Bingzhe Huang, Zhende Jiang, Fei Chang","doi":"10.7547/24-043","DOIUrl":"10.7547/24-043","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the safety and reliability of using bioabsorbable screws for the fixation of chevron osteotomy in the treatment of hallux valgus (HV) deformity.</p><p><strong>Methods: </strong>Clinical cases of chevron osteotomy in the treatment of HV deformities in our hospital between December 2018 and August 2022 were retrospectively summarized to compare preoperative imaging indices, including HV angle (HVA), intermetatarsal angle, and tibial sesamoid position, with those at the final follow-up session. The American Orthopaedic Foot & Ankle Society hallux metatarsophalangeal-interphalangeal scale, 36-Item Short Form Survey, and European Foot and Ankle Society scale were used to assess therapeutic efficacy. The visual analog scale was used to assess pain relief. Moreover, complications were recorded.</p><p><strong>Results: </strong>Twenty-six patients (39 feet) were included, and the mean follow-up period was 24.0 months. No infection, delayed healing, or nonhealing was recorded. The osteotomy ends healed well without nonunion or delayed union. Four cases of recurrence (HVA ≥20°), two cases of numbness in the distal toe, one case of necrosis of the first metatarsal head, and one case of osteoarthritis of the first metatarsophalangeal joint occurred. No patients underwent secondary surgery. The HVA, intermetatarsal angle, and tibial sesamoid position significantly reduced at the final follow-up session compared with their preoperative values, and significant improvement was seen in clinical scores.</p><p><strong>Conclusions: </strong>The use of bioabsorbable screws for the fixation of chevron osteotomy is safe and effective in the treatment of HV deformities.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023946","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}