Journal of the American Podiatric Medical Association最新文献_第3页

Validity of the Hepple Classification Used in the Diagnosis of Talus Osteochondral Lesions. Hepple分型在距骨骨软骨病变诊断中的有效性。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/22-181

Gokhan Ilyas, Fikri Burak Ipci

{"title":"Validity of the Hepple Classification Used in the Diagnosis of Talus Osteochondral Lesions.","authors":"Gokhan Ilyas, Fikri Burak Ipci","doi":"10.7547/22-181","DOIUrl":"10.7547/22-181","url":null,"abstract":"Background: We aimed to investigate the intraobserver and interobserver validity of the Hepple classification used in talus osteochondral lesions.Methods: This study included 32 patients with osteochondral lesions in the talus after the exclusion criteria were applied. A slideshow presentation was prepared from the magnetic resonance imaging views of the patients. Six observers, divided into two groups according to their experience, were asked to categorize the cases according to the Hepple classification. The slides were shuffled, and the observers were asked to reevaluate after 6 weeks. Fleiss kappa (κ) coefficient was used for the interobserver validity and Cohen κ coefficient for the intraobserver validity.Results: Overall, interobserver reliability was at a moderate level of agreement (set one κ = 0.511, set two κ = 0.406). In the intraobserver evaluation, one observer from the experienced group showed almost perfect agreement (κ = 0.809), one observer from the less experienced group had moderate agreement (κ = 0.556), and all of the other observers had substantial agreement (κ=0.556-0.730). When all of the observers were examined, it was seen that there was substantial agreement in the mean intraobserver evaluation (κ = 0.661).Conclusions: Whereas the intraobserver results showed substantial agreement, the interobserver results showed moderate agreement. Although the Hepple classification system is frequently used, the need for a more reliable classification system for osteochondral lesions of the talus remains.","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":"10140721","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}

引用次数: 0

Metatarsal Lengthening With Monolateral External Fixator Using Intramedullary Kirschner Wire in Brachymetatarsia Surgery. 髓内克氏针单侧外固定架在短跖骨化手术中的应用。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/23-030

Ali Yüce, Mustafa Yerli, Abdurrahman Vural, Nazım Erkurt

引用次数: 0

Nonoperative Management of Multiple Displaced Metatarsal Fractures in a Diabetic Neuropathic Patient. 糖尿病神经病变患者多处跖骨移位骨折的非手术治疗。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/23-154

Kasra Behfar, Linda Oh

{"title":"Nonoperative Management of Multiple Displaced Metatarsal Fractures in a Diabetic Neuropathic Patient.","authors":"Kasra Behfar, Linda Oh","doi":"10.7547/23-154","DOIUrl":"https://doi.org/10.7547/23-154","url":null,"abstract":"The management of fractures in diabetic patients poses unique challenges, particularly due to complications such as neuropathy, poor bone quality, and impaired healing. This case study explores the nonoperative management of multiple displaced metatarsal fractures in a 61-year-old male with type 2 diabetes and neuropathy. The patient presented with swelling and minimal pain in the right foot without a clear history of acute injury. Despite radiographic evidence of displaced fractures, the patient opted for conservative treatment due to high surgical risks, including comorbidities and concerns about compliance with postoperative care. He was treated with a controlled ankle motion walker and partial weightbearing for 4 months, ultimately achieving healing at all fracture sites except for a malunion in the second metatarsal. Over 28 months, the patient-maintained functionality with diabetic shoes and custom inserts, despite developing a mild metatarsus adductus deformity and evidence of osteoarthritis. This case highlights the potential for conservative treatment of complex metatarsal fractures in diabetic neuropathic patients, emphasizing the importance of individualized management plans and consideration of the patient's overall health status and preferences. As the prevalence of diabetes rises, this approach could serve as a viable option for similar cases, minimizing the risks associated with surgical intervention.","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":"144001434","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}

引用次数: 0

A Case of Primary Cutaneous Diffuse Large B-Cell Lymphoma, Leg Type in the Metatarsal Bone. 原发性皮肤弥漫性大b细胞淋巴瘤，腿型跖骨1例。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/23-077

Khanh Phuong Sieu Tong, Amber O'Connor, Samuel Tischler, Melinda A Bowlby

引用次数: 0

The Utility of the Tinel Sign in the Diagnosis of High Tarsal Tunnel Syndrome. Tinel征象在高跗骨隧道综合征诊断中的应用。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/23-057

Michael S Nirenberg, Roberto P Segura

{"title":"The Utility of the Tinel Sign in the Diagnosis of High Tarsal Tunnel Syndrome.","authors":"Michael S Nirenberg, Roberto P Segura","doi":"10.7547/23-057","DOIUrl":"https://doi.org/10.7547/23-057","url":null,"abstract":"Background: Tarsal tunnel syndrome (TTS) can be divided into distal and proximal components. The latter is referred to as high TTS (HTTS) in which the tibial nerve is compressed above the location of the laciniate ligament. Although diagnosis of TTS has been shown to be enhanced by elicitation of a positive Tinel sign, no research into the utility of this provocation test has been conducted in the diagnosis of HTTS. This study aims to investigate the usefulness of the Tinel sign in diagnosing HTTS.Methods: Seventy patients with electrophysiologic confirmation of HTTS were evaluated for the presence of a positive Tinel sign over the posterior tibial nerve's course in the area of the proximal tarsal tunnel (above the laciniate ligament).Results: Of the 70 patients, 17 had a positive Tinel sign. Thirty-eight patients (54.3%) had electrodiagnostic evidence of polyneuropathy, and 12 of them (31.6%) had a positive Tinel sign. Among the 26 patients with HTTS and polyneuropathy who did not have a Tinel sign, electrodiagnostic testing found severe axonal dysfunction in ten. Fifteen of the patients with polyneuropathy were diagnosed as having diabetes mellitus, and a Tinel sign was present in 11 of them (73.3%). The four diabetic patients without a Tinel sign had marked axonal dysfunction (motor evoked responses were absent or significantly reduced).Conclusions: The utility of the Tinel sign in patients with HTTS was found to be low; however, in the subpopulation of patients with diabetic neuropathy, the Tinel sign may be more useful.","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":"144005861","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}

引用次数: 0

Tarsal Tunnel Syndrome Following a Total Knee Replacement. 全膝关节置换术后跗骨隧道综合征。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/24-021

Michael S Nirenberg, Roberto P Segura

{"title":"Tarsal Tunnel Syndrome Following a Total Knee Replacement.","authors":"Michael S Nirenberg, Roberto P Segura","doi":"10.7547/24-021","DOIUrl":"https://doi.org/10.7547/24-021","url":null,"abstract":"Tarsal tunnel syndrome (TTS) is defined as an entrapment neuropathy from compression of the tibial nerve and/or distal terminal nerves in the tarsal tunnel, the medial foot, and/or ankle. While the incidence of TTS following a total knee replacement (TKR) could not be found, we present the case of a 78-year-old white female who developed symptoms of TTS 2 weeks after a left knee replacement. The history, examination, imaging, and electrodiagnostic (EDX) studies were consistent with the diagnosis of left-sided TTS. After a course of conservative care failed to alleviate her symptoms, the patient underwent nerve decompression surgery for the affected nerves. Her pain score prior to the surgery was 5 out of 10 when walking, and 10 out of 10 at night. Immediately after surgery, her pain at its worst was 3 out of 10, and soon thereafter she reported no pain whatsoever (0 out of 10). All TTS-related symptoms subsequently resolved. This case presents an unusual extrinsic cause of TTS, highlights the need for a thorough history when diagnosing TTS, and contributes to the scientific community's knowledge of knee complications and possible etiologies of TTS.","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":"144026656","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}

引用次数: 0

Techniques for the Management of Recurrent Ankle Equinus Deformity Due to a Hemangioma of the Calf. 小腿血管瘤所致复发性踝关节马蹄畸形的治疗技术。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/23-046

Mingjuan He, Jingjing Zhao

引用次数: 0

Investigation into a Predominant Laterality for the Development of Lower-Extremity Neuropathic Ulceration and Amputation. 下肢神经性溃疡和截肢发生的主要侧位的研究。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI: 10.7547/22-223

Amanda Holcomb, David Millward

{"title":"Investigation into a Predominant Laterality for the Development of Lower-Extremity Neuropathic Ulceration and Amputation.","authors":"Amanda Holcomb, David Millward","doi":"10.7547/22-223","DOIUrl":"https://doi.org/10.7547/22-223","url":null,"abstract":"Background: The incidence of neuropathic pedal ulceration is on the rise, especially as rates of type 2 diabetes continue to increase. Currently, there is limited research into the laterality for the development of lower-extremity neuropathic ulceration or a predominant side for amputation. However, identifying whether a predominant laterality exists could allow for better preventive measures to help mitigate risk and decrease the significant quality of life and health-care costs associated with lower-extremity ulceration and amputation. We sought to determine whether a predominant laterality exists for the development of lower-extremity neuropathic ulceration and amputation.Methods: Patient data from the authors' primary health-care facility were retrospectively reviewed to determine the laterality of the initial presenting lower-extremity neuropathic ulcerations as well as the laterality of the initial lower-extremity amputations experienced during their care, if any.Results: A total of 136 patients were included in the study, with 61% of the initial ulcerations presenting on the right and 39% on the left, which was statistically significant. Of the 70 patients who went on to require amputation during their care, 67% experienced right-sided amputation and 33% experienced left-sided amputation, which was also statistically significant.Conclusions: The right lower extremity likely shows a predominance for the development of neuropathic ulceration and likewise is at a higher risk for advancing to lower-extremity amputation.","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":"143989077","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}

引用次数: 0

Balance, Gait and Foot Pressure Distribution in Neuropathic Pain Associated with Lumbar Disc Degeneration. 腰椎间盘退变相关神经性疼痛的平衡、步态和足压力分布。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-02-21 DOI: 10.7547/24-138

Suleyman Korkusuz, Büsra Seckinogullari Korkusuz, Zeliha Ozlem Yuruk, Sibel Kibar, Ferdi Yavuz

{"title":"Balance, Gait and Foot Pressure Distribution in Neuropathic Pain Associated with Lumbar Disc Degeneration.","authors":"Suleyman Korkusuz, Büsra Seckinogullari Korkusuz, Zeliha Ozlem Yuruk, Sibel Kibar, Ferdi Yavuz","doi":"10.7547/24-138","DOIUrl":"https://doi.org/10.7547/24-138","url":null,"abstract":"Background: This study aimed to evaluate the effects of NP associated with LDD on balance, gait and foot pressure distribution.Methods: This prospective controlled study was conducted on 42 individuals aged between 40-70 years. There were 3 groups in the study: individuals diagnosed with NP associated with LDD (n=14), individuals with LDD without NP (n=14), and the control group (n=14). The Force Plate system and Core Balance System measured static and dynamic postural balance and stability limits. Gait and dynamic plantar pressure distribution analyses were performed with a computerized gait evaluation system.Results: The Leeds Assessment of Neuropathic Signs and Symptoms (LANSS), VAS during gait, and Oswestry Disability Index (ODI) scores were higher in LDD with NP group than in LDD without NP group (p<0.05). It was found that LDD with NP group had backward dynamic balance control (p<0.05). There was no significant difference in balance control, dynamic plantar pressure distribution, and spatiotemporal gait parameters between the groups (p>0.05).Conclusion: Although participants with NP had higher levels of pain severity in gait and disability, there was no difference in postural balance, dynamic plantar pressure distribution, and spatiotemporal gait parameters compared to participants with LDD without NP and healthy individuals. All participants with LDD were unilaterally affected. Therefore, postural balance and gait tasks would be able to compensate for the unaffected limb.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-29"},"PeriodicalIF":0.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515878","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}

引用次数: 0

Morphological Characteristics of the Intrinsic Foot Muscles in Individuals With Flat Foot: A Systematic Review and Meta-Analysis. 平足个体内在足部肌肉的形态特征：系统回顾和荟萃分析。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-02-20 DOI: 10.7547/24-094

Serkan Taş, Ece Ekici, Ümit Yüzbaşioğlu, Asena Ayça Özdemir

{"title":"Morphological Characteristics of the Intrinsic Foot Muscles in Individuals With Flat Foot: A Systematic Review and Meta-Analysis.","authors":"Serkan Taş, Ece Ekici, Ümit Yüzbaşioğlu, Asena Ayça Özdemir","doi":"10.7547/24-094","DOIUrl":"https://doi.org/10.7547/24-094","url":null,"abstract":"Background: The purpose of this meta-analysis was to discern the changes in morphological characteristics of the intrinsic foot muscles, including changes in the cross-sectional area (CSA) and thickness of the abductor hallucis (AbH), flexor hallucis brevis (FHB), flexor digitorum brevis (FDB), and abductor digiti minimi (AbDM) in individuals with flat foot (FF).Methods: We conducted our literature search in the PubMed, Web of Science, and Scopus electronic databases. We included English-language case-control and cross-sectional studies comparing the morphological features of the intrinsic foot muscles in adults with and without FF. The methodological quality of the five studies that met the inclusion criteria was assessed with an adapted version of the Newcastle-Ottawa Scale for cross-sectional studies. The mean difference (MD) with corresponding 95% confidence intervals (CIs) was used to quantify the effects between adults with and without FF.Results: The study included five studies, one of which was classified as high quality, while the remaining studies were classified as moderate quality. The CSA of the FHB (MD = -0.41, 95% CI = -0.61, -0.22; p < 0.001, I2:59%) and AbDM (MD = -0.21, 95% CI = -0.32, -0.11; p< 0.001; I2=1%) and the thickness of the AbDM (MD = -1.43, 95% CI = -1.81, -1.05; p< 0.001; I2=1%) were lower in individuals with FF than in the control group. However, the CSA of the AbH and FDB, and the thickness of the AbH, FHB, and FDB exhibited no significant differences between the FF and control groups.Conclusion: The results of our study indicate that individuals with FF exhibited significant atrophy of the FHB and AbDM muscles. However, the morphology of the AbH and FDB muscles did not appear to influence foot posture, based on the five studies that were considered.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-28"},"PeriodicalIF":0.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515901","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}

引用次数: 0