Journal of the American Podiatric Medical Association最新文献

{"title":"Evaluation of Achilles Tendon Stiffness in Asymptomatic Amateur Soccer Players Using Shear Wave Elastography.","authors":"Gülen Burakgazi, Fatma Öz, Alper Aslan","doi":"10.7547/22-215","DOIUrl":"https://doi.org/10.7547/22-215","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to compare the Achilles tendon stiffness of male amateur soccer players and sedentary individuals.</p><p><strong>Methods: </strong>In this prospective study, ultrasound shear wave elastography findings obtained from the middle part of the bilateral Achilles tendon were evaluated in 31 male amateur soccer players and 31 sedentary men. Measurements were performed using a linear 4- to 10-mHz ultrasound probe. The correlation between Achilles tendon elasticity and training characteristics of soccer players was also tested.</p><p><strong>Results: </strong>There were no significant differences between soccer players and the control group in terms of age, body weight, height, and body mass index (P > .05). Achilles tendon stiffness was higher in the soccer players compared with the sedentary individuals (P < .001). However, the difference between right and left Achilles tendon stiffness was not statistically significant. In addition, the correlation between Achilles tendon stiffness and training characteristics (years of training, number of training sessions per week, total training hours per week) was not significant (P > .05).</p><p><strong>Conclusions: </strong>Ultrasound shear wave elastography can be used for evaluation of Achilles tendon stiffness. Compared with sedentary individuals, higher tendon stiffness in amateur soccer players shows that soccer training increases Achilles tendon stiffness. Including specific flexibility training in the training program may contribute to the achievement of maximum force production and the prevention of tendon pathologies.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506098","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":"Interrater Reliability of Diagnostic Ultrasound of the Plantar Fascia.","authors":"Mathew Johnstone, Samantha Gantenbein","doi":"10.7547/23-083","DOIUrl":"https://doi.org/10.7547/23-083","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal ultrasound has been demonstrated to be an accurate measurement tool in the diagnostic evaluation of plantar fasciitis. Previous authors have shown a high degree of reliability between different machines and well-trained, experienced operators in evaluating the thickness and echogenicity of the plantar fascia. We aimed to demonstrate through this study that accurate ultrasonic measurements of the plantar fascia can be reliably reproduced by inexperienced operators as well by demonstrating reliability of measurements between medical student and physician operators.</p><p><strong>Methods: </strong>Fifty-one healthy participants volunteered for this study. Each participant had both feet examined. The Lumify musculoskeletal ultrasound unit with a 12- to 4-MHz linear transducer was used for this evaluation. Three independent images of each participant's foot were taken by each operator and de-identified. For blinding, each de-identified image was then evaluated later by each evaluator using the ImageJ processing program. Plantar fascia thickness was measured at both the insertion on the calcaneus and a point 1 cm distal from the insertion. Each evaluator's three measurements at each point of the participant's fascia were then averaged for use in statistical analysis. An intraclass correlation coefficient (ICC) and Bland-Altman plots were used for statistical and visual interpretation of the results.</p><p><strong>Results: </strong>Using the ICC method, the results indicated excellent reliability between operators of different experience levels. The ICC for each rater was 0.967 when evaluating the same image of the plantar fascia at 1 cm from the insertion and 0.804 when evaluating the same fascia using six different images.</p><p><strong>Conclusions: </strong>The excellent reliability indicates the ease of use and practicality of the musculoskeletal ultrasound for clinical practice. For the most reliable results, we recommend that the point of measurement should be 1 cm from the insertion.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506101","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":"Management and Outcomes of Hallucal Sesamoid Osteomyelitis.","authors":"Cameron Meyer, Jeremy Philipsen, Jeffrey Manway, Patrick Burns","doi":"10.7547/22-217","DOIUrl":"https://doi.org/10.7547/22-217","url":null,"abstract":"<p><strong>Background: </strong>Osteomyelitis in the foot is routinely managed by wide-scale debridement and surgical resection of infected bone. Appropriate debridement is important for optimizing patient success. The sesamoid apparatus is a complex area of foot anatomy with a mosaic of osseous and soft-tissue attachments adjacent to the first metatarsal head. Despite this, in the setting of an infected sesamoid, most providers resect only an isolated infected sesamoid. The aim of this study was to review outcomes of isolated surgical sesamoidectomy in the setting of osteomyelitis and how many may progress to partial first-ray resection.</p><p><strong>Methods: </strong>We retrospectively reviewed 24 patients who underwent sesamoidectomy for osteomyelitis at a single institution by one primary surgeon during a 14-year period (2007-2021). Diagnosis was made by the surgeon and verified by conventional radiography or magnetic resonance imaging interpretation by an independent radiologist.</p><p><strong>Results: </strong>Of the 24 patients, 22 (92%) were diabetic, 12 (50%) smoked, and all had a history of neuropathy. This study revealed a 63% complication rate (n = 15), which led to revisional surgery and often progression to more proximal amputation. Nine patients (37.5%) progressed to partial first-ray resection.</p><p><strong>Conclusions: </strong>This study exposed a high complication rate correlating with progression to additional surgery (P = .05), strongly suggesting that isolated sesamoidectomy may not definitively provide clear enough margins during operative debridement.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506102","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":"Percutaneous Repair of Acute Achilles Tendon Rupture Using Endoscopy-Assisted Krackow Suture Technique.","authors":"Ali Yüce, Mustafa Yerli, Nazım Erkurt, Tahsin Olgun Bayraktar","doi":"10.7547/22-218","DOIUrl":"https://doi.org/10.7547/22-218","url":null,"abstract":"<p><p>There are many surgical treatment methods for Achilles tendon rupture. In endoscopy-assisted percutaneous repair, tendon suturing is observable. This eliminates some of the disadvantages of percutaneous repair, especially the difficulty in assessing the contact status of the torn ends. The Krackow technique is currently the standard suture method for the open repair of Achilles tendon rupture. In this study, we aimed to describe a surgical procedure in which we observed the repair and contact of the tendon ends with the help of endoscopy and repaired the Achilles tendon with percutaneous Krackow locked sutures.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506107","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":"Long-Term Clinical and Radiographic Outcomes After Surgical Treatment for Ankle Fracture-Dislocations.","authors":"Tuna Pehlivanoglu, Mehmet Demirel, Daghan Koyuncu, Natiq Valiyev, Turgut Akgül, Onder Ismet Kilicoglu","doi":"10.7547/22-225","DOIUrl":"10.7547/22-225","url":null,"abstract":"<p><strong>Background: </strong>Ankle fractures constitute 10% of all traumatic fractures in clinical practice. Concurrent tibiotalar dislocations form 21% to 36% of all ankle fractures. Although mechanism of injury is similar to nondislocated ankle fractures, fracture-dislocations cause more extensive bone and soft-tissue damage. Treatment is a challenge for orthopedic surgeons due to concomitant pathologies. It is associated with malreduction, chronic pain, and post-traumatic osteoarthritis. We aimed to investigate the relationship between ankle osteoarthritis radiographic stage and clinical outcomes.</p><p><strong>Methods: </strong>Records and data of 27 patients were retrospectively analyzed. Clinical status at final follow-up was evaluated by a single orthopedic surgeon. Range of motion, American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score, and visual analog scale score were the clinical parameters that were assessed. Radiologic assessment was made by standard anteroposterior, lateral, and mortise views. Preoperative osseoligamentous injury pattern, presence of posterior malleolar fracture, syndesmosis injury, and postoperative ankle osteoarthritis were investigated.</p><p><strong>Results: </strong>At final follow-up, mean ± SD Ankle-Hindfoot Score was 98.25 ± 1.06 and visual analog scale score during daily activities was 1.52 ± 0.70. Mean ± SD ankle dorsiflexion and plantarflexion were significantly lower on the affected sides (14.07° ± 7.97° and 36.30° ± 6.59°) than on the unaffected sides (28.15° ± 2.82° and 46.30° ± 2.97°), respectively (P < .001). No significant difference for inversion and eversion was observed. Twenty-four patients demonstrated radiographic signs of ankle osteoarthritis and three did not. No significant difference was found among Takakura stages in any of the variables.</p><p><strong>Conclusions: </strong>Although the post-traumatic osteoarthritis rate was high for ankle fracture-dislocation, surgical treatment achieved excellent functional results. Even if advanced stages of ankle arthritis according to Takakura classification developed, patients had satisfactory clinical and functional results.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139972352","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":"Checkrein Syndrome.","authors":"Kaitlyn J Loesel, Anthony J Brando, Timothy Ford","doi":"10.7547/24-051","DOIUrl":"10.7547/24-051","url":null,"abstract":"<p><p>Checkrein syndrome is a rare condition affecting the flexor hallucis longus (FHL) tendon as a result of either surgery or trauma. Checkrein syndrome is defined as the occurrence of hallux malleus upon dorsiflexion of the ankle, which is reduced upon plantarflexion of the ankle. The literature supports various treatments for this condition; however, lengthening of the FHL tendon remains the mainstay of treatment. In this case series, we describe two cases of checkrein syndrome with different etiologies: pilon fracture and gunshot wound to the leg. Both of these cases were successfully treated with FHL tendon lengthening, with one case requiring a hallux interphalangeal joint arthrodesis.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506093","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":"Management of Avascular Necrosis of the Talus After a Talar Body Fracture by Core Decompression and Insertion of Demineralized Bone Matrix and Bone Marrow Aspirate Concentrate.","authors":"Mujtaba Qureshi, Ali Saleh, Kenny Luong, John Caponigro, Samuel Adegboyega","doi":"10.7547/23-108","DOIUrl":"https://doi.org/10.7547/23-108","url":null,"abstract":"","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506103","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":"Modified Zigzag Nail Bed Flap with Three Rotations as a Therapeutic Approach in Congenital Malalignment of the Great Toenail.","authors":"Qiaochu Zhou, Wenting Su, Wenzheng Zhu, Wei Wang","doi":"10.7547/23-022","DOIUrl":"https://doi.org/10.7547/23-022","url":null,"abstract":"<p><p>Congenital malalignment of the great toenail is rare and often causes nail deformity. When these complications of transverse overcurvature and retronychia occur, the degree of improvement with the conventional surgical approach is significantly limited for nail deformities or recurrence. We present a case of a 22-year-old woman with congenital malalignment of the great toenail associated with retronychia and transverse overcurvature. We describe the application of the zigzag nail bed flap with three rotations in congenital malalignment of the great toenail, modifying the original approach according to the patient's multiple nail deformities, while achieving satisfactory results. To our knowledge, there is no report of this in the literature.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506104","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 Foot Anthropometric Measurements on Pain and Functional Disability of Pregnant and Nonpregnant Women.","authors":"Rabia Koca, Müşerref Ebru Şen, Mehmet Yılmazer","doi":"10.7547/22-202","DOIUrl":"10.7547/22-202","url":null,"abstract":"<p><strong>Background: </strong>Weight gain during pregnancy, loosening of the foot ligaments with relaxin hormone release, and anthropometric and biomechanical changes can be seen in the foot with the growing fetus. We sought to determine whether these pregnancy-related changes cause painful musculoskeletal problems by altering the proximal structures of the lower extremities and the structure of the spine.</p><p><strong>Methods: </strong>Both feet of 210 women (half in the third trimester of pregnancy) aged 18 to 40 years with similar demographic characteristics were evaluated by measuring navicular drop, hallux valgus angle, foot width, foot length, and tibiocalcaneal angle. Foot Function Index for foot-ankle, Kujala Patellofemoral Score for knee, Western Ontario and McMaster Universities Osteoarthritis Index for hip, Oswestry Disability Index for waist, and Modified Neck Disability Index for neck were used to determine pain and functional limitation.</p><p><strong>Results: </strong>Pain and functional disability in the waist, hip, knee, and foot-ankle joints; navicular drop; hallux valgus angle; and tibiocalcaneal angle were significantly higher in pregnant women versus the control group (P < .001). Pain and dysfunction in all of the joints increased as navicular drop increased in pregnant and nonpregnant women. In addition, the increase in other anthropometric measurements in both groups was determined to caused pain and functional disability in most of the women, especially in foot-ankle joints. However, the cause of joint pain and functional deficiencies was unrelated to pregnancy.</p><p><strong>Conclusions: </strong>Foot deformities and proximal region complaints were significantly higher in pregnant women, and foot deformities caused more foot-ankle pain and disability in both groups. No difference was observed in pregnant women versus the control group.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073648","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":"Pseudoaneurysm after Distal Chevron Osteotomy Bunionectomy.","authors":"Grant Yonemoto, Martin Pressman, Britt H Tonnessen, Steven Vyce, Michael Gazes","doi":"10.7547/23-036","DOIUrl":"https://doi.org/10.7547/23-036","url":null,"abstract":"<p><p>Iatrogenic pseudoaneurysms are a rare complication after foot and ankle surgery. A pseudoaneurysm is described as a defect in an arterial wall contained in the surrounding soft tissue. We present a 72-year-old woman who underwent a distal chevron osteotomy bunionectomy complicated by a postoperative pseudoaneurysm to the plantar lateral hallucis artery. This case represents a rare complication to a common procedure and bunionectomy technique.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506108","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}