Jornal of the Foot & Ankle最新文献

{"title":"PATIENTS SUBMITTED TO MORTON NEUROMA’S NEURECTOMY FOR PLANTAR SURGICAL ACESS ROUTE: RETROSPECTIVE CLINICAL EVALUATION OF SURGICAL RESULTS","authors":"Lucas Pereira de Sá, Lerud Frosi Nunes, Ricardo Borges Ramalho, Vinicius Andretti Zeferino, Bernardo Garcia Barroso, Jorge Luiz Kriger","doi":"10.30795/jfootankle.2023.v17.1717","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1717","url":null,"abstract":"Abstract
 Objectivos: Trata-se de uma série de casos (nível de evidência IV) cujo objetivo é avaliar os resultados clínicos pós-operatórios de pacientes submetidos à neurectomia para tratamento de neuroma do nervo digital plantar por via de acesso cirúrgico plantar, com seguimento pós-operatório mínimo de doze meses. Métodos: Foram avaliados pacientes submetidos à cirurgia plantar entre 2011 e 2020. Foram operados 28 pacientes, sendo 29 pés de um total de 35 neuromas ressecados. Os prontuários foram avaliados e os participantes responderam a um formulário contendo questões sobre os parâmetros da Avaliação Clínica para Neuroma Interdigital e da escala visual analógica de dor. Resultados: Observou-se predomínio do sexo feminino (85,71%), com média de idade de 51,55 anos na data da cirurgia. Houve predomínio do lado esquerdo (62,06%). O espaço intermetatarsal mais acometido foi o terceiro (77,14%). O desfecho clínico foi 58,62% \"excelente\", 13,79% \"bom\", 20,68% \"regular\" e 6,89% com resultado \"ruim\". De acordo com a escala visual analógica de dor, foi avaliado um valor médio de 1,79 correspondente à dor \"leve\". Conclusão: Os pacientes apresentaram \"boa\" evolução clínica e baixo nível de dor, após uma média de 34,79 meses de pós-operatório, com \"bom\" resultado clínico e alto índice de satisfação dos pacientes.
 Descritores: \"Neuroma\"; \"Dor metatarsal\"; \"Plantar\"; \"Doenças dos Pés\"; \"Morton\"","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Cold Never Bothered Us Anyway","authors":"César De César Netto","doi":"10.30795/jfootankle.2023.v17.1716","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1716","url":null,"abstract":"Dear colleagues, Writing this editorial article for the Journal of Foot & Ankle is a great pleasure and honor. It is also fantastic to watch the growth of the Journal and its strength, influence, and respect among the International Orthopedic Foot and Ankle Community. I'm a girl's dad, and after watching Disney's Frozen movie at least a million times in the last several years, I cannot avoid making a parallel of us, Latin Americans Foot and Ankle Surgeons, and the main Frozen's character, Princess Elsa. Elsa was blessed with mighty powers that she could not understand or control initially, which kept her sad and isolated. However, she was unstoppable once she could dedicate time and effort to understanding her capabilities and started funneling her powers to achieve specific goals. I was always very proud of my roots and origins. Still, I remember being extremely concerned regarding how I would be able to transition and blend into the North American and International Orthopedic Foot and ankle Community. I worried about not fitting in or being diminished. I quickly found out that the recognition and respect we have rightfully conquered throughout the years, thanks to the hard and excellent work performed by several of our Latin American Foot and Ankle icons and ancestors, had paved the way for any Latin American surgeon to blossom and succeed anywhere in the globe they decided to go. A solid and indexed journal is crucial for us to fit and participate and also highlight and unleash the top-notch quality of our surgeons and researchers. The importance of our commitment to our journal is paramount at this point. The strength of a journal comes from its authors and articles. It is beautiful to see so many researchers with different levels of experience from all over Latin America participate and collaborate in publishing their high-quality articles and supporting our journal to grow strong. Returning to Disney Frozen and Princess Elsa and the iconic “Let it Go” song that echoed inside many brains for a long time, I would now recommend that we go the other route. Let’s not let it go. Do not let it go. Let’s go all in. Everything that we do daily in our practices could be something interesting to be turned into a research project and a manuscript eventually. Things we all do could be teaching and guiding surgeons anywhere and everywhere in Latin America and worldwide. Small changes in planning and organization, setting up a team, and a strategy can support any and all of us to contribute to becoming researchers and strengthen our academic and scientific production. It is a lot of fun. So that “Brostrom” that you do every week in your own way with excellent results could influence other surgeons and other patients. The only thing you need is to put the information out. We need to organize, understand, and control our power and funnel it to strengthen our research and our journal. Don’t let it go and start/keep doing it!","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto da liberação proximal do gastrocnêmio medial na fascite plantar: “rapid review”","authors":"Sérgio Damião Santos Prata, Jorge Mitsuo Mizusaki, Lívia dos Reis Ferreira","doi":"10.30795/jfootankle.2023.v17.1702","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1702","url":null,"abstract":"A fascite plantar é uma condição comum e multifatorial do pé, tratada por cirurgiões ortopédicos mundialmente. É autolimitada e responde ao tratamento conservador em quase 90% dos pacientes dentro de um ano. A redução da dorsiflexão do tornozelo é, possivelmente, o fator de risco mais importante para o seu desenvolvimento. O tratamento cirúrgico é indicado quando há falha no tratamento conservador. Objetivo: Esta revisão busca avaliar a eficácia da liberação proximal do gastrocnêmio medial na fascite plantar. Métodos: Foi feita uma busca eletrônica de artigos. Foram considerados como critérios de elegibilidade ensaios clínicos prospectivos, randomizados, comparativos e em cadáveres de 2012 a 2022, com casuística mínima de 10 pacientes e com seguimento maior ou igual a um ano. Resultados: Foram identificados oito artigos em língua inglesa para serem analisados. Conclusão: Embora a liberação proximal isolada do gastrocnêmio medial seja a técnica preferida pelos autores para a maioria dos pacientes, existem poucos estudos com alto nível de evidência que comprovem sua eficácia a longo prazo na fascite plantar.
 Nível de evidência I. Tipo de estudo: Avaliação de resultados.
","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"320 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic instability in a malformed tibiofibular syndesmosis associated with osteochondral lesion of the talus: a case report","authors":"Danilo Ryuko Cândido Nishikawa, Pedro Bragato Romanholi, Tânia Szejnfeld Mann, Guilherme Honda Saito, Fernando Aires Duarte, Marcelo Pires Prado","doi":"10.30795/jfootankle.2023.v17.1703","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1703","url":null,"abstract":"Surgical treatment of tibiofibular syndesmosis (TFS) with chronic instability aims to obtain a solid and stable joint to avoid ankle arthritis. Osteochondral lesions of the talus (OLT) may be associated in up to 24% of cases and must be treated concomitantly. We present a 27-year-old male patient with chronic ankle pain and a history of recurrent sprains since childhood. Imaging exams showed malformation of TFS associated with an OLT. He was submitted to surgical treatment with open repair, TFS fixation with suture-button, and osteochondroplasty of the OLT with collagen membrane through arthroscopy. At 13 months follow-up, he was asymptomatic and fully active.","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"311 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bipartite medial cuneiform: a potential cause of midfoot pain - case report","authors":"Thales Augusto de Santa Helena Ilha, Jose Antonio Veiga Sanhudo, Marina Pires Veiga Sanhudo, Maria Eduarda Parisotto Wisintainer","doi":"10.30795/jfootankle.2023.v17.1697","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1697","url":null,"abstract":"Bipartite medial cuneiform is a rare variant of the tarsal bones. The condition can be a potential source for non-traumatic midfoot pain and a possible misdiagnosis cause of several foot disorders, such as the anterior and posterior tibialis tendon disorder. We present the case of a patient with midfoot pain with signs and symptoms suggestive of tibialis anterior tendinopathy. Imaging tests, however, elucidated a bipartite medial cuneiform. The conservative treatment using a removable boot for six weeks effectively relieved symptoms, temporarily promoting pain and limp-free gait, but symptoms relapsed were observed at the last visit.","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"518 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flexor hallucis longus. A cadaveric study of its distal insertion","authors":"Felipe Chaparro Ravazzano, Cristián Ortiz Marteluna, Giovanni Carcuro Urresti, Ximena Ahumada, Manuel Pellegrini Pucci, Ana Ines Butteri","doi":"10.30795/jfootankle.2023.v17.1693","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1693","url":null,"abstract":"Objective: Describe flexor hallucis longus (FHL) distal insertion. Methods: Ten cadaver feet were dissected to evaluate FHL distal insertion, the width of insertion, and the distance between insertion borders and medial-lateral phalangeal borders. Results: All specimens showed a lateral tendon fascicle inserted more lateral and distal than the main insertion. The mean lateral and medial insertion distance to the phalangeal border was 3 mm and 5.2 mm. The FHL long axis was 12.36% laterally deviated at the metatarsophalangeal (MTP) joint and 14.07% at the interphalangeal (IP) joint. Conclusion: The FHL has a closer insertion to the lateral phalanx border, and its long-axis midpoint is laterally located in relation to the IP and MTP joint. The detailed knowledge of the FHL true anatomy. The discovery of a lateral deviated axis, a lateral fascicle, and a lateral footprint.","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"516 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Septic arthritis of the ankle due to Citrobacter koseri: a case report","authors":"Alexandre Castro, Raquel Lima Cunha, Tânia Alegre Veigas, Eduardo Moreira Pinto, Pedro Atilano Carvalho, João Teixeira","doi":"10.30795/jfootankle.2023.v17.1710","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1710","url":null,"abstract":"Septic arthritis of the ankle after arthroscopy represents a rare but serious condition. Specifically, to the best of our knowledge, there have been no reports for septic arthritis of the ankle caused by Citrobacter Koseri. A 42-year-old man, otherwise healthy, presented to our consultation with ankle pain and the MRI revealed compatible with intra-articular body’s compatible with osteochondromatosis. The patient underwent anterior and posterior ankle arthroscopy and four weeks after surgery, he presented to our consultation with wound dehiscence of the previously healed anterolateral portal. Following the diagnostic work-up, he was submitted to arthroscopic irrigation and debridement. Citrobacter Koseri was isolated. After surgical intervention and antibiotic administration, the patient’s symptoms gradually improved. Six months later, the patient had no ankle pain or restriction of ankle motion. Clinical symptoms of septic arthritis after ankle arthroscopy can be very mild and for that reason a low threshold for its diagnosis is necessary.","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"522 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are complications after repairing acute Achilles tendon ruptures related to the surgical approach or the patient’s comorbidities?*","authors":"Ana Cecilia Parise, Nicolás Martin Molho, Melanie Naiman, Pablo Valenti, Virginia María Cafruni, Daniel Sebastián Villena, Facundo Bilbao, María Gala Santini Araujo, Leonardo Angel Conti, Guillermo Cardone, Pablo Sotelano, Marina Carrasco","doi":"10.30795/jfootankle.2023.v17.1701","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1701","url":null,"abstract":"Objective: Analyze the postoperative complications after repairing acute Achilles tendon rupture and compare them according to the surgical approach (open surgery (OS) or minimally invasive surgery (MIS)) and the patient’s comorbidities. Methods: A retrospective analytical study including 154 consecutive patients with an acute Achilles tendon rupture submitted to surgery and divided into OS and MIS cohorts. The following relevant comorbidities were analyzed: obesity, diabetes mellitus, smoking, dyslipidemia, gout, chronic corticosteroid use, connective tissue pathologies, transplant history, cancer treatment patients, and postoperative complications. Results: Seventy-eight patients (50.6%) were treated surgically with an OS technique and 76 (49.4%) with an MIS approach. Twenty patients (13%) had postoperative complications between the two cohorts (OS 11.5%; MIS 14.5%; p = 0.588). No statistically significant difference was found in the logistic regression of the risk of the surgical approaches and complications. Obesity had a significant statistical difference when complications and comorbidities were compared. Conclusions: Patients with obesity have a higher risk of developing postoperative complications with both OS and MIS techniques. No relationship was found between the type of surgical approach and a higher percentage of postoperative complications in treating acute Achilles tendon rupture.","PeriodicalId":496775,"journal":{"name":"Jornal of the Foot & Ankle","volume":"313 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}