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Comparative study of therapies for fibular ligament rupture of the lateral ankle joint in competitive basketball players. 竞技篮球运动员踝关节外侧腓骨韧带断裂治疗的比较研究。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400602
J Klein, J Höher, T Tiling
{"title":"Comparative study of therapies for fibular ligament rupture of the lateral ankle joint in competitive basketball players.","authors":"J Klein,&nbsp;J Höher,&nbsp;T Tiling","doi":"10.1177/107110079301400602","DOIUrl":"https://doi.org/10.1177/107110079301400602","url":null,"abstract":"<p><p>This retrospective study compares the results of different therapies for fibular ligament rupture in a homogenous group of professional athletes. The endpoint \"competitive sports\" was an outcome consideration. Subjects were examined by means of a standardized questionnaire and a structured interview. One hundred and seventy-nine of the questionnaires were completed and returned for evaluation. All of the basketball players with severe ankle sprain (supination trauma with swelling, pain, and inability to bear stress) were included. Those players with fractures of the foot, pronation trauma, or additional distal fibula or tibia fractures were excluded from this study. Of the 179 basketball players 160 (89%) had suffered severe ankle sprain. The treatment was divided into three groups: primary surgery (N = 35), plaster cast (N = 39), and functional treatment (N = 89). While simple ligament injuries (Grade I and II) were mostly treated functionally, complex ligament injuries (Grade III) were usually operated on. A total of 119 (74%) of the players reported no further pain. For pain reduction surgical and functional treatments showed advantages over plaster treatment. In the surgical group 63% of the players judged their regained stability to be equivalent to that of their healthy leg. Only 50% of the players in the plaster and functional groups believed their ankle joints to have regained the same stability as before their injuries. Despite the achievement of good results through surgery, there were clear differences in the players' assessments of their performance in competitive sports. Most subjects (92%) did not have any problems in everyday life regardless of which kind of therapy had been chosen.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"320-4"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19391665","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}
引用次数: 23
Extensor hallucis longus coaptation to tibialis anterior: a treatment for paralytic drop foot. 拇长伸肌与胫前肌配合治疗麻痹性落脚。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400607
R Asirvatham, H G Watts, H Gillies
{"title":"Extensor hallucis longus coaptation to tibialis anterior: a treatment for paralytic drop foot.","authors":"R Asirvatham,&nbsp;H G Watts,&nbsp;H Gillies","doi":"10.1177/107110079301400607","DOIUrl":"https://doi.org/10.1177/107110079301400607","url":null,"abstract":"<p><p>Between June 1982 and April 1983, a procedure to coapt the extensor hallucis longus (EHL) to the tibialis anterior was performed in eight post-polio patients to correct drop foot and to enable the EHL to be a more efficient dorsiflexor of ankle. Although at early follow-up, every patient was able to actively dorsiflex the ankle against gravity, at final review, (mean follow-up 7.8 years), only two patients could still do so. Three patients developed a cock-up toe deformity or dorsiflexion deformity of great toe. We have attributed the poor final results to stretching of the coaptation. Use of splints or orthosis for a longer period postoperatively and a more carefully designed physical therapy may have yielded better results. Alternatively, if the EHL is anchored to navicular bone better results may be obtained.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"343-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19391671","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}
引用次数: 5
Concurrent compartment syndromes of the foot and leg. 脚和腿的并发室综合征。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400606
A Manoli, A J Fakhouri, T G Weber
{"title":"Concurrent compartment syndromes of the foot and leg.","authors":"A Manoli,&nbsp;A J Fakhouri,&nbsp;T G Weber","doi":"10.1177/107110079301400606","DOIUrl":"https://doi.org/10.1177/107110079301400606","url":null,"abstract":"<p><p>We reviewed the case summaries of eight patients who developed concurrent compartment syndromes of the foot and leg after trauma. Patients with multiple fractures of the lower extremities, particularly the tibia, femur, and foot, may develop this disorder. The obvious causes of the concurrent syndromes, concurrent fractures and generalized limb ischemia, were seen only in two patients. The communication between the compartments of the foot and leg may be an additional causative factor. Delayed fasciotomy resulted in muscle necrosis and/or tibial nerve dysfunction. Suspected cases should have the diagnosis established by catheterization of the involved compartments. Prompt fasciotomies of the foot and leg should be performed if the pressures are significantly elevated.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"339"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400606","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19097252","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}
引用次数: 52
Jones' fractures and related fractures of the proximal fifth metatarsal. 第五跖骨近端琼斯骨折及相关骨折。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400610
S J Lawrence, M J Botte
{"title":"Jones' fractures and related fractures of the proximal fifth metatarsal.","authors":"S J Lawrence,&nbsp;M J Botte","doi":"10.1177/107110079301400610","DOIUrl":"https://doi.org/10.1177/107110079301400610","url":null,"abstract":"<p><p>At least three fracture types occur in the proximal fifth metatarsal: the Jones' fracture, the proximal diaphysial stress fracture, and the tuberosity avulsion fracture. Each has distinct characteristics. The diaphysial stress fracture is commonly confused with the Jones' fracture, thereby obscuring vital differences in prognosis and treatment. Anatomical and biomechanical characteristics, as well as vascular studies of the proximal portion of the fifth metatarsal, are discussed in an attempt to better understand their diverse healing potentials. Guidelines for treatment are controversial, and must frequently be individualized. Although surgical intervention for certain proximal fifth metatarsal fracture types may speed recovery time, most fractures heal with immobilization. Treatment of displaced, intra-articular fractures, delayed unions, and nonunions usually requires operative methods.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"358-65"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400610","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19389853","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}
引用次数: 323
SPLATT combined with tendo achilles lengthening for spastic equinovarus in adults: results and predictors of surgical outcome. SPLATT联合跟腱延长治疗成人痉挛性马内翻:结果和手术结果的预测因素。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400605
P Edwards, J Hsu
{"title":"SPLATT combined with tendo achilles lengthening for spastic equinovarus in adults: results and predictors of surgical outcome.","authors":"P Edwards,&nbsp;J Hsu","doi":"10.1177/107110079301400605","DOIUrl":"https://doi.org/10.1177/107110079301400605","url":null,"abstract":"<p><p>During a 4-year period, split anterior tibial tendon transfer (SPLATT) was performed on 42 adults with cerebrospastic equinovarus deformity. Twenty-one patients (24 feet) had a minimum 1-year follow-up, which included detailed documentation of foot appearance position and function as well as ambulatory status. Thirteen patients were male and 8 were female. Average age of the patients was 41 years. Seventeen patients were independent ambulators with orthoses, one was a maximally assisted ambulator. Three patients with spastic quadriparesis were nonambulatory. All patients had uniform surgical technique and postoperative management. This paper presents the results of SPLATT and identifies risk factors for poor surgical outcomes. After an average follow-up of 39 months, 83% of the feet were rated as having good or excellent results. All ambulatory patients had improved gait and 35% of them were able to discontinue their orthoses. Poor surgical outcomes were associated with nonambulatory status in brain injured patients (P = .018). Salvage of failed SPLATT is discussed.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"335-8"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19391668","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}
引用次数: 31
Protective sensation of the plantar aspect of the foot. 脚底的保护感觉。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400608
S Robbins, G J Gouw, J McClaran, E Waked
{"title":"Protective sensation of the plantar aspect of the foot.","authors":"S Robbins,&nbsp;G J Gouw,&nbsp;J McClaran,&nbsp;E Waked","doi":"10.1177/107110079301400608","DOIUrl":"https://doi.org/10.1177/107110079301400608","url":null,"abstract":"<p><p>The scientific literature suggests that barefoot activity may be beneficial. There is a current trend in recreational barefoot activity in children and adults, and barefoot running among athletes. Although the type of skin over most of the body (hairy skin) seems to be easily injured by painful abrading loads, little is known about protection provided by plantar sensory feedback against damage from excessive wear during barefoot locomotion. To evaluate this, we administered a volley of 35 painful abrading loads to glabrous and hairy skin sites over a 5-min period, and examined its effects for signs of cutaneous injury in a sample of 12 normally shod healthy male subjects. Compared with hairy skin of the thigh, plantar skin required approximately 600% greater abrading loads to reach pain threshold. Furthermore, painful stimulation produced visible redness and hypersensitivity in all subjects at the hairy skin site 24 hr after stimulation, whereas only 8.3% reported hypersensitivity and none showed erythema at the plantar area 1 day later. We found that plantar skin possesses a higher pain threshold to abrading stimuli than hairy skin. In fact, loading of the plantar area was limited to innocuous levels due to intolerable pain. We conclude that plantar skin is well protected through sensory feedback from abrasive injuries when barefoot. This information combined with previous reports suggests that risk of injury when normally shod individuals perform barefoot locomotion should be low.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"347-52"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19389849","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}
引用次数: 36
Hypertrophy of the abductor hallicus muscle: an unusual congenital foot mass. 外展拇肌肥大:一种不寻常的先天性足肿块。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400611
P R Ringelman, N H Goldberg
{"title":"Hypertrophy of the abductor hallicus muscle: an unusual congenital foot mass.","authors":"P R Ringelman,&nbsp;N H Goldberg","doi":"10.1177/107110079301400611","DOIUrl":"https://doi.org/10.1177/107110079301400611","url":null,"abstract":"<p><p>A rare case of an isolated congenital muscle hypertrophy involving the abductor hallicus muscle is presented. Although the entity has not been well described previously, it should be entertained in the different diagnoses of medial childhood foot masses. Presently, the diagnoses of such masses should be made more easily with the widespread availability of magnetic resonance imaging. Treatment is generally straightforward, consisting of observation alone, versus partial or total excision, as dictated by the operative findings and previous functional impairment.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"366-9"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400611","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19389856","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}
引用次数: 13
Surgical treatment for mild deformities of the rheumatoid forefoot by partial phalangectomy and syndactylization. 部分指骨切除并指成形术治疗类风湿前足轻度畸形。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400603
C L Saltzman, K A Johnson, R E Donnelly
{"title":"Surgical treatment for mild deformities of the rheumatoid forefoot by partial phalangectomy and syndactylization.","authors":"C L Saltzman,&nbsp;K A Johnson,&nbsp;R E Donnelly","doi":"10.1177/107110079301400603","DOIUrl":"https://doi.org/10.1177/107110079301400603","url":null,"abstract":"<p><p>Thirteen patients (14 feet) were treated for mild rheumatoid forefoot deformities with lesser toe partial proximal phalangectomies and partial syndactylizations. Eleven patients (85%) were reviewed at an average of 8 years postoperatively. The results were completely satisfactory in four patients, satisfactory with minor reservations in three patients, satisfactory with major reservations in one patient, and unsatisfactory in three patients. The major cause of reservations and lack of satisfaction was metatarsalgia. Seven patients (64%) reported that their activities were limited by intermittent metatarsalgia. Four patients (36%) considered the cosmetic appearance of the forefoot to be unsatisfactory. All but one patient required some form of shoewear modification. Based on this study, we believe the indications for this procedure are limited. These include rheumatoid patients with mild forefoot deformities without significant metatarsalgia or ongoing disease who have failed nonoperative treatment. Relative contraindications to this operation appear to include the recent onset of rheumatoid arthritis, active disease, significant metatarsalgia, and strong cosmetic concerns regarding outcome. In borderline clinical decisions that involve whether or not to leave or excise the lesser metatarsal heads, they probably should be excised to decrease late metatarsalgia.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"325-9"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19391666","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}
引用次数: 27
Biomechanical evaluation of longitudinal arch stability. 纵向弓稳定性的生物力学评价。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400609
C K Huang, H B Kitaoka, K N An, E Y Chao
{"title":"Biomechanical evaluation of longitudinal arch stability.","authors":"C K Huang,&nbsp;H B Kitaoka,&nbsp;K N An,&nbsp;E Y Chao","doi":"10.1177/107110079301400609","DOIUrl":"https://doi.org/10.1177/107110079301400609","url":null,"abstract":"<p><p>In spite of the common occurrence of pes planus and multiple operations that have been reported to relieve the associated symptoms, there is little published on the relative contribution of various structures to stabilization of the arch of the foot. Twelve fresh-frozen human cadaveric feet were loaded along the tibial axis with compressive loads of 230, 460, and 690 newtons with the specimens intact and after sequential sectioning of plantar fascia, plantar ligaments, and spring ligament. Structures were sectioned in six different sequences and changes in vertical and horizontal dimensions of the medial arch were measured. The highest relative contribution to arch stability was provided by the plantar fascia, followed by plantar ligaments and spring ligament. Plantar fascia was a major factor in maintenance of the medial longitudinal arch. Its division in the cadaveric feet decreased arch stiffness by 25%.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"353-7"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19389851","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}
引用次数: 304
Second metatarsophalangeal joint instability in the athlete. 运动员第二跖趾关节不稳。
Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400601
M J Coughlin
{"title":"Second metatarsophalangeal joint instability in the athlete.","authors":"M J Coughlin","doi":"10.1177/107110079301400601","DOIUrl":"https://doi.org/10.1177/107110079301400601","url":null,"abstract":"<p><p>In a group of athletically active patients, second metatarsophalangeal joint instability was diagnosed in nine patients (11 toes). A positive drawer sign was pathognomonic of early second metatarsophalangeal joint instability. A soft tissue realignment procedure was used to stabilize the second metatarsophalangeal joint in seven toes. In five of seven cases (71%), good to excellent results were noted at an average follow-up of 20.4 months.</p>","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"309-19"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19391669","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}
引用次数: 122
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