Foot & ankle最新文献_第7页

Lateral ankle instability as a cause of superior peroneal retinacular laxity: an anatomic and biomechanical study of cadaveric feet. 外侧踝关节不稳定是腓骨上支持带松弛的原因:尸体足的解剖和生物力学研究。

Foot & ankle Pub Date : 1993-07-01 DOI: 10.1177/107110079301400604

M J Geppert, M Sobel, W H Bohne

{"title":"Lateral ankle instability as a cause of superior peroneal retinacular laxity: an anatomic and biomechanical study of cadaveric feet.","authors":"M J Geppert, M Sobel, W H Bohne","doi":"10.1177/107110079301400604","DOIUrl":"https://doi.org/10.1177/107110079301400604","url":null,"abstract":"The role of the competent superior peroneal retinaculum (SPR) as a primary restraint to peroneal tendon subluxation and mechanical attritional wear is clear. Injury to the SPR has classically been described as a dorsiflexion eversion movement of the ankle coupled with a forceful peroneal tendon reflex contraction. This mechanism, however, does not cause injury to the lateral collateral ligaments of the ankle and does not explain the coexistent findings of lateral ankle instability, laxity of the SPR, and concurrent peroneal tendon pathology. Anatomic studies reveal a parallel alignment of the calcaneal band of the SPR and the calcaneofibular ligament. A cadaveric model of ankle instability created by serial sectioning of the lateral collateral ligaments revealed increasing visual strain on the SPR with increasing degrees of ankle instability. These findings suggest the SPR serves as a secondary restraint to ankle inversion stress and that the force or forces that result in chronic ankle instability can also injure and attenuate the superior peroneal retinaculum.","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 6","pages":"330-4"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400604","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19391667","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: 90

Reflex sympathetic dystrophy in an adolescent. 青少年反射性交感神经营养不良。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400507

L A Koman, A Barden, B P Smith, F E Pollock, S Sinal, G G Poehling

引用次数: 11

Distal blood pressure as a predictor for the level of amputation in diabetic patients with foot ulcer. 远端血压作为糖尿病足部溃疡患者截肢水平的预测因子。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400502

J Larsson, J Apelqvist, J Castenfors, C D Agardh, A Stenström

{"title":"Distal blood pressure as a predictor for the level of amputation in diabetic patients with foot ulcer.","authors":"J Larsson, J Apelqvist, J Castenfors, C D Agardh, A Stenström","doi":"10.1177/107110079301400502","DOIUrl":"https://doi.org/10.1177/107110079301400502","url":null,"abstract":"The predictive value of distal blood pressure measurements for the level of amputation was studied prospectively in 161 consecutive diabetic patients with foot ulcers. The patients were treated as outpatients except for periods of surgery and when complications requiring hospital care occurred. All patients were treated pre- and postoperatively by the same multidisciplinary foot care team. Either ankle or toe blood pressure measurement was available in 86% of the patients. Incompressible arteries, ulcer or gangrene at the measuring site, previous amputation, poor general condition, and an emergency situation were factors that excluded standardized ankle and toe blood pressure measurements in 24% and 27% of the patients, respectively. An absolute lower ankle pressure level of 50 mm Hg was found, below which a minor amputation was never sufficient to achieve healing. An ankle pressure below 75 mm Hg was seldom sufficient, and at or above that pressure level, the ankle pressure had no predictive value in this respect. At a toe pressure below 15 mm Hg, a minor amputation was seldom sufficient. Ankle and toe pressure indices gave no further information.","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 5","pages":"247-53"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19334883","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: 44

Bilateral accessory soleus: a report on four patients with partial fasciectomy. 双侧比目鱼副肌:部分筋膜切除术4例报告。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400509

D A Peterson, W Stinson, J Carter

引用次数: 35

Transcutaneous oxygen tension in the dysvascular foot with infection. 血管异常足部感染的经皮氧张力。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400503

M S Pinzur, R Stuck, R Sage, H Osterman

引用次数: 27

Management of giant cell tumor of the tarsal bones: a report of nine cases and a review of the literature. 跗骨巨细胞瘤的治疗:附九例报告及文献复习。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400506

M S Dhillon, B Singh, S S Gill, R Walker, O N Nagi

引用次数: 46

The safety of the Esmarch tourniquet. Esmarch止血带的安全性。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400508

W C Biehl, J M Morgan, F W Wagner, R A Gabriel

{"title":"The safety of the Esmarch tourniquet.","authors":"W C Biehl, J M Morgan, F W Wagner, R A Gabriel","doi":"10.1177/107110079301400508","DOIUrl":"https://doi.org/10.1177/107110079301400508","url":null,"abstract":"The use of an Esmarch bandage as a tourniquet in surgery has been criticized. Many authors claim that the pressures under the Esmarch are inconsistent and may be extremely high. We have seen few, if any, problems from the use of an Esmarch in surgery of the foot and ankle. The purpose of this study was to evaluate the pressures generated under the Esmarch tourniquet in a situation that mimics its clinical application, and to determine whether pressures of appropriate magnitude and consistency are obtained in order to recommend its continued use in surgery. Ten volunteers performed numerous applications of the Esmarch. The number of wraps and the width of the Esmarch bandage used were varied. The Esmarch was applied as it would be for a surgical case. Pressures directly beneath the Esmarch were recorded 8 cm proximal to the distal tip of the medial malleolus. Considering all volunteers and all pressures generated, a 3-in Esmarch applied with three wraps gave a mean pressure (+/- SD) of 225 +/- 46 mm Hg. A 3-in Esmarch applied with four wraps gave a mean pressure of 291 +/- 53 mm Hg. A 4-in Esmarch applied with three wraps gave a mean pressure of 233 +/- 35 mm Hg, and a 4-in Esmarch with four wraps gave a mean pressure of 284 +/- 42 mm Hg. The maximum pressures generated by any individual were as follows: 3-in three wraps, 321 mm Hg; 3-in four wraps, 413 mm Hg; 4-in three wraps, 328 mm Hg; and 4-in four wraps, 380 mm Hg.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"14 5","pages":"278-83"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107110079301400508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19336082","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: 22

An anatomical study of the tarsal tunnel using low pressure compartmental infusion. 使用低压腔室输注对跗骨隧道的解剖研究。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400504

W R Richli, D J Roger, C H Carrasco, C Charnsangavej, D I Rosenthal, S Wallace

引用次数: 2

Microvasculature of the tibialis anterior tendon. 胫骨前腱的微血管系统。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400505

M J Geppert, M Sobel, J A Hannafin

引用次数: 38

Management of metatarsus adductovarus. 跖内翻的治疗。

Foot & ankle Pub Date : 1993-06-01 DOI: 10.1177/107110079301400501

A S Pentz, D S Weiner

引用次数: 8