Clinics in podiatry最新文献_第6页

Common adolescent dance injuries. 常见的青少年舞蹈损伤。

Clinics in podiatry Pub Date : 1984-12-01

J Contompasis

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Biomechanical evaluation of the child. 儿童的生物力学评价。

Clinics in podiatry Pub Date : 1984-12-01

R L Valmassy

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Angular and axial deformities of the legs of children. 儿童腿的角状和轴状畸形。

Clinics in podiatry Pub Date : 1984-12-01

M W McDonough

{"title":"Angular and axial deformities of the legs of children.","authors":"M W McDonough","doi":"","DOIUrl":"","url":null,"abstract":"Age is often a determining factor in establishing a treatment program for these axial and angular problems. As can be seen, the deformities of torsion are noticeable from early life. Any tibial torsion should be treated early, but an excessive medial range of motion in the infant leg with a corresponding adequate lateral range of motion of the limb may be cautiously observed. Medial femoral torsion is a normal early finding in the infant thigh. The problem becomes evident as the child matures without the corresponding reduction in femoral torsion, leading to a persistence of fetal or infantile alignment. The gait consequences are usually noticed at 4 to 8 years of age. The angular changes generally are a delayed finding noticed in stance. The bowleg may be associated with marked tibial torsion and picked up early but the Blount's patient has been traditionally definable at 2 years of age. Levin and Drennan may hasten the time of diagnosis with their radiographic criteria. Knock-knee is an alignment disturbance noticed during the early to mid-childhood years, age 4 to 8 years. The diagnosis is important, differentiating physiologic from torsion-related deformities, and treatment, if warranted, should not be delayed. Generally the earlier these problems are discovered, the more optimistic the prognosis. Since the pediatric limb is in a constant state of transition, there will be a perpetual argument as to the need or efficacy of various approaches to the problems of knock-knee and bowleg. If observation is the treatment of choice, the percentage of cases which go on to osteotomies and epiphyseal stapling will continue. For those with axial or angular deformities, degenerative arthritis of the knee may be forthcoming. Swanson, Greene, and Allis warned of problems becoming \"unphysiologic.\" If we consider the epiphyseal malleability, not only to deformity but to correction, we can appreciate Lenoir's comment of \"every day the problem goes untreated is a golden opportunity lost forever.\" Early, gentle conservative therapy, using splints and casting, is an approach which should be considered in appropriate early problems.","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 3","pages":"601-20"},"PeriodicalIF":0.0,"publicationDate":"1984-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592697","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}

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Surgery for congenital deformities of the feet. 脚部先天性畸形的外科手术。

Clinics in podiatry Pub Date : 1984-12-01

R J Suppan

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Developmental flatfoot. 发展扁平足。

Clinics in podiatry Pub Date : 1984-12-01

J C D'Amico

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The handicapped child. 残疾儿童。

Clinics in podiatry Pub Date : 1984-12-01

H R Tax

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Pediatric foot surgery. 小儿足部外科。

Clinics in podiatry Pub Date : 1984-12-01

T Sgarlato

{"title":"Pediatric foot surgery.","authors":"T Sgarlato","doi":"","DOIUrl":"","url":null,"abstract":"Muscle balance involves increasing or decreasing the relative strength of a muscle. It also includes redirection of muscle tendons to change their mechanical retrograde pull. Tendoachilles lengthening, gastrocnemius lengthening, anterior tendon teno-suspension, and the Kidner procedure exemplify this method. Muscle balancing is necessary whenever an imbalance exists. However, muscle balancing is usually only able to mildly effect joint position. It is important to eliminate a deforming muscle force and restore the balance of muscle power. Osteotomy to change internal bone shape is effective in pediatric foot surgery since malshape of the osseous structures is a major problem. The osteotomy is becoming a more important part of surgical treatment as a better understanding and recognition of the biomechanics of the foot and leg develops. The arthroerisis procedure for subtalar joint balance using implants is rapidly advancing. The concept that the subtalar joint can be balanced satisfactorily has been demonstrated. However, the lifetime implications are still unexplored. Joint stabilization with some motion still available at the subtalar is a leading concept in treating the foot. Fusion procedures are meant to realign malaligned joints and prevent further motion. They are applicable to pediatric foot surgery only in extreme conditions and in the growing foot at adolescence.","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 3","pages":"709-23"},"PeriodicalIF":0.0,"publicationDate":"1984-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592503","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}

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Casting and orthotics for children. 儿童铸造和矫形器。

Clinics in podiatry Pub Date : 1984-12-01

A M Spencer, V A Person

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Therapeutic considerations of the feet and lower extremities in the cerebral palsied child. 脑瘫患儿足部及下肢的治疗考虑。

Clinics in podiatry Pub Date : 1984-12-01

R P Jordan

引用次数: 0

Short-leg syndrome. 短引线综合症。

Clinics in podiatry Pub Date : 1984-12-01

F Vogel

{"title":"Short-leg syndrome.","authors":"F Vogel","doi":"","DOIUrl":"","url":null,"abstract":"Short-leg syndrome, or asymmetry of length in the lower extremities, is a common orthopedic problem in children. It is vital to recognize normal bone function, bone growth, and potential growth when evaluating this syndrome. Classification of this problem is either structural or functional. Structural (real) short legs usually have trauma or congenital growth inequality as their etiology. Functional (apparent) short legs usually result from soft tissue contractures or foot function aberrations. The child's age determines the extent of our examination. The lower extremity should be segmented during examination to help determine the location of pathology. Measuring the deformity requires precise scientific procedures. The level of compensation must be determined. Foot, pelvic, and spinal compensations should be evaluated. Scanograms or orthoroentgenograms are useful in diagnosing, quantifying, and prognosing short-leg syndrome. Prediction of the projected discrepancy is accomplished by the Anderson et al. remaining growth charts. Common etiologic considerations include congenital, neuromuscular, infection, trauma-induced, and tumor-caused disorders. Treatment of short-leg syndrome is determined by classification. Structural problems may need heel elevation or a combination of heel elevation and orthotic control on a conservative basis. Functional problems may require neutral position control of the feet with orthotics and correction of soft tissue contractures. Resin foam or orthopedic shoe adjustment may be used in moderate discrepancies. Structural leg inequalities may be corrected by surgical epiphysiodesis. This bone growth retardation procedure is normally performed on the long limb in pediatric patients. Therapy is directed at correcting pelvic obliquity, gait and postural aberration. The end result should be a child with cosmetically acceptable and normal functioning lower extremities.","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 3","pages":"581-99"},"PeriodicalIF":0.0,"publicationDate":"1984-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592696","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: 0