Clinical research on foot & ankle最新文献_第9页

The Impact and Functional Outcomes of Achilles Tendon Pathology in National Basketball Association Players. 国家篮球协会球员跟腱病理的影响和功能结局。

Clinical research on foot & ankle Pub Date : 2016-09-01 Epub Date: 2016-09-23 DOI: 10.4172/2329-910X.1000205

Nirav H Amin, Kirk C McCullough, Gavin L Mills, Morgan H Jones, Douglas L Cerynik, James Rosneck, Richard D Parker

{"title":"The Impact and Functional Outcomes of Achilles Tendon Pathology in National Basketball Association Players.","authors":"Nirav H Amin, Kirk C McCullough, Gavin L Mills, Morgan H Jones, Douglas L Cerynik, James Rosneck, Richard D Parker","doi":"10.4172/2329-910X.1000205","DOIUrl":"https://doi.org/10.4172/2329-910X.1000205","url":null,"abstract":"<p><p>Achilles tendon rupture within professional athletes has been shown to lead to devastating consequences regarding return to athletic performance. Not only can this devastating injury affect performance for the remainder of player's career, it frequently becomes a career-ending event. Considering these significant risks associated with complete rupture, the purpose of this study was to evaluate NBA players with a spectrum of reported Achilles tendon pathology, from tendinopathy (insertional and non-insertional) to complete rupture. Between the 1988-1989 and 2010-2011 NBA seasons, we identified 43 cases of Achilles tendon pathology treated non-operatively. A control group was matched for the players able to return to play with the following parameters: age, position played, number of seasons played in the league, and similarly rated career performance statistics. Considering the medical staff, trainers and facilities available to a professional athlete, a \"weekend warrior\" should be counseled that even in optimal conditions, 14% of NBA players were unable to return to function/play after Achilles tendinopathy, and that those who were able to return did so at a decreased level of performance. In conclusion, players with Achilles tendinopathy have a better chance to return if they are younger in age and early in their professional career. Furthermore, the association between Achilles pathology and decline in player performance is an important message to convey to coaching staff and team management to allow properly informed decisions when these conditions arise.</p>","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35648510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

Percutaneous Distal Osteotomies of the Metatarsal Bones: Surgical Technique and Results 经皮远端跖骨截骨术:手术技术与效果

Clinical research on foot & ankle Pub Date : 2016-08-31 DOI: 10.4172/2329-910X.1000199

R. Sirianni, A. Demurtas, M. Mastio, G. Cardoni, A. Capone

{"title":"Percutaneous Distal Osteotomies of the Metatarsal Bones: Surgical Technique and Results","authors":"R. Sirianni, A. Demurtas, M. Mastio, G. Cardoni, A. Capone","doi":"10.4172/2329-910X.1000199","DOIUrl":"https://doi.org/10.4172/2329-910X.1000199","url":null,"abstract":"Objective: This study presents clinical and radiological outcome of a percutaneous technique for the correction of hallux valgus and lesser toe deformities. Methods: We present a 36 months follow-up series of 32 patients who have been treated with the Reverdin- Isham osteotomy for the correction of hallux valgus, and a percutaneous technique for the correction of lesser toes deformities and metatarsalgia. Clinical outcome data were recorded with the AOFAS score. Radiologic evaluation consisted of weight bearing (AP, lateral and Walter-Muller) views pre and postoperatively at 6 weeks, 3, 6, 12 and 36 months after surgery. Results: At three year follow-up, the mean difference of the HVA was 9.2 (p<0.0001), of the IMA was 0.4 (p<6719), and the mean difference of the PASA was 15.9 (p<0.001). The AOFAS rose from 48.4 to 87.6. Most encountered complication was oedema that lasted for 6 months, especially in the patients who underwent the Weil osteotomy of II, III and IV metatarsal bone head for the treatment of metatarsalgia. Conclusion: Many minimal invasive techniques are becoming more and more recognized, with some indisputable advantages but also not free of objective difficulties. We believe that percutaneous distal metatarsal bone osteotomy represents a good option for the treatment of mild- to moderate hallux valgus, lesser toes deformities and metatarsalgia.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"4 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000199","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281034","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

Double Column Foot Osteotomy to Correct Flexible Valgus Foot Deformity inChildren with Spastic Cerebral Palsy 双柱足截骨术治疗小儿痉挛性脑瘫柔性外翻足畸形

Clinical research on foot & ankle Pub Date : 2016-08-20 DOI: 10.4172/2329-910X.1000198

Sherif N. G. Bishay, G. Morshed, Yehia Nour Eldin Tarraf, N. Pasha

{"title":"Double Column Foot Osteotomy to Correct Flexible Valgus Foot Deformity inChildren with Spastic Cerebral Palsy","authors":"Sherif N. G. Bishay, G. Morshed, Yehia Nour Eldin Tarraf, N. Pasha","doi":"10.4172/2329-910X.1000198","DOIUrl":"https://doi.org/10.4172/2329-910X.1000198","url":null,"abstract":"Backgound: Mobile (flexible or correctable) hindfoot valgus deformity is common in children with spastic cerebral palsy (CP). It is accompanied by short lateral and long medial foot column. Patients and Methods: Eleven ambulatory children (20 feet) suffering spastic cerebral palsy (CP), two hemiplegic and nine diplegic, presenting with mobile (flexible) hindfoot valgus deformity, were evaluated neurologically, orthopaedically, and radiographically, and operated upon in the National Institute of Neuromotor System between September 2012 and September 2013. Double column foot osteotomy with medial cuneiform closing-wedge and cuboid opening-wedge without attacking the calcaneus was performed in all of them. Results: The results were followed-up clinically and radiographically over a period ranging from a year and half (18 months) to two years (24 months) with an average of a year and 9 months (21 months), and were graded into four categories as excellent, good, fair, and poor according to the total calculated score. According to the suggested grading system, there were 8 excellent results, 8 good results, 4 fair results, and no poor results. Conclusion: Double column foot osteotomy shortening the medial foot column and lengthening the lateral foot column to correct moderate to severe hindfoot valgus in ambulatory children with spastic cerebral palsy (CP), compared favourably with similar series, and offered option for achieving foot alignment, improving \u0000pain \u0000and skin problems and avoiding the problems associated with arthrodesis. Level of Evidence: The study is type IV therapeutic level of evidence.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"4 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280968","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: 1

Case Report: Closed Posteromedial Dislocation of the Ankle without MedialMalleolar Fracture 病例报告:闭合性踝关节后内侧脱位，无内踝骨折

Clinical research on foot & ankle Pub Date : 2016-08-16 DOI: 10.4172/2329-910X.1000197

J. Orapin, P. Sa-ngasoongsong, Sorawut Thamyongkit, Noratep Kulachote, Sukij Laohajaroensombat, C. Suphachatwong, P. Mulpruek

引用次数: 0

Delayed Complex Reconstruction of Achilles Tendon After Car-Train Accident:A Case Study 车祸后跟腱延迟复杂重建个案研究

Clinical research on foot & ankle Pub Date : 2016-08-12 DOI: 10.4172/2329-910X.1000196

G. T. Kuwada

引用次数: 0

Failed AgilityÃ¢ÂÂ¢ LP Total Ankle Replacement Salvaged with Tibio-Talo-Calcaneal Arthrodesis and Vascularized Pedicled Medial Malleolus and FibulaOnlay Bone Grafts 失败AgilityÃ¢ÂÂ¢胫骨-距骨-跟骨关节融合术和带血管的带蒂内踝及腓骨板骨移植修复全踝关节置换术

Clinical research on foot & ankle Pub Date : 2016-08-12 DOI: 10.4172/2329-910X.1000195

T. Roukis

引用次数: 0

Personalized Letters Improve Patient Comprehension of Foot and AnklePathology and Procedures 个性化信件提高患者对足和踝关节病理和手术的理解

Clinical research on foot & ankle Pub Date : 2016-07-25 DOI: 10.4172/2329-910X.1000193

N. Howard, K. Edwards, G. Jackson, S. Platt

{"title":"Personalized Letters Improve Patient Comprehension of Foot and AnklePathology and Procedures","authors":"N. Howard, K. Edwards, G. Jackson, S. Platt","doi":"10.4172/2329-910X.1000193","DOIUrl":"https://doi.org/10.4172/2329-910X.1000193","url":null,"abstract":"The purpose of this study was to enhance patient comprehension of our institution’s communication materials, specifically the standardized forms and information leaflets used in obtaining consent to elective foot and ankle surgery. Studies have shown poor patient comprehension during the consenting process. Improved document readability has been recommended. We evaluated the readability of our existing consent forms and information leaflets using five standard indices: Flesch-Kincaid, Gunning fog, Simple Measure of Gobbledygook, Coleman-Liau, and automated readability. We compared the results with the readability of 50 personalized letters explaining the patient’s individual pathology and surgical management plan as an adjunct to the standard consenting process. Standardized consent forms had the poorest readability, being accessible only to patients having completed higher education. Readability of the patient information leaflets was better, requiring an average reading age of 15– 16 years, and that of the personalized letters better still (average reading age: 14–15 years), yet still markedly exceeding the recommended target age of 11–13 years. We conclude that personalized letters offer an effective low-cost boost to patient understanding of foot and ankle pathology and treatment, but that further improvement is essential if we are to approximate to the recommended targets.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2016 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2016-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280863","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: 2

Non-Healing Wounds Associated with Klippel-Trenaunay Weber Syndrome: A Case Report 与klipppel - trenaunay Weber综合征相关的未愈合伤口1例报告

Clinical research on foot & ankle Pub Date : 2016-07-15 DOI: 10.4172/2329-910X.1000191

P. Stone, Kevin Blue, A. Synn, A. Ng

引用次数: 1

Failed Agility LP Total Ankle Replacement with Severe >40 Varus DeformityRevision with Prosthesis Conversion and Soft-Tissue Procedures Alone 敏捷性LP全踝关节置换术失败伴严重bbbb40内翻畸形单假体转换和软组织手术翻修

Clinical research on foot & ankle Pub Date : 2016-06-30 DOI: 10.4172/2329-910X.1000190

T. Roukis

引用次数: 1

Weak TGS Correlates with Hallux Valgus in 10 12 Year Old Girls: A Cross-Sectional Study 10例12岁女孩TGS弱与拇外翻相关的横断面研究

Clinical research on foot & ankle Pub Date : 2016-06-27 DOI: 10.4172/2329-910X.1000189

Keisuke Matsubara, Seishiro Tasaka, T. Fukumoto, S. Nishiguchi, N. Fukutani, Y. Tashiro, Hidehiko Shirooka, Yuma Nozaki, Hinako Hirata, Moe Yamaguchi, Tomofumi Matsushita, T. Aoyama

{"title":"Weak TGS Correlates with Hallux Valgus in 10 12 Year Old Girls: A Cross-Sectional Study","authors":"Keisuke Matsubara, Seishiro Tasaka, T. Fukumoto, S. Nishiguchi, N. Fukutani, Y. Tashiro, Hidehiko Shirooka, Yuma Nozaki, Hinako Hirata, Moe Yamaguchi, Tomofumi Matsushita, T. Aoyama","doi":"10.4172/2329-910X.1000189","DOIUrl":"https://doi.org/10.4172/2329-910X.1000189","url":null,"abstract":"Objective: Hallux valgus is one of the most common foot deformities. It is considered that hallux valgus is associated with foot arch height, footwear, sex and so on. Toe grip strength (TGS) is important for developing foot posture because it attributes to foot arch height. The relationship between hallux valgus and TGS in children is unknown, although childhood is a key period for developing foot posture. The objective of this study is to investigate the relationship between hallux valgus angle (HVA) and TGS in children. Methods: A total of 671 (1342 feet) 10-12 year old children (boys, n = 317, age = 10.3 ± 0.7; girls, n = 354, age = 10.2 ± 0.7; means ± standard deviation [SD]) participated in this study. HVA, the angle between the first metatarsal axis and the proximal phalangeal axis, was measured using a goniometer. TGS was measured using a toe grip dynamometer. Differences in the data between boys and girls were analyzed using the Mann-Whitney U test. According to sex, single and multiple linear regression analyses with generalized estimating equations were performed for the relationship between HVA and TGS. The level of statistical significance was set at p E 0.05. Results: The TGS and HVA of participants’ feet were 13.3 ± 4.0 kg (boys, 13.4 ± 3.9 kg; girls, 13.1 ± 4.1 kg) and 7.9 ± 5.0° (boys, 6.7 ± 4.5°; girls, 9.2 ± 5.1°, p E 0.001). The multiple linear regression analysis in girls indicated a correlation between TGS and HVA (β = -0.098, p = 0.045), whereas in boys, there was no correlation. Conclusions: HVA is greater in girls than in boys, and in girls, weak TGS correlates with hallux valgus. Weak TGS may attribute to hallux valgus in potential stage or early stage. Strengthening TGS may be as promising tool for preventing the onset of hallux valgus and for developing good foot posture.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70280768","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: 7