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[PMID]:28229324
[Au] Autor:Temple HT
[Ad] Endereço:Translational Research and Economic Development, Nova Southeastern University, 3301 College Avenue, Fort Lauderdale, FL, 33314-7796, USA. htemple@nova.edu.
[Ti] Título:CORR Insights : Is Pes Cavus Alignment Associated With Lisfranc Injuries of the Foot?
[So] Source:Clin Orthop Relat Res;475(5):1470-1471, 2017 05.
[Is] ISSN:1528-1132
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário:
Pé Cavo
[Mh] Termos MeSH secundário: Pé Torto Equinovaro
Deformidades do Pé
Deformidades Adquiridas do Pé
Traumatismos do Pé
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170224
[St] Status:MEDLINE
[do] DOI:10.1007/s11999-016-5179-3


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[PMID]:28182859
[Au] Autor:Aebi J; Horisberger M; Frigg A
[Ad] Endereço:1 Department of Orthopaedic Surgery, University Hospital Basel, Basel, Switzerland.
[Ti] Título:Radiographic Study of Pes Planovarus.
[So] Source:Foot Ankle Int;38(5):526-531, 2017 May.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Depending on the direction of the subtalar joint, a foot deformity generally tends towards pronation (pes planovalgus) or supination (pes cavovarus). However, the combination of hindfoot varus and flat midfoot/forefoot (pes planovarus) is an exception to this rule. Pes planovarus has so far only been referred to in connection with Müller-Weiss disease and congenital disease. We diagnosed pes planovarus in otherwise healthy patients without these diseases. METHODS: Forty patients with 54 symptomatic feet who were treated between August 2012 and July 2016 were included (mean age, 44.1 ± 15.7 years; 15 male/25 female). They were selected from 1064 consecutive cases (3.8%). Inclusion criteria were hindfoot varus and flat midfoot/forefoot. Their symptoms, radiographs, and therapies within the first 3 months were retrospectively analyzed. The position in the hindfoot alignment view (HAV), talometatarsal-1 angle lateral (TMT1lat) and dorsoplantar (TMT1dp), talocalcaneal angle lateral (TCAlat) and dorsoplantar (TCAdp), and calcaneal pitch angle (CPA) were measured on a DICOM/PACS system. RESULTS: The mean radiological results (standard values from the literature in brackets) were as follows: the hindfoot was significantly in varus in the HAV (-6.9 ± 3.6 mm [-1.6 ± 7.2 mm]; P < .001), the TMT1lat was significantly flatter (-6.7 ± 5.8 degrees [8.4 ± 5.9 degrees]; P < .001), the TMT1dp was significantly less in abduction (1.5 ± 7.9 degrees [7.7 ± 8.2 degrees]; P = .005), the TCAdp showed no difference (25.9 ± 7.9 degrees [24.1 ± 5.7 degrees]; P = .118), the TCAlat was significantly larger (47.5 ± 6.1 degrees [43.4 ± 7.1 degrees]; P < .001), and the CPA was significantly flatter (17.6 ± 3.9 degrees [24.5 ± 3.0 degrees]; P < .001). The most frequent symptoms were stress-induced foot pain (n = 33), hallux valgus (n = 20), chronic ankle instability (n = 17), metatarsalgia (n = 15), chronic midfoot pain (n = 13), heel pain (n = 12), and lesser toe deformities (n = 8). Thirty-one feet were treated conservatively and 23 operatively. CONCLUSION: This study showed the existence of pes planovarus without Müller-Weiss disease or congenital disease. This unusual foot form leads to difficulties if standard treatment strategies are applied, which raises the issue of the correct treatment for such patients. LEVEL OF EVIDENCE: Level IV, retrospective case series.
[Mh] Termos MeSH primário: Calcâneo/cirurgia
Pé Chato/cirurgia
Deformidades Congênitas do Pé/cirurgia
Deformidades do Pé/cirurgia
Hallux Valgus/cirurgia
Radiografia/métodos
Articulação Talocalcânea/fisiologia
[Mh] Termos MeSH secundário: Deformidades Congênitas do Pé/fisiopatologia
Hallux Valgus/fisiopatologia
Seres Humanos
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170210
[St] Status:MEDLINE
[do] DOI:10.1177/1071100717690440


  3 / 1181 MEDLINE  
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[PMID]:28174604
[Au] Autor:Jarvis HL; Nester CJ; Bowden PD; Jones RK
[Ad] Endereço:School of Health Sciences, University of Salford, Salford, UK.
[Ti] Título:Challenging the foundations of the clinical model of foot function: further evidence that the root model assessments fail to appropriately classify foot function.
[So] Source:J Foot Ankle Res;10:7, 2017.
[Is] ISSN:1757-1146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Root model of normal and abnormal foot function remains the basis for clinical foot orthotic practice globally. Our aim was to investigate the relationship between foot deformities and kinematic compensations that are the foundations of the model. METHODS: A convenience sample of 140 were screened and 100 symptom free participants aged 18-45 years were invited to participate. The static biomechanical assessment described by the Root model was used to identify five foot deformities. A 6 segment foot model was used to measure foot kinematics during gait. Statistical tests compared foot kinematics between feet with and without foot deformities and correlated the degree of deformity with any compensatory motions. RESULTS: None of the deformities proposed by the Root model were associated with distinct differences in foot kinematics during gait when compared to those without deformities or each other. Static and dynamic parameters were not correlated. CONCLUSIONS: Taken as part of a wider body of evidence, the results of this study have profound implications for clinical foot health practice. We believe that the assessment protocol advocated by the Root model is no longer a suitable basis for professional practice. We recommend that clinicians stop using sub-talar neutral position during clinical assessments and stop assessing the non-weight bearing range of ankle dorsiflexion, first ray position and forefoot alignments and movement as a means of defining the associated foot deformities. The results question the relevance of the Root assessments in the prescription of foot orthoses.
[Mh] Termos MeSH primário: Deformidades do Pé/diagnóstico
/fisiopatologia
Marcha/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fenômenos Biomecânicos
Simulação por Computador
Feminino
Deformidades do Pé/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Amplitude de Movimento Articular
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1186/s13047-017-0189-2


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[PMID]:28103893
[Au] Autor:Zhang H; Li J; Qiao Y; Yu J; Cheng Y; Liu Y; Gao C; Li J
[Ad] Endereço:Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China. 18351037117@163.com.
[Ti] Título:Open triple fusion versus TNC arthrodesis in the treatment of Mueller-Weiss disease.
[So] Source:J Orthop Surg Res;12(1):13, 2017 Jan 19.
[Is] ISSN:1749-799X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mueller-Weiss disease is a rarely diagnosed deformity where the navicular bone undergoes spontaneous osteonecrosis in adults. Until now, there is no widely accepted operative treatment for this unusual disease. We aimed to compare clinical and radiological outcomes between the open triple fusion and talonavicular-cuneiform arthrodesis for Mueller-Weiss disease of stage 4. METHODS: During the period from February 2012 to June 2016, 10 patients (11 feet) suffering from Mueller-Weiss disease of stage 4 were treated by the same senior surgeon. Among them, 5 patients (5 feet) were treated with open triple fusion and 5 patients (6 feet) were treated with talonavicular-cuneiform arthrodesis. Clinical outcomes were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score. Radiological results were assessed based on the X-ray and CT. Postoperative complications were also recorded. RESULTS: There were no significant differences in AOFAS score between the two groups (p = 0.1 > 0.05). For the open triple fusion, the average AOFAS ankle-hindfoot score improved from 30.2 ± 3.27 preoperatively to 79 ± 3.81 at the last follow-up (p = 0.008). And for the talonavicular-cuneiform (TNC) arthrodesis, the average AOFAS ankle-hindfoot score improved from 33.2 ± 5.63 preoperatively to 86.2 ± 3.49 at the last follow-up (p = 0.007). CONCLUSIONS: Both triple fusion and TNC arthrodesis are reasonable methods for the treatment of Mueller-Weiss disease if properly used. It is crucial to use radiological assessment to evaluate the involved joints preoperatively and then chose the appropriate method to treat different patients.
[Mh] Termos MeSH primário: Artrodese/métodos
Deformidades do Pé/cirurgia
Osteonecrose/cirurgia
[Mh] Termos MeSH secundário: Adulto
Artrodese/efeitos adversos
Feminino
Seguimentos
Deformidades do Pé/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Osteonecrose/diagnóstico por imagem
Cuidados Pós-Operatórios/métodos
Radiografia
Tálus/cirurgia
Ossos do Tarso/cirurgia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL STUDY; COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170612
[Lr] Data última revisão:
170612
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE
[do] DOI:10.1186/s13018-017-0513-3


  5 / 1181 MEDLINE  
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[PMID]:27894834
[Au] Autor:Mansour E; Yaacoub JJ; Bakouny Z; Assi A; Ghanem I
[Ad] Endereço:Laboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon; Hôtel-Dieu de France Hospital, University of Saint-Joseph, Beirut, Lebanon.
[Ti] Título:A podoscopic and descriptive study of foot deformities in patients with Down syndrome.
[So] Source:Orthop Traumatol Surg Res;103(1):123-127, 2017 Feb.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Subjects with Down syndrome (DS) are known to be affected by various foot deformities. Despite the fact that some of these deformities have been reported in the literature, a more comprehensive description would be of benefit. The aim of this study is to investigate the prevalence of known foot deformities in patients with DS and of other previously non-described foot anomalies in this population. HYPOTHESIS: Subjects with DS have an increased prevalence of foot deformities compared to control subjects. METHODS: Fifty-five subjects with DS (age: 14.6±7.4 years) had undergone podiatric clinical and podoscopic examinations to study their main foot deformities and their footprints, respectively. The results of these examinations were compared to those of an age-matched asymptomatic control group of fifty-three subjects (age: 13.4±11.2 years). RESULTS: Significantly more prevalent foot deformities were found in the DS group: hallux valgus (36.4%), syndactyly between the 2nd and 3rd toes (9.1%), grade II pes planus (39.1%) and grade III pes planus (30%). Moreover, joint laxity (43.6%) was significantly more prevalent in the DS group. Furthermore, the presence of an increased space between the 1st and 2nd toes in patients with DS and its prevalence (73.6%) were described for the first time. A multivariate analysis revealed a significant relationship between the presence of joint laxity and flatfoot in only the control but not the DS group. Other foot deformities were found to be consistently more frequent in the DS population but not significantly higher than the control group. DISCUSSION: Although subjects with DS had significantly greater joint laxity and BMI compared to the control group, neither of these factors was found to be related to the increased prevalence of flatfoot in DS patients. LEVEL OF EVIDENCE: IV-retrospective study.
[Mh] Termos MeSH primário: Síndrome de Down/complicações
Deformidades do Pé/complicações
[Mh] Termos MeSH secundário: Adolescente
Índice de Massa Corporal
Estudos de Casos e Controles
Criança
Estudos Transversais
Feminino
Articulações do Pé
Seres Humanos
Instabilidade Articular/etiologia
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161130
[St] Status:MEDLINE


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[PMID]:27872167
[Au] Autor:Knupp M
[Ad] Endereço:1 Department of Orthopaedic Surgery, Kantonsspital Baselland, Switzerland.
[Ti] Título:The Use of Osteotomies in the Treatment of Asymmetric Ankle Joint Arthritis.
[So] Source:Foot Ankle Int;38(2):220-229, 2017 Feb.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Articulação do Tornozelo/cirurgia
Osteoartrite/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Algoritmos
Deformidades do Pé/cirurgia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE
[do] DOI:10.1177/1071100716679190


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[PMID]:27765868
[Au] Autor:Veljkovic A; Tennant J; Rungprai C; Abbas KZ; Phisitkul P
[Ad] Endereço:1 St Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
[Ti] Título:An Anatomic Study of the Percutaneous Endoscopically Assisted Calcaneal Osteotomy Technique to Correct Hindfoot Malalignment.
[So] Source:Foot Ankle Int;38(2):192-199, 2017 Feb.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Open calcaneal osteotomy using traditional methods is associated with complications such as sural nerve injury and potential wound healing problems. We hypothesized that by using novel minimally invasive techniques, these potential risks could be mitigated. This anatomic cadaveric study serves to assess the safety of percutaneous endoscopically assisted calcaneal osteotomy (PECO) compared to a traditional open osteotomy technique. METHODS: Anatomic safety of PECO was assessed using 8 fresh-frozen cadaver below-knee specimens. Lateral calcaneal nerve (LCN) damage was primarily noted and then secondly compared to a potential open surgical incision approach. RESULTS: Only 1 of 11 LCN branches (n = 8 limbs) was transected using PECO, compared to up to 8 of 10 LCN branches (n = 6 limbs) that potentially would have been injured during open surgery. CONCLUSIONS: Percutaneous endoscopically assisted calcaneal osteotomy is a minimally invasive technique that had fewer nerve injuries in this cadaveric model than traditional open surgery. CLINICAL RELEVANCE: Percutaneous endoscopically assisted calcaneal osteotomy due to its less invasive nature may result in fewer neurovascular injuries relative to an open procedure.
[Mh] Termos MeSH primário: Calcâneo/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Calcâneo/inervação
Endoscopia
Deformidades do Pé/cirurgia
Seres Humanos
Osteotomia/efeitos adversos
Traumatismos dos Nervos Periféricos/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE
[do] DOI:10.1177/1071100716674259


  8 / 1181 MEDLINE  
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[PMID]:27782105
[Au] Autor:Nizon M; Cogne B; Vallat JM; Joubert M; Liet JM; Simon L; Vincent M; Küry S; Boisseau P; Schmitt S; Mercier S; Bénéteau C; Larrose C; Coste M; Latypova X; Péréon Y; Mussini JM; Bézieau S; Isidor B
[Ad] Endereço:Service de Génétique Médicale, CHU Hôtel Dieu, France.
[Ti] Título:Two novel variants in CNTNAP1 in two siblings presenting with congenital hypotonia and hypomyelinating neuropathy.
[So] Source:Eur J Hum Genet;25(1):150-152, 2016 Jan.
[Is] ISSN:1476-5438
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Homozygous frameshift variants in CNTNAP1 have recently been reported in patients with arthrogryposis and abnormal axon myelination. In two brothers with severe congenital hypotonia and foot deformities, we identified compound heterozygous variants in CNTNAP1, reporting the first causative missense variant, p.(Cys323Arg). Motor nerve conductions were markedly decreased. Nerve microscopical lesions confirmed a severe hypomyelinating process and showed loss of attachment sites of the myelin loops on the axons, which could be a characteristic of Caspr loss-of-function. We discuss the pathophysiology of the myelination process and we propose to consider this disorder as a congenital hypomyelinating neuropathy.
[Mh] Termos MeSH primário: Artrogripose/genética
Moléculas de Adesão Celular Neuronais/genética
Deformidades do Pé/genética
Hipotonia Muscular/genética
[Mh] Termos MeSH secundário: Artrogripose/fisiopatologia
Deformidades do Pé/fisiopatologia
Predisposição Genética para Doença
Homozigoto
Seres Humanos
Lactente
Recém-Nascido
Masculino
Hipotonia Muscular/fisiopatologia
Mutação de Sentido Incorreto
Bainha de Mielina/genética
Irmãos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (CNTNAP1 protein, human); 0 (Cell Adhesion Molecules, Neuronal)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161027
[St] Status:MEDLINE
[do] DOI:10.1038/ejhg.2016.142


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[PMID]:27663032
[Au] Autor:Shah MT; Wong BS
[Ad] Endereço:Department of Diagnostic Radiology, Singapore General Hospital, Singapore.
[Ti] Título:Clinics in diagnostic imaging (170).
[So] Source:Singapore Med J;57(9):517-22, 2016 Sep.
[Is] ISSN:0037-5675
[Cp] País de publicação:Singapore
[La] Idioma:eng
[Ab] Resumo:A 30-year-old woman presented with a six-month history of left posterior heel pain. Physical examination revealed a tender, inflamed and indurated posterior heel with a visible bony prominence of the posterosuperior aspect of the calcaneus. Lateral ankle radiography showed a prominent left posterosuperior calcaneal tuberosity and thickening of the distal Achilles tendon outline. Magnetic resonance imaging demonstrated high-signal inflammatory fluid in the retrocalcaneal bursa, increased signal intensity and thickening of the Achilles tendon, and prominence of the posterior calcaneus tuberosity with reactive marrow oedema. The findings are consistent with Haglund's deformity. The patient underwent hind foot surgery after failing a six-month course of conservative therapy. There was no further recurrence of symptoms after surgery. The clinical and radiological features of Haglund's deformity are described, including a short discussion of other causes of hind foot pain.
[Mh] Termos MeSH primário: Tendão do Calcâneo/diagnóstico por imagem
Calcâneo/diagnóstico por imagem
Dor/etiologia
[Mh] Termos MeSH secundário: Tendão do Calcâneo/cirurgia
Adulto
Osso e Ossos/cirurgia
Calcâneo/cirurgia
Feminino
/diagnóstico por imagem
Deformidades do Pé/cirurgia
Seres Humanos
Inflamação
Imagem por Ressonância Magnética
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160925
[St] Status:MEDLINE
[do] DOI:10.11622/smedj.2016155


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[PMID]:27524712
[Au] Autor:Walter R; Parsons S; Winson I
[Ad] Endereço:Department of Trauma and Orthopaedics, Sports and Orthopaedic Clinic, Bristol Spire Hospital, Redland Road, Bristol BS6 6UT, UK.
[Ti] Título:Arthroscopic Subtalar, Double, and Triple Fusion.
[So] Source:Foot Ankle Clin;21(3):681-93, 2016 Sep.
[Is] ISSN:1558-1934
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Arthroscopic approaches to subtalar, double, and triple arthrodesis allow relative preservation of the soft tissue envelope compared with traditional open approaches. The surgical technique involving the use of a 4.5-mm 30° arthroscope via sinus tarsi portals is described. All 3 joints of the triple joint can be prepared for fusion with motorized burrs. Rigid fixation is achieved with cannulated screws. High union rates and low complication rates have been reported.
[Mh] Termos MeSH primário: Artrodese/métodos
Deformidades do Pé/cirurgia
/cirurgia
[Mh] Termos MeSH secundário: Artroscopia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160816
[St] Status:MEDLINE



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