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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


  2 / 8 MEDLINE  
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[PMID]:27796800
[Au] Autor:Podolnick JD; Donovan DS; DeBellis N; Pino A
[Ad] Endereço:Department of Orthopaedic Surgery, Mount Sinai St. Luke's-Mount Sinai West, 1000 10th Avenue, New York, NY, 10019, USA. Jeremy.podolnick@gmail.com.
[Ti] Título:Is Pes Cavus Alignment Associated With Lisfranc Injuries of the Foot?
[So] Source:Clin Orthop Relat Res;475(5):1463-1469, 2017 May.
[Is] ISSN:1528-1132
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Lisfranc (tarsometatarsal joint) injuries are relatively rare, accounting for less than 1% of all fractures, and as many as 20% of subtle Lisfranc injuries are missed at the initial patient presentation. An undiagnosed Lisfranc injury can have devastating consequences to the patient. Therefore, any factor that can raise a clinician's index of suspicion to make this diagnosis is potentially important. The cavus foot has been associated with various maladies of the lower extremity, but to our knowledge, it has not been reported to be associated with Lisfranc injury. QUESTIONS/PURPOSES: Do patients who experience a low-energy Lisfranc injury have greater talar head coverage and a greater talo-first metatarsal angle than control subjects? METHODS: A retrospective, case-control study was conducted from September 2011 to December 2014 to identify patients diagnosed and treated for a low-energy Lisfranc injury. Twenty-three adult patients with an average age of 42.6 years (SD, 16.3 years) were identified and compared with 61 adult control subjects with an average age of 49.4 years (SD, 14.1 years). Control subjects came from the practice of a fellowship-trained foot and ankle orthopaedic surgeon. Control subjects underwent a history and physical, clinical examination, and diagnostic imaging to confirm that they had no prior foot disorder, no prior foot surgeries, were within 3 years of age of a patient with a Lisfranc injury, and were independent ambulators. Two authors (DSD and JDP) measured the talonavicular and talo-first metatarsal angles on weightbearing AP and lateral radiographs of the foot. The intrarater reliability and interrater reliability for the talo-first metatarsal angle and the talonavicular angle showed high agreement. The intrarater intraclass correlation coefficients (ICC) of the talo-first metatarsal angle were 0.94 (95% CI, 0.91-0.96) and 0.93 (95% CI, 0.9-0.96). For the talonavicular angle the ICCs were 0.83 (95% CI, 0.75-0.89) and 0.88 (95% CI, 0.81-0.92) for Raters 1 and 2 respectively. The interrater ICCs were 0.91 (95% CI, 0.69-0.96) for the talo-first metatarsal angle and 0.9 (95% CI, 0.85-0.94) for the talonavicular angle. The patients and controls were compared to determine if the patients who sustained a Lisfranc injury were more likely to have a pes cavus foot alignment. We performed a mixed modeling analysis to control for potential cofounding variables and determine if there was an association of Lisfranc injury with the talo-first metatarsal angle and the talonavicular angle. RESULTS: After controlling for confounding variables such as the effect of the measurement round effect and the effect of the rater, our repeated measures analysis via mixed model showed patients were associated with a higher talo-first metatarsal angle than control subjects (adjusted least square mean for patients = 3.05; for controls = -2.65; mean difference, 5.7; p = 0.001). Repeated measures analysis via mixed model showed that patients also were associated with a more positive talonavicular angle than control subjects (adjusted least square mean for patients = -4.83, for controls = -11; mean difference, 6.17; p = 0.002). Patients with Lisfranc injuries had a higher mean talo-first metatarsal angle than did control subjects (1.9° ± 7.9° versus -2.2° ± 7.3°; mean difference, 4.1°; 95% CI, -7.7° to -0.5°; p = 0.028), and less talar uncovering (-4.2° ± 9.7° versus -11° ± 8°; mean difference, 6.7°; 95% CI, -6.7° to -10.8°; p = 0.001). CONCLUSIONS: We found that cavus midfoot alignment was more prevalent among patients with Lisfranc injuries than among individuals with no foot injury or disorder. Although this does not suggest that cavus alignment causes or predisposes patients to this injury, we believe the finding is important because this provides a radiographic parameter that clinicians can use to raise their index of suspicion for a Lisfranc injury and aggressively pursue this diagnosis. Future studies would benefit from obtaining contralateral foot imaging at the time of injury in all patients with Lisfranc injury or prospectively following patients with foot imaging and recording the incidence of future foot injury. LEVEL OF EVIDENCE: Level III, prognostic study.
[Mh] Termos MeSH primário: Traumatismos do Pé/etiologia
Pé Cavo/complicações
Articulações Tarsianas/lesões
[Mh] Termos MeSH secundário: Adulto
Feminino
Traumatismos do Pé/diagnóstico por imagem
Seres Humanos
Análise dos Mínimos Quadrados
Masculino
Meia-Idade
Modelos Estatísticos
Variações Dependentes do Observador
Valor Preditivo dos Testes
Estudos Retrospectivos
Fatores de Risco
Pé Cavo/diagnóstico por imagem
Articulações Tarsianas/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161101
[St] Status:MEDLINE
[do] DOI:10.1007/s11999-016-5131-6


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[PMID]:27311606
[Au] Autor:Mei Z; Ivanov K; Zhao G; Li H; Wang L
[Ad] Endereço:College of Information Science and Technology, Chengdu University of Technology, Chengdu, People's Republic of China.
[Ti] Título:An explorative investigation of functional differences in plantar center of pressure of four foot types using sample entropy method.
[So] Source:Med Biol Eng Comput;55(4):537-548, 2017 Apr.
[Is] ISSN:1741-0444
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the study of biomechanics of different foot types, temporal or spatial parameters derived from plantar pressure are often used. However, there is no comparative study of complexity and regularity of the center of pressure (CoP) during the stance phase among pes valgus, pes cavus, hallux valgus and normal foot. We aim to analyze whether CoP sample entropy characteristics differ among these four foot types. In our experiment participated 40 subjects with normal feet, 40 with pes cavus, 19 with pes valgus and 36 with hallux valgus. A Footscan system was used to collect CoP data. We used sample entropy to quantify several parameters of the investigated four foot types. These are the displacement in medial-lateral (M/L) and anterior-posterior (A/P) directions, as well as the vertical ground reaction force of CoP during the stance phase. To fully examine the potential of the sample entropy method for quantification of CoP components, we provide results for two cases: calculating the sample entropy of normalized CoP components, as well as calculating it using the raw data of CoP components. We also explored what are the optimal values of parameters m (the matching length) and r (the tolerance range) when calculating the sample entropy of CoP data obtained during the stance phases. According to statistical results, some factors significantly influenced the sample entropy of CoP components. The sample entropies of non-normalized A/P values for the left foot, as well as for the right foot, were different between the normal foot and pes valgus, and between the normal foot and hallux valgus. The sample entropy of normalized M/L displacement of the right foot was different between the normal foot and pes cavus. The measured variable for A/P and M/L displacements could serve for the study of foot function.
[Mh] Termos MeSH primário: /fisiologia
Hallux Valgus/fisiopatologia
Monitorização Fisiológica/métodos
Pé Cavo/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Fenômenos Biomecânicos
Entropia
Desenho de Equipamento
Feminino
Pé Chato/fisiopatologia
/fisiopatologia
Marcha
Seres Humanos
Masculino
Meia-Idade
Monitorização Fisiológica/instrumentação
Monitorização Fisiológica/estatística & dados numéricos
Pressão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160618
[St] Status:MEDLINE
[do] DOI:10.1007/s11517-016-1532-7


  4 / 8 MEDLINE  
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[PMID]:27980683
[Au] Autor:Langley B; Cramp M; Morrison SC
[Ad] Endereço:Sport and Physical Activity, Edge Hill University, St Helens Road, Lancashire, L39 4QP UK.
[Ti] Título:Clinical measures of static foot posture do not agree.
[So] Source:J Foot Ankle Res;9:45, 2016.
[Is] ISSN:1757-1146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study was to determine the level of agreement between common clinical foot classification measures. METHODS: Static foot assessment was undertaken using the Foot Posture Index (FPI-6), rearfoot angle (RFA), medial longitudinal arch angle (MLAA) and navicular drop (ND) in 30 participants (29 ± 6 years, 1.72 ± 0.08 m, 75 ± 18 kg). The right foot was measured on two occasions by one rater within the same test environment. Agreement between the test sessions was initially determined for each measure using the Weighted Kappa. Agreement between the measures was determined using Fleiss Kappa. RESULTS: Foot classification across the two test occasions was almost perfect for MLAA (Kw = .92) and FPI-6 (Kw = .92), moderate for RFA (Kw = .60) and fair for ND (Kw = .40) for comparison within the measures. Overall agreement between the measures for foot classification was moderate (Kf = .58). CONCLUSION: The findings reported in this study highlight discrepancies between the chosen foot classification measures. The FPI-6 was a reliable multi-planar measure whereas navicular drop emerged as an unreliable measure with only fair agreement across test sessions. The use of this measure for foot assessment is discouraged. The lack of strong consensus between measures for foot classification underpins the need for a consensus on appropriate clinical measures of foot structure.
[Mh] Termos MeSH primário: Antropometria/métodos
/anatomia & histologia
Postura/fisiologia
[Mh] Termos MeSH secundário: Adulto
Pé Chato/diagnóstico
Pé Chato/patologia
Pé Chato/fisiopatologia
/fisiologia
Seres Humanos
Variações Dependentes do Observador
Reprodutibilidade dos Testes
Pé Cavo/diagnóstico
Pé Cavo/patologia
Pé Cavo/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE


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[PMID]:27825708
[Au] Autor:d'Astorg H; Rampal V; Seringe R; Glorion C; Wicart P
[Ad] Endereço:Hôpital Saint-Vincent-de-Paul, université Paris Descartes, AP-HP, 75014 Paris, France; Hôpital Necker-Enfants-Malades, université Paris Descartes, AP-HP, 75015 Paris, France.
[Ti] Título:Is non-operative management of childhood neurologic cavovarus foot effective?
[So] Source:Orthop Traumatol Surg Res;102(8):1087-1091, 2016 Dec.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Neurologic pes cavus is a progressive deformity that is difficult to treat during growth. The present study reports results of non-operative management, based on the pathophysiology of the deformity, by untwisting nocturnal splint, preceded in some cases by untwisting walking cast. The objective was to assess efficacy and impact on indications for surgery. METHOD: Twenty-three children (35 feet) were included. All had neurologic cavovarus foot, which was progressive in 24 feet (69%) (Charcot-Marie-Tooth disease). Mean age at initiation of treatment was 8.8 years. In 13 feet (38%), treatment began with a untwisting walking cast and in 22 (62%) began directly with the splint. RESULTS: Mean follow-up was 4.5 years. Fifteen feet showed very good and 8 good clinical results (65%); 9 children (12 feet) had moderate or poor results, requiring renewed treatment in 11 feet at a mean 4.5 years after initiation of non-operative treatment. Thirteen patients (56.5%, 21 feet) had reached end of growth by last follow-up; 10 of these feet (48%) had good or very good results without surgery. No triple arthrodeses were required. Factors weighing against good outcome comprised young age at treatment initiation and poor compliance with the splint. Primary deformity severity did not affect outcome. CONCLUSION: The present study demonstrated efficacy for non-operative treatment of childhood neurologic cavovarus foot. Surgery was either avoided (in half of the cases followed up to end of growth) or delayed by a mean 4.5 years, allowing a single procedure before end of growth. We recommend initiating non-operative treatment of childhood cavovarus foot, associating untwisting walking cast and untwisting nocturnal splint, as soon as clinical progression is detected and/or Méary angle on lateral X-ray with block reaches 15°. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Moldes Cirúrgicos
Contenções
Pé Cavo/fisiopatologia
Pé Cavo/terapia
[Mh] Termos MeSH secundário: Adolescente
Fatores Etários
Doença de Charcot-Marie-Tooth/complicações
Criança
Pré-Escolar
Progressão da Doença
Feminino
Seguimentos
Marcha/fisiologia
Seres Humanos
Masculino
Cooperação do Paciente
Estudos Retrospectivos
Pé Cavo/etiologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161110
[St] Status:MEDLINE


  6 / 8 MEDLINE  
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[PMID]:27294497
[Au] Autor:Eleswarapu AS; Yamini B; Bielski RJ
[Ti] Título:Evaluating the Cavus Foot.
[So] Source:Pediatr Ann;45(6):e218-22, 2016 Jun 01.
[Is] ISSN:1938-2359
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The cavus foot is a deformity characterized by abnormal elevation of the medial arch of the foot. Unique among foot deformities, cavus typically occurs secondary to a spinal cord or neuromuscular pathology, with two-thirds of patients having an underlying neurologic diagnosis. Thus, recognition of cavus foot and appropriate evaluation are essential in the primary care setting. Patients may present with unstable gait, frequent ankle sprains, or pain along the metatarsal heads or the lateral border of the foot. The diagnosis can be confirmed with a lateral weight-bearing radiograph, with several key measurements defining a pes cavus alignment. A thorough history and physical examination should be performed to look for possible secondary causes. The first step in the treatment of cavus deformity is to address the underlying cause. After that, a variety of treatment options are available to alleviate the pain and dysfunction caused by this deformity. [Pediatr Ann. 2016;45(6):e218-e222.].
[Mh] Termos MeSH primário: Pé Cavo/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Feminino

Seres Humanos
Imagem por Ressonância Magnética
Pé Cavo/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170307
[Lr] Data última revisão:
170307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160614
[St] Status:MEDLINE
[do] DOI:10.3928/00904481-20160426-01


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[PMID]:27095088
[Au] Autor:Schuberth JM; Bowlby MA; Christensen JC
[Ad] Endereço:Chief, Foot and Ankle Surgery, Department of Orthopedic Surgery, Kaiser Foundation Hospital, San Francisco, CA. Electronic address: jmfoot@aol.com.
[Ti] Título:Combined Total Ankle Arthroplasty With Posterior Tibial Tendon Transfer for End-Stage Cavovarus Deformity.
[So] Source:J Foot Ankle Surg;55(4):885-90, 2016 Jul-Aug.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Posterior tibial tendon transfer has been described to reduce and balance the cavovarus deformity in those patients who receive a total ankle replacement for end-stage arthritis. In this article, we discuss the indications and provide a detailed description of the technique for this powerful procedure. Case examples that demonstrate the utility of the procedure are provided.
[Mh] Termos MeSH primário: Articulação do Tornozelo/cirurgia
Artroplastia de Substituição do Tornozelo/métodos
Pé Cavo/cirurgia
Transferência Tendinosa/métodos
[Mh] Termos MeSH secundário: Idoso
Estudos de Coortes
Terapia Combinada/métodos
Feminino
Seguimentos
Deformidades Adquiridas do Pé/diagnóstico por imagem
Deformidades Adquiridas do Pé/cirurgia
Seres Humanos
Masculino
Meia-Idade
Recuperação de Função Fisiológica
Pé Cavo/diagnóstico por imagem
Tíbia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160421
[St] Status:MEDLINE


  8 / 8 MEDLINE  
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[PMID]:26987963
[Au] Autor:Zhang Y; Liu H; Fu C; Ning Y; Zhang J; Zhou L; Li Z; Bai P
[Ad] Endereço:Department of Rehabilitation, Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine, No. 5, Haiyuncang, Dongcheng District, Beijing, 100700, China.
[Ti] Título:The biomechanical effect of acupuncture for poststroke cavovarus foot: study protocol for a randomized controlled pilot trial.
[So] Source:Trials;17(1):146, 2016 Mar 18.
[Is] ISSN:1745-6215
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Poststroke cavovarus foot greatly affects patients' activities of daily life and raises the risks of falls and consequent fractures. Acupuncture appears to be safe and effective in promoting motor functions and enhancing the activities of daily life among patients with poststroke cavovarus foot. The current study aims to study the biomechanical effect of acupuncture for poststroke cavovarus foot with objective outcome measurements. METHODS/DESIGN: This is an assessor and analyst-blinded, randomized, controlled pilot study. A total of 60 eligible patients with poststroke cavovarus foot will be allocated by a 1:1 ratio into an acupuncture treatment group and a control group. Patients in the control group will receive conventional rehabilitation therapies, whereas a combination of acupuncture and conventional rehabilitation therapies will be applied in the acupuncture group. The primary outcome measures are three objective biomechanical parameters from the RSSCAN gait system: varus angle, dynamic plantar pressure distribution, and static plantar contact area. Scores of the Berg Balance Scale, the Fugl-Meyer Assessment, and the Stroke-Specific Quality of Life Scale, as well as other biomechanical parameters such as the step length and width, step time phase, and weight shifting phase will be selected as secondary outcome measurements. All assessments will be conducted at baseline, 4 weeks after the treatment course, and after a follow-up period of 3 months. DISCUSSION: Results of the current study will provide detailed interpretations of the biomechanical effect of acupuncture for stroke rehabilitation and foundations for future larger clinical studies. TRIAL REGISTRATION: Chinese Clinical Trial Registry: ChiCTR-IPC-15006889 (8 August 2015).
[Mh] Termos MeSH primário: Terapia por Acupuntura
/fisiopatologia
Acidente Vascular Cerebral/complicações
Pé Cavo/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Fenômenos Biomecânicos
China
Protocolos Clínicos
Avaliação da Deficiência
Feminino
Marcha
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Qualidade de Vida
Recuperação de Função Fisiológica
Projetos de Pesquisa
Acidente Vascular Cerebral/diagnóstico
Acidente Vascular Cerebral/fisiopatologia
Pé Cavo/diagnóstico
Pé Cavo/etiologia
Pé Cavo/fisiopatologia
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160319
[St] Status:MEDLINE
[do] DOI:10.1186/s13063-016-1264-x



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