Base de dados : MEDLINE
Pesquisa : C05.330.711 [Categoria DeCS]
Referências encontradas : 6 [refinar]
Mostrando: 1 .. 6   no formato [Detalhado]

página 1 de 1

  1 / 6 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28850200
[Au] Autor:Najdi H; Mouarbes D; Makhour F; Dimassi A; Jawish R
[Ti] Título:FOREFOOT ADDUCTION IN CHILDREN. Management and Treatment.
[So] Source:J Med Liban;64(3):134-41, 2016 Jul-Sep.
[Is] ISSN:0023-9852
[Cp] País de publicação:Lebanon
[La] Idioma:eng
[Ab] Resumo:Forefoot adduction is a common condition between metatarsus adductus, Z-shaped foot and residual clubfoot. This deformity is located in a pure transverse plane at Lisfranc's joint. Isolated metatarsus adductus is corrected spontaneously for the majority of newborns. In rare uncorrected cases, it could result in Z-shaped foot with a functional hindfoot valgus to equilibrate the resistant metatarsus adductus. As well, in residual clubfoot, recurrent metatarsus adductus varus is observed, usually in children over three years. In flexible metatarsus adductus the treatment is conservative. The surgery is proposed in toddlers and after failure of conservative treatment. Procedures carried out on metatarsals gave good results on short term, but showed a high rate of recurrence and growth disturbance. Osteotomies proximal to the Lisfranc's joint: calcaneo-cuboid fusion, anterior resection of calcaneus, and opening wedge osteotomy of medial cuneiform, gave permanent correction but they act only on one of the sides of deformity. Therefore, the theory of elongated lateral column associated with a shortened medial column is crucial in dealing with this deformity: combining opening wedge osteotomy of cuneiform with closing wedge osteotomy of cuboid described by Jawish et al. in children over 4 years allows ­ in all causes of metatarsus adductus stiffness ­ a lateral shifting of forefoot. Concerning the associated heel's valgus, it is corrected in Z-shaped foot after the associated heel's valgus, it is corrected in Z-shaped foot after the double osteotomy cuneiform/cuboid. However, in complicated treated clubfoot a particular treatment for the posterior tarsal is necessary.
[Mh] Termos MeSH primário: Metatarso Varo/terapia
[Mh] Termos MeSH secundário: Criança
Órtoses do Pé
Seres Humanos
Metatarso Varo/diagnóstico por imagem
Procedimentos Ortopédicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE


  2 / 6 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27489969
[Au] Autor:Gordillo-Fernández LM; Ortiz-Romero M; Macías JL; Valero-Salas J; Álvarez-Pérez J; Fernández-Garzón Á
[Ti] Título:Surgical Reconstruction of the Forefoot with Hallux Valgus Associated with Metatarsus Adductus.
[So] Source:J Am Podiatr Med Assoc;106(4):289-93, 2016 Jul.
[Is] ISSN:1930-8264
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the second metatarsal that occupies the first intermetatarsal space. We report the case of a 49-year-old man who underwent a scarf osteotomy in the first metatarsal, shortening and abductor oblique distal osteotomies of the lesser metatarsals, and arthrodesis of the central toes with Z-lengthening of the capsule and long extensor tendons of the toes.
[Mh] Termos MeSH primário: Antepé Humano/cirurgia
Hallux Valgus/cirurgia
Metatarso Varo/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Seguimentos
Antepé Humano/diagnóstico por imagem
Hallux Valgus/complicações
Hallux Valgus/diagnóstico por imagem
Seres Humanos
Masculino
Metatarso Varo/complicações
Metatarso Varo/diagnóstico por imagem
Meia-Idade
Osteotomia/métodos
Medição de Risco
Tomografia Computadorizada por Raios X/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160805
[St] Status:MEDLINE
[do] DOI:10.7547/15-151


  3 / 6 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27470689
[Au] Autor:Sielatycki JA; Hennrikus WL; Swenson RD; Fanelli MG; Reighard CJ; Hamp JA
[Ad] Endereço:Department of Orthopaedics, Penn State College of Medicine, Hershey, PA.
[Ti] Título:In-Toeing Is Often a Primary Care Orthopedic Condition.
[So] Source:J Pediatr;177:297-301, 2016 Oct.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate in-toeing consults to a pediatric orthopedic clinic to determine the proportion that could be managed by a primary care physician. STUDY DESIGN: A prospective registry was created for 143 consecutive children referred to a pediatric orthopedic clinic for "in-toeing." Each patient underwent a careful history and physical examination, which included a rotational profile. We recorded the final diagnosis, treatment offered, follow-up visit results, and the source of the referral. RESULTS: After pediatric orthopedic evaluation, 85% of patients had a confirmed diagnosis of in-toeing, and 15% had a different final diagnosis. Seventy-four percent of patients had 1 consultation visit, 18% had 2, and 8% had >2 visits. None of the referred patients was a candidate for treatment by casting or surgery. CONCLUSION: In most cases, in-toeing is a normal variation of development that can be managed by counseling and observation by the primary care physician alone. Rare cases of severe in-toeing >2 standard deviations from the mean should likely still prompt referral to a pediatric orthopedic surgeon for potential intervention.
[Mh] Termos MeSH primário: Metatarso Varo/terapia
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Ortopedia
Pediatria
Estudos Prospectivos
Sistema de Registros
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE


  4 / 6 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27066870
[Au] Autor:Wamelink KE; Marcoux JT; Walrath SM
[Ad] Endereço:Resident, Foot and Ankle Reconstruction, Steward St. Elizabeth's Medical Center, Brighton, MA. Electronic address: Kyle.wamelink@gmail.com.
[Ti] Título:Rare Proximal Diaphyseal Stress Fractures of the Fifth Metatarsal Associated With Metatarsus Adductus.
[So] Source:J Foot Ankle Surg;55(4):788-93, 2016 Jul-Aug.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Before the report of English surgeon Robert Jones, who sustained a fracture to his fifth metatarsal while dancing around a tent pole, metatarsal fractures were thought to be the result of direct trauma to the foot. The mechanism of metatarsal fractures, in particular, those involving the fifth metatarsal, is now well understood. Patients with an adducted alignment of their forefoot can overload the fifth metatarsal base, putting them at an increased risk of fractures of this bone. Studies have reported that 2 distinct types of proximal diaphyseal or junctional fractures of the fifth metatarsal occur: the acute proximal diaphyseal or transverse proximal diaphyseal fracture and the proximal diaphyseal stress fracture. The radiographic characteristics associated with proximal diaphyseal stress fractures of the fifth metatarsal can vary by the chronicity; however, the findings typically entail a radiolucent fracture line with surrounding reactive sclerosis. In addition, a reduced medullary canal width can be appreciated. In the present retrospective analysis of patients with stress-related trauma to the fifth metatarsal base with an adducted forefoot, 2012 foot trauma cases were reviewed at 3 separate institutions. Of the 2012 cases, 22 (1.11%) met the outlined criteria of stress fractures of the fifth metatarsal base and underlying metatarsus adductus.
[Mh] Termos MeSH primário: Fraturas de Estresse/diagnóstico por imagem
Fraturas de Estresse/etiologia
Ossos do Metatarso/diagnóstico por imagem
Ossos do Metatarso/lesões
Metatarso Varo/complicações
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos de Coortes
Diáfises/diagnóstico por imagem
Diáfises/lesões
Feminino
Seres Humanos
Masculino
Metatarso Varo/diagnóstico por imagem
Meia-Idade
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160413
[St] Status:MEDLINE


  5 / 6 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26057072
[Au] Autor:Feng L; Sussman M
[Ad] Endereço:*Xiamen Women and Children's Hospital, Xiamen, Fujian Province, P.R. China †Shriners Hospitals for Children, Portland, OR.
[Ti] Título:Combined Medial Cuneiform Osteotomy and Multiple Metatarsal Osteotomies For Correction of Persistent Metatarsus Adductus in Children.
[So] Source:J Pediatr Orthop;36(7):730-5, 2016 Oct-Nov.
[Is] ISSN:1539-2570
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Metatarsus adductus may occur in children after otherwise successful clubfoot treatment or may be an isolated deformity. There are various bony procedures currently in use for treatment of this problem. The purpose of this study was to review our experience with medial cuneiform opening-wedge osteotomy along with transmetatarsal osteotomy through the base of the second to fifth for treatment of the forefoot adductus in children. METHODS: From 1992 to 2008, we found 16 patients, 25 feet who underwent the procedure by a single surgeon (MDS) at the Shriners Hospitals for Children in Portland. All preoperative and postoperative radiographs were measured and analyzed and all clinic notes were reviewed. RESULTS: Major improvements were seen in the configuration of the foot. Significant differences were found between preoperative and postoperative anteroposterior standing radiographs by measuring the talo-first metatarsal angle, the talo-calcaneal angle, the calcaneal-second metatarsal angle, and the calcaneal-fifth metatarsal angle (P<0.005). On the lateral view the talo-first metatarsal, the talo-calcaneal, the tibio-talar, the tibio-calcaneal, and the pitch angle did not show any change. An unexpected finding was that after the surgery, the lateral subluxation of talo-navicular joint was partially corrected. CONCLUSIONS: This retrospective study suggests that combined medial cuneiform opening-wedge osteotomy with transmetatarsal osteotomy through the base of second to fifth can effectively correct this deformity regardless of the underlying cause. In our cases, we achieved good clinical and radiographic results. We have used this procedure for patients 6 years and older who have moderate to severe forefoot adductus. LEVEL OF EVIDENCE: Level IV-therapeutic studies.
[Mh] Termos MeSH primário: Ossos do Metatarso
Metatarso Varo
Osteotomia
[Mh] Termos MeSH secundário: Criança
Feminino
Pé Chato/diagnóstico
Pé Chato/etiologia
Seguimentos
Seres Humanos
Luxações Articulares/diagnóstico
Luxações Articulares/etiologia
Masculino
Ossos do Metatarso/diagnóstico por imagem
Ossos do Metatarso/cirurgia
Metatarso Varo/diagnóstico
Metatarso Varo/etiologia
Metatarso Varo/cirurgia
Osteotomia/efeitos adversos
Osteotomia/métodos
Período Pós-Operatório
Postura
Radiografia/métodos
Estudos Retrospectivos
Ossos do Tarso/diagnóstico por imagem
Ossos do Tarso/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150610
[St] Status:MEDLINE
[do] DOI:10.1097/BPO.0000000000000559


  6 / 6 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26751751
[Au] Autor:Kokoszka P; Markuszewski J; Lapaj L; Kruczynski J
[Ad] Endereço:Department of General Orthopedics, Musculoskeletal Oncology and Trauma Surgery, Poznan University of Medical Sciences, Poland.
[Ti] Título:Knee Function and Subjective Stability Following Total Condylar Arthroplasty in Joints with Preoperative Varus or Valgus Deformity.
[So] Source:Ortop Traumatol Rehabil;17(5):513-22, 2015 Oct.
[Is] ISSN:2084-4336
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Total knee arthroplasty in joints with valgus or varus deformity is technically demanding. Careful soft tissue balance as well as restitution of anatomical knee axis has a profound effect on postoperative function of the joint, however little is known about differences in subjective stability following surgery between preoperative valgus and varus knees. MATERIAL AND METHODS: Studied group consisted of 60 patients who underwent total condylar knee arthroplasty with one type of implant (Stryker Triathlon). Mean follow-up was 2,9 years (1-6 years). The group included 25 patients with valgus and 35 patients with varus preoperative deformity. All patients filled Knee Injury and Osteoarthritis Outcome Score (KOOS) forms. Detailed clinical and radiological assessment was performed. RESULTS: Mean KOOS score was slightly higher in patients with varus deformity, as compared to cases with valgus deformity. At physical examination higher LCL deficiency rate was observed in varus knees. Subjective instability was reported by eight patients (5 valgus and 3 varus). In all cases instability coexisted with decreased MCL tightness and implant position was correct in those patients. No subjective instability was reported by patients with clinical LCL deficiency. Furthermore KOOS scores in these patients were higher (85,8) as compared to cases with decreased MCL tension (79,1). CONCLUSIONS: 1. In patients with proper implant alignment subjective instability is related to postoperative MCL deficiency, regardless preoperative deformity in coronal plane. 2. The post-op LCL laxity does not compromise subjective stability, nor influence subjective outcome, as demonstrated with KOOS scores.
[Mh] Termos MeSH primário: Artroplastia do Joelho/efeitos adversos
Artroplastia do Joelho/métodos
Mau Alinhamento Ósseo/complicações
Articulação do Joelho/fisiopatologia
Metatarso Varo/complicações
Osteoartrite do Joelho/fisiopatologia
Osteoartrite do Joelho/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Prótese do Joelho
Masculino
Meia-Idade
Amplitude de Movimento Articular
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170221
[Lr] Data última revisão:
170221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160112
[St] Status:MEDLINE
[do] DOI:10.5604/15093492.1186829



página 1 de 1
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde