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Use of high-resolution, high-frequency diagnostic ultrasound to investigate the pathogenesis of pressure ulcer development.

OBJECTIVES: To investigate the pathogenesis of pressure ulcers utilizing high-resolution ultrasound and to explore the utility of this techn … s (medical students and medical residents). Common pressure ulcer sites were scanned, including the heels, sacrum, and ischial tuberosity. SETTING: A medical center and a long-term-care facility. INTERVENTION: Anatomic sites universally accepted as at risk for pressure ulcer development were scanned using high-resolution ultrasound; the sites did not …

Surgical treatment of common peroneal nerve injuries: indications and results. A series of 62 cases.

AIM: Common peroneal nerve (CPN) injuries represent the most common nerve lesions of the lower limb and can be due to several causative mech … inism of the foot, due to the excessive contracture of the active muscles and the shortening of the heel cord. Therefore the early correction of these forces might favour nerve regeneration. Following such hypothesis, the authors treat irreversible CPN injuries performing a one-stage procedure of nerve repair and tibialis tendon transfer. We report our …

Biomechanical comparison of innovative suture techniques for repair of Achilles tendon rupture in a porcine flexor tendon model.

INTRODUCTION: In recent years, evidence-based progressive rehabilitation protocols following the surgical treatment of Achilles tendon ruptu … es acting on the human Achilles tendon during walking in an ankle foot orthosis (AFO) with a lifted heel are estimated at approximately 200 N, our results indicate resistance within a similar force range for the PARS technique. We hypothesize that this technique may contribute to a reduced risk of rerupture, which should be investigated further. Using …

Tetra-ataxiometric Posturography in Patients with Migrainous Vertigo.

BACKGROUND: Migraine is a common disorder characterized by headache attacks frequently accompanied by vestibular symptoms like dizziness, ve … ce measures vertical pressure fluctuations on 4 independent stable platforms, each placed beneath 2 heels and toe parts of the patient; inputs from these platforms are integrated and processed by a computer digitally. Four separate plates are used and perpendicular pressures of the anterior and posterior feet are measured. Pressure of each force plate …

Ethnomedicinal plants used to treat skin diseases by Tharu community of district Udham Singh Nagar, Uttarakhand, India.

ETHNOPHARMACOLOGICAL RELEVANCE: Tharu community is the largest primitive indigenous community of the Uttarakhand, India. In this article we … eczema (10 spp.), itching (7 spp.), ringworm (5 spp.), burns (4 spp.), leucoderma (4 spp.), cracked heels (2 spp.), dandruff (3 spp.), body infection (2 spp.), chilblains (2 spp.), hair fall (2 spp.) and toes infection (2 spp.). Information on botanical name, family, vernacular name, ailments treated, mode and dose of herbal preparations, UV and FL val …

Oral treatments for fungal infections of the skin of the foot.

BACKGROUND: About 15% of the world population have fungal infections of the feet (tinea pedis or athlete's foot). There are many clinical presentations of tinea pedis, and most commonly, tinea pedis is seen between the toes (interdigital) and on the soles, heels, and sides of the foot (plantar). Plantar tinea pedis is known as moccasin foot. Once acquired, the infection can spread to other sites including the nails, which can be a source of re-infection. Oral therapy is usually used for chronic conditions or when topical treatment has failed. OBJECTIVE: To assess the effects of oral treatment…

Oral treatments for fungal infections of the skin of the foot.

BACKGROUND: About 15% of the world population have fungal infections of the feet (tinea pedis or athlete's foot). There are many clinical presentations of tinea pedis, and most commonly, tinea pedis is seen between the toes (interdigital) and on the soles, heels, and sides of the foot (plantar). Plantar tinea pedis is known as moccasin foot. Once acquired, the infection can spread to other sites including the nails, which can be a source of re-infection. Oral therapy is usually used for chronic conditions or when topical treatment has failed. OBJECTIVES: To assess the effects of oral treatmen…

Serological Screening of Newborns for Toxoplasma Gondii-Specific IgA and IgM Antibodies in Peripheral Blood Collected on Filter-Papers.

UNLABELLED: The strategic approach for preventing congenital toxoplasmosis is strictly related to the incidence of primary T. gondii infecti … for congenital T. gondii infection. Peripheral blood from newborns was collected by a non-invasive heel-stick puncture during the first 3 days of life, absorbed onto Guthrie cards and analysed for anti-T. gondii specific IgM (1996-1998) or both IgA and IgM antibodies (1998-2000) by non-commercial immunocapture ELISAs. When the screening result was pos …

Arthrodesis as an early alternative to nonoperative management of charcot arthropathy of the diabetic foot.

BACKGROUND: This study was performed to evaluate the use of arthrodesis of the tarsal-metatarsal area for the treatment of Eichenholtz stage … motion that was primarily related to loss of plantar flexion. The first metatarsal, great toe, and heel showed the highest peak plantar pressures, with little difference among the groups. CONCLUSIONS: To our knowledge, the present study is the first to demonstrate the potential for early operative treatment to restore anatomical alignment and improve …

Short-Term Effects of Wearing Commercially and Non-commercially Available Motion Control Footwear Versus Standard Shoes on Running Biomechanics in Adults: A Systematic Review with Meta-analysis.

BACKGROUND: There is controversy in the literature with regards to the short-term effects of wearing footwear with motion control features o … commercially available footwear incorporating self-manufactured motion control features (shoes with heel flare or wedge). The main difference between these shoe types is how they control foot pronation. The control condition comprised standard (neutral) shoes. The outcome parameters were lower limb kinematics (e.g., peak rearfoot eversion) and kinetics …

[Treatment of Sanders typeⅡto Ⅲ calcaneal fractures with percutaneous reduction and minimally invasive calcaneal screw fixation].

OBJECTIVE: To investigate clinical effect of percutaneous reduction combined with internal fixation of calcaneal nail in treating Sanders ty … ting for foot deswelling, which could accurately restore normal shape and position of the fractured heel bone, completely eliminate fracture malunion, and reduce postoperative complications. Therefore, it could shorten operation time, hospital stay, fracture healing time, reduce amount of blood loss, promote postoperative recovery, and less complicatio …

[Selection strategy of pedicled axial flaps for repairing high-voltage electric burn wounds in foot and ankle].

Objective: To explore the selection strategy of pedicled axial flaps for repairing high-voltage electric burn wounds in foot and ankle. Meth … e area were repaired with reverse dorsal pedis flaps, 3 wounds in medial ankle area and 2 wounds in heel area were repaired with medial plantar flaps, 2 wounds in anterior plantar area combined with toe area were repaired with reverse medial plantar flaps, 2 wounds in anterior plantar area combined with toe area and 5 wounds in anterior plantar area we …

Assessing rheumatologists' attitudes and utilization of classification criteria for ankylosing spondylitis and axial spondyloarthritis: a global effort.

OBJECTIVES: This study aims to assess rheumatologists' perceptions, utilization patterns, and attitudes towards the modified New York (mNY) … veitis and dactylitis as "very specific" features helping them make the diagnosis of axSpA, whereas heel enthesitis, peripheral inflammatory arthritis, and response to NSAIDs were considered "somewhat specific" by 50% of the responders. Less than half (47%) of the responders used the mNY grading for X-ray of SI joints. In the case of normal X-ray of SI …

Differences in Knee and Hip Adduction and Hip Muscle Activation in Runners With and Without Iliotibial Band Syndrome.

BACKGROUND: Iliotibial band syndrome has been associated with altered hip and knee kinematics in runners. Previous studies have recommended … t 30 minutes. MAIN OUTCOME MEASUREMENTS: Motion capture was reported as peak kinematic values from heel strike to peak knee flexion for hip adduction and knee adduction. Surface electromyography was reported as a percentage of maximal voluntary contraction for the gluteus maximus, gluteus medius and tensor fascia latae muscles. RESULTS: Injured runne …

[Treatment of intra-articular calcaneal fractures using Kirschner's wire or calcaneal plate].

OBJECTIVE: To compare the effect and syndrome of treating intra-articular calcaneal fractures using Kirschner's wire or AO calcaneal plate. … s. The valuating items included: preoperative and postoperative Bohler's angle and Gissane's angle; heel bone height and width (contrast with the opposite side); to judge reposition circs by means of the CT scan and Borden's judgment; function valuation adopting the American Orthopedic Foot & Ankle Society (AOFAS) grade point system. RESULTS: Patients …

Biliary disease after liver transplantation: the experience of the King Faisal Specialist Hospital and Research Center, Riyadh.

BACKGROUND AND AIM: The biliary tract has been referred to as the "Achilles heel" of liver transplantation. The aim of this study was to document the frequency, clinical presentation and management of biliary complications after liver transplantation in the King Faisal Specialist Hospital and Research Center (KFSH&RC), Riyadh, Saudi Arabia. METHODS: The liver transplant clinic at KFSH&RC has registered and followed 220 patients (150 male and 70 female patients; age 40.6 +/- 18.6 years; pediatric 33, adult 187) during the period from 1987 to June 2003. A total of 235 transplants were carried o…

Plantar Pressure Changes and Correlating Risk Factors in Chinese Patients with Type 2 Diabetes: Preliminary 2-year Results of a Prospective Study.

BackgroundPlantar pressure serves as a key factor for predicting ulceration in the feet of diabetes patients. We designed this study to analyze plantar pressure changes and correlating risk factors in Chinese patients with type 2 diabetes.MethodsWe recruited 65 patients with type 2 diabetes. They were invited to participate in the second wave 2 years later. The patients completed identical examinations at the baseline point and 2 years later. We obtained maximum force, maximum pressure, impulse, pressure-time integral, and loading rate values from 10 foot regions. We collected data on six hist

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… IQR: Interquartile range; Toe 1: The hallux; Toe 2–5: The second to the fifth toes; Meta 1–Meta 5: Each of the first to the fifth metatarsal heads; Medial heel: The medial portion of the heel; Lateral heel: The lateral portion of the heel. … Toe 1: The hallux; Toe 2–5: The second to the fifth toes; Meta 1–Meta 5: Each of the first to the fifth metatarsal heads; Medial heel: The medial portion of the heel; Lateral heel: The lateral portion of the heel. …

The Prevalence and Risk Factors of Plantar Fasciitis Amongst the Population of Jazan.

Background Plantar fasciitis develops as a consequence of irritation of the plantar fascia, which is responsible for supporting the arches and absorbing shock. Multiple factors can contribute to plantar fasciitis, but the most common factor is overuse stress. The classical presentation is a sharp pain that is felt at the plantar aponeurosis (near the area of its insertion on the medial process of the calcaneal tuberosity), and it is possible to find a heel spur (osteophyte) in some cases. Most treatments for plantar fasciitis are ineffective and unsatisfactory for patients. Objective To estima…

[Experimental study on three repairing methods for femoral nerve injury after ligation in rats].

OBJECTIVE: To investigate the effects of 3 methods (suture removal, suture removal with epineurium neurolysis, and ligated femoral nerve res … tion with end-end suture in group C. At 3 months after operation, the foot-base angle (FBA) and the heels-tail angle (HTA), action potential and conduction velocity of femoral nerve, and wet weight of quadriceps femoris muscle (QFM) were measured; the samples of quadriceps femoris and femoral nerve were harvested for histological observation, muscle fi …

[Lengthening Osteotomy of the Calcaneus in the Treatment of the Flat Foot in Children - Short-term Results.].

The aim of this communication is to provide both clinical and radiological evaluation of short-term results of the lengthening osteotomy of … 9 %) the condition did not improve. In no patient the complaints were worse. Valgus position of the heel of all patients was corrected after the surgery to the normal. There was no functional limitation of the ankle and subtalar joints in any of the patients. Plantograms changed after the surgery by 2 degrees in 16 feet (52 %), by 1 degree in 13 feet ( …