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Limited evidence to support demineralized bone matrix in foot and ankle surgical procedures: A systematic review.

BACKGROUND: Demineralized bone matrix (DBM) is a commonly utilized allogenic bone graft substitute to promote osseous union. However, little is known regarding outcomes following DBM utilization in foot and ankle surgical procedures. AIM: To evaluate the clinical and radiographic outcomes following DBM as a biological adjunct in foot and ankle surgical procedures. METHODS: During May 2023, the PubMed, EMBASE and Cochrane library databases were systematically reviewed to identify clinical studies examining outcomes following DBM for the management of various foot and ankle pathologies. Data r…

[Hallux rigidus: An interpretation of American College of Foot and Ankle Surgeon (ACFAS) clinical consensus statements].

Hallux rigidus is the most common type of foot degenerative arthritis. With the aging of the population and the increasing demand for exercise, its incidence rate continues to rise. In October 2024, the American College of Foot and Ankle Surgeon (ACFAS) published 24 clinical consensus statements in the Journal of Foot & Ankle Surgery. The latest expert opinions are formed around hallux rigidus assessment, classification, conservative treatment, surgical indications, surgical method selection. Combined with the characteristics of Chinese patients and the current clinical situation, this article…

Воздействие множественных склерозов на распределение нагрузки, давление Плантара и диапазон движений на лодыжках у женщин.

Изменения в распределении статического давления на плантаре служат важными показателями походов и нарушений баланса у лиц с множественным склерозом (MS). Кроме того, выявление изменившихся моделей распределения нагрузки на плантар, наряду с ограничением дорсифлексии лодыжки, может служить ранним индикатором посттуральной нестабильности и походной дисфункции у женщин с НР. Цели: Оценка различий в статическом давлении на плантаре, распределении нагрузки и диапазоне движения дорсифлексии на лодыжках между женщинами, у которых диагностированы НР, и женщинами без каких-либо условий. Методы: В перио

Совпадение в аннотации оригинала
Alterations in static plantar pressure distribution serve as important indicators of gait and balance impairments in individuals with Multiple Sclerosis (MS). In addition, the identification of altered patterns of plantar load distribution, along with restricted ankle dorsiflexion, may serve as early markers of postural instability and gait dysfunction in wo…

Treatment of a Brodie's abscess manifesting as persistent pain after a twisting ankle injury: A case report.

INTRODUCTION: Cystic lesions in long bones are the radiological presentation of various bone pathologies, they can easily be misdiagnosed and thus mistreated; treatment varies from observation to aggressive surgical interventions based on the nature and characteristics of the lesion. CASE PRESENTATION: A 25-year-old male had a twisting injury to his ankle and his radiographs showed a cystic lesion in the distal tibia that was asymptomatic until he injured his ankle. he had persistent pain since then. and after conservative methods failure, a two-stage surgical intervention was done; first, we…

Development of a core domain set for ankle osteoarthritis: An international consensus study of patients and health professionals.

OBJECTIVES: To develop an internationally agreed-upon core domain set for ankle osteoarthritis (OA). METHODS: In a three-part Delphi process, a group of multidisciplinary health professionals with expertise in ankle OA and people with ankle OA responded to online questionnaires. The questionnaires proposed a list of 29 candidate domains derived from a systematic review of ankle OA research, and interviews with people with ankle OA and health professionals. Consensus was defined a priori as ≥70% agreement in people with ankle OA and health professionals whether a domain should or should not be…

A case of subcutaneous metastatic malignant melanoma of the left medial ankle: a case report and review of literature.

BACKGROUND: Although rare, melanoma confined to the dermis or subcutaneous tissue without evidence of a primary cutaneous site should provok … ant melanoma. Upon further history taking, it was discovered that he had a nevus of the left medial ankle that was subjected to traumatic removal. He later developed a subcutaneous nodule at the same site. Positron emission tomography scan results supported the histopathologic findings which demonstrated invasive melanoma centered in the subcutaneous ti …

Arthroscopic Modified Broström Repair with Suture-Tape Augmentation of the Calcaneofibular Ligament for Lateral Ankle Instability.

Surgical repair of acute or chronic lateral instability of the ankle may be unsuccessful in the presence of associated anterior fibulotalar ligament (AFTL) and calcaneofibular ligament (CFL) injury. This Technical Note presents an arthroscopic double-row repair technique of the AFTL associated with suture tape augmentation of the CFL. The patient is in the supine position with the ankle hanging over the edge of the surgical table. The anteromedial portal is created inside the anterior tibial tendon, and the anterolateral portal is created under arthroscopic control. The ATFL is released from t…

Adult Tillaux-Chaput tubercle fracture of the ankle with rupture of the peroneus tertius muscle: a case report.

BACKGROUND: Tillaux-Chaput tubercle fractures occur in adolescents, which are often associated with the separation of the distal tibial growth plate. These types of fractures are rare in adults and even rarer when accompanied by a rupture of the peroneus tertius muscle. Given the limited number of reported cases, there is limited clinical awareness, resulting in missed diagnoses and delayed treatment, ultimately affecting ankle function. CASE PRESENTATION: We report a case of an adult patient who experienced a right ankle injury resulting in swelling and pain after a traffic accident. Initial…

Multivariate Analysis of Risk Factors for Injury and Surgical Interventions in Ankle and Knee Injuries in NBA Athletes.

OBJECTIVE: Lower extremity ankle and knee injuries occur at a high rate in the National Basketball Association (NBA) often requiring surgical intervention. This study aimed to identify surgical rates and risk factors for surgical intervention using multivariate analysis in ankle and knee injuries in NBA player. METHODS: Player demographics, performance metrics, advanced statistics, and injury characteristics were recorded using publicly available data. To standardize injury events over multiple years, injury events per 1000 athlete exposure events (AE, one player participating in one game) we…

Reliability and validity assessment of the Brazilian Version of the foot and ankle ability measure for individuals with Achilles tendinopathy.

BACKGROUND: The Brazilian-Portuguese adaptation of the Foot and Ankle Ability Measure (FAAM-Brazil) remains untested and unvalidated in the context of Achilles Tendinopathy (AT). OBJECTIVE: This study aims to validate the FAAM-Brazil specifically for individuals grappling with AT, examining its clinimetric properties: internal consistency, test-retest reliability, and construct validity. METHODS: A cohort of 101 volunteers diagnosed with AT completed assessments including the FAAM-Brazil, Lower Extremity Functional Scale (LEFS-Brazil), and Victorian Institute of Sport Assessment (VISA-A Braz…

Accelerometry for sleep assessment in children: Criterium validity of different algorithms in wrist- and ankle-worn devices.

Polysomnography, the gold-standard for measuring sleep, is costly, intrusive and usually limited to 1 night. Actigraphy offers a more affordable, less intrusive method over multiple nights. However, little research validates ActiGraph accelerometers against polysomnography, especially in children. This study evaluated the validity of different algorithms and compared wrist versus ankle accelerometer placements for estimating sleep in children aged 1-12 years. Twenty-nine children undergoing overnight type 1 polysomnography wore ActiGraph accelerometers. Six algorithms were evaluated against po…

Residual Medial Ankle Pain After the Delayed Union of a Lateral Malleolus Fracture: A Case Report.

A 17-year-old girl sprained her left ankle and was diagnosed with a lateral malleolar fracture. She was treated conservatively for six months but had medial ankle pain with activity. Imaging revealed an oblique lateral malleolar fracture, with posterolateral displacement and partial fusion of the bone fragments, and bone marrow edema on the medial articular surface of the talus and medial malleolus. We diagnosed ankle instability due to delayed union with a displacement of the lateral malleolus, which caused an osteochondral lesion. We performed arthroscopic and open surgery eight months after…

Ankle fracture surgery in patients experiencing homelessness: a national evaluation of one-year rates of reoperation.

OBJECTIVES: To evaluate the impact of homelessness on surgical outcomes following ankle fracture surgery. DESIGN: Retrospective cohort study. SETTING: Mariner claims database. PATIENTS/PARTICIPANTS: Patients older than 18 years who underwent open reduction and internal fixation (ORIF) of ankle fractures between 2010 and 2021. A total of 345,759 patients were included in the study. INTERVENTION: Study patients were divided into two cohorts (homeless and nonhomeless) based on whether their patient record contained International Classification of Disease (ICD)-9 or ICD-10 codes for homelessne…

Effects of attentional focus strategies in drop landing biomechanics of individuals with unilateral functional ankle instability.

BACKGROUND: Functional Ankle Instability (FAI) is a pervasive condition that can emerge following inadequate management of lateral ankle sprains. It is hallmarked by chronic joint instability and a subsequent deterioration in physical performance. The modulation of motor patterns through attentional focus is a well-established concept in the realm of motor learning and performance optimization. However, the precise manner in which attentional focus can rehabilitate or refine movement patterns in individuals with FAI remains to be fully elucidated. OBJECTIVE: The primary aim of this study was …

Multiaxial 3D MRI of the Ankle: Advanced High-Resolution Visualization of Ligaments, Tendons, and Articular Cartilage.

MRI is a valuable tool for diagnosing a broad spectrum of acute and chronic ankle disorders, including ligament tears, tendinopathy, and osteochondral lesions. Traditional two-dimensional (2D) MRI provides a high image signal and contrast of anatomic structures for accurately characterizing articular cartilage, bone marrow, synovium, ligaments, tendons, and nerves. However, 2D MRI limitations are thick slices and fixed slice orientations. In clinical practice, 2D MRI is limited to 2 to 3 mm slice thickness, which can cause blurred contours of oblique structures due to volume averaging effects …

Influence of Change in Echo Intensity of the Pretalar Fat Pad in Young Individuals With Chronic Ankle Instability.

This study aimed to investigate the echo intensity (EI) of the pretalar fat pad (PFP) in young individuals with chronic ankle instability (CAI) and clarify the relationship between changes in the PFP and the clinical characteristics of CAI. Using the Identification of Functional Ankle Instability (IdFAI) scores, 26 limbs of 15 participants were divided into CAI (IdFAI score ≥11, male: eight limbs, female: six limbs, age: 21±1 years) and normal (IdFAI score <11, male: nine limbs, female: three limbs, age: 20±1 years) groups. The EI of the PFP was measured, and the luminosity ratio (LR) to the E…

A rare combination of talar neck fracture (Hawkins 3) and bimalleolar ankle fracture: A case report.

INTRODUCTION: The combination of talar neck fractures with malleolar fractures is a rare. This rare association accounts for 0.3 % of all bone fractures. We describe a one-of-a-kind ankle dislocation with a talar neck fracture and a bimalleolar fracture. CASE PRESENTATION: A 24-year-old male patient presented to the emergency department after a traffic accident. A physical examination revealed swelling and tenderness in the left ankle. The radiograph and the CT scan showed a Hawkins type III comminuted talar neck fracture, with an oblique fracture of the medial malleolus and an infra-syndesmo…

Free vascularized medial femoral condyle periosteal flaps in the ankle and foot region: A narrative review.

OBJECTIVES: The objective of this study was to determine the role and reliability of the free medial femoral condyle (MFC) flap (MFCF) in demanding foot and ankle reconstruction procedures. MATERIALS AND METHODS: A search of the MEDLINE, PubMed, and Embase electronic databases was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines between January 2008 and September 2023. Articles concerning free MFC bone flaps for reconstruction of the foot and ankle regions were included. Outcomes of interest included flap failure, complications,…

The Accuracy and Reliability of Automated Oscillometric Measurement of Ankle-Brachial Index in the Diagnosis of Peripheral Artery Disease.

BACKGROUND: Comparing the accuracy and reliability of ankle-brachial index (ABI) measured by an oscillometric device with the Doppler method in peripheral arterial disease (PAD). METHODS: 122 patients admitted to the department of interventional radiology with PAD were studied. ABI was measured with the 2 methods in random order. After excluding the inconclusive results, Doppler ABIs were compared with the oscillometric ABIs in each limb, the reliability was evaluated by intraclass correlation coefficient (ICC), and the accuracy and consistency were assessed by receiver operating characterist…

Development and Intertester Reliability of a Novel Device to Measure Nonweightbearing Ankle Joint Dorsiflexion Range of Motion.

BACKGROUND: Ankle joint dorsiflexion range of motion is essential to normal gait. Ankle equinus has been implicated in a number of foot and ankle pathologies included Achilles tendonitis, plantar fasciitis, ankle injury, forefoot pain, and foot ulceration. Reliable measurement of ankle joint dorsiflexion range of motion, both clinically and in a research setting, is important. METHODS: The primary aim of this study was to investigate the intertester reliability of an innovative device for measuring ankle joint dorsiflexion range of motion. A total of 31 (n = 31) participants volunteered to ta…