Abstract:
BACKGROUND:Metatarsalgia is frequently associated with hallux valgus. The aim of this study was to evaluate how the relative length and position of the first metatarsal head influenced metatarsalgia and plantar callosities beneath the lesser metatarsal heads. METHODS:A retrospective analysis of the clinical data and radiographs of 102 cases was performed at a mean follow-up of 16 months after biplane interlocking osteotomies. Clinical evaluation was made using the Japanese Society for Surgery of the Foot (JSSF) hallux scale. Radiologic evaluation was made with standard weight-bearing anteroposterior radiographs, and the hallux valgus angle (HVA), intermetatarsal 1-2 angle (IMA), distal metatarsal articular angulation (DMAA), and the sesamoid position were evaluated. Relative first metatarsal length (RML) was determined according to Nilsonne/Morton's technique. RESULTS:The mean preoperative HVA decreased from 37 to 3 degrees, and the mean IMA from 17 to 4 degrees. The mean JSSF-hallux score improved from 56 to 96 points. The mean preoperative area of plantar callosities decreased from 3.1 to 1.5 mm(2). Sixty percent of metatarsalgia cases improved, and 85% of painless callosities disappeared postoperatively. Among radiologic parameters, postoperative RML was most significantly associated with JSSF score (P < .0001) and the presence of postoperative metatarsalgia (P < .0001). Receiver operating characteristic analysis revealed that the RML cut-off point was -3 mm for avoiding metatarsalgia, with an area under the curve of 0.88, a specificity of 88%, and a sensitivity of 85%. CONCLUSION:Preservation of relative first metatarsal length during first metatarsal osteotomy was important to prevent postoperative metatarsalgia. LEVEL OF EVIDENCE:Level IV, retrospective case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Nakagawa S,Fukushi J,Nakagawa T,Mizu-Uchi H,Iwamoto Ydoi
10.1177/1071100716634792subject
Has Abstractpub_date
2016-06-01 00:00:00pages
582-8issue
6eissn
1071-1007issn
1944-7876pii
1071100716634792journal_volume
37pub_type
杂志文章abstract:BACKGROUND:Recently, peripheral nerve blocks have increasingly been used in orthopedic surgery. The foot block is an alternative for anesthesia in cases of forefoot and midfoot operations. We propose a modification of the block technique due to potential difficulties concerning the tibial nerve. MATERIALS AND METHODS:...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.3113/FAI.2010.0619
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Nonanatomic tenodesis reconstruction procedures have been used for lateral ankle ligament reconstruction. However, there has been no comparison of Watson-Jones, Evans, and Chrisman-Snook procedures with respect to biomechanical characteristics such as kinematics, ligaments and grafts stresses using finite el...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.1000
更新日期:2011-10-01 00:00:00
abstract::Tarsal coalition is a bridging between the tarsal bones of the foot. The bridge may be composed of bone, cartilage, fibrous tissue, or a combination of these. When symptomatic, patients usually present with hindfoot pain and frequent sprains as children, adolescents, or young adults. The classical appearance is a rigi...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079601700509
更新日期:1996-05-01 00:00:00
abstract:BACKGROUND:Joint-preserving, realignment surgical procedures have gained increasing popularity as treatment of asymmetric early- and mid-stage ankle osteoarthritis. The aim of the present study was to quantify bilateral gait biomechanics in patients who underwent ankle realignment surgery by supramalleolar osteotomies....
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715577371
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Understanding the plantar nerve anatomy is crucial for safe endoscopic surgery of the sole. We aimed to anatomically dissect the lateral aspect and soles of cadaveric feet to investigate the safety of peroneus longus tendoscopy with a plantar lateral portal and the safe zones for plantar portals. METHODS:We...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715607964
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Little has been reported about the biologic effect of shock waves on human normal or pathologic tendon tissue. We hypothesized that inflammatory cytokine and MMP production would be down-regulated by shock wave stimulation. MATERIALS AND METHODS:Diseased Achilles tendon tissue and healthy flexor hallucis lo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0093
更新日期:2009-02-01 00:00:00
abstract::Heel cord advancement has been advocated for treatment of spastic equinus deformity. Transferring the gastrosoleus anteriorly weakens it by changing the lever arm rather than the resting length. A retrospective review of 90 children with 122 limbs undergoing heel cord advancement revealed 11% excellent, 53% good, and ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401501003
更新日期:1994-10-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the incidence and morphologic characteristics of osteochondral lesions of the distal tibial plafond (OLTP) by location and morphologic characteristics on MRI. MATERIAL AND METHODS:We assigned 9 zones to the distal tibial plafond articular surface in an equal 3 x 3 grid ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0524
更新日期:2009-06-01 00:00:00
abstract::Bilateral symmetrical Achilles tendon ossification is presented, with a fracture on one side. A 57 year old male patient was conservatively treated for bilateral clubfeet in his childhood. Part of his Achilles tendons were replaced by ectopic bony mass and on the left it fractured without any trauma. The fracture was ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101206
更新日期:2000-12-01 00:00:00
abstract::Angioleiomyomas are relatively rare, benign, vascular soft tissue tumors with a predilection for the lower extremity. They may occur in either the cutaneous or subcutaneous tissue and are usually well encapsulated. Erosion of adjacent bone due to secondary compression phenomenon has rarely been reported in the literat...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200810
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:The distal attachment of the flexor hallucis longus (FHL) tendon with the flexor digitorum longus (FDL) tendon varies antomically. The presence of a strong link between the two tendons can preserve distal function if one of the tendons is used for transfer. METHODS:Twenty-four cadaver legs were dissected, a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700708
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Bunionette deformity is characterized as head hypertrophy, lateral bowing, or splaying of the fifth metatarsal, or a combination of these deformities. Most previous studies have focused on the fourth and fifth metatarsals; few have analyzed the radiographic morphologic characteristics of the entire foot. The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715614923
更新日期:2016-03-01 00:00:00
abstract::We report the a case of Nora's lesion (Bizarre Parosteal Osteochondromatous Proliferation) of the sesamoid. A 32-year-old woman presented with a painless, enlarging mass of two years duration on the plantar aspect of the first metatarsophalangeal joint of the left foot. Radiographs, Computerized Tomographs and Magneti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100509
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:The surgical management of brachymetatarsia remains controversial, and choice is based on potential complications. We report a classification of complications based on severity, and we hypothesized that use of a semicircular external fixator would minimize severe complications in lateral metatarsal lengtheni...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715593373
更新日期:2015-11-01 00:00:00
abstract::The records of 104 patients who underwent reconstructive foot and ankle surgery for deformities secondary to rheumatoid arthritis were reviewed. The use of rheumatoid chemotherapeutic agents, age, sex, rheumatoid nodule status, and the number of concurrent surgical procedures performed was analyzed to determine any as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400106
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:We investigated a previously reported technique for the repair of acute Achilles tendon ruptures using the percutaneous Achillon suture system (Intega Life Sciences Corporation, Plainsboro, NJ). METHODS:Twenty-five patients with Achilles tendon ruptures were studied prospectively with a minimum of 12 months...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700204
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:The modified Broström procedure is commonly used for anatomic repair of chronic lateral ankle instability. However, no studies have compared outcomes of gender-based differences after the modified Broström procedure. We compared outcomes of the modified Broström procedure in men and women. METHODS:A total o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715603372
更新日期:2016-01-01 00:00:00
abstract::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900703
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Arthroscopic arthrodesis has been used mainly for in situ fusion of arthritic ankles without deformity. This paper presents the application of arthroscopic arthrodesis of ankles with marked deformity. METHODS:The results of 78 consecutive cases of arthroscopic ankle arthrodeses, performed in 74 patients, we...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0695
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:The training of elite infantry recruits takes a year or more. Stress fractures are known to be endemic in their basic training and the clinical presentation of tibial, femoral, and metatarsal stress fractures are different. Stress fracture incidence during the subsequent progressively more demanding training...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0016
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to establish the range of anatomic variations of the first metatarsal bone, including both the angulations of the articular surfaces and the dimensions of the bone in a large sample. METHODS:Four hundred and seventy-eight first metatarsal bones of 239 cadaver specimens were stu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701208
更新日期:2006-12-01 00:00:00
abstract::A sprain to the tibial-fibular syndesmosis often results in prolonged rehabilitation or surgical intervention before recovery occurs. This paper documents gait recovery both before and after surgery for a syndesmosis sprain. Ground reaction force (GRF) data were available before injury and before surgery. Data were al...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601014
更新日期:1995-10-01 00:00:00
abstract::The purpose of this study is to report our experience with the Vacuum Assisted Closure (VAC) negative pressure technique in patients with non-healing wounds of the foot, ankle, and lower limb. We retrospectively reviewed 17 patients with non-healing wounds of the lower extremity who underwent treatment using the Vacuu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202301002
更新日期:2002-10-01 00:00:00
abstract::A case of Pacinian hyperplasia of the right great toe is reported. Pacinian hyperplasia is a rare benign and recently recognized painful lesion composed of an excess of well formed or hyperplastic Pacinian corpuscules, normaly involved in sensory innervation. This lesion that is usually observed in the hand, must be d...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200413
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Insufficiency fractures occur in bones with low elastic resistance. In contrast to stress fractures, which affect normal bones and have been extensively studied, insufficiency fractures of the foot and ankle have been the subject of little research. The objective of this study was to identify risk factors as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720969654
更新日期:2020-11-17 00:00:00
abstract::Achilles tendinosis is a degenerative overuse tendinopathy involving the primary ankle plantarflexors, namely the soleus and gastrocnemius muscles forming the tendo Achilles. The Orthopaedic Research Institute-Ankle Strength Testing System (ORI-ASTS) was designed to record objective measurements of force generated wit...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110070202300206
更新日期:2002-02-01 00:00:00
abstract::Dorsal dislocation of the first metatarsophalangeal joint without a fracture is a rare injury, although it has been well described in the literature. The pathologic anatomy of the case presented has not been documented previously. We suggest a new method of open repair using a sling procedure. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600204
更新日期:1995-02-01 00:00:00
abstract:BACKGROUND::The current work sought to quantify pronation of the first metatarsal relative to the second metatarsal and of the proximal phalanx of the great toe relative to the first metatarsal. METHODS::Three-dimensional models were reconstructed from weightbearing computed tomography (CT) images (10 hallux valgus, 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718793391
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The presence of metatarsus adductus can complicate hallux valgus surgery. It reduces the gap between the first and second metatarsal and can restrict the transposition of the first metatarsal head. It also confounds the measurement of the first second intermetatarsal angle. MATERIALS AND METHODS:Twenty-seve...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0220
更新日期:2010-03-01 00:00:00
abstract::The use of locking plate technology in foot and ankle surgery has increased over the last decade. Reported applications include fracture repair, deformity correction, and arthrodesis. There is limited evidence, however, to guide clinicians with regard to the appropriate and optimal use of this technology. This work ai...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100714523274
更新日期:2014-05-01 00:00:00