Achilles Tendon Resting Angle Relates to Tendon Length and Function.

Abstract:

BACKGROUND:Following Achilles tendon rupture, tendon elongation leads to long term deficits in calf function. A surrogate measure of Achilles tendon length, Achilles tendon resting angle (ATRA), has been described but has not been validated against length measured using ultrasound. Therefore, the purpose of this study was to validate the ATRA against ultrasound. Secondarily, this study aimed to identify the relationship of other factors (tendon mechanical properties, heel-rise test performance) to the ATRA. METHODS:Individuals following unilateral Achilles tendon rupture were included. ATRA was measured in knee flexed and extended positions. Tendon elongation was measured using extended field of view ultrasound imaging. Continuous shear wave elastography quantified tendon mechanical properties. The relationship between variables was tested using Spearman's ρ. Subgroup analysis was used to compare subjects with less then or greater than 1 year following rupture. A total of 42 participants (with a mean of 18.2 months following rupture [SD = 35.9]) were included. RESULTS:Tendon elongation related with relative ATRA with knee flexed (ρ = .491, P = .001) and knee extended (ρ = 0.501, P = .001) positions. In individuals greater than 1 year following rupture, relative ATRA with the knee flexed related to shear modulus (ρ = .800, P = .01) and total work on the heel-rise test (ρ = -.782, P = .008) relative to the uninjured side. CONCLUSION:Relative ATRA in both knee flexed and knee extended positions has a moderate relationship to tendon elongation within the first year following rupture. After 1 year, the relative ATRA with knee flexed may be a better indicator of tendon elongation and also related to tendon mechanical properties and heel-rise test performance. LEVEL OF EVIDENCE:Level III, case-control study.

journal_name

Foot Ankle Int

authors

Zellers JA,Carmont MR,Silbernagel KG

doi

10.1177/1071100717742372

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

343-348

issue

3

eissn

1071-1007

issn

1944-7876

journal_volume

39

pub_type

杂志文章
  • Floating-toe deformity as a complication of the Weil osteotomy.

    abstract:BACKGROUND:The Weil osteotomy for treatment of central metatarsalgia is an oblique osteotomy of the metatarsal neck and shaft parallel to the ground that provides controlled shortening of the metatarsal without additional depression. It offers many advantages over more traditional osteotomies, including stability and a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070402500902

    authors: Migues A,Slullitel G,Bilbao F,Carrasco M,Solari G

    更新日期:2004-09-01 00:00:00

  • Walking pattern of midfoot and ankle disarticulation amputees.

    abstract::Measurements of the vertical component of ground reaction force (ORF) and dynamic center of pressure (COP) were recorded for five subjects with midfoot level amputations and six with Syme's ankle disarticulation amputations. All of the subjects underwent amputation surgery as a consequence of peripheral vascular disea...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701801006

    authors: Pinzur MS,Wolf B,Havey RM

    更新日期:1997-10-01 00:00:00

  • The effect of subtalar joint position on dorsiflexion of the ankle/rearfoot versus midfoot/forefoot during gastrocnemius stretching.

    abstract:BACKGROUND:Limited ankle joint dorsiflexion passive range of motion (PROM) has been associated with common chronic lower extremity conditions, and clinicians often instruct patients in stretching exercises to increase dorsiflexion. However, little is known about how subtalar joint (STJ) position affects dorsiflexion at...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1071100713513433

    authors: Johanson MA,DeArment A,Hines K,Riley E,Martin M,Thomas J,Geist K

    更新日期:2014-01-01 00:00:00

  • Isolated dislocation of the middle cuneiform in a farmer: a case report and review of the literature.

    abstract::Isolated dislocations of the middle cuneiform are uncommon. There have been four reported previously. Significant force is required to produce these injuries, and they can have serious neurovascular consequences. In this case report and review of the literature, we present an isolated middle cuneiform dislocation in a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/107110079701801110

    authors: Maitra R,DeGnore LT

    更新日期:1997-11-01 00:00:00

  • Pathologic anatomic variations in subtalar anatomy.

    abstract::Thirteen patients presenting with symptomatic pathologic variations or congenital deformities of the subtalar joint are presented. These variations included: four abnormal posterior talar processes, five patients with asymmetric subtalar joint development, and four congenital complete subtalar coalitions with a second...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800803

    authors: Scranton PE Jr,McDermott JE

    更新日期:1997-08-01 00:00:00

  • Optical plantar pressure analysis following internal fixation for displaced intra-articular os calcis fractures.

    abstract::Using optical pedobarography, the outcome of open reduction and internal fixation of displaced os calcis fractures was assessed. In 12 patients, well reconstructed heel contact widths and no reduction in heel-ground contact times were found. In conjunction with this, patients showed lateral deviation of the plantar pr...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302401108

    authors: Davies MB,Betts RP,Scott IR

    更新日期:2003-11-01 00:00:00

  • The effect of leg length discrepancy on foot loading patterns and contact times.

    abstract::The effect of a simulated leg length discrepancy on foot loading patterns and gait cycle times in normal individuals was investigated. Thirty feet of 15 normal volunteers were evaluated. Leg length discrepancy was simulated using flexible polyurethane soles. As leg length discrepancy increased, the total loading incre...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302400310

    authors: O'Toole GC,Makwana NK,Lunn J,Harty J,Stephens MM

    更新日期:2003-03-01 00:00:00

  • How to reduce the cost of hindfoot fusion.

    abstract::The purpose of this study was to determine whether modification of a surgical practice by using regional anesthesia and local bone grafting would yield the same surgical results as traditional anesthesia and iliac crest bone graft, with a cost reduction. All patients were matched by preoperative disease and were asses...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079801901104

    authors: Luber MJ,Nunley JA

    更新日期:1998-11-01 00:00:00

  • Healing of Achilles tendon, an experimental study: part 2--Histological, immunohistological and ultrasonographic analysis.

    abstract::In 105 rabbits the course of healing was examined at one, two, four, eight and 12 weeks (21 rabbits per group) after an experimental Achilles tendon rupture. The following treatment modalities were compared: A) primary functional treatment; B) operative functional treatment (resorbable suture); and C) operative functi...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202300704

    authors: Thermann H,Frerichs O,Holch M,Biewener A

    更新日期:2002-07-01 00:00:00

  • Comparison of results of retrocalcaneal decompression for retrocalcaneal bursitis and insertional achilles tendinosis with calcific spur.

    abstract::Sixteen feet with retrocalcaneal bursitis (RB) and twenty-two feet with calcific Achilles insertional tendinosis (IAT-CS) underwent retrocalcaneal decompression after failure of nonoperative treatment. Follow-up evaluation at least two years after surgery included AOFAS Ankle-Hindfoot subscale scores, satisfaction, ti...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110070002100802

    authors: Watson AD,Anderson RB,Davis WH

    更新日期:2000-08-01 00:00:00

  • Successes and pitfalls in the healing of neuropathic forefoot ulcerations with the IPOS postoperative shoe.

    abstract::Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800707

    authors: Needleman RL

    更新日期:1997-07-01 00:00:00

  • Sensory thresholds of normal human feet.

    abstract:HYPOTHESES/PURPOSE:Although several studies in the literature have evaluated the abnormal sensory thresholds of diabetic feet to Semmes-Weinstein monofilament testing, there is very limited data on the sensory thresholds of individuals without diabetes or peripheral neuropathy. The purpose of this study was to assess t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070002100609

    authors: Jeng C,Michelson J,Mizel M

    更新日期:2000-06-01 00:00:00

  • Surgical strategies: lateral ligament reconstruction as part of the management of varus ankle deformity with ankle replacement.

    abstract::Improved designs and surgical technique has led to much better mid-term and longer term outcomes than the first generation ankle replacements of the 1970's. However, there remains multiple recent papers discussing the many potential complications with total ankle replacement surgery. As we proceed into the future, one...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.0267

    authors: Coetzee JC

    更新日期:2010-03-01 00:00:00

  • Distal linear osteotomy compared to oblique diaphyseal osteotomy in moderate to severe hallux valgus.

    abstract:BACKGROUND:There are no comparative studies of proximal and distal osteotomy for treatment of moderate to severe hallux valgus. Our purpose was to compare the surgical outcomes of modified proximal Ludloff (oblique diaphyseal) osteotomy with modified distal Bösch (distal linear) osteotomy by a single surgeon in moderat...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0479

    authors: Chiang CC,Lin CF,Tzeng YH,Huang CK,Chen WM,Liu CL

    更新日期:2012-06-01 00:00:00

  • Increased Incidence and Severity of Postoperative Radiographic Hallux Valgus Interphalangeus With Surgical Correction of Hallux Valgus.

    abstract:BACKGROUND:A previous study has shown an increased radiographic prevalence and severity of hallux valgus interphalangeus (HVIP) after surgical correction of hallux valgus (HV) due to correction of pronation deformity. The purpose of this study was to evaluate the change in pre- and postoperative HVIP deformity with cor...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715579905

    authors: Dixon AE,Lee LC,Charlton TP,Thordarson DB

    更新日期:2015-08-01 00:00:00

  • Does Revascularization Prior to Foot and Ankle Surgery Reduce the Incidence of Surgical Site Infection (SSI)?

    abstract:RECOMMENDATION:Several studies support the effect of peripheral vascular disease (PVD) on wound healing and surgical site infection (SSI). Despite this, there have been no specific studies proving the beneficial effect of revascularization on SSI prior to operative intervention in the setting of traumatic or elective f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719859343

    authors: Heidari N,Charalambous A,Kwok I,Vris A,Li Y

    更新日期:2019-07-01 00:00:00

  • Intrachondral microvasculature in the human fetal talus.

    abstract::The intrachondral microvasculature of the growing talus of human was studied in 16 fetuses aged from 15 to 44 weeks of gestation, using interrupted serial sections and vascular injection of ink. The cartilage model of the talus was shown to be well vascularized throughout by cartilage canals. The cartilage canal conta...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800604

    authors: Cheng X,Wang Y,Qu H

    更新日期:1997-06-01 00:00:00

  • Subtalar distraction bone block fusion: an assessment of outcome.

    abstract::Twenty-nine feet in 28 patients who underwent subtalar distraction bone block fusion for the treatment of subtalar deformities associated with symptomatic arthrosis were evaluated. All patients were assessed with the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale score. Eighteen men and 10 wo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701801206

    authors: Bednarz PA,Beals TC,Manoli A 2nd

    更新日期:1997-12-01 00:00:00

  • Dorsomedial cutaneous nerve syndrome: treatment with nerve transection and burial into bone.

    abstract::Damage to the dorsomedial cutaneous nerve of the foot, which innervates the medial hallux, may occur with crush injury or iatrogenically with bunion surgery. Severe neuritic pain after bunion surgery may alert the surgeon that this small nerve has been damaged. The term "dorsomedial cutaneous nerve syndrome" is sugges...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070102200305

    authors: Miller SD

    更新日期:2001-03-01 00:00:00

  • Initial hospital-related cost comparison of total ankle replacement and ankle fusion with hip and knee joint replacement.

    abstract:BACKGROUND:Total hip and knee arthroplasty (THA and TKA) are accessible to patients with end-stage hip and knee arthritis in most health care systems. The availability of total ankle arthroplasty (TAA) to patients with end-stage ankle arthritis is often restricted because of prosthesis cost. Ankle fusion (AF) is often ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714558844

    authors: Younger AS,MacLean S,Daniels TR,Penner MJ,Wing KJ,Dunbar M,Glazebrook M

    更新日期:2015-03-01 00:00:00

  • Health-related quality of life for patients with rheumatoid arthritis foot involvement.

    abstract:HYPOTHESIS:Rheumatoid arthritis is a common disabling form of arthritis that frequently affects the hands and feet. With time, the majority of affected individuals will become disabled. METHODS:Sixty-nine consecutively selected mild to moderately affected individuals with rheumatoid arthritis provided demographic data...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070402500105

    authors: Wickman AM,Pinzur MS,Kadanoff R,Juknelis D

    更新日期:2004-01-01 00:00:00

  • Autogenous bone grafting of hallux sesamoid nonunions.

    abstract::We first performed autogenous bone grafting for lesions of the hallux sesamoid in 1984. During the next 9 years, 21 patients (11 men and 10 women with an average age of 34 and 32 years, respectively) underwent this surgical procedure for symptomatic tibial hallux sesamoid non-unions. Successful bony union was achieved...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800509

    authors: Anderson RB,McBryde AM Jr

    更新日期:1997-05-01 00:00:00

  • Periprosthetic osteolysis after total ankle arthroplasty.

    abstract:BACKGROUND:Periprosthetic osteolysis in total ankle arthroplasty (TAA) is a substantial problem. We report the incidence and characteristics of periprosthetic osteolysis and its association with clinical outcomes after TAA using the HINTEGRA ankle system. METHODS:Between May 2004 and April 2010, 126 primary TAA were p...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713509247

    authors: Yoon HS,Lee J,Choi WJ,Lee JW

    更新日期:2014-01-01 00:00:00

  • Tibiotalocalcaneal Fusion With Antibiotic Cement-Coated Nails for Refractory Deep Infection After Ankle ORIF.

    abstract:BACKGROUND:Deep infection after open reduction internal fixation (ORIF) of ankle fractures represents a challenge to the orthopaedic surgeon, particularly in patients in whom conventional surgical treatments have failed. The aim of this study was to assess the results of a modified technique of tibiotalocalcaneal fusio...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720939884

    authors: Herrera-Pérez M,Díaz-Fernández R,Rendón-Díaz D,Boluda-Mengod J,Pais-Brito JL,Tejero S

    更新日期:2020-11-01 00:00:00

  • Plantar fasciitis: how successful is surgical intervention?

    abstract::Forty-three patients (47 heels) underwent decompression of the nerve to abductor digiti minimi with partial plantar fascia release for intractable plantar fasciitis over a 4-year period. Forty-one patients (45 heels) were available for follow-up. All of the patients had failed to respond to nonoperative treatment. The...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079902001209

    authors: Davies MS,Weiss GA,Saxby TS

    更新日期:1999-12-01 00:00:00

  • Radiographic analysis of wedge allograft correction of angular malalignment in ankle fusion.

    abstract:BACKGROUND:Patients undergoing ankle arthrodesis often have coronal or sagittal plane malalignment. Correction of this deformity can be technically challenging. This retrospective review examines the use of an augmented interposition wedge allograft for deformity correction in ankle arthrodesis. MATERIALS AND METHODS:...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2011.0380

    authors: Kleiber BD,Klein SE,McCormick JJ,Johnson JE

    更新日期:2011-04-01 00:00:00

  • Anatomy of the plantar plate and its attachments in the lesser metatarsal phalangeal joint.

    abstract::The plantar plate is a rarely seen, yet central structure to the lesser metatarsal phalangeal (MP) joint. Thirty cadaver lesser MP joints were studied to obtain a detailed description of the plate, including its dimensions, connections, and histology. The plate was found to be made of fibrocartilage with fiber orienta...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079501600804

    authors: Deland JT,Lee KT,Sobel M,DiCarlo EF

    更新日期:1995-08-01 00:00:00

  • Correlation of 3D Joint Space Width From Weightbearing CT With Outcomes After Intra-articular Calcaneal Fracture.

    abstract:BACKGROUND:Posttraumatic osteoarthritis (PTOA) of the subtalar joint is a serious, disabling, and frequent complication following intra-articular calcaneal fractures (IACFs). Using plain radiographs to assess the subtalar joint for PTOA is imprecise and insensitive, hindering progress toward improving treatment and ass...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720933891

    authors: Day MA,Ho M,Dibbern K,Rao K,An Q,Anderson DD,Marsh JL

    更新日期:2020-09-01 00:00:00

  • Outcomes of proximal chevron osteotomy for moderate versus severe hallux valgus deformities.

    abstract:BACKGROUND:Proximal chevron osteotomy with a distal soft tissue procedure has been widely used to treat moderate to severe hallux valgus deformities. However, there have been no studies comparing the results of proximal chevron osteotomy between patients with moderate and severe hallux valgus. We compared the results o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0637

    authors: Moon JY,Lee KB,Seon JK,Moon ES,Jung ST

    更新日期:2012-08-01 00:00:00

  • The "Giftbox" repair of the Achilles tendon: a modification of the Krackow technique.

    abstract:BACKGROUND:The Krackow locking loop technique has been used for Achilles tendon repair with documented success in allowing early range of motion with stable fixation. Previous studies documented failure at the rupture site by knot failure. We propose a modification of the traditional Krackow technique where the knots o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI-2009-0410

    authors: Labib SA,Rolf R,Dacus R,Hutton WC

    更新日期:2009-05-01 00:00:00