scholarly journals Comparison of Early Outcome of Weil Osteotomy and Distal Metatarsal Mini-Invasive Osteotomy for Lesser Toe Metatarsalgia

2016 ◽  
Vol 24 (3) ◽  
pp. 350-353 ◽  
Author(s):  
Nicholas Eng Meng Yeo ◽  
Bryan Loh ◽  
Jerry YongQiang Chen ◽  
Andy Khye Soon Yew ◽  
Sean YC Ng
Keyword(s):  
Range Of Motion ◽  
Visual Analogue Score ◽  
Bone Union ◽  
Foot And Ankle ◽  
Early Outcome ◽  
Post Surgery ◽  
Joint Range Of Motion ◽  
American Orthopaedic ◽  
Joint Range ◽  
Mtp Joints

Purpose To compare the 6-month outcome of Weil osteotomy with distal metatarsal mini-invasive osteotomy (DMMO) in 33 patients with lesser toe metatarsalgia. Methods Records of 33 patients who underwent Weil osteotomy (n=20, 41 toes) or DMMO (n=13, 22 toes) for lesser toe metatarsalgia by a single surgeon were reviewed. 25 of them had a concurrent procedure on the 1st toe. Outcome at 6 months was assessed using the visual analogue score (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal (MTP-IP) score, and the RAND-36 score. Results The 2 groups were comparable in terms of age, gender, and preoperative MTP joint range of motion (ROM), VAS for pain, AOFAS lesser toe MTP-IP score, and RAND-36 scores. At 6 months, the Weil osteotomy group had a higher RAND-36 (mental) score (92 vs. 78, p=0.026), and the DMMO group had a higher percentage of toes with greater MTP joint ROM (p=0.043). All patients achieved bone union within 6 months. Two patients in the DMMO group had prolonged oedema until 3 months post-surgery. Conclusion DMMO is a safe and reliable alternative to Weil osteotomy for metatarsalgia and can preserve ROM of the MTP joints.

Steroid-Induced Avascular Necrosis in the Foot and Ankle—Pathophysiology, Surgical, and Nonsurgical Therapies: Case Study and Literature Review

2021 ◽  
pp. 193864002110173
Author(s):  
Shirley Chen ◽  
Amber Kavanagh ◽  
Caitlin Zarick
Keyword(s):  
Range Of Motion ◽  
Avascular Necrosis ◽  
Treatment Options ◽  
Foot And Ankle ◽  
Joint Range Of Motion ◽  
Surgical Options ◽  
Conservative And Surgical Treatment ◽  
Joint Range ◽  
Patient Presentation

Steroid-induced avascular necrosis (AVN) of the lower extremity is a destructive process of the bone found in patients who have been treated with these medications for a variety of medical conditions. There are several proposed etiologies for development of this condition, however much debate still remains for the exact pathophysiology. The main clinical characteristics include edema, arthralgias, and restricted joint range of motion. Diagnostic imaging is a key aspect in the analysis of this pathologic process. When steroid-induced AVN affects multiple bones, this atypical presentation is difficult to treat due to its diffuse nature, therefore surgical options are limited. In these cases, conservative therapy is targeted toward pain relief and preserving joint range of motion. This review aims to provide an overview on the presentation of steroid-induced AVN in the foot and ankle, outline the pathophysiology of the process, and describe a variety of both conservative and surgical treatment options. A case study is provided to showcase a patient presentation of diffuse steroid-induced AVN of the foot and ankle and their course of treatment. Levels of Evidence: Level V: Expert opinion

scholarly journals Prevalence and Distribution of Ankle Joint Equinus in 249 Consecutive Patients Attending a Foot and Ankle Specialty Clinic

10.7547/18-18 ◽  
2021 ◽  
Vol 111 (2) ◽  
Author(s):  
Patrick A. DeHeer ◽  
Sarah N. Standish ◽  
Kyle J. Kirchner ◽  
Adam E. Fleischer
Keyword(s):  
Achilles Tendon ◽  
Range Of Motion ◽  
Ankle Joint ◽  
Achilles Tendon Rupture ◽  
Foot And Ankle ◽  
Joint Range Of Motion ◽  
Posterior Group ◽  
Patients With Diabetes ◽  
Few Data ◽  
Joint Range

Background The definition of equinus varies from less than 0° to less than 25° of dorsiflexion with the foot at 90° to the leg. Despite its pervasive nature and broad association with many lower-extremity conditions, the prevalence of ankle equinus is unclear. Furthermore, there are few data to suggest whether equinus is predominantly a bilateral finding or isolated to the affected limb only. Methods We conducted a prospective cohort study examining consecutive patients attending a single foot and ankle specialty practice. Participation involved an assessment of ankle joint range of motion by a single rater with more than 25 years of clinical experience. We defined ankle equinus as ankle joint dorsiflexion range of motion less than or equal to 0° and severe equinus as less than or equal to –5°. Patients who had previously experienced an Achilles tendon rupture, undergone posterior group lengthening (ie, Achilles tendon or gastrocnemius muscle lengthening), or had conservative or surgical treatment of equinus previously were excluded. Results Of 249 included patients, 61% were female and 79% nondiabetic. The prevalence of ankle equinus was 73% [183 of 249], and nearly all of these patients had bilateral restriction of ankle joint range of motion (prevalence of bilateral ankle equinus was 98.4% [180 of 183] among those with equinus). We also found that ankle equinus was more common in patients with diabetes, higher body mass indexes (BMIs), or overuse symptoms. Conclusions The prevalence of ankle equinus in this sample was higher than previously reported, and nearly all of these patients had bilateral involvement. These data suggest that many people attending foot/ankle specialty clinics will have ankle equinus, and select groups (diabetes, increased BMI, overuse symptoms) are increasingly likely.

scholarly journals Improvement of the Knee Joint Range of Motion after High Tibial Osteotomy.

1993 ◽  
Vol 42 (2) ◽  
pp. 635-638
Author(s):  
Takeshi Arizono ◽  
Hideya Kawamura ◽  
Tomotaro Yamaguchi ◽  
Hiromasa Miura ◽  
Katsusada Honda ◽  
...  
Keyword(s):  
Knee Joint ◽  
Range Of Motion ◽  
High Tibial Osteotomy ◽  
Tibial Osteotomy ◽  
Joint Range Of Motion ◽  
Joint Range

Joint Range-of-Motion Assessment

2005 ◽  
Vol 10 (1) ◽  
pp. 42-43
Author(s):  
Robert D. Kersey
Keyword(s):  
Range Of Motion ◽  
Joint Range Of Motion ◽  
Joint Range ◽  
Motion Assessment
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