scholarly journals Comparison of the Changes in the Structure of the Transverse Arch of the Normal and Hallux Valgus Feet under Different Loading Positions

2019 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Hala Zeidan ◽  
Yusuke Suzuki ◽  
Yuu Kajiwara ◽  
Kengo Nakai ◽  
Kanako Shimoura ◽  
...  

The transverse arch of the foot receives and transfers loads during gait. We aim to identify the difference in its structure between normal feet and hallux valgus (HV) feet and the effects of loading. Two groups, Without-HV and With-HV (HV ≥ 20°), were assessed using a weight-bearing plantar ultrasound imaging device to view the structure of the transverse arch. Measurements were recorded in sitting, quiet standing, and 90% weight-shift (90% W.S.) loading positions on the tested foot. Images were then processed using ImageJ software to analyze the transverse arch length (TAL), the length between the metatarsal heads (MTHs), transverse arch height (TAH), and the height of each MTH. TAL significantly increased in all positions in the With-HV group compared to that in the Without-HV group. It also increased in both groups under loading. TAH was not significantly higher in the With-HV group than in the Without-HV group in sitting and standing positions, except in the 90% W.S position, where both groups showed similar results. TAH decreased in both groups under loading. In summary, the structure of the transverse arch changes in HV feet and under loading conditions. This finding will help understand the structural differences between normal and HV feet and help resolve shoe fit problems in individuals with HV deformity.

2018 ◽  
Vol 30 (4) ◽  
pp. 630-635 ◽  
Author(s):  
Yasuaki Nakayama ◽  
Yuto Tashiro ◽  
Yusuke Suzuki ◽  
Yu Kajiwara ◽  
Hala Zeidan ◽  
...  

e-Polymers ◽  
2021 ◽  
Vol 21 (1) ◽  
pp. 500-510
Author(s):  
Xiaoguang Ying ◽  
Jieyuan He ◽  
Xiao Li

Abstract An imprinted electrospun fiber membrane was developed for the detection of volatile organic acids, which are key components of human body odor. In this study, hexanoic acid (HA) was selected as the target, polymethyl methacrylate (PMMA) was used as the substrate, and colorimetric detection of HA was achieved by a bromocresol purple (BCP) chromogenic agent. The results showed that the morphology of the fiber membrane was uniform and continuous, and it showed excellent selectivity and specificity to HA. Photographs of the color changes before and after fiber membrane adsorption were recorded by a camera and quantified by ImageJ software by the difference in gray value (ΔGray). This method is simple, intuitive, and low cost and has great potential for application in human odor analysis.


Author(s):  
Enes Sari ◽  
Levent FAZLI Umur

BACKGROUND:The aim of this study was to evaluate the information quality of YouTube videos on hallux valgus. METHODS:A YouTube search was performed using the keyword 'hallux valgus' to determine the first 300 videos related to hallux valgus. A total of 54 videos met our inclusion criteria and evaluated for information quality by using DISCERN, Journal of the American Medical Association (JAMA) and hallux valgus information assessment (HAVIA) scores. Number of views, time since the upload date, view rate, number of comments, number of likes, number of dislikes, video power index (VPI) values were calculated to determine video popularity. Video length (sec), video source and video content were also noted. The relation between information quality and these factors were statistically evaluated. RESULTS:The mean DISCERN score was 30.35{plus minus}11.56 (poor quality) (14-64), the mean JAMA score was 2.28{plus minus}0.96 (1-4), and the mean HAVIA score was 3.63{plus minus}2.42 (moderate quality) (0.5-8.5). Although videos uploaded by physicians had higher mean DISCERN, JAMA, and HAVIA scores than videos uploaded by non-physicians, the difference was not statistically significant. Additionally, view rates and VPI values were higher for videos uploaded by health channels, but the difference did not reach statistical significance. A statistically significant positive correlation was found between video length and DISCERN (r= 0.294, p= 0.028), and HAVIA scores (r= 0.326, p= 0.015). CONCLUSIONS:This present study demonstrated that the quality of information available on YouTube videos about hallux valgus was low and insufficient. Videos containing accurate information from reliable sources are needed to educate patients on hallux valgus, especially in less frequently mentioned topics such as postoperative complications and healing period.


2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0021
Author(s):  
Andrew Federer ◽  
Travis Dekker ◽  
David Tainter ◽  
Jordan Liles ◽  
Mark Easley ◽  
...  

Category: Bunion Introduction/Purpose: Hallux valgus (HV) is one of the most common deformities of the foot resulting in pain and lifestyle modification of the patient. Recurrence rates of 10-47% have been documented in single individual osteotomy series. Unfortunately, surgical correction and recurrence are often defined as changes related to normal radiographs and not actually as the magnitude of correction lost with follow-up. Currently there have not been studies evaluating the percentage of recurrence of intermetatarsal angle (IMA) and hallux valgus angle (HVA). As there is substantial difference in starting IMA and HVA, as well as amount of surgical correction, our goal was to evaluate the percentage loss of correction over time comparing preoperative, initial postoperative and minimum of 2-year follow up radiographs among three different surgical correction techniques. Methods: This is a retrospective chart review study that examines the weight-bearing radiographic measurements of patients undergoing hallux valgus corrective surgery at a single institution over 5 years. Fifty-three patients were divided into first tarsometatarsal arthrodesis (i.e. Lapidus), mid-diaphyseal osteotomies (i.e. scarf), and distal metatarsal osteotomies (i.e. chevron). The preoperative, initial postoperative, and final follow up weight-bearing radiographs were measured for intermetatarsal angle (IMA) and hallux valgus angle (HVA). Primary outcome was percentage of recurrence of IMA and HVA, with the difference in angles between preoperative and initial postoperative weight-bearing films being considered 100% correction. The percentage of recurrence between initial postoperative and most recent follow up was then calculated (Figure 1A). A one-way analysis of variance (ANOVA) test and post-hoc Tukey-Kramer tests were used to compare preoperative IMA and HVA and percentage recurrence of IMA and HVA at most recent follow up. Results: There was no significant difference between Lapidus (14.3deg) and mid-diaphyseal osteotomies (12.7deg) in preoperative IMA (p-value=0.26). There was a significant difference between Lapidus (-0.3deg) and mid-diaphyseal (2.8deg) osteotomies for degree of hallux valgus recurrence as measured by IMA between initial postoperative films and final 2-year follow up (p-value=0.009). Lapidus procedure showed a greater magnitude decrease in IMA degrees from preoperation to final follow up compared to distal osteotomy (p-value=0.037) and trended toward significance compared to mid-diaphyseal (p-value=0.056). Mid-diaphyseal osteotomies (30%) showed a statistically significant higher percentage of IMA recurrence compared to Lapidus (-11%) (p-value=0.0014) (Figure 1B). When comparing percentage recurrence of HVA, distal osteotomies had a significantly smaller rate of recurrence when compared to the diaphyseal osteotomies (p-value=0.030). Conclusion: Though Lapidus and mid-diaphyseal osteotomies were performed for patients with a similar preoperative IMA, mid-diaphyseal osteotomies had a significantly higher percentage of recurrence at 2-year follow up compared to Lapidus procedures. Moreover, Lapidus procedures trended toward greater overall of IMA correction compared to mid-diaphyseal osteotomies. When either a Lapidus or mid-diaphyseal osteotomy is indicated, a Lapidus procedure may result in decreased rate of radiographic recurrence of hallux valgus at 2 years.


2010 ◽  
Vol 7 (5) ◽  
pp. 1811-1847 ◽  
Author(s):  
S. Kizu ◽  
C. Sukigara ◽  
K. Hanawa

Abstract. The fall rate of recent T-7 expendable bathythermograph (XBT) is evaluated based on a series of concurrent measurement with a calibrated Conductivity Temperature Depth profiler (CTD) in the sea east of Japan. An emphasis is placed on comparing the fall rates of T-7 produced by the two present manufacturers, the Lockheed Martin Sippican Inc., and the Tsurumi Seiki Co. Ltd., which have been believed to be identical but had never been compared directly. It is found that the two manufacturers' T-7 fall at rates different by about 3.5%. The Sippican T-7 falls slower than the current standard equation by Hanawa et al. (1995) gives by about 2.1%, and the TSK T-7 falls faster than it tells by about 1.4%. The fall-rate coefficients estimated based on the present sea test by applying the equation of traditional quadratic form, d(t)=at−bt2 where d is depth in meters and t is the time elapsed, since the water entry of the probe, in seconds, are a=6.553 and b=0.00221 for the LMS T-7, and a=6.803 and b=0.00242 for the TSK T-7. By detail examination of the probes, it is revealed that the two companies' T-7 have different total weight and many structural differences. Because the difference in the fall rate is about twice larger than the difference in weight (about 2%), it is inferred that those structural differences give sizable impact to the difference in their fall rates. Our results clearly show that the recent T-7 of the two companies needs to be discriminated.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11277
Author(s):  
Ewa Puszczalowska-Lizis ◽  
Aleksandra Lukasiewicz ◽  
Sabina Lizis ◽  
Jaroslaw Omorczyk

Background Properly fitted shoes can support the development of growing feet and prevent problems and pathologies, not only in childhood, but also in adulthood. This points to the need to conduct research on the impact of shoe fitting on the structure of the foot in order to raise awareness and importance of this problem, to enable proper decisions regarding the purchase and use of shoes. The aim of this study was to analyze indoor footwear fit and its impact on foot structure in 7-year-old schoolchildren. Methods The CQ-ST podoscope and the Clevermess device were used for measurements. The analysis was carried out using the Mann Whitney U test, Wilcoxon signed-rank test, Chi-square test, regression analysis. Results About 40% of girls and boys had shoes that were incorrectly fitted in length, while as many as 74% of girls and 66% of boys wore shoes that were incorrectly fitted in width. Regression analysis demonstrated a statistically significant influence of the footwear length on longitudinal arch of the right and left foot and the transverse arch of the right foot. In boys, the length of the shoes shows associations with the right and left hallux valgus angle. Conclusion A significant percentage of the studied 7-year-olds, regardless of gender, wears inappropriately fitted shoes. In both sexes, the length of the footwear influenced the longitudinal arch of the right and left foot and the transverse arch of the right foot. Due to the deformity of the first metatarsophalangeal joint, the boys with hallux valgus require footwear which is wider and therefore their shoes need to be bigger in size.


2021 ◽  
Vol 15 (9) ◽  
pp. 2766-2769
Author(s):  
Hijab Fatemah Memon ◽  
Suraiya Hirani ◽  
Jaweria Yousfani ◽  
Reema Aslam ◽  
Sehar Mushtaque ◽  
...  

Introduction: Optical Coherence Tomography (OCT), is one of the most emerging diagnostic imaging technique. It is capable of producing 3D images using optical scattering media. The fast signal acquisition quality has made it a promising tool to detect early in vivo and in vitro lesions. The aim of this study was to reproduce previous demineralization results and to detect remineralization using OCT. Methodology: Bovine enamel discs were used thoroughly in this study. The study was done using the flow cell for detecting demineralization and remineralization following 96 hours demineralization and 192 hours remineralization. A time lapse monitoring was done and the lesions were assessed visually. ImageJ software was used to process the images produced through OCT. The lesion depth and intensity was measured across the images produced which helped in assessing the difference between remineralization and demineralization. Results: OCT B-scan images result in increased backscattering light which is considered the main principle to measure lesion depth and mineral loss. Whereas, in remineralization decreased band of light appeared with reduction in porosity during mineral precipitation. The results for remineralization were diverse and could not be assessed. Conclusion: OCT is favorable technique to detect demineralization and remineralization but it still needs a lot of improvement especially regarding remineralization there are limitations which need to be improved.


2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0042
Author(s):  
Alexander Volpi ◽  
Robert Zbeda ◽  
Christopher Katchis ◽  
Lon Weiner ◽  
Stuart Katchis

Category: Bunion Introduction/Purpose: Hallux valgus is a common deformity of the forefoot. There are over 130 procedures described to correct hallux valgus. Classically, the treatment of mild to moderate hallux valgus is with a distal metatarsal osteotomy. A variety of fixation techniques have been described for use with this osteotomy most of which require partial or non-weight bearing until the osteotomy is healed. Tension Band fixation is a well-known principle in orthopedic surgery. The goal of the present study is to radiographically assess the maintenance of distal first metatarsal osteotomy fixation using a novel tension band device (Re+Line tension band bunion plate system, Nextremity Solutions) with immediate post-operative weight-bearing. Methods: The patient database for one surgeon was retrospectively reviewed for patients that underwent hallux valgus correction with the Re+Line tension band device between 2014 and 2017. Postoperative protocol included a soft dressing, firm surgical shoe, and weight-bearing as tolerated with a cane. Patients were excluded if fixation was achieved with something other than a tension band construct. Radiographs were obtained and reviewed retrospectively by 3 authors. Pre and postoperative hallux valgus (HVA) and intermetatarsal angles (IMA) were measured as described previously in the literature, and the changes in correction compared. Maintenance of correction and hardware integrity were assessed at final follow-up after weight bearing as tolerated in a surgical shoe in the postoperative period. Statistical analysis was performed using a Wilcoxon signed-rank test for the changes in HVA and IMA. Results: There was a total of 72 patients and 76 toes that underwent hallux valgus correction with a tension band construct, at a mean follow-up of 4.36 months. 68 of 72 patients were female. The average age was 60.8 years old. The mean preoperative HVA was 27.1 degrees. The mean postoperative HVA was 6.14 degrees, with a mean correction of 20.22 degrees (p<0.001). The mean preoperative IMA was 14.14 degrees. The mean postoperative IMA was 6.10 degrees, with a mean correction of 7.98 degrees (p<0.001). There was loss of reduction found in 6 of 76 toes (7.89%).There were zero cases of hardware failure. All osteotomies healed at final follow-up. Conclusion: This study shows successful radiographic outcome after hallux valgus correction using a tension band construct and allowing immediate full weight-bearing in a surgical shoe in the postoperative period. Significant deformity correction was achieved and maintained and all osteotomies healed. The Re+Line tension band bunion correction system can be safely used as a successful option to fix distal first metatarsal osteotomies, while allowing patients to fully weight bear in a surgical shoe postoperatively and potentially return to activities faster than when using traditional fixation methods. Future studies are needed to assess functional outcomes and patient satisfaction with this novel technique.


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