Evaluating Acute Bilateral Foot Drop: A Case Report.

We illustrate the case of an 84-year-old Caucasian female who presented with complaints of bilateral lower extremity weakness and ambulation difficulties complicated by a unilateral deep venous thrombosis. Physical examination on hospital admission revealed an acute onset of bilateral foot drop with pes cavus deformity. Bilateral foot drop has been associated with a more chronic presentation due to metabolic, neurologic, and musculoskeletal etiologies. Acute onset of bilateral foot drop has been poorly defined in the literature and is considered a rare pathologic phenomenon, requiring additional investigation into the underlying cause of the presentation. We hypothesize that a spinal cord compression at the T12-L1 level resulted in L5 nerve root compression, resulting in our patient's presentation. Definitive treatment has not been established for this condition; however, studies have been completed to evaluate surgical versus conservative approaches to help restore patients' ambulatory function. Our aim is to incorporate this case report into the limited current literature on acute bilateral foot drop as well as outline possible treatment methods to restore impaired functionality.

Imaging of the Pes Cavus Deformity.

Direct-type cavus foot deformities are most commonly encountered and are primarily sagittal plane deformities. Direct deformities should be delineated from rarer triplane pes cavovarus deformities. The lateral weight-bearing radiograph is the cornerstone of imaging evaluation of direct pes cavus foot deformity. The apex of Meary talo-first metatarsal angle on the lateral radiograph represents the pinnacle of the cavus deformity and assists in subclassification of the deformity. With routine application, ancillary radiographic imaging techniques, such as the modified Saltzman view or the modified Coleman block test, can give valuable insight into deformity assessment and surgical planning.

Análise das impressões plantares de bailarinas através de parâmetros plantigráficos / Analysis of plantar prints of ballet dancers through plantigraphy parameters

Introduction: The classical ballet is a dance that most of the times uses extreme positions such as extern rotation of the hips and plantar flexion of ankles and feet. These last ones may suffer morpho structural alterations. Objective: The objective of this study was to analyze the plantar prints of classical dancers through plantigraphy parameters. Methods: It is an observational descriptive study carried out with a sample of 66 classical dancers of Teresina/PI, 17.0 ± 3.1 years old and with at least 2 years of practice. The evaluation instrument used was a PODO tech brand plantigraph and the classification followed Viladot criteria. Data were analyzed using descriptive statistics and the Pearson linear correlation test. Results: We observed the prevalence of cavus deformity (62.1%) followed by normal feet (36.4%) and flatfoot (1.5%). There was no correlation between the type of feet and the period of practice. However, it has been found a weak and moderate correlation between feet type and the points of overpressure and pain, respectively. Conclusion: The practice of classical ballet contributes to the formation of cavus deformity, requiring intervention against possible damage that may be associated to this fact. (AU)

Introdução: O ballet clássico é uma dança que na maioria das vezes utiliza posições extremas como rotação externa dos quadris e flexão plantar de tornozelos e pés. Podendo, estes últimos, sofrerem alterações morfo-estruturais. Objetivo: O objetivo do estudo foi analisar as impressões plantares de bailarinas clássicas através de parâmetros plantigráficos. Material e métodos: Trata-se de um estudo descritivo observacional que foi realizado numa amostra de 66 bailarinas clássicas da cidade de Teresina/PI, com média de idade de 17,0 ± 3,1 anos e no mínimo 2 anos de prática. O instrumento avaliativo utilizado foi um plantígrafo da marca PODO tech e a classificação seguiu os critérios definidos por Viladot. Os dados foram analisados por estatística descritiva e pelo teste de correlação linear de Pearson. Resultados: Verificou-se prevalência de pés cavos (62,1%), seguido por pés normais (36,4%) e pé plano (1,5%). Não houve correlação entre o tipo de pé e o tempo de prática. Contudo, encontrou-se correlação fraca e moderada entre o tipo de pé e os pontos de hiperpressões e as dores, respectivamente. Conclusão: A prática do ballet clássico contribui para a formação de um pé cavo, sendo necessária intervenção frente a possíveis danos que possam estar associados a este fato. (AU)