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2.
Acta Ortop Mex ; 34(2): 112-118, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-33244912

RESUMO

The objective of this work is to assess the efficacy of conservative treatment with orthopedic insoles in Müller-Weiss disease (EMW). The plantar support aims to pronounce the hindfoot and immobilize the talo-navicular, and naviculo-cuneiform joints or both at the same time, as an alternative to the valguizing osteotomy of the calcaneus and arthrodesis. The clinical and radiological characteristics of 10 cases of EMW in 8 patients under study are analyzed and the results obtained are evaluated. The manufacturing process of the plantar supports is commented, as well as the materials used. The sample size is not significant, however, preliminary, conservative treatment is possible in certain cases of EMW to relieve pain, improve gait dynamics and limit disease progression in the short-term.


Assuntos
Calcâneo , Doenças do Pé , Ossos do Tarso , Artrodese , Doenças do Pé/cirurgia , Humanos , Osteotomia , Resultado do Tratamento
3.
Orthop Clin North Am ; 51(2): 279-291, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32138865

RESUMO

Hansen disease remains a common problem worldwide with 750,000 new cases diagnosed each year. Nerve injury is a central feature of the pathogenesis because of the unique tendency of Mycobacterium leprae to invade Schwann cells and the peripheral nervous system, that can be permanent and develop into disabilities. The orthopedic surgeon has an important role in the management of neuropathy, performing surgical release of the tibial and common peroneal nerves in potentially constricting areas, thus providing a better environment for nerve function. In cases of permanent loss of nerve function with drop foot, specific tendon transfers can be used.


Assuntos
Doenças do Pé/cirurgia , Hanseníase/cirurgia , Doenças do Sistema Nervoso Periférico/cirurgia , Doenças do Pé/diagnóstico , Doenças do Pé/tratamento farmacológico , Doenças do Pé/microbiologia , Humanos , Hanseníase/diagnóstico , Hanseníase/tratamento farmacológico , Hanseníase/microbiologia , Transferência de Nervo , Doenças do Sistema Nervoso Periférico/diagnóstico , Doenças do Sistema Nervoso Periférico/tratamento farmacológico , Doenças do Sistema Nervoso Periférico/etiologia
4.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi ; 33(12): 1498-1502, 2019 Dec 15.
Artigo em Chinês | MEDLINE | ID: mdl-31823547

RESUMO

Objective: To explore the effectiveness of modified internal fixation and fusion in treatment of type Ⅱ painful accessory navicular (PAN) in adults. Methods: Between January 2016 and December 2017, 29 patients (37 feet) with type Ⅱ PAN were treated with modified internal fixation and fusion. There were 12 males and 17 females with an average age of 41.4 years (range, 18-50 years). The injury caused by sprain in 24 cases and no obvious inducement occurred in 5 cases. All patients received conservative treatment for more than 6 months with no significant improvement. The effectiveness was evaluated by American Orthopaedic Foot and Ankle Society (AOFAS) score before operation and at last follow-up. The inclination angle of calcaneus, the first metatarsal angle of talus, the inclusion angle of talonavicular joint, and the second metatarsal angle of talus were measured on X-ray films. Results: Superficial infection of incision occurred in 1 case after operation, and the incision healed after enhanced dressing change. The incisons of the other patients healed by first intention. There was no deep infection or osteomyelitis. All patients were followed up 12-33 months (mean, 25.1 months). X-ray films showed that the articular surfaces healed at 2-5 months after operation, with an average of 3.4 months. No loosening or rupture of internal fixator was found during the follow-up. At last follow-up, the pain, function, alignment scores, and total score of AOFAS were significantly improved when compared with those before operation (P<0.05). The inclusion angle of talonavicular joint, the first metatarsal angle of talus, and the second metatarsal angle of talus were also significantly improved when compared with those before operation (P<0.05). But there was no significant difference in the inclination angle of calcaneus between pre- and post-operation (t=1.097, P=0.276). Conclusion: Modified internal fixation and fusion in treatment of type Ⅱ PAN can effectively relieve the symptoms and obtain good recovery of feet function with less complications.


Assuntos
Calcâneo , Doenças do Pé , Fixação Interna de Fraturas , Ossos do Metatarso , Adolescente , Adulto , Calcâneo/cirurgia , Feminino , Doenças do Pé/cirurgia , Humanos , Masculino , Ossos do Metatarso/cirurgia , Pessoa de Meia-Idade , Dor , Resultado do Tratamento , Adulto Jovem
6.
Rev. cuba. anestesiol. reanim ; 18(3): e593, sept.-dic. 2019. tab
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1093121

RESUMO

Introducción: Los bloqueos nerviosos periféricos son un componente aceptado en la práctica médica desde el área quirúrgica, el control del dolor crónico y el posoperatorio. Objetivo: Evaluar la eficacia del bloqueo poplíteo por vía lateral en los pacientes intervenidos por afecciones en el pie y tobillo. Métodos: Se realizó un estudio analítico transversal en los pacientes intervenidos por afecciones en el pie y tobillo en el período de septiembre 2015 a septiembre 2018. Se constituyó el universo con 431 pacientes y la muestra por 209. Resultados: Más de las tres cuartas partes de los pacientes intervenidos por afecciones del pie y del tobillo a los que se les aplica el bloqueo se encuentran por encima de la quinta década de la vida. La mayor parte de ellos corresponden al rango de 51 Kg a los 70 Kg, con cuatro a seis cm de profundidad de la aguja para la localización del nervio basado en la ecuación de la recta. Es 19 veces más probable en ellos la ausencia de dolor en las primeras seis horas del posoperatorio después del bloqueo y más probable el éxito de la técnica propuesta con la determinación de la profundidad en cm de la aguja basado en la ecuación de la recta, con odds ratio de 31. Conclusiones: Se evaluó de eficaz el bloqueo poplíteo por vía lateral en la mayor parte de pacientes intervenidos por afecciones en el pie y tobillo(AU)


Background: the blockades nervous peripherals are a component accepted in the medical practice, from the surgical area, control of the chronic pain and postoperatory. Objective: to evaluate the effectiveness of the blockade popliteal for via lateral in the patients intervened by affections in the foot and ankle. Methods: it was carried out a study transversal analytic of patients intervened by affections in the foot and ankle in the period from September 2015 to September 2018. The universe was constituted with 431 patients and the sample by 209. Results: more than the fourth three parts of the patients intervened by affections of the foot and of the ankle to those that are applied the blockade popliteal for via lateral they are above the fifth decade of the life. Most of the patients belong together to the range from 51 to the 70 Kgs with four to six cm of depth based on the equation of the straight line. It is more probable 19 times in the patients the pain absence in the first six hours of the post operatory after the blockade and more probable the success of the technique proposal with the determination of the depth in cm of the needle based before on the equation of the straight line described with odds ratio of 31. Conclusions: the evaluation of the effectiveness of the blockade popliteal for via lateral increases the anesthesiologist's therapeutic arsenal and it redounds in benefits for the patient during the perioperatorio, the application of this technique in appropriate clinical situations adds alternative valuable to the anesthetic attendance(AU)


Assuntos
Humanos , Procedimentos Cirúrgicos Operatórios/métodos , Doenças do Pé/cirurgia , Anestésicos Locais/uso terapêutico , Bloqueio Nervoso/métodos , Estudos Transversais , Neuropatias Fibulares
7.
J Am Podiatr Med Assoc ; 109(4): 322-326, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31762309

RESUMO

A schwannoma is a solitary benign tumor composed of Schwann cells occurring anywhere in the peripheral nervous system. The diagnosis of a schwannoma is often difficult to make by clinical presentation and advanced imaging modalities. We present a case report of a 61-year-old Hispanic woman with a left-foot, third-digit, soft-tissue mass. The diagnosis of a schwannoma of the proper digital nerve was made postsurgically by means of histopathologic and immunohistochemistry parameters. This is a rare location for a schwannoma, and neurogenic tumor should be included in the differential diagnosis of soft-tissue mass, as there have been prior case reports.


Assuntos
Doenças do Pé/patologia , Neurilemoma/patologia , Neoplasias do Sistema Nervoso Periférico/patologia , Dedos do Pé/inervação , Feminino , Doenças do Pé/diagnóstico por imagem , Doenças do Pé/cirurgia , Humanos , Pessoa de Meia-Idade , Neurilemoma/diagnóstico por imagem , Neurilemoma/cirurgia , Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem , Neoplasias do Sistema Nervoso Periférico/cirurgia , Dedos do Pé/diagnóstico por imagem , Dedos do Pé/cirurgia , Ultrassonografia
8.
J Am Podiatr Med Assoc ; 109(4): 334-337, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31762311

RESUMO

Osteoid osteoma is a benign tumor originating from osteoblasts, and it is mostly seen in long bones of lower limbs. The distal phalanx of the foot is an atypical location for an osteoid osteoma, and lesions occurring in this location may be a diagnostic challenge. A 22-year-old man presented with a complaint of severe pain on the second distal phalanx of his right foot. An osteoid osteoma was suspected after radiologic evaluation. The lesion was surgically excised and removed completely by curettage. Histopathologic evaluation confirmed the diagnosis of an osteoid osteoma. The patient was followed-up for a 9-month period without any symptoms or recurrence.


Assuntos
Neoplasias Ósseas/diagnóstico por imagem , Doenças do Pé/diagnóstico por imagem , Osteoma Osteoide/diagnóstico por imagem , Dedos do Pé/patologia , Neoplasias Ósseas/patologia , Neoplasias Ósseas/cirurgia , Doenças do Pé/patologia , Doenças do Pé/cirurgia , Humanos , Masculino , Osteoma Osteoide/patologia , Osteoma Osteoide/cirurgia , Radiografia , Dedos do Pé/diagnóstico por imagem , Adulto Jovem
9.
J Am Podiatr Med Assoc ; 109(6): 451-454, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31755773

RESUMO

Soft-tissue chondroma is a rare, benign tumor. It is predominantly found in the hands and feet, but rarely in the toes. In this article, we report a digital soft-tissue chondroma that presented as a painful nodule of 5 years' duration in a 67-year-old man. Physical examination revealed a round, solid, movable nodule measuring 7 mm in diameter. Radiographs showed faint linear calcifications in the nodule under the right hallux proximal phalanx neck. The mass was completely excised, and pathologic observation revealed a mass composed of mature chondrocytes in a cartilaginous matrix, consistent with a chondroma. Even though this is a benign tumor, it needs to be differentiated from other tumors, including schwannoma, leiomyoma, chondrosarcoma, and others. Surgical excision is the preferred treatment.


Assuntos
Condroma/patologia , Doenças do Pé/patologia , Hallux/patologia , Neoplasias de Tecidos Moles/patologia , Idoso , Condroma/diagnóstico por imagem , Condroma/cirurgia , Doenças do Pé/diagnóstico por imagem , Doenças do Pé/cirurgia , Hallux/diagnóstico por imagem , Humanos , Masculino , Radiografia , Neoplasias de Tecidos Moles/diagnóstico por imagem , Neoplasias de Tecidos Moles/cirurgia
10.
Anticancer Res ; 39(11): 6175-6181, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31704845

RESUMO

BACKGROUND/AIM: Acral lentiginous melanoma (ALM) is a rare entity on the foot. This study aimed to reveal its clinical presentations, histopathology and treatment options. MATERIALS AND METHODS: Seven cases of ALM involving foot were treated in our Institute in a 3-year period. RESULTS: The patients' age ranged from 38 to 84 years, with a mean of 65. The ratios of males to females and white to non-white were 4:3 and 5:2, respectively. Clinically, ALM presented as asymmetric, irregular shaped, black-brown, variegatedly discolored, papular, verrucoid, ulcerated or nodular lesions with or without pain. All ALMs were treated with either wide local excision (WLE) or toe amputation. Histologically, ALM was characterized by multiple single and nested atypical melanocytes growing along the dermal-epidermal junction, and extending into dermal layer in nodular growth pattern. CONCLUSION: ALM is a rare, asymmetric, irregularly bordered, variegatedly pigmented lesion. WLE or toe amputation is the standard treatment option.


Assuntos
Tornozelo/patologia , Doenças do Pé/patologia , Melanoma/patologia , Nevo/patologia , Neoplasias Cutâneas/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Tornozelo/cirurgia , Feminino , Seguimentos , Doenças do Pé/cirurgia , Humanos , Masculino , Melanoma/cirurgia , Pessoa de Meia-Idade , Nevo/cirurgia , Prognóstico , Neoplasias Cutâneas/cirurgia
11.
J Am Podiatr Med Assoc ; 109(5): 397-400, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31599671

RESUMO

Angioleiomyomas are benign soft-tissue tumors that present painfully and are more commonly found in the extremities. Although benign soft-tissue tumors do not require excision, the clinician may not always know the type of tumor, and patient symptomatology may require removal of the offending body. In this article, we present our case findings of a 45-year-old man presenting with a subcutaneous angioleiomyoma subcalcis.


Assuntos
Angiomioma/cirurgia , Complicações do Diabetes/cirurgia , Doenças do Pé/cirurgia , Neoplasias de Tecidos Moles/cirurgia , Angiomioma/diagnóstico por imagem , Angiomioma/patologia , Diabetes Mellitus Tipo 2/complicações , Pé/diagnóstico por imagem , Pé/cirurgia , Doenças do Pé/diagnóstico por imagem , Doenças do Pé/patologia , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neoplasias de Tecidos Moles/diagnóstico por imagem , Neoplasias de Tecidos Moles/patologia
12.
J Am Podiatr Med Assoc ; 109(5): 393-396, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31599673

RESUMO

Enchondroma is the most common benign cartilage bone tumor of the toes. In contrast, the foot is a rare region for chondrosarcoma, and the involvement of phalanges is extremely rare. In this article, we report an unusual case of intermediate chondrosarcoma involving the proximal phalanx of the great toe of a 52-year-old woman who was previously treated with curettage and bone grafting because of misinterpretation of enchondroma at a local hospital. She presented complaining of pain and swelling that she had experienced for a period of 1 year after the first operation. Radiography revealed a lytic lesion with a subtle punctuate calcification and endosteal scalloping in the proximal phalanx of the great toe. Gadolinium-enhanced magnetic resonance imaging confirmed soft-tissue involvement and cortical destruction. Staging evaluation with computed tomographic scan of the chest, abdomen, and pelvis was performed to ensure that there was no metastatic disease. Subsequently, a bone biopsy was performed, and the diagnosis was grade 2 chondrosarcoma. The patient was informed about the recurrence of the lesion and the clinical context on the basis of tumor biology of chondrosarcoma and was offered the option of either amputation or wide resection. She preferred the latter. The patient was treated with wide resection and underwent reconstruction with cement and Kirschner wire. She remains free of disease after 1 year of follow-up.


Assuntos
Neoplasias Ósseas/cirurgia , Condrossarcoma/cirurgia , Doenças do Pé/cirurgia , Hallux/diagnóstico por imagem , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/patologia , Condrossarcoma/diagnóstico por imagem , Condrossarcoma/patologia , Erros de Diagnóstico , Feminino , Doenças do Pé/diagnóstico por imagem , Doenças do Pé/patologia , Hallux/patologia , Humanos , Imagem por Ressonância Magnética , Pessoa de Meia-Idade , Gradação de Tumores , Recidiva Local de Neoplasia , Radiografia
14.
Clin Radiol ; 74(12): 972.e1-972.e8, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31563291

RESUMO

The master knot of Henry refers to a narrow space located between the anatomical crossover of the flexor hallucis longus and flexor digitorum longus tendons. This small space is prone to "intersection syndrome," as a result of tendinosis, tenosynovitis, and tears of the aforementioned tendons at the knot of Henry. The aim of this educational review is to detail the anatomy of the knot of Henry, including common variations in the tendon position and orientation. These complex interconnections can affect the outcome of surgical intervention if not appreciated at the time of treatment. We will also provide an overview of the common and rarer pathologies related to the knot of Henry. The aim of the present review is to make radiologists more aware of pathologies in this region, which are not routinely seen in daily practice.


Assuntos
Pé/diagnóstico por imagem , Tendões/diagnóstico por imagem , Pé/anatomia & histologia , Doenças do Pé/diagnóstico por imagem , Doenças do Pé/patologia , Doenças do Pé/cirurgia , Humanos , Imagem por Ressonância Magnética , Transferência Tendinosa , Tendões/anatomia & histologia
15.
Biomedica ; 39: 10-18, 2019 05 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31529845

RESUMO

Melioidosis is an infectious disease caused by Burkholderia pseudomallei whose clinical diagnosis can be difficult due not only to its varied clinical presentation but also to the difficulties in the microbiological diagnosis.Thus, it may be necessary to use molecular techniques for its proper identification once it is suspected. There are few antibiotics available for the treatment of this disease, which must be used over a long period of time. Although it is known to be endemic in Thailand, Malaysia, Singapore, Vietnam, and Australia, in Colombia there are few reported cases. We describe a case of melioidosis in the northern region of Colombia. Additionally, we review its clinical characteristics and treatment and we describe the local epidemiology of this disease.


Assuntos
Melioidose/epidemiologia , Amputação , Antibacterianos/uso terapêutico , Burkholderia pseudomallei/isolamento & purificação , Colômbia/epidemiologia , Diabetes Mellitus Tipo 2/complicações , Doenças do Pé/cirurgia , Humanos , Hospedeiro Imunocomprometido , Falência Renal Crônica/complicações , Masculino , Melioidose/diagnóstico , Melioidose/tratamento farmacológico , Pessoa de Meia-Idade , Cooperação do Paciente , Recidiva , Ribotipagem , Dedos do Pé/microbiologia , Dedos do Pé/cirurgia , Infecções Urinárias/diagnóstico , Infecções Urinárias/tratamento farmacológico , Infecções Urinárias/microbiologia
16.
Am J Vet Res ; 80(10): 943-949, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31556713

RESUMO

OBJECTIVE: To determine the holding capacity of a 5.5-mm-diameter cortical bone screw when placed in the third phalanx (P3) of horses and assess whether screw placement through the dorsal hoof wall into P3 would be tolerated by clinically normal horses and would alleviate signs of pain and prevent P3 rotation in horses with oligofructose-induced laminitis. ANIMALS: 40 limbs from 10 equine cadavers and 19 clinically normal adult horses. PROCEDURES: In part 1 of a 3-part study, a 5.5-mm-diameter cortical bone screw was inserted by use of a lag-screw technique through the dorsal hoof wall midline into P3 of 40 cadaveric limbs and tested to failure to determine screw pullout force. In part 2, 6 horses had 5.5-mm-diameter cortical bone screws placed in both forefeet as described for part 1. Screws were removed 4 days after placement. Horses were monitored for lameness before and for 2 weeks after screw removal. In part 3, 13 horses were randomly assigned to serve as controls (n = 3) or undergo screw placement without (group 2; 6) or with (group 3; 4) a washer. Following the acquisition of baseline data, horses were sedated and administered oligofructose (10 g/kg) via a stomach tube. Twenty-four hours later, screws were placed as previously described in both forefeet of horses in groups 2 and 3. Horses were assessed every 4 hours, and radiographic images of the feet were obtained at 96 and 120 hours after oligofructose administration. Horses were euthanized, and the feet were harvested for histologic examination. RESULTS: The mean ± SD screw pullout force was 3,908.7 ± 1,473.4 N, and it was positively affected by the depth of screw insertion into P3. Horses of part 2 tolerated screw placement and removal well and did not become lame. All horses of part 3 developed signs of acute lameness, and the distance between P3 and the dorsal hoof wall increased slightly over time. The change in the ratio of the dorsal hoof wall width at the extensor process of P3 to that at the tip of P3 over time was the only variable significantly associated with treatment. CONCLUSIONS AND CLINICAL RELEVANCE: Placement of a 5.5-mm-diameter cortical bone screw through the dorsal hoof wall into P3 had sufficient holding power to counteract the pull of the deep digital flexor tendon in approximately 500-kg horses, and placement of such a screw was well tolerated by clinically normal horses but did not alleviate signs of pain in horses with oligofructose-induced laminitis. Further research is necessary before this technique can be recommended for horses with naturally occurring acute laminitis.


Assuntos
Parafusos Ósseos/veterinária , Doenças do Pé/veterinária , Casco e Garras/cirurgia , Doenças dos Cavalos/cirurgia , Coxeadura Animal/cirurgia , Animais , Feminino , Doenças do Pé/cirurgia , Membro Anterior , Doenças dos Cavalos/induzido quimicamente , Cavalos , Masculino , Oligossacarídeos/efeitos adversos , Distribuição Aleatória , Rotação
17.
BMC Endocr Disord ; 19(1): 96, 2019 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-31488114

RESUMO

BACKGROUND: Charcot neuropathic osteoarthropathy (CNO) is one of the most devastating complications of neuropathy in patients with diabetes. Establishing diagnosis of CNO is difficult, due to the lack of clear clinical and radiological diagnostic criteria. Diagnosis is even more difficult when there is atypical and bilateral clinical presentation. Since CNO may lead to foot deformity, lower-extremity amputation and significant decrements in quality of life, it must be detected and treated without delay. Treatment focuses mainly on interruption of the inflammatory process and relief from pain using feet offloading devices. In more severe cases, surgical intervention may be needed. Additionally, the use of custom-made insoles and custom-made orthopaedic shoes is mandatory. CASE PRESENTATION: We report a case of a young diabetic patient who presented to our clinic with bilateral and atypical presentation of Charcot foot disease. Patient was treated successfully upon diagnosis with bilateral aircast offloading. Unfortunately, due to depression and non-compliance, the disease progressed to severe and permanent lesions later on. CONCLUSION: Despite the rareness of this disease, clinicians must include CNO into differential diagnosis of diabetic foot oedema, inflammation and deformity.


Assuntos
Diabetes Mellitus Tipo 1/diagnóstico , Pé Diabético/diagnóstico , Doenças do Pé/diagnóstico , Adulto , Diabetes Mellitus Tipo 1/cirurgia , Pé Diabético/cirurgia , Diagnóstico Diferencial , Feminino , Doenças do Pé/cirurgia , Humanos , Prognóstico
18.
Vet J ; 250: 63-70, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31383422

RESUMO

Laminitis is associated with failure of the suspensory apparatus of the distal phalanx (SADP) connecting the distal phalanx to the hoof wall. The specific aim of this study was to examine in vitro whether thinning of the hoof wall leading to increased deformability influences the damage of the laminar tissue created by loading of the hoof. Paired cadaver forelimbs from twelve horses were used. For each pair, the hoof wall from one hoof was thinned by 25%; this was ascertained by radiography. The contralateral hooves were used as controls. In a material testing machine, hooves were loaded in a proximodistal direction at 0.5mm/s until a cut-off value of 8kN or 14mm was reached. Afterwards, samples of the SADP were taken for histology. Image-based evaluation of the destruction of the SADP was performed using quantitative histogram analysis. Additionally, three examiners masked to treatment (trimmed/untrimmed) qualitatively evaluated SADP destruction. During hoof loading with forces from 0.5 to 1.8 times the body mass of the donor horses, hooves with thinned hoof wall underwent significantly more deformation (P<0.05). Quantitative histogram analysis detected a shift to higher brightness values and a higher pixel intensity in control hooves, representing disruption in the histologic analysis. Qualitative evaluation of histology sections showed significantly more disruption of the SADP in untrimmed hooves (P=0.03). These results confirm the hypothesis that reduced hoof wall thickness can decrease disruption of laminar tissue in vitro, thus supporting the evaluation of hoof wall reduction as a prophylactic measure in horses at imminent risk of SADP failure.


Assuntos
Doenças do Pé/veterinária , Casco e Garras/patologia , Doenças dos Cavalos/patologia , Falanges dos Dedos do Pé/patologia , Animais , Cadáver , Feminino , Doenças do Pé/patologia , Doenças do Pé/cirurgia , Membro Anterior/patologia , Membro Anterior/cirurgia , Casco e Garras/cirurgia , Doenças dos Cavalos/cirurgia , Cavalos , Técnicas In Vitro/veterinária , Masculino , Falanges dos Dedos do Pé/cirurgia
19.
Foot Ankle Clin ; 24(3): 515-531, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31371001

RESUMO

Haglund syndrome is a triad of posterosuperior calcaneal prominence (Haglund deformity), retrocalcaneal bursitis, and insertional Achilles tendinopathy. The sources of pain include the posterior calcaneal wall cartilage, retrocalcaneal and subcutaneous adventitial bursa, and the Achilles tendon. Resection of the posterosuperior calcaneal tubercle, bursectomy, excision of the Achilles tendon pathology, reattachment of the Achilles tendon, gastrocnemius aponeurotic recession, and flexor hallucis longus transfer have been proposed as surgical treatment options. All of them can be performed endoscopically or under minimally invasive approaches.


Assuntos
Tendão do Calcâneo/cirurgia , Bursite/cirurgia , Calcâneo/anormalidades , Endoscopia/métodos , Deformidades do Pé/cirurgia , Doenças do Pé/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Tendinopatia/cirurgia , Humanos , Síndrome
20.
J Foot Ankle Surg ; 58(5): 1019-1024, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31345760

RESUMO

Multiple accessory navicular bones is an extremely rare condition. To the best of our knowledge, only 8 cases in 2 imaging studies have been published. We report a case of a patient with flat foot with 2 accessory navicular bones. This patient needed to be treated surgically, and the surgery was successful, with short-term follow-up. We believe this is the first case of multiple accessory navicular bones to be treated surgically in English literature. The incidence of multiple accessory navicular bones might be higher. There is a risk to remaining ossicles without resection or fixation during surgery; therefore, we strongly recommend using not only radiographs, but also 3-dimensional computed tomography scans or magnetic resonance imaging scans to confirm the type of accessory navicular bone, at least before surgery, for both painful accessory navicular bone and flat foot with accessory navicular bone.


Assuntos
Pé Chato/complicações , Pé Chato/cirurgia , Doenças do Pé/complicações , Doenças do Pé/cirurgia , Ossos do Tarso/anormalidades , Adulto , Feminino , Pé Chato/diagnóstico , Doenças do Pé/diagnóstico , Humanos , Ossos do Tarso/cirurgia
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