RESUMEN
Ten patients with 12 symptomatic severe flatfeet were treated with a combined surgical technique. Patients 10 years or older were treated with Evan's calcaneal osteotomy, Young tenosuspension, and tendo achillis lengthening. Patients under age 10 were treated with modified Young tenosuspension, talonavicular desmoplasty and subtalar arthroereisis. Eight of the 10 patients had marked relief in pain and fatigue and were able to perform all physical activities. Radiographic criteria showed improvement for all patients in all categories.
Asunto(s)
Pie Plano/cirugía , Tendón Calcáneo/cirugía , Adolescente , Adulto , Calcáneo/cirugía , Niño , Preescolar , Femenino , Pie , Humanos , Masculino , Osteotomía/métodos , Prótesis e Implantes , Elastómeros de Silicona , Transferencia Tendinosa/métodos , Tendones/cirugíaRESUMEN
Original orthopedic devices that were developed, tested, and found useful, were subsequently modified and seemingly "improved" to a point of diminished usefulness--a manifestation of the Peter Principle applied to orthopedics. The authors describe seven examples: (1) the talar-tilt inversion apparatus; (2) the patellar-tendon-bearing, below-knee amputation prosthesis; (3) the patellar-tendon-bearing orthosis; (4) the Veterans Administration Prosthetic Center's lumbosacral orthosis; (5) the partial-foot prosthesis; (6) the ankle-foot orthosis; and (7) the occipito-zygomatic cervical orthosis.
Asunto(s)
Equipo Ortopédico/normas , Aparatos Ortopédicos/normas , Miembros Artificiales/normas , Fenómenos Biomecánicos , Humanos , Diseño de PrótesisRESUMEN
A rare case of lichen sclerosus et atrophicus coexisting with morphea in the foot was presented. Orthotic therapy was required to alleviate an antalgic gait.
Asunto(s)
Dermatosis del Pie/complicaciones , Liquen Escleroso y Atrófico/complicaciones , Esclerodermia Localizada/complicaciones , Niño , Femenino , HumanosRESUMEN
The history and prosthetic difficulties of a patient with an unusual Chopart amputation variant have been presented. Although it is possible for the Chopart amputee to walk with just a shoe and filler, this patient does best with a formal prosthesis. The Chopart amputation, which has been surgically stabilized with Achilles tendon lengthening to prevent equinus contractures, can be fitted successfully with a lightweight circumferential plastic or silicone prosthesis or more traditionally with a solid ankle foot orthosis with filler. This partial foot prosthesis is worn with a sturdy shoe with a rocker and solid ankle cushion heel or a well constructed running shoe. The Chopart amputee with equinus contractures must be fitted with a Chopart clamshell prosthesis or solid ankle patellar tendon bearing orthosis with filler and the above shoe prescription. Recent variants of the partial foot prosthesis including the Imler partial foot prosthesis, the Lange silicone prosthesis, and the ankle corset prosthesis were described.
Asunto(s)
Amputación Quirúrgica/métodos , Miembros Artificiales , Adulto , Muñones de Amputación , Femenino , Pie/irrigación sanguínea , Gangrena , Humanos , Diseño de PrótesisRESUMEN
A case of a child with Becker's muscular dystrophy is presented. Because of the genetic and clinical similarity with the more common Duchenne muscular dystrophy, these two diseases are compared. Since muscular dystrophy often initially presents with toe walking, flat-foot, and waddling gait, podiatrists may be the first physicians to see the child and provide early diagnosis.
Asunto(s)
Distrofias Musculares/diagnóstico , Adolescente , Pie/patología , Marcha , Humanos , Masculino , Músculos/patología , Distrofias Musculares/patologíaRESUMEN
A patient presented with monarthric ankle pain, which took 2 years to diagnose by numerous physicians and imaging and laboratory tests. A review of the differential diagnosis for monarthritic joint pain with guidelines for the work-up of the patient are presented.
Asunto(s)
Articulación del Tobillo , Artritis Reumatoide/diagnóstico , Dolor/etiología , Adulto , Artritis Reumatoide/complicaciones , Diagnóstico Diferencial , Femenino , HumanosRESUMEN
The purpose of this study was to evaluate the long term results of clubfoot surgery. Forty-four patients were evaluated for periods from one to 41 years. The evaluation was based upon clinical, radiological and functional criteria. Results revealed that in spite of anatomically and radiologically imperfect feet, most patients demonstrated excellent levels of function. The results of other follow-up clubfoot studies were analyzed and compared to the present study.
Asunto(s)
Pie Equinovaro/cirugía , Adolescente , Adulto , Factores de Edad , Niño , Preescolar , Pie Equinovaro/diagnóstico por imagen , Pie Equinovaro/fisiopatología , Estudios de Seguimiento , Humanos , Lactante , Persona de Mediana Edad , Radiografía , Reoperación , Estudios Retrospectivos , Factores de Tiempo , Resultado del TratamientoAsunto(s)
Ataxia Cerebelosa/diagnóstico , Varicela/complicaciones , Encefalitis/etiología , Marcha , Niño , Diagnóstico Diferencial , Femenino , HumanosRESUMEN
The authors provide a comprehensive review of the nature, origins, and natural history of torsion of the lower extremity. Norms for children and adults are discussed, along with implications for treatment.
Asunto(s)
Fémur , Tibia , Dedos del Pie , Adulto , Enfermedades Óseas/etiología , Enfermedades Óseas/fisiopatología , Enfermedades Óseas/terapia , Niño , Humanos , Recién Nacido , Pierna/embriología , Anomalía TorsionalRESUMEN
The authors describe the podiatric biomechanical management of the child and adolescent with Down syndrome. They also present an overview of the genetics, general characteristics, orthopedic problems, and gait of these patients. They discuss the various approaches to the biomechanical problems associated with the syndrome, and present two case histories that demonstrate common considerations in the treatment of the patient with Down syndrome.