Technical tip: Percutaneous bone shaving and ulcer endoscopy to manage abnormal pressure point of the sole

The Foot ◽  
2014 ◽  
Vol 24 (4) ◽  
pp. 190-194 ◽  
Author(s):  
T.H. Lui
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Trevor Lee-Miller ◽  
Marco Santello ◽  
Andrew M. Gordon

AbstractSuccessful object manipulation, such as preventing object roll, relies on the modulation of forces and centers of pressure (point of application of digits on each grasp surface) prior to lift onset to generate a compensatory torque. Whether or not generalization of learned manipulation can occur after adding or removing effectors is not known. We examined this by recruiting participants to perform lifts in unimanual and bimanual grasps and analyzed results before and after transfer. Our results show partial generalization of learned manipulation occurred when switching from a (1) unimanual to bimanual grasp regardless of object center of mass, and (2) bimanual to unimanual grasp when the center of mass was on the thumb side. Partial generalization was driven by the modulation of effectors’ center of pressure, in the appropriate direction but of insufficient magnitude, while load forces did not contribute to torque generation after transfer. In addition, we show that the combination of effector forces and centers of pressure in the generation of compensatory torque differ between unimanual and bimanual grasping. These findings highlight that (1) high-level representations of learned manipulation enable only partial learning transfer when adding or removing effectors, and (2) such partial generalization is mainly driven by modulation of effectors’ center of pressure.


Hypertension ◽  
2006 ◽  
Vol 48 (6) ◽  
pp. 1143-1150 ◽  
Author(s):  
Sergio Castellani ◽  
Marzia Bacci ◽  
Andrea Ungar ◽  
Patrizio Prati ◽  
Claudia Di Serio ◽  
...  

2009 ◽  
Vol 83 (5) ◽  
pp. 939-950 ◽  
Author(s):  
Xiaozhi CHEN ◽  
Hao XU ◽  
Dazhen TANG ◽  
Junfeng ZHANG ◽  
Xiaolan HU ◽  
...  

2021 ◽  
Vol 111 (3) ◽  
Author(s):  
Kadir Ilker Yildiz ◽  
Abdulhamit Misir ◽  
Turan Bilge Kizkapan ◽  
Mustafa Cukurlu ◽  
Canan Gonen Aydin

Background No detailed comparative studies have been performed regarding plantar pressure changes between proximal dome and distal chevron osteotomies. This study aimed to compare radiographic and plantar pressure changes after distal chevron and proximal dome osteotomies and to investigate the effect of radiographic and plantar pressure changes on clinical outcomes. Methods This study included 26 and 22 patients who underwent distal chevron and proximal dome osteotomies, respectively. Visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) forefoot scores were used to evaluate pain and functional outcomes. Hallux valgus angle, intermetatarsal angle, talar–first metatarsal angle, and calcaneal inclination angle were measured in the evaluation of radiographic outcomes. Preoperative and postoperative plantar pressure changes were evaluated. Results There were no statistically significant differences between the two groups in age, body mass index, or AOFAS forefoot and VAS scores. In the proximal dome group, the pressure measurement showed significant lateralization of the maximal anterior pressure point in the forefoot (P < .001). In addition, the postoperative calcaneal inclination angle was significantly lower (P = .004) and the talar–first metatarsal angle was significantly higher (P < .001) in the proximal dome group. Postoperative transfer metatarsalgia was observed in one patient (3.8%) in the distal chevron group and five (22.7%) in the proximal dome group (P < .05). Conclusions Proximal dome osteotomy led to more lateralization of the maximum anterior pressure point, decreased calcaneal inclination angle and first metatarsal elevation, and related higher transfer metatarsalgia.


Author(s):  
Ramesh Chandra Patra ◽  
Patitapaban Mohanty ◽  
Ajay P Gautam

 Objective: The main objective of this study was to evaluate the effectiveness of dry needling and mulligan C1-C2 sustained natural apophyseal glides (SNAGs) in increasing pressure point threshold and reducing headache disability in patients with CGH.Methods: This study was conducted on 150 patients. They were divided into three groups for the purpose of the study. Group A was referred to as the dry needling group. They were subjected to dry needling for treating the pain. Group B was the manual therapy group. The patients in this group were subjected to C1-C2 SNAGs. Group C was the combined group. Patients belonging to this group were given C1-C2 SNAGs along with dry needling.Results: Statistical analysis paired t-test was used for comparison of the mean within every group where it showed significant improvement in all the parameter (p<0.05).Conclusion: There was a consistent reduction in tenderness and improvement in disability of the patients belonging to all groups. However, Group C, where the patients were subjected to combined treatment, showed better results. Results of this study indicate that dry needling along with mulligan C1-C2 SNAGs is more beneficial in patients suffering from cervicogenic headaches.


2021 ◽  
Vol 7 (4) ◽  
pp. 46-63
Author(s):  
Dr. Faleh H. M. Almahdawi ◽  
Dr. Kareem A. Alwan ◽  
Ahmed K. H. Alhusseini

Prediction of formation pore pressure gradient is a very important factor in designingdrilling well program and it help to avoid many problems during drilling operations such as lostcirculation, kick, blowout and other problems.In this study, abnormal formation pressure is classified into two types; abnormal highpressure (HP) and abnormal low pressure (LP), therefore any pressure that is either above orbelow the hydrostatic pressure is referred to as an abnormal formation pressure.This study concerns with abnormal formation pressure distribution and their effect ondrilling operations in middle & south Iraqi oil fields. Abnormal formation pressure maps aredrawn depending upon drilling evidence and problems.Three formations are considered as abnormal formations in the region of study, theseformations geologically existed in Tertiary age and they from shallower to deeper are: LowerFars, Dammam and Umm Er Radhuma, Formations. The maps of this study referred to eitherhigh formations pressure such as (Lower Fars and Umm Er Radhuma) or the low formationspressure such as (Dammam) in middle and south of Iraq. Finally these maps also suggested andshowed the area, where no field is drill until now, which may behave as high, low and normalformation pressure for every formation understudy.


2021 ◽  
Author(s):  
Ernesto Franco Delgado ◽  
Felix Jahn ◽  
Liam Weir ◽  
Brian Bruce ◽  
Nestor Carreno

Abstract During the completion phase of an unconventional well in Turkey, casing deformation represented a challenge to the operator and Coiled Tubing (CT) service provider due to the potential loss of almost 70% of the horizontal section. The deformation obstructed the path to continue the milling the remaining plugs. The implementation of bicentric mills and Multi-Cycling Circulation Valve (MCCV) incorporated in the milling assembly allowed efficient recovery of the horizontal section. The tubing condition analysis done by the engineering team showed that symmetric mills would not be beneficial. Conformance tubing was not an option. Bicentric milling approach was deemed the most viable solution. This approach consists of using offset mills where rotation causes the cutting head to cover an area larger than the mill's frontal face. However, this approach could lead the CT pipe getting stuck due to big junk left. The use of a MCCV, limiting the number of milled plugs, and performing a fishing run between milling runs were key to the success of the bicentric milling approach. The Turkish well was completed with ten stages isolated by nine aluminum plugs. During the fracturing of stage seven, an abnormal pressure drop was observed while keeping the same pump rate, indicating possible casing damage. After all the stages were fractured, the CT proceeded to mill the plugs using a 4.63-in Outside Diameter (OD) mill. After three plugs were milled, an obstruction was detected, indicated by frequent aggressive motor stalls at the same depth. A tapered mill was run to perform a tubing conformance, and after several hours of unsuccessful penetration, the tool was recovered. At the surface, the tool showed signs of wear around 4.268 in. A 4.0-in OD mill was used to drift this section, and it passed free. An analysis of both the plug anatomy and the casing condition was done to determine the most viable solution. A 4-in OD bicentric mill was designed to pass across the restriction with an adjusted eccentricity to allow higher contact area. Three bicentric milling runs were made with the limit of a maximum of two plugs per run to avoid a CT stuck situation due to the larger cuttings as a result of the mill's asymmetry. The sparsity of information on using bicentric mills for plug milling required research into unpublished practices for such scenarios. This paper documents bicentric milling approach, the use of offset mills, and the mitigation measurements taken during this project to avoid a stuck situation due to large debris generated.


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