Isolated Talonavicular Arthrodesis for Traumatic Talonavicular Arthritis: Report of 2 Cases With Gait Analyses

2021 ◽  
pp. 193864002110301
Author(s):  
Yuina Nitta ◽  
Hiroyuki Seki ◽  
Yasunori Suda ◽  
Rie Tanabe ◽  
Risa Tsuchiya ◽  
...  
Keyword(s):  
Case Report ◽  
Gait Analysis ◽  
Range Of Motion ◽  
Surgical Procedures ◽  
Clinical Results ◽  
Contralateral Side ◽  
Kinematic Data ◽  
3 Dimensional ◽  
Kinematic Behavior ◽  
Ankle Complex

Isolated talonavicular arthrodesis is one of the surgical procedures for patients with talonavicular arthritis. However, the 3-dimensional kinematic behavior of the hip, knee, and foot/ankle complex during walking after the arthrodesis remains unclear. The clinical outcomes and gait analyses of 2 cases who underwent isolated arthrodesis for talonavicular osteoarthritis with chronic dislocated navicular fracture are presented. Gait analysis was carried out in both cases 1 year after surgery to clarify the side-to-side differences in the ranges of motion of the hip, knee, and foot/ankle complex during walking. Both cases showed good clinical results and radiographic bone union. The kinematic data of the gait analyses showed considerable restriction in the range of motion of the ankle in all 3-dimensional planes for the fused foot compared with the contralateral side. Additionally, hyperextension of the knee in the late stance of gait on the operated side was observed in both cases. When talonavicular arthrodesis was performed for talonavicular osteoarthritis with chronic dislocated navicular fracture, postoperative generalized stiffness of the ankle and future disorder of the knee should be considered. Levels of Evidence: Level V: Case report

scholarly journals Can an observational gait scale produce a result consistent with 3-dimensional gait analysis?: a prospective observational study

2019 ◽  
Author(s):  
Agnieszka Guzik ◽  
Mariusz Drużbicki ◽  
Lidia Perenc ◽  
Justyna Podgórska-Bednarz
Keyword(s):  
Gait Analysis ◽  
Range Of Motion ◽  
Knee Flexion ◽  
Trial Registration ◽  
Ordinal Scale ◽  
3D Analysis ◽  
3 Dimensional ◽  
Observational Tool ◽  
Gait Parameters ◽  
Flexion Extension

Abstract Background: To investigate whether a simple observational tool may be a substitute to the time-consuming and costly 3-dimensional (3D) analysis, the study applied the Wisconsin Gait Scale (WGS), enabling assessment which is highly consistent with 3D gait parameters in individuals after stroke. The aim of this study was to determine whether, and to what extent, observational information obtained from WGS-based assessment can be applied to predict results of 3D gait analysis for selected symmetry indicators related to spatiotemporal and kinematic gait parameters. Methods: Fifty individuals at a chronic stage of recovery post-stroke were enrolled in the study. The spatiotemporal and kinematic gait parameters were measured using a movement analysis system. The Symmetry Index (SI), was calculated for selected gait parameters. The study participants’ gait was evaluated by means of the WGS. The regression analysis was applied to investigate whether a simple observational tool may be a substitute to the time-consuming and costly 3D analysis. Results: It was shown that 3D SI, related to Stance Time [s], Stance %, Hip and Knee Flexion-Extension Range of Motion may be described with fairly high accuracy using item questions of the WGS (0.7≤|R|<0.9; 0.9≤|R|<1). This initial finding provided a rationale for the assumption that a combination of selected WGS items may enable even more accurate estimation of SI for 3D parameters. It was shown that Stance % SI, Hip and Knee Flexion-Extension Range of Motion SI can most effectively be substituted by WGS-based estimations – coefficient of determination exceeding 80%. Conclusions: It was shown that information acquired based on the WGS can be used to obtain results comparable to those achieved in 3D assessment for selected SIs of spatiotemporal and kinematic gait parameters. The study confirms that observation of gait using the WGS, which is an ordinal scale, is consistent with the main aims of 3D assessment, therefore the scale can be recommended as a substitute tool in gait assessment. Trial registration: ANZCTR, ACTRN12617000436370. Registered 24 March 2017, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372248.

Dynamic Splinting for Runner’s Toe

2009 ◽  
Vol 99 (4) ◽  
pp. 367-370 ◽  
Author(s):  
Mathew M. John ◽  
F. Buck Willis ◽  
Alberto Portillo
Keyword(s):  
Case Report ◽  
Gait Analysis ◽  
Range Of Motion ◽  
Hallux Limitus ◽  
Dynamic Splinting ◽  
Active Range Of Motion

We present a case report of runner’s hallux limitus and the effect of dynamic splinting in reducing contracture as measured by gait analysis. After 4 months of treatment with dynamic splinting, the patient regained 45° in active range of motion, and the gait analysis showed significant and beneficial changes. (J Am Podiatr Med Assoc 99(4): 367–370, 2009)

scholarly journals True Symphalangism of All Bilateral Proximal Interphalangeal Joints with Multi-carpal Coalition and Hypoplasia of the Ulnar Styloid Process

2021 ◽  
Author(s):  
Hao Yu ◽  
Chongjie Li
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Styloid Process ◽  
Genetic Condition ◽  
Ulnar Styloid ◽  
Wrist Motion ◽  
First Case ◽  
Distal Interphalangeal ◽  
Carpal Coalition ◽  
Ulnar Styloid Process

AbstractSymphalangism is a rare genetic condition characterized by ankylosis of the proximal interphalangeal (PIP) or/and distal interphalangeal (DIP) joints. The patient presented with fused bilateral PIP joints and poor flexion, and an unsatisfactory range of motion (ROM) in the metacarpophalangeal (MP) and DIP joints. Concomitantly, multi-carpal coalition, proximal carpal malalignment, and ulnar styloid process abnormality were also observed in radiographs obtained at diagnosis. Rehabilitation training of the MP and DIP joints and a wrist supporter were recommended to achieve MP and DIP functional motion and restrict dramatic wrist motion. This is the first case report of symphalangism with multi-carpal coalition and abnormality of the ulnar styloid process to the best of our knowledge.

scholarly journals Preoperative Diagnosis and Treatment of Middle Ear Adenoma: A Case Report and Literature Review

2021 ◽  
pp. 014556132110002
Author(s):  
Aleksander Zwierz ◽  
Krystyna Masna ◽  
Paweł Burduk
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Middle Ear ◽  
Surgical Procedures ◽  
Preoperative Diagnosis ◽  
Proper Treatment ◽  
Second Stage ◽  
Middle Ear Adenoma ◽  
Histopathological Results

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

scholarly journals Evaluation of Ankle Mobility Loss in Patients Undergoing Subtalar Arthrodesis

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0011
Author(s):  
Tiago S. Baumfeld ◽  
Roberto Zambelli de A. Pinto ◽  
Fernando Araujo S. Lopes ◽  
Daniel Baumfeld ◽  
Camilo Tavares
Keyword(s):  
Range Of Motion ◽  
Plantar Flexion ◽  
Contralateral Side ◽  
Foot And Ankle ◽  
Lower Range ◽  
Open Chain ◽  
Subtalar Arthrodesis ◽  
Closed Chain ◽  
Ankle Mobility ◽  
Dorsal Flexion

Category: Hindfoot Introduction/Purpose: Objective: To evaluate and quantify the loss of ankle mobility in patients undergoing subtalar arthrodesis compared to the contralateral side, through physical examination. Methods: A total of 12 patients who had only the subtalar arthrodesis procedure from various causes in one foot were selected. The same foot and ankle surgeon performed all measurements of bilateral tibiotarsal range of motion, with loaded closed-chain and unloaded open-chain tests. Then, to assess whether there was a difference between the operated and the non-operated side, statistical analysis was performed with the Mann-Whitney test (Hollander and Wolfe 1999). Results: On the loaded closed-chain test, the operated side had a significantly lower range of motion than the contralateral side, with a mean difference of 5.4 degrees for dorsal flexion and 7.6 degrees for plantar flexion. The open-chain tests showed non- significant differences of 3 degrees for dorsal flexion and 5.3 degrees for plantar flexion. Conclusion: Subtalar joint arthrodesis was shown to cause a loss of mobility in the ipsilateral ankle, which is greater in plantar flexion movement.

Use of 3-dimensional–Printed Guide in Hemisection and Autotransplantation of a Fusion Tooth: A Case Report

2021 ◽  
Vol 47 (3) ◽  
pp. 526-531
Author(s):  
Manuel Sato ◽  
Alvaro Garcia-Sanchez ◽  
Sergio Sanchez ◽  
I-Ping Chen
Keyword(s):  
Case Report ◽  
3 Dimensional
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