scholarly journals FEATURES OF THE X-RAY ANATOMICAL CONDITIONS OF THE FOOT AND ANKLE IN CHILDREN WITH FIBULAR APLASIA

2013 ◽  
Vol 1 (1) ◽  
pp. 48-52
Author(s):  
Dmitry Stepanovich Buklaev
Keyword(s):  
Ankle Joint ◽  
Subtalar Joint ◽  
Varus Deformity ◽  
Valgus Deformity ◽  
Foot And Ankle ◽  
X Ray ◽  
Significant Relationships ◽  
Tarsal Bones ◽  
Posterior Subluxation

The article contains the results of the analysis of radiographs of the foot and ankle in 84 children with malformations of the fibula. We found that infants’ relation to the ankle joint is often normal, as in the sagittal and frontal planes. With increasing age the number of posterior subluxation increases as well as anteriorly, laterally. Also dislocations of the foot were presented. The most significant relationships were violations of the subtalar joint. There were pronation, supinatsion, positions of calcaneus bone and its lateroposition, which was the most frequent cause of valgus deformity. Also we found a violation of the form of the talus such as a flattening of the block, smoothing of the neck. In rare cases of the varus deformity of the foot abnormalities of the tarsal bones were observed.

scholarly journals The Silverskold Test, Are We All Doing it the Same?

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Nicholas Cheney ◽  
Kyle Rockwell ◽  
John Weis ◽  
Dylan Lewis ◽  
Joseph Long ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Subtalar Joint ◽  
Senior Author ◽  
Foot And Ankle ◽  
Talonavicular Joint ◽  
Ankle Pain ◽  
Wide Range ◽  
Growing Body ◽  
Equinus Contracture ◽  
The Difference

Category: Pathophysiology Introduction/Purpose: Gastrocnemius eqiunus has been associated with a wide range of foot and ankle pathologies in the literature, however, many still question it’s involvement or existence. A recent response in Foot & Ankle International pointed out an incorrect demonstration of the Silfverskold test in a prior study. With a growing body of literature supporting gastrocnemius equinus as a contributing factor in foot and ankle pain, why do many feel that it still does not exist? It was our hypothesis that unless the examination is performed correctly, the diagnosis can be missed and could be the potential cause for disbelief in its existence or effect on foot and ankle pain. We sought to demonstrate the difference in examination findings when performing the test correctly and incorrectly. Methods: Thirty consecutive patients with conditions associated with gastrocnemius equinus in the literature were included in the study. Each patient was consented and had a Silverskold test performed correctly by inverting and locking the subtalar joint as well as stabilizing the talonavicular joint in order to isolate the ankle joint. We then performed the exam incorrectly without stabilizing the same two joints, allowing motion through the ipsilateral hindfoot and midfoot joints. A long arm goniometer was used to measure the angles with each arm along the length of the fibula and fifth metatarsal. The senior author performed all of the examinations to maintain consistency. The angles were recorded for later review. Results: We found that when the subtalar and talonavicular joints were stabilized, there was almost fifteen degrees less dorsiflexion than when the same joints were not stabilized. The average dorsiflexion when performed in the correct manner was seventy-eight degrees, while the average dorsiflexion with the exam performed incorrectly was ninety-three degrees. Conclusion: We demonstrated that if the examination is not performed correctly, the equinus contracture could go undiagnosed as motion through the hindfoot and midfoot joints can alter the findings. It is important to understand and perform the technique correctly to evaluate for the contracture as it has been shown to be a contributing factor in many foot and ankle problems. If we standardize the examination, there may be less disagreement about its existence or affect on foot and ankle pain.

scholarly journals Changes in the Ankle Joint and Hindfoot Alignment Following Varus Deformity Correction of the Knee with Total Knee Arthroplasty

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0000
Author(s):  
Bi O Jeong ◽  
Jong Hun Baek ◽  
Wookjae Song
Keyword(s):  
Knee Joint ◽  
Ankle Joint ◽  
Mechanical Axis ◽  
Deformity Correction ◽  
Varus Deformity ◽  
Valgus Deformity ◽  
Hindfoot Alignment ◽  
Total Knee ◽  
The Mean ◽  
Surface Angle

Category: Ankle, Hindfoot Introduction/Purpose: Compensatory changes occur in the ankle joint and the subtalar joint of the hindfoot to maintain neutral alignment in coronal plane when varus or valgus deformity is present in the knee joint. The purpose of this study is (1) to analyze how the ankle and hindfoot joint compensate the changes in mechanical axis that occur with varus deformity of the knee, (2) to analyze the changes in ankle and hindfoot joint alignment when mechanical axis alignment is corrected by correction of varus deformity of the knee with total knee arthroplasty (TKA), and (3) to radiographically evaluate the degree of changes in ankle and hindfoot joint alignment according to the degree of varus deformity correction. Methods: 375 knees that underwent TKA with varus deformity were prospectively studied. The degree of varus deformity of the knee joint was measured in standing long leg anteroposterior views taken before and 6 months after TKA. The angle between the ground surface and the superior dome of the talus, and the talar tilt were measured in standing ankle joint anteroposterior views taken before and 6 months after TKA. Preoperative tibial anterior surface angle and tibial lateral surface angle were measured. Hindfoot alignment was evaluated in hindfoot alignment views taken before and 6 months after operation by measuring the heel ratio, the heel angle, and the heel distance. These measurements were used to analyze the change in ankle joint and hindfoot alignment between before and 6 months after varus deformity correction. The relationship between the degree of varus knee correction and the change in ankle joint and hindfoot alignment was also analyzed. Results: The mean mechanical angle of the knee changed from varus 10.6±5.1° before operation to varus 0.1±3.2° after operation, which was statistically significant (P<0.001). The mean correction angle was 10.6±4.6°. Before operation, the mean tibial anterior surface angle was 89.9±3.1° and the mean tibial lateral surface angle was 81.5±2.9°. Talar tilt changed significantly from 0.3±2.0° to 0.0±1.6°, implying a varus change of the ankle joint (P=0.002). All of the evaluated hindfoot alignment parameters demonstrated a significant varus change (P<0.001), as the heel ratio changed from 0.2±0.2 preoperatively to 0.3±0.2 postoperatively (P<0.001), the heel angle changed from 11.4±7.0° preoperatively to 5.0±7.4°postoperatively (P<0.001), and the heel distance changed from 10.5±6.6 mm preoperatively to 6.4±6.4 mm postoperatively (P<0.000). Conclusion: Varus knee deformity tended to be associated with valgus deformity of the ankle joint and hindfoot alignment. Alignment in the ankle joint and the hindfoot both changed to a varus trend after correction of varus deformity of the knee. Such changes in ankle joint and hindfoot alignment are considered to be due to the compensatory changes following alterations in lower limb alignment. Therefore, it is necessary to perform a meticulous examination of the ankle joint as well as the knee joint and consider subsequent alteration of ankle joint and hindfoot alignment before surgical correction of knee joint alignment.

scholarly journals PO 18244 - Arthroscopic subtalar arthrodesis in tarsal coalition

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 56S
Author(s):  
Wagner Vieira da Fonseca ◽  
Rogério De Andrade Gomes ◽  
Gilberto Coelho Byrro Oliveira ◽  
Sidney Max e Silva ◽  
Matheus Maciel Vilela ◽  
...  
Keyword(s):  
Subtalar Joint ◽  
Arthroscopic Surgery ◽  
Valgus Deformity ◽  
Foot And Ankle ◽  
Tarsal Coalition ◽  
Arthroscopic Technique ◽  
Aofas Score ◽  
Lateral Posterior ◽  
The Mean ◽  
Posterior Anterior

Objective: To describe the technique and results of arthroscopic arthrodesis through lateral portals in clinical cases of medial subtalar coalition. The posterior arthroscopic technique is considered the most difficult method for coalition resection. Methods: Five patients were operated on from April 2015 to July 2018, a study period of approximately 2 years and 3 months. The patients’ age ranged from 37 years and 6 months to 58 years and 1 month, with a mean age of 44 years and 5 months. All patients were operated on through 2 lateral portals using an eyepiece and knee and shoulder arthroscopic surgery instruments, and fixation was performed using 6.5- and 7.0-mm screws. The use of osteotomes was combined with curettes for coalition osteotomy and fusion release. An accessory lateral posterior portal was also used in one patient. Results: The patients were evaluated at 1, 2, 4 and 6 weeks and subsequently at 3 months, when computed tomography was performed to confirm the fusion. The final evaluations were performed at 6 months and 1 year. At the initial evaluation, the mean American Orthopedic Foot and Ankle Society Score (AOFAS) score was 56.7 points preoperatively; it increased to 87.4 after the blocked inversion/eversion was addressed through arthrodesis. Conclusion: This coalition osteotomy and curettage technique involving the release of the blocked subtalar motion to achieve fusion of the posterior, anterior and medial portions of the subtalar joint was found to be feasible through arthroscopic lateral portals. We recommend this procedure as long as no valgus deformity or significant abduction is present.

Single Hemicerclage for Lateral Type B Malleolar Fracture - A Novel, Minimal and Reliable Osteosynthesis

Swiss Surgery ◽  
2003 ◽  
Vol 9 (6) ◽  
pp. 283-288
Author(s):  
Maurer ◽  
Stamenic ◽  
Stouthandel ◽  
Ackermann ◽  
Gonzenbach
Keyword(s):  
Ankle Joint ◽  
Weight Bearing ◽  
Fracture Type ◽  
Type B ◽  
Malleolar Fracture ◽  
Metallic Wire ◽  
Long Term Outcome ◽  
X Ray ◽  
Upper Ankle Joint ◽  
Upper Ankle

Aim of study: To investigate the short- and long-term outcome of patients with isolated lateral malleolar fracture type B treated with a single hemicerclage out of metallic wire or PDS cord. Methods: Over an 8-year period 97 patients were treated with a single hemicerclage for lateral malleolar fracture type B and 89 were amenable to a follow-up after mean 39 months, including interview, clinical examination and X-ray controls. Results: The median operation time was 35 minutes (range 15-85 min). X-ray controls within the first two postoperative days revealed an anatomical restoration of the upper ankle joint in all but one patient. The complication rate was 8%: hematoma (2 patients), wound infection (2), Sudeck's dystrophy (2) and deep vein thrombosis (1). Full weight-bearing was tolerated at median 6.0 weeks (range 2-26 weeks). No secondary displacement, delayed union or consecutive arthrosis of the upper ankle joint was observed. All but one patient had restored symmetric joint mobility. Ninety-seven percent of patients were satisfied or very satisfied with the outcome. Following bone healing, hemicerclage removal was necessary in 19% of osteosyntheses with metallic wire and in none with PDS cord. Conclusion: The single hemicerclage is a novel, simple and reliable osteosynthesis technique for isolated lateral type B malleolar fractures and may be considered as an alternative to the osteosynthesis procedures currently in use.

scholarly journals Rotation Distortion Syndrome of Ankle Joint and Knee in Car Drivers and Passengers

2021 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Czech Republic ◽  
Knee Joint ◽  
Hallux Valgus ◽  
Ankle Joint ◽  
Joint Pain ◽  
Pain Syndrome ◽  
Valgus Deformity ◽  
Brain Dysfunction ◽  
Front Part ◽  
Minimal Brain Dysfunction

The most common feet pathologies of children are valgus and valgus planus deformities, which are congenital or connected with neurological dysfunctions (Minimal Brain Dysfunction). In adults, and mostly in women, we observe: 1. Köhler’s disease among girls wearing improper shoes. 2. Insufficiency and pain of the front part of feet connected with limited toes flexion, 3. Valgus deformity of the big toes (hallux valgus), 4. “Ankle Joint Pain Syndrome” (AJPS)-sometimes also “Knee Joint Pain Syndrome” (KJPS)-described by us only in USA, India and Czech Republic. In presented article, we describe this special type of foot insufficiency- “instability of ankle or knee, or both joints”-on left leg in drivers and right leg in passengers in countries with right-hand traffic. More frequent it concerns the foot and article focus on this problem.

scholarly journals COMPARATIVE STUDY OF SURGICAL CORRECTION OF CONGENITAL TALIPES EQUINO VARUS DEFORMITY WITH AND WITHOUT INTERNAL FIXATION (USING K-WIRES)

2019 ◽  
pp. 1-2
Author(s):  
Archana Babu. P
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Club Foot ◽  
Varus Deformity ◽  
Soft Tissue Release ◽  
Congenital Deformity ◽  
Tarsal Joint ◽  
Tarsal Bones ◽  
Congenital Talipes ◽  
K Wires

Congenital Talipes Equino Varus is one of the most common congenital deformity which occurs in 1/1000 live birth worldwide. Regarding management of this clubfoot ,most orthopaedic surgeons agree that approach management of children with congenital talipes equino varus deformity of foot should begin with conservative measures i.e, manipulation and serial casting in position of correction. One or more surgical procedures are often required in patients who had incomplete correction , recurrent deformity , syndromic correction and after repeated manipulation and casts. Recurrence is a common problem following the club foot surgery one of the reason for recurrence can be redisplacement of tarsal bones .This study aims to compare prospectively the functional and cosmetic outcome of two groups of club foot-one in whom tarsal joint were fixed with k-wires after doing posteromedial soft tissue release and one in whom tarsal joint were not fixed after soft tissue release .To know the incidence of congenital talipes equino varus with respect to age and sex predilection over a period of two years which were admitted between October 2017 to October 2019, 28 idiopathic club foot in 20 children range from 4 months to 3 years were treated out of 20 cases 12 were males,8 were females.8 patients had bilateral deformity out of 12 unilateral deformities 8 were on right side and 4 were on the left side. Male and female ratio 1.5:1 and unilateral to bilateral 1.5 :1.In 12 feet turco's posteromedial soft tissue release and internal fixation of tarsal joints with k-wires was done in 16 feet only turco's posteromedial soft tissue release was done. The period of follow up ranges from 6 months to 2 years

scholarly journals Analisis Perbandingan Nilai Signal to Noise Ratio (SNR) pada Pemeriksaan MRI Ankle Joint dengan Menggunakan Quad Knee Coil dan Flex/Multipurpose Coil

2017 ◽  
Vol 3 (1) ◽  
pp. 220-224
Author(s):  
Ahda Nur Arifah ◽  
Yeti Kartikasari ◽  
Emi Murniati
Keyword(s):  
Achilles Tendon ◽  
Ankle Joint ◽  
Subtalar Joint ◽  
Signal To Noise Ratio ◽  
P Value ◽  
Signal To Noise ◽  
Talocrural Joint ◽  
Knee Coil ◽  
Noise Ratio ◽  
Joint Examination

Background : Research on the difference comparison the value of Signal To Noise Ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex/Multipurpose Coil at the hospital's radiology installation Telogorejo Semarang. Quad knee coil is a volume coil, is a coil that can act as a transmitter and receiver at the same RF signal (transreceiver). Flex / Multipurpose Coil is a surface coil which has a high SNR for a superficial examination (a small organ). The purpose of this research is to know comparison the value of signal to noise ratio (SNR) and higher the value of signal to noise ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil.Method : This type of research is quantitative experimental approach. The research data which 6 samples. Rate includes images subjectively talocalcaneal interosseous ligament, talocrural joint, subtalar joint, the calcaneus, tibia, talus, and the Achilles tendon. Then the results of the data in Paired T-Test tested.Results : Test results that there are differences in comparison the value of signal to noise ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil which has a p-value / sig for all of 0.002, and each criterion that have talocalcaneal interoseous ligament p value 0.026, talocrural joint p value 0.017, subtalar joint p value 0.001, calcaneus p value 0.002, tibia p value 0.003, talus p value 0.006, and achilles tendon p value 0.012. This is in accordance with the calculated average value SNR on the use of Quad Knee Coil is higher at 110.67 because the coil acts as transreceiver and has two preamplifier so as to improve the SNRConclusion : There is a differences in comparison the value of Signal To Noise Ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil.

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