scholarly journals Influence of a Foot Insole for a Down Syndrome Patient with a Flat Foot: A Case Study

Medicina ◽  
2020 ◽  
Vol 56 (5) ◽  
pp. 219
Author(s):  
Yusuke Endo ◽  
Yoshihide Kanai ◽  
Arito Yozu ◽  
Yasuto Kobayashi ◽  
Takashi Fukaya ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Knee Joint ◽  
Internal Rotation ◽  
Knee Kinematics ◽  
Rotational Stability ◽  
Syndrome Patient ◽  
Flat Foot ◽  
Down Syndrome Patient ◽  
Tibial Internal Rotation ◽  
Internal Rotation Angle

Background and Objectives: Patients with Down syndrome have many orthopedic problems including flat foot. Insertion of an insole for a flat foot provides support to the medial longitudinal arch; thus, insole therapy is often used to treat a flat foot. However, the influence of an insole insertion on the knee joint kinematics for a patient with Down syndrome is unknown. This study aimed to elucidate the influence of an insole for a flat foot on the knee kinematics during gait for a patient with Down syndrome. Materials and Methods: The subject was a 22-year-old male with Down syndrome who had a flat foot. The knee joint angle during the gait was measured using a 3D motion capture system that consisted of eight infrared cameras. Results: The gait analysis demonstrated a reduction in the knee flexion angle during double knee action. The knee valgus and tibial internal rotation angles also decreased during the loading response phase while wearing shoes that contained the insole. Conclusions: As the angle of the knee joint decreased during the gait, it was considered that the stability of the knee joint improved by inserting the insole. In particular, there was a large difference in the tibial internal rotation angle when the insole was inserted. It is thus hypothesized that the insole contributes to the rotational stability of the knee joint. This study suggests that knee stability may improve and that gait becomes more stable when a Down syndrome patient with a flat foot wears an insole.

scholarly journals Early-onset thrombocytopenia, severe polyarthritis, and severe B cell impairment in a Down syndrome patient

2015 ◽  
Vol 8 ◽  
pp. A103
Author(s):  
Ana Paula Willy-Fabro ◽  
Ana Carolina Rozalem ◽  
Tatiane Pavan-Ramos ◽  
Cláudio Len ◽  
Juliana Themudo Lessa Mazzucchelli ◽  
...  
Keyword(s):  
Down Syndrome ◽  
B Cell ◽  
Early Onset ◽  
Syndrome Patient ◽  
Down Syndrome Patient

scholarly journals A case report of atlanto-axial instability in a Down Syndrome patient

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Mubashir Alavi Jusabani ◽  
Sakina Mehboob Rashid ◽  
Honest Herman Massawe ◽  
William Patrick Howlett ◽  
Marieke Cornelia Johanna Dekker
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Syndrome Patient ◽  
Down Syndrome Patient

scholarly journals Interdigital palmar dermatoglyphics patterns of bangladeshi down syndrome patient

2021 ◽  
Vol 11 (1) ◽  
pp. 128
Author(s):  
Mainul Haque ◽  
MohammadMonir Hossain ◽  
Md Ashrafuzzaman ◽  
Iffat Jahan ◽  
Nurun Naher ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Syndrome Patient ◽  
Down Syndrome Patient

A down syndrome patient diagnosed with transient myeloproliferative disease after presenting with cutaneous findings

2021 ◽  
Vol 28 (10) ◽  
pp. 1945
Author(s):  
Burak Ceran ◽  
Turan Derme ◽  
Mehmet Erkan ◽  
Seda Sahin ◽  
Dilek Gokcebay ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Syndrome Patient ◽  
Myeloproliferative Disease ◽  
Down Syndrome Patient

scholarly journals Management of Recurrent Posterior Hip Dislocation in a Down Syndrome Patient with Dysplastic Hip Using Ganz Periacetabular Osteotomy: Follow Up After 4 Years

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0003
Author(s):  
Ismail H. Dilogo ◽  
Jessica Fiolin
Keyword(s):  
Down Syndrome ◽  
Periacetabular Osteotomy ◽  
Weight Bearing ◽  
Hip Dislocation ◽  
Harris Hip Score ◽  
Syndrome Patient ◽  
Down Syndrome Patient ◽  
Dysplastic Hip ◽  
Posterior Hip Dislocation

Recurrent hip dislocation in a Down Syndrome patient with dysplastic hip is a very challenging case to treat even for an expert orthopaedic hip surgeon. Least compliant patient and family, lowly educated with low socioeconomic status and the dysplastic hip forces limited option as a treatment. This is the first case world wide reporting 4 year follow up of dysplastic hip with Down Syndrome treated successfully with PAO technique. Methods: An eighteen years old female with history of Down Syndrome had multiple posterior hip dislocation episodes since 3 years prior. Several attempts of close reduction and hip spica applications were performed upon dislocation despite no successful retaining of reduction. Acetabular index of right hip were 550 and epiphyseal plate hasclosed. PatientwasperformedopenreductionusingSouthern-Mooreposteriorapproachand osteotomy of ischium, continued with capsulorrhaphy followed with Smith-Peterson anterior approach and osteotomy of superior ramus pubis and iliac bone. Then, derotation maneuver was performed under image intensifier to obtain adequate coveragefollowedwithbonegraftandfixationusing2cannulatedscrewandhipspica castapplication. Results: Within four years after surgery, the hip has never been dislocated again, patient could sit without pain and walk with full weight bearing although Harris Hip Score could not be performed due to Down Syndrome. Leg length discrepancy was negligible,fracture has fully united and acetabularin dex was300. Conclusions: Ganz periacetabular osteotomy, although a technically demanding surgery, is a preferable treatment in recurrent hip dislocation for Down Syndrome patient with good to excellent clinical and radiological ou tcome

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