FOOT PRESSURE MEASURMENT AND MAPPING, IN A CASE SERIES ASSESSMENT FOR DIAGNOSING AND TREATING ORTHOPAEDIC FOOT ABNORMALITIES.

2021 ◽  
pp. 60-62
Author(s):  
Arun Kumar KV ◽  
Arun Kumar C ◽  
Jamal Mohamed A ◽  
Venkatachalam K ◽  
Shah Shaival Kalpesh ◽  
...  
Keyword(s):  
Tamil Nadu ◽  
Case Series ◽  
Foot Pressure ◽  
Foot Health ◽  
Canal Stenosis ◽  
Pressure Mapping ◽  
Custom Made ◽  
Achilles Tendonitis ◽  
A Prospective Study ◽  
Mapping Systems

Introduction: The study that measures the existing elds of pressure between a surface that is used to support, and foot surface that is plantar, is called Pedobarography. It has important applications in the analysis of Gait and other Foot Health problems. The requirement of foot pressure measurement sensors, are that they must have mobility with limited cabling. Materials And Methods: This was a prospective study done as an outpatient procedure at Chettinad Hospital and Research Institute, Kelambakkam, Chengalpattu district of Tamil Nadu, from January 2019 to December 2019, for foot related ailments of outpatients presenting in the Department of Orthopaedics. The foot mapping was done by standard static mapping and gait analytical mapping systems. The ndings were recorded and analyzed by a computer and the patients were prescribed custom made foot-wear. Results: 945 cases were included in the study of which 575 patients had foot related orthopaedic pain pathology in the age group of 28 to 57years. Only for the 170 patients in the plantar fasciitis group was Hydrocortisone Injection administered. Remaining foot pathologies were treated with wax bath and ultrasound therapy. For the neurological foot pain segment comprising of 114 patients, neurologist consultation was sought, of which 36 cases turned out to be, due to lumbar canal stenosis and were surgically intervened upon. Of the 208 patients with Achilles tendonitis, 165 patients resolved with a heel and sole raise, with physiotherapy and the remaining 43 patient required spur and bursal surgical exploration and excision. Conclusion: Plantar foot pressure mapping, should be an integral part of the list of investigations, while trying to diagnose and treat the problems related to foot abnormalities and pathologies.

scholarly journals Recurrent contracted sockets treated with personalized, three-dimensionally printed conformers and buccal grafts

2021 ◽  
pp. 112067212110000
Author(s):  
Annabel LW Groot ◽  
Jelmer S Remmers ◽  
Roel JHM Kloos ◽  
Peerooz Saeed ◽  
Dyonne T Hartong
Keyword(s):  
Three Dimensional ◽  
Case Series ◽  
Secondary Outcome ◽  
Retrospective Case ◽  
Upper Eyelid ◽  
Ocular Prosthesis ◽  
Buccal Mucosal Graft ◽  
Custom Made ◽  
3D Printed

Purpose: Recurrent contracted sockets are complex situations where previous surgeries have failed, disabling the wear of an ocular prosthesis. A combined method of surgery and long-term fixation using custom-made, three-dimensional (3D) printed conformers is evaluated. Methods: Retrospective case series of nine patients with recurrent excessive socket contraction and inability to wear a prosthesis, caused by chemical burns ( n = 3), fireworks ( n = 3), trauma ( n = 2) and enucleation and radiotherapy at childhood due to optic nerve glioma ( n = 1) with three average previous socket surgeries (range 2–6). Treatment consisted of a buccal mucosal graft and personalized 3D-printed conformer designed to be fixated to the periosteum and tarsal plates for minimal 2 months. Primary outcome was the retention of an ocular prosthesis. Secondary outcome was the need for additional surgeries. Results: Outcomes were measured at final follow-up between 7 and 36 months postoperatively (mean 20 months). Eight cases were able to wear an ocular prosthesis after 2 months. Three cases initially treated for only the upper or only the lower fornix needed subsequent surgery for the opposite fornix for functional reasons. Two cases had later surgery for cosmetic improvement of upper eyelid position. Despite pre-existing lid abnormalities (scar, entropion, lash deficiency), cosmetic outcome was judged highly acceptable in six cases because of symmetric contour and volume, and reasonably acceptable in the remaining two. Conclusions: Buccal mucosal transplant fixated with a personalized 3D-designed conformer enables retention of a well-fitted ocular prosthesis in previously failed socket surgeries. Initial treatment of both upper and lower fornices is recommended to avoid subsequent surgeries for functional reasons.

scholarly journals The value of cervical MRI in surgical lumbar canal stenosis patients

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Omar Youssef Abdalla ◽  
Hieder Al-Shami ◽  
Heba Medhat Maghraby ◽  
Abdelrhman Enayet
Keyword(s):  
Clinical Presentation ◽  
Adult Population ◽  
Cervical Canal ◽  
Lumbar Stenosis ◽  
Cervical Stenosis ◽  
Lumbar Canal Stenosis ◽  
Cervical Canal Stenosis ◽  
Canal Stenosis ◽  
Tandem Spinal Stenosis ◽  
A Prospective Study

Abstract Background The prevalence of cervical canal stenosis alone is estimated to be present in 4.9% of the adult population. Co-existence of dual pathology may complicate clinical presentation and necessitates a wise and individually based decision process. Objectives To estimate the co-existence of cervical canal stenosis in surgical lumbar canal stenosis patients and its reflection on decision-making regarding surgery. Methods It is a prospective study that was conducted on 70 cases with symptomatic lumbar canal stenosis by investigating them for cervical canal stenosis clinically and radiologically. Results The co-existence of cervical and lumbar canal stenoses was seen in 62 cases (88.57%); cases with relative cervical stenosis were 25 (35.714%) and absolute cervical stenosis was 37 (52.857%). Cases with no cervical stenosis were 8 (11.428%) and cases with relative lumbar stenosis were 22 (31.428%), while cases with absolute lumbar stenosis were 48 (68.571%). Cases with symptomatic cervical canal stenosis were 30 (42.857%). Cases with asymptomtic cervical canal stenosis were 32 (45.71%). Conclusion Tandem spinal stenosis (TSS) is not uncommon and MRI cervical spine should be done for every lumbar canal stenosis patient especially if indicated by history or clinical examination.

Gout in the Axial Skeleton

2009 ◽  
Vol 36 (3) ◽  
pp. 609-613 ◽  
Author(s):  
RUKMINI M. KONATALAPALLI ◽  
PAUL J. DEMARCO ◽  
JAMES S. JELINEK ◽  
MARK MURPHEY ◽  
MICHAEL GIBSON ◽  
...  
Keyword(s):  
Facet Joint ◽  
Case Reports ◽  
Case Series ◽  
Lumbar Vertebrae ◽  
Axial Skeleton ◽  
Ct Images ◽  
Common Finding ◽  
Appendicular Skeleton ◽  
Pars Interarticularis ◽  
A Prospective Study

Objective.Gout typically affects the peripheral joints of the appendicular skeleton and rarely involves the axial joints. The literature on axial gout is limited to case reports and case series. This preliminary study was conducted to identify the frequency and characteristics of axial gout.Methods.Six hundred thirty medical records with ICD codes 274.0, 274.82, and 274.9 for peripheral gout were reviewed. Ninety-two patients had clinical or crystal-proven gout, of which 64 had prior computed tomography (CT) images of the spine performed for various medical reasons. These CT images were reviewed for features of axial gout, which include vertebral erosions mainly at the discovertebral junction and the facet joints, deposits of tophi, and erosions in the vertebral body, epidural space, ligamentum flavum and pars interarticularis.Results.Nine of the 64 patients had radiographic changes suggestive of axial gout. Lumbar vertebrae were most commonly involved, with facet joint erosions being the most common finding. Isolated involvement of the sacroiliac joints was seen in 2 patients. Axial gout had been diagnosed clinically in only one patient.Conclusion.Radiologic changes of axial gout were more common than recognized clinically, with a frequency of 14%. Since not all patients had CT images, it is possible that the frequency of axial involvement was even greater. A prospective study is needed to further define this process.

Effects of preventative footwear on foot pressure as determined by pedobarography in diabetic patients: a prospective study

2001 ◽  
Vol 18 (4) ◽  
pp. 314-319 ◽  
Author(s):  
R. Lobmann ◽  
R. Kayser ◽  
G. Kasten ◽  
U. Kasten ◽  
K. Kluge ◽  
...  
Keyword(s):  
Prospective Study ◽  
Diabetic Patients ◽  
Foot Pressure ◽  
A Prospective Study

Changes in Plantar Foot Pressure with In-Shoe Varus or Valgus Wedging

2004 ◽  
Vol 94 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Bart Van Gheluwe ◽  
Howard J. Dananberg
Keyword(s):  
Pressure Distribution ◽  
Loading Rate ◽  
Peak Pressure ◽  
Center Of Pressure ◽  
Scientific Evidence ◽  
Peak Load ◽  
Foot Orthoses ◽  
Foot Pressure ◽  
Custom Made

Varus and valgus wedging are commonly used by podiatric physicians in therapy with custom-made foot orthoses. This study aimed to provide scientific evidence of the effects on plantar foot pressure of applying in-shoe forefoot or rearfoot wedging. The plantar foot pressure distribution of 23 subjects walking on a treadmill was recorded using a pressure insole system for seven different wedging conditions, ranging from 3° valgus to 6° varus for the forefoot and from 4° valgus to 8° varus for the rearfoot. The results demonstrate that increasing varus wedging magnifies peak pressure and maximal loading rate at the medial forefoot and rearfoot, whereas increasing valgus wedging magnifies peak pressure and maximal loading rate at the lateral forefoot and rearfoot. As expected, the location of the center of pressure shifts medially with varus wedging and laterally with valgus wedging. However, these shifts are less significant than those in peak load and maximal loading rate. Timing variables such as interval from initial impact to peak load do not seem to be affected by forefoot or rearfoot wedging. Finally, rearfoot wedging does not significantly influence pressure variables of the forefoot; similarly, rearfoot pressure remains unaffected by forefoot wedging. (J Am Podiatr Med Assoc 94(1): 1-11, 2004)

2-(18F)-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography Detects Clinical Relevant Adenomas of the Colon: A Prospective Study

2005 ◽  
Vol 23 (16) ◽  
pp. 3713-3717 ◽  
Author(s):  
Mariëtte C.A. van Kouwen ◽  
Fokko M. Nagengast ◽  
Jan B.M.J. Jansen ◽  
Wim J.G. Oyen ◽  
Joost P.H. Drenth
Keyword(s):  
Positron Emission Tomography ◽  
Fdg Pet ◽  
Malignant Tumors ◽  
Case Series ◽  
Emission Tomography ◽  
Low Grade ◽  
Colonic Adenomas ◽  
Positron Emission ◽  
A Prospective Study ◽  
Fdg Accumulation

Purpose 2-(18F)-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) is a noninvasive imaging technique used clinically to detect malignant tumors. FDG-PET has been established as a tool for diagnosis of recurrent or metastatic colorectal carcinoma. Several case series suggest that FDG-PET also detects larger adenomas. The goal of this study was to investigate whether FDG-PET is able to detect colonic adenomas. Patients and Methods FDG-PET was performed in 100 consecutive patients in whom colonic adenomas were suspected on barium enema (n = 47) or sigmoidoscopy (n = 53). A positive scan was defined as focal large bowel FDG accumulation. FDG-PET was followed in all cases by colonoscopy, and removed adenomas were examined histopathologically. Results Colonoscopy confirmed the presence of adenomas in 68 of 100 patients. In 35 patients, there was focal FDG accumulation at site of the adenoma. The sensitivity of FDG-PET increased with adenoma size (21%, adenomas 1 to 5 mm; 47%, 6 to 10 mm; and 72%, > 11 mm). The sensitivity of FDG-PET also increased with the grade of dysplasia (33%, low grade; 76%, high grade; and 89%, carcinomas). The overall specificity was 84%. Conclusion FDG-PET detects colonic adenomas and the diagnostic test characteristics improve with size and grade of dysplasia of the adenoma.

scholarly journals Adolescent idiopathic scoliosis: surgical treatment and quality of life

2017 ◽  
Vol 25 (3) ◽  
pp. 85-89 ◽  
Author(s):  
Luciano Miller Reis Rodrigues ◽  
Alberto Ofenhejm Gotfryd ◽  
André Nunes Machado ◽  
Matheus Defino ◽  
Leonardo Yukio Jorge Asano
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Perioperative Complications ◽  
Case Series ◽  
Clinical Results ◽  
Spine Fusion ◽  
Level Of Evidence ◽  
Posterior Spine ◽  
A Prospective Study

ABSTRACT OBJECTIVES: The purpose of this study was to determine the influence of perioperative factors and their impact on clinical and functional outcomes in Brazilian patients with adolescent idiopathic scoliosis (AIS). METHODS: We performed a prospective study with 49 consecutive AIS patients who underwent spine fusion and had a minimum 2 year follow-up. Clinical and radiographic data were correlated to SRS-30 scores in order to predict postoperative results. RESULTS: There was a negative association between patient age at the time of surgery and back pain. We also observed higher scores in the "satisfaction" domain in patients who underwent surgery after 15 years of age (p < 0.05). The average SRS-30 "mental health" score was significantly higher in males than in females (p= 0.035). Patients treated with braces had worse results than those who did not use them (p= 0.005). CONCLUSIONS: Posterior spine fusion led to improvement of all domains of the SRS-30 questionnaire. Clinical results were influenced by age, sex and the use of braces prior to surgery. There was no correlation between curve correction and presence of perioperative complications. Level of Evidence IV, Case Series.

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