scholarly journals Prevalence and Distribution of Ankle Joint Equinus in 249 Consecutive Patients Attending a Foot and Ankle Specialty Clinic

10.7547/18-18 ◽  
2021 ◽  
Vol 111 (2) ◽  
Author(s):  
Patrick A. DeHeer ◽  
Sarah N. Standish ◽  
Kyle J. Kirchner ◽  
Adam E. Fleischer
Keyword(s):  
Achilles Tendon ◽  
Range Of Motion ◽  
Ankle Joint ◽  
Achilles Tendon Rupture ◽  
Foot And Ankle ◽  
Joint Range Of Motion ◽  
Posterior Group ◽  
Patients With Diabetes ◽  
Few Data ◽  
Joint Range

Background The definition of equinus varies from less than 0° to less than 25° of dorsiflexion with the foot at 90° to the leg. Despite its pervasive nature and broad association with many lower-extremity conditions, the prevalence of ankle equinus is unclear. Furthermore, there are few data to suggest whether equinus is predominantly a bilateral finding or isolated to the affected limb only. Methods We conducted a prospective cohort study examining consecutive patients attending a single foot and ankle specialty practice. Participation involved an assessment of ankle joint range of motion by a single rater with more than 25 years of clinical experience. We defined ankle equinus as ankle joint dorsiflexion range of motion less than or equal to 0° and severe equinus as less than or equal to –5°. Patients who had previously experienced an Achilles tendon rupture, undergone posterior group lengthening (ie, Achilles tendon or gastrocnemius muscle lengthening), or had conservative or surgical treatment of equinus previously were excluded. Results Of 249 included patients, 61% were female and 79% nondiabetic. The prevalence of ankle equinus was 73% [183 of 249], and nearly all of these patients had bilateral restriction of ankle joint range of motion (prevalence of bilateral ankle equinus was 98.4% [180 of 183] among those with equinus). We also found that ankle equinus was more common in patients with diabetes, higher body mass indexes (BMIs), or overuse symptoms. Conclusions The prevalence of ankle equinus in this sample was higher than previously reported, and nearly all of these patients had bilateral involvement. These data suggest that many people attending foot/ankle specialty clinics will have ankle equinus, and select groups (diabetes, increased BMI, overuse symptoms) are increasingly likely.

scholarly journals The Influence of Peripheral Nerve Injury on the Ankle Joint Range of Motion and the Elasticity of the Soleus Muscle in Rats

2004 ◽  
Vol 19 (2) ◽  
pp. 127-130 ◽  
Author(s):  
Takeya ONO ◽  
Sadaaki OKI ◽  
Junko OCHI ◽  
Shusaku KANAI ◽  
Michele Eisemann SHIMIZU ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Range Of Motion ◽  
Nerve Injury ◽  
Ankle Joint ◽  
Soleus Muscle ◽  
Peripheral Nerve Injury ◽  
Joint Range Of Motion ◽  
Joint Range

Static Ankle Joint Equinus

2010 ◽  
Vol 100 (3) ◽  
pp. 195-203 ◽  
Author(s):  
James Charles ◽  
Sheila D. Scutter ◽  
Jonathan Buckley
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Good Reliability ◽  
Future Studies ◽  
Second Stage ◽  
Joint Range Of Motion ◽  
Major Increase ◽  
Definition Of ◽  
A Minor ◽  
Joint Range

Equinus is characterized by reduced dorsiflexion of the ankle joint, but there is a lack of consensus regarding criteria for definition and diagnosis. This review examines the literature relating to the definition, assessment, diagnosis, prevalence, and complications of equinus. Articles on equinus and assessment of ankle joint range of motion were identified by searching the EMBASE, Medline, PubMed, EBSCOhost, Cinahl, and Cochrane databases and by examining the reference lists of the articles found. There is inconsistency regarding the magnitude of reduction in dorsiflexion required to constitute a diagnosis of equinus and no standard method for assessment; hence, the prevalence of equinus is unknown. Goniometric assessment of ankle joint range of motion was shown to be unreliable, whereas purpose-built tools demonstrated good reliability. Reduced dorsiflexion is associated with alterations in gait, increased forefoot pressure, and ankle injury, the magnitude of reduction in range of motion required to predispose to foot or lower-limb abnormalities is not known. In the absence of definitive data, we propose a two-stage definition of equinus: the first stage would reflect dorsiflexion of less than 10° with minor compensation and a minor increase in forefoot pressure, and the second stage would reflect dorsiflexion of less than 5° with major compensation and a major increase in forefoot pressure. This proposed definition of equinus will assist with standardizing the diagnosis and will provide a basis for future studies of the prevalence, causes, and complications of this condition. (J Am Podiatr Med Assoc 100(3): 195–203, 2010)

scholarly journals First metatarsophalangeal joint range of motion is associated with lower limb kinematics in individuals with first metatarsophalangeal joint osteoarthritis

2020 ◽  
Author(s):  
Jamie J Allan ◽  
Jodie A McClelland ◽  
Shannon E Munteanu ◽  
Andrew K Buldt ◽  
Karl B Landorf ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Sagittal Plane ◽  
Metatarsophalangeal Joint ◽  
Hip Joints ◽  
First Metatarsophalangeal Joint ◽  
Clinical Measurement ◽  
Joint Range Of Motion ◽  
Dynamic Function ◽  
Joint Range

Abstract Background Osteoarthritis of the first metatarsophalangeal joint (1st MTP joint OA) is a common and disabling condition that results in pain and limited joint range of motion. There is inconsistent evidence regarding the relationship between clinical measurement of 1st MTP joint maximum dorsiflexion and dynamic function of the joint during level walking. Therefore, the aim of this study was to examine the association between passive non-weightbearing (NWB) 1st MTP joint maximum dorsiflexion and sagittal plane kinematics in individuals with radiographically confirmed 1st MTP joint OA. Methods Forty-eight individuals with radiographically confirmed 1st MTP joint OA (24 males and 24 females; mean age 57.8 years, standard deviation 10.5) underwent clinical measurement of passive NWB 1st MTP joint maximum dorsiflexion and gait analysis during level walking using a 10-camera infrared Vicon motion analysis system. Sagittal plane kinematics of the 1st MTP, ankle, knee, and hip joints were calculated. Associations between passive NWB 1st MTP joint maximum dorsiflexion and kinematic variables were explored using Pearson’s r correlation coefficients. Results Passive NWB 1st MTP joint maximum dorsiflexion was significantly associated with maximum 1st MTPJ dorsiflexion (r=0.486, p<0.001), ankle joint maximum plantarflexion (r=0.383, p=0.007), and ankle joint excursion (r=0.399, p=0.005) during gait. There were no significant associations between passive NWB 1st MTP joint maximum dorsiflexion and sagittal plane kinematics of the knee or hip joints. Conclusions These findings suggest that clinical measurement of 1st MTP joint maximum dorsiflexion provides useful insights into the dynamic function of the foot and ankle during the propulsive phase of gait in this population.

scholarly journals Comparison of Early Outcome of Weil Osteotomy and Distal Metatarsal Mini-Invasive Osteotomy for Lesser Toe Metatarsalgia

2016 ◽  
Vol 24 (3) ◽  
pp. 350-353 ◽  
Author(s):  
Nicholas Eng Meng Yeo ◽  
Bryan Loh ◽  
Jerry YongQiang Chen ◽  
Andy Khye Soon Yew ◽  
Sean YC Ng
Keyword(s):  
Range Of Motion ◽  
Visual Analogue Score ◽  
Bone Union ◽  
Foot And Ankle ◽  
Early Outcome ◽  
Post Surgery ◽  
Joint Range Of Motion ◽  
American Orthopaedic ◽  
Joint Range ◽  
Mtp Joints

Purpose To compare the 6-month outcome of Weil osteotomy with distal metatarsal mini-invasive osteotomy (DMMO) in 33 patients with lesser toe metatarsalgia. Methods Records of 33 patients who underwent Weil osteotomy (n=20, 41 toes) or DMMO (n=13, 22 toes) for lesser toe metatarsalgia by a single surgeon were reviewed. 25 of them had a concurrent procedure on the 1st toe. Outcome at 6 months was assessed using the visual analogue score (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal (MTP-IP) score, and the RAND-36 score. Results The 2 groups were comparable in terms of age, gender, and preoperative MTP joint range of motion (ROM), VAS for pain, AOFAS lesser toe MTP-IP score, and RAND-36 scores. At 6 months, the Weil osteotomy group had a higher RAND-36 (mental) score (92 vs. 78, p=0.026), and the DMMO group had a higher percentage of toes with greater MTP joint ROM (p=0.043). All patients achieved bone union within 6 months. Two patients in the DMMO group had prolonged oedema until 3 months post-surgery. Conclusion DMMO is a safe and reliable alternative to Weil osteotomy for metatarsalgia and can preserve ROM of the MTP joints.

Sign in / Sign up

Export Citation Format

Share Document